The histopathological hallmarks of Alzheimer disease are the self-aggregation of the amyloid  peptide (A) in extracellular amyloid fibrils and the formation of intraneuronal Tau filaments, but a convincing mechanism connecting both processes has yet to be provided. Here we show that the endogenous polysaccharide chondroitin sulfate B (CSB) promotes the formation of fibrillar structures of the 42-residue fragment, A 1-42 . Atomic force microscopy visualization, thioflavin T fluorescence, CD measurements, and cell viability assays indicate that CSB-induced fibrils are highly stable entities with abundant -sheet structure that have little toxicity for neuroblastoma cells. We propose a wedged cylinder model for A 1-42 fibrils that is consistent with the majority of available data, it is an energetically favorable assembly that minimizes the exposure of hydrophobic areas, and it explains why fibrils do not grow in thickness. Fluorescence measurements of the effect of different A 1-42 species on Ca 2؉ homeostasis show that weakly structured nodular fibrils, but not CSB-induced smooth fibrils, trigger a rise in cytosolic Ca 2؉ that depends on the presence of both extracellular and intracellular stocks. In vitro assays indicate that such transient, local Ca 2؉ increases can have a direct effect in promoting the formation of Tau filaments similar to those isolated from Alzheimer disease brains.
Pathogenesis in Alzheimer disease (AD)3 is linked to the accumulation of the highly amyloidogenic self-associating amyloid  peptide (A). The amyloid cascade hypothesis postulates that AD pathology is initiated by an extracellular accumulation of A that in turn triggers a transmembrane signal having as ultimate effect the formation of neurofibrillary tangles by the microtubule-associated protein Tau (1-3), followed by collapse of the microtubular cytoskeleton. Some of the mechanisms that have been proposed to explain how extracellular A exerts its cytotoxic effects include the promotion of oxidative stress (4