We investigated the therapeutic effects of two different versions of A 1-15 (16) liposome-based vaccines. Inoculation of APP-V717IxPS-1 (APPxPS-1) double-transgenic mice with tetrapalmitoylated amyloid 1-15 peptide (palmA 1-15), or with amyloid 1-16 peptide (PEG-A 1-16) linked to a polyethyleneglycol spacer at each end, and embedded within a liposome membrane, elicited fast immune responses with identical binding epitopes. PalmA 1-15 liposomal vaccine elicited an immune response that restored the memory defect of the mice, whereas that of PEG-A 1-16 had no such effect. Immunoglobulins that were generated were predominantly of the IgG class with palmA 1-15, whereas those elicited by PEG-A 1-16 were primarily of the IgM class. The IgG subclasses of the antibodies generated by both vaccines were mostly IgG2b indicating noninflammatory Th2 isotype. CD and NMR revealed predominantly -sheet conformation of palmA1-15 and random coil of PEG-A 1-16. We conclude that the association with liposomes induced a variation of the immunogenic structures and thereby different immunogenicities. This finding supports the hypothesis that Alzheimer's disease is a ''conformational'' disease, implying that antibodies against amyloid sequences in the -sheet conformation are preferred as potential therapeutic agents.Alzheimer's disease ͉ -amyloid ͉ vaccine C linical manifestations of Alzheimer's disease (AD) include progressive memory loss, cognitive impairment, confusion, and personality changes. The major neuropathological changes in the brains of AD patients are senile plaques and neurofibrillar tangles causing progressive neuronal dysfunction. These pathological alterations are likely causally involved in eventual neuronal death, particularly in brain regions related to memory and cognition (1-4). Senile plaques are formed predominantly by the -amyloid peptide A 1-42 that is coiled and ␣-helical in its soluble form but, upon conformational transition, aggregates into -sheeted multimers. The monomeric A peptide is a physiological metabolite of the large amyloid precursor protein (APP, 695-770 aa) that undergoes processing by several sequential proteolytic steps (5). The A 1-42 aggregates are proposed to play the key role in the pathogenesis of AD (6). In transgenic animals that overexpress mutant human APP, anti-A-specific antibodies decreased the A burden and improved memory after either passive (7-11) or active (12-18) immunization.We previously demonstrated that i.p. inoculation of tetrapalmitoylated A1-16 reconstituted in liposomes to transgenic NORBA mice elicited significant titers of anti-A antibodies, that solubilized amyloid fibers in vitro and pancreatic A plaques in vivo (19). To circumvent T cell-mediated immune responses known to be causatively involved in the adverse events of meningoencephalitis of AD patients immunized with A1-42 (20-22), the A1-16 and 1-15 sequences were used for immunization of APPxPS1 double-transgenic mice (23) because strong T cell epitopes are located more toward the C-te...