There is considerable interest in uncovering the pathway of amyloid formation because the toxic properties of amyloid likely stems from prefibril intermediates and not the fully formed fibrils. Using a recently invented method of collecting 2-dimensional infrared spectra and site-specific isotope labeling, we have measured the development of secondary structures for 6 residues during the aggregation process of the 37-residue polypeptide associated with type 2 diabetes, the human islet amyloid polypeptide (hIAPP). By monitoring the kinetics at 6 different labeled sites, we find that the peptides initially develop well-ordered structure in the region of the chain that is close to the ordered loop of the fibrils, followed by formation of the 2 parallel -sheets with the N-terminal -sheet likely forming before the C-terminal sheet. This experimental approach provides a detailed view of the aggregation pathway of hIAPP fibril formation as well as a general methodology for studying other amyloid forming proteins without the use of structure-perturbing labels.aggregation ͉ amylin ͉ fibers ͉ human islet amyloid polypeptide ͉ nucleation M ore than 20 different diseases are associated with proteins that form insoluble amyloid fibers (1). In large quantities, organ function is disrupted by the formation of amyloid deposits, but for several amyloid diseases, there is evidence that the toxic entities are actually prefibril intermediates (2, 3). Although they have been the focus of numerous studies, details about these critical intermediates have been elusive, mostly because it is extraordinarily difficult to obtain structural and kinetic information for amyloid aggregation. The difficulty arises because high-resolution techniques do not have the time resolution required to track the structural changes, nor can they be easily applied to aggregating systems. Optical techniques that do have sufficient time resolution, such as circular dichroism spectroscopy, provide only a low-resolution view of structure. Other techniques, like electron spin resonance and fluorescence spectroscopy, require bulky labels that can perturb the structure and dynamics. Mechanistic information is vital to understand the mechanism of protein misfolding as well as to design inhibitors that subvert the pathway of amyloid formation. What is needed is a technique with sufficient time resolution to observe intermediates, provide residue-level structural information, is nonperturbing, and, ideally, can be used to test molecular dynamics simulations.A technique that satisfies these criteria is 2D infrared (2D IR) spectroscopy when used with site-specific isotope labeling (4). We have recently demonstrated a technological approach for collecting 2D IR spectra that is particularly well-suited for studying amyloid formation (5). Our method uses a mid-IR pulse shaper to automate data collection, much like an NMR spectrometer, so that spectra can be collected quickly enough to monitor fibril kinetics on the fly. In this article, we combine this automated version...