Background: A polymorphism in position 129 in the human prion protein modulates susceptibility to prion infection and disease phenotype. Results: Mutations to various amino acids highlights the importance of position 129 during amyloid fibrillation. Conclusion: Position 129 is a key site for early intermolecular interactions during fibrillation. Significance: Insight into early mechanisms of aggregation implicates a means to prevent fibrillation.