In the present study, analytical techniques including gas chromatography/mass spectrometry (GC/ MS) -assisted carbohydrate linkage-analysis, one-and two-dimensional NM R, and matrix-assisted laser desorption/ionization time of flight mass spectroscopy (MALDI-MS) have been used to characterize the structure of the glycolipid associated with the paired helical filaments (PHF) isolated from the neurofibrillary tangles of Alzheimer's diseased brain. The 1H NMR spectrum of acidhydrolyzed protein-resistant core PH F (prcPH F) displays resonances that can be assigned to fatty acid and glucose. There are no resonances present that would indicate the presence of protein, amino acids, or a sphingosine base. Using two-dimensional homonuclear correlated spectroscopy, homonuclear Hartmann-Hahn, and heteronuclear multiple quantum coherence experiments, resonances in the 1H and 130 NMR spectrum of native PHF were assigned to a nonreducing terminal a-i ,6-glycosidically linked glucose, an internal a-i 6-linked glucose, and an a-i 2,6-linked glucose. The narrow linewidths observed for these residues suggest that they arise from glucose residues undergoing rapid segmental motion. The carbohydrate portion of the PHF-associated glycolipid was analyzed using GO/MS linkage analysis and confirmed the presence of terminal and internal a-1,6-linked glucose and a-i 2,6-linked glucose in a molar ratio of 2:1:1. Three components of the PHF-associated glycolipid fraction having masses 2,416, 2,325, and 2,237 Da were observed using MALDI-MS. The least abundant, heavier mass component (2,416 Da) was best fit to a structure with a tridecamer of glucose having a single esterified 020 fatty acid (Glc 13 + 020 or G1c13 + 020.1), whereas the more abundant, lower mass components were best fit to noncovalently associated glycolipid dimers, each with a glucose pentamer or hexamer having two 014, 016, or 018 esterified fatty acids {D[(G1c5 + 018) + (G1c6 + 016)1 or D[(G1c5 + 014) + (G1c6 + 014)]}. The ratio of glucose to fatty acid calculated from these bestfit structures of the more abundant mass components (5.5 + 1.1:1.0) is in reasonable agreement with the same ratio calculated from peak integrations in the NMR spectra of acid-hydrolyzed prcPHF (6.2 ± 1.6). Structural similarities between PHF-associated glycolipid and other glycolipid amphiphiles known to form PHF-like filaments indirectly suggest that this unique glycolipid may be an integral component of the PHF suprastructure.