“…cholesterol, sphingomyelin, ganglioside, etc.) interact specifically with A peptides, and this interaction has an important role in A fibrillation (13, 16 -20); however, other studies challenged this proposal (21,22). Recently, a two-step mechanism of membrane disruption by A peptides has been proposed in which (i) A oligomers bind to the membrane to form ion-permeable pores, and (ii) the process of A fibrillation causes membrane disruption mainly due to the interaction of A fibrils with gangliosides (20,23).…”