“…This suggests that the physiological process of amyloid formation can be recapitulated in vitro and highlights Several studies using familial AD (fAD) mutations in animal models and cell culture experiments strongly support the notion that early intermediates in the fibrillization process (i.e., oligomers, including protofibrils) are the primary toxic Aβ species and have a central role in AD pathogenesis. This hypothesis is supported by (i) the lack of a clear correlation between fibrillar amyloid burden in AD patients and cognitive impairment 29,30 , whereas such a correlation has been reported for the soluble pool of Aβ (monomers and oligomers including protofibrils) and AD severity 31,32 ; (ii) the fact that autosomal dominant mutations in APP or its cleaving enzymes (presenilins), which favor increased production of Aβ42 and/or accumulation of protofibrils, are associated with the development of fAD [33][34][35][36] ; (iii) the indication that transgenic animals overexpressing fAD mutations in APP exhibit learning deficits and lower performance in memory tasks, compared with control animals, long before the appearance of amyloid plaques 37,38 ; (iv) the fact that intracerebral administration of soluble Aβ oligomers in live animals impairs cognitive performance and inhibits long-term potentiation (LTP), a cellular model of memory formation 19 , and induces widespread plaque pathology 39 ; and (v) the observation that treating cultured neurons with Aβ protofibrils results in impairment of ion channelss 40,41 , inhibition of LTP 42 , loss of synapses and cell death 14 . Finally, anti-Aβ antibodies specifically targeting oligomers, including protofibrils, block neurotoxicity in cultured neurons 43 and reverse behavioral deficits in mice 44 .…”