The "amyloid cascade hypothesis," linking self-assembly of the amyloid- protein (A) to the pathogenesis of Alzheimer's disease, has led to the emergence of inhibition of A self-assembly as a prime therapeutic strategy for this currently unpreventable and devastating disease. The complexity of A selfassembly, which involves multiple reaction intermediates related by nonlinear and interconnected nucleation and growth mechanisms, provides multiple points for inhibitor intervention. Although a number of small-molecule inhibitors of A selfassembly have been identified, little insight has been garnered concerning the point at which these inhibitors intervene within the A assembly process. In the current study, a julolidine derivative is identified as an inhibitor of A self-assembly. To gain insight into the mechanistic action of this inhibitor, the inhibition of fibril formation from monomeric protein is assessed quantitatively and compared with the inhibition of two distinct mechanisms of growth for soluble A aggregation intermediates. This compound is observed to significantly inhibit soluble aggregate growth by lateral association while having little effect on soluble aggregate elongation via monomer addition. In addition, inhibition of soluble A aggregate association exhibits an IC 50 with a somewhat lower stoichiometric ratio than the IC 50 determined for inhibition of fibril formation from monomeric A. This quantitative comparison of inhibition within multiple A self-assembly assays suggests that this compound binds the lateral surface of on-pathway intermediates exhibiting a range of sizes to prevent their association with other aggregates, which is required for further assembly into mature fibrils.Alzheimer's disease (AD) is currently the most common type of dementia, affecting an estimated 5.2 million Americans (Alzheimer's Association, 2008). As the life expectancy in the United States and other postindustrialized nations increases, AD presents a burgeoning epidemic. AD initially affects short-term memory and progresses to include pervasive cognitive and emotional dysfunction. These manifested symptoms are hypothesized to result from a cascade of events initiated by the self-assembly of monomeric amyloid- protein (A), leading first to the formation of soluble aggregates and later progressing into larger insoluble fibrils, which ultimately deposit in the extracellular space of the brain parenchyma. This "amyloid cascade hypothesis" is supported by experimental evidence (Walsh and Selkoe, 2007), including genetic correlations, transgenic animal models, and cell culture studies, and has established the inhibition of A self-assembly as a prime therapeutic strategy in the fight against AD.Several small molecules that inhibit the in vitro formation of amyloid fibrils from monomeric A have been identified (Findeis, 2000;Hamaguchi et al., 2006;LeVine, 2007). Studies using quantitative measures of inhibition assembled from light scattering measurements, thioflavin T (ThT) fluorescence, or immun...