Self-assembly of the 40/42 amino acid A! peptide is a key player in Alzheimer's disease. A!40 is the most prevalent species, while A!42 is the most toxic. It has been suggested that the amino acids 21-30 could nucleate the folding of A! monomer and a bent in this region could be the rate-limiting step in A! fibril formation. In this study, we review our current understanding of the computer-predicted conformations of amino acids 23-28 in the monomer of A!(21-30) and the monomers A!40 and A!42. On the basis of new simulations on dimers of full-length A!, we propose that the ratelimiting step involves the formation of a multimeric !-sheet spanning the central hydrophobic core (residues 17-21).