In Alzheimer's disease, the major pathological features are diffuse and senile plaques that are primarily composed of the amyloid- (A) peptide. It has been proposed that proteoglycans and glycosaminoglycans (GAG) facilitate amyloid fibril formation and/or stabilize the plaque aggregates. To develop effective therapeutics based on A-GAG interactions, understanding the A binding motif on the GAG chain is imperative. Using electron microscopy, fluorescence spectroscopy, and competitive inhibition ELISAs, we have evaluated the ability of chondroitin sulfate-derived monosaccharides and disaccharides to induce the structural changes in A that are associated with GAG interactions. Our results demonstrate that the disaccharides GalNAc-4-sulfate(4S), ⌬UA-GalNAc-6-sulfate(6S), and ⌬UA-GalNAc-4,6-sulfate(4S,6S), the iduronic acid-2-sul-