Myoglobin is an a-helical globular protein containing two highly conserved tryptophanyl residues at positions 7 and 14 in the N-terminal region. The double W/F replacement renders apomyoglobin highly susceptible to aggregation and amyloid-like fibril formation under physiological conditions. In this work we analyze the early stage of W7FW14F apomyoglobin aggregation following the time dependence of the process by far-UV CD, Fourier-transform infrared (FTIR) spectroscopy, and hemebinding properties. The results show that the aggregation of W7FW14F apomyoglobin starts from a native-like globin state able to bind the prosthetic group with spectroscopic properties similar to those observed for wild-type apoprotein. Nevertheless, it rapidly aggregates, forming amyloid fibrils. However, when the prosthetic group is added before the beginning of aggregation, amyloid fibrillization is inhibited, although the aggregation process is not prevented. Moreover, the apomyoglobin aggregates formed in these conditions are not cytotoxic differently from what is observed for all amyloidogenic proteins. These results open new insights into the relationship between the structure adopted by the protein into the aggregates and their ability to trigger the impairment of cell viability.Keywords: amyloid fibril; apomyoglobin aggregation; fibrillization inhibition; amyloid cytotoxicity A growing number of diseases appear to be caused by aggregation of misfolded protein that is deposited in the extra-and intracellular space (Kelly 1998;Sigurdsson et al. 2002;Westermark et al. 2002;Dobson 2003;Uversky and Fink 2004). These deposits can be amorphous (disordered) or fibrillar (ordered) (Geddes et al.1968; Blake 1997, 1998;Wetzel 2002). Inclusion bodies are an example of amorphous aggregates, and amyloid fibrils are an example of fibrillar or ordered aggregates. The characteristics of different amyloid fibrils, namely structure and morphology, observed by electron microscopy and X-ray fiber diffraction appear to be quite similar. In fact, they display a core cross-b-sheet structure in which continuous b-sheets run perpendicular to the long axis of the fibrils . Mature fibrils generally consist of two to six unbranched protofilaments, 2-5 nm in diameter, associated laterally or twisted together to form fibrils with 4-13 nm diameter (Shirahama and Cohen 1967;Shirahama et al. 1973;Jimenez et al. 1999). Amyloid formation is modulated by some critical, structural, and/or environmental factors, the understanding of which may certainly help in finding strategies to reverse fibril formation.3 These authors contributed equally to this work. Reprint requests to: Ivana Sirangelo, Dipartimento di Biochimica e Biofisica and Dipartimento di Medicina Sperimentale, Seconda Università degli Studi di Napoli, Via L. De Crecchio 7, 80138 Napoli, Italy; e-mail: ivana.sirangelo@unina2.it.; fax: 39-0815665863.Article published online ahead of print. Article and publication date are at