Protein
misfolding and aggregation, a key contributor to the progression
of numerous neurodegenerative diseases, results in functional deficiencies
and the creation of harmful intermediates. Detailed visualization
of this misfolding process is of paramount importance for improving
our understanding of disease mechanisms and for the development of
potential therapeutic strategies. While in vitro studies
using purified proteins have been instrumental in delivering significant
insights into protein misfolding, the behavior of these proteins in
the complex milieu of living cells often diverges significantly from
such simplified environments. Biomedical imaging performed in cell
provides cellular-level information with high physiological and pathological
relevance, often surpassing the depth of information attainable through in vitro methods. This review highlights a variety of methodologies
used to scrutinize protein misfolding within biological systems. This
includes optical-based methods, strategies leaning on mass spectrometry,
in-cell nuclear magnetic resonance, and cryo-electron microscopy.
Recent advancements in these techniques have notably deepened our
understanding of protein misfolding processes and the features of
the resulting misfolded species within living cells. The progression
in these fields promises to catalyze further breakthroughs in our
comprehension of neurodegenerative disease mechanisms and potential
therapeutic interventions.