Type 2 diabetes (T2D) is a common
protein misfolding disease (PMD),
and its pathogenesis is considered to be tightly associated with the
aggregation of the disease-causative hIAPP (or amylin). Numerous studies
have shown a possible pathological link between hIAPP aggregation
and β-cell death; thus, different-level strategies from basic
research to clinical bench applications have been applied to discover
and design different types of inhibitors for preventing hIAPP aggregation
and toxicity. This review surveys recent and important advances of
hIAPP aggregation inhibitors in the context of amyloid aggregation,
toxicity, and inhibition. Many hIAPP inhibitors have been explored
to exert different inhibitory functions on hIAPP aggregation via different
pathways. A further overview of molecular simulations of inhibitor–hIAPP
systems highlights some consensus binding sequences and structures
of hIAPP for different inhibitors, which provide molecular insights
into well-defined binding targets and binding-induced inhibition mechanisms
for structural-based design of hIAPP inhibitors. In a broader view,
while anti-aggregation inhibitors hold substantial promise in the
prevention of PMDs, many challenges still remain and need to be addressed
for advancing our fundamental understanding of amyloid aggregation
and practical design of clinically relevant inhibitors to treat PMDs.