There is a hypothesis that dangerous diseases such as bovine spongiform encephalopathy, Creutzfeldt-Jakob, Alzheimer's, fatal familial insomnia, and several others are induced by propagation of wrong or misfolded conformations of some vital proteins. If for some reason the misfolded conformations were acquired by many such protein molecules it might lead to a ''conformational'' disease of the organism. Here, a theoretical model of the molecular mechanism of such a conformational disease is proposed, in which a metastable (or misfolded) form of a protein induces a similar misfolding of another protein molecule (conformational autocatalysis). First, a number of amino acid sequences composed of 32 aa have been designed that fold rapidly into a well defined native-like ␣-helical conformation. From a large number of such sequences a subset of 14 had a specific feature of their energy landscape, a well defined local energy minimum (higher than the global minimum for the ␣-helical fold) corresponding to -type structure. Only one of these 14 sequences exhibited a strong autocatalytic tendency to form a -sheet dimer capable of further propagation of protofibrillike structure. Simulations were done by using a reduced, although of high resolution, protein model and the replica exchange Monte Carlo sampling procedure. molecular dynamics ͉ Monte Carlo ͉ replica exchange Monte Carlo T he biological function of a protein can be performed only if the protein molecules adopt a precisely folded conformation (the native structure). A deviation from that structure, i.e., a misfolded conformation of a particular protein molecule either makes it inactive or active in another direction, in many cases (however, not always) harmful or even destructive for the host organism. Alternative folding or refolding (1, 2), frequently followed by a large-scale aggregation (3) of proteins may lead to bovine spongiform encephalopathy, Creutzfeldt-Jakob (4), Alzheimer's, fatal familial insomnia, and several other dangerous diseases (5, 6). The misfolded structures that are associated with the prion diseases contain a larger fraction of a -type structure than the native structure does (7,8). The -rich fragments of such proteins easily associate and subsequently form the amyloid fibrils (9). Interestingly, it appears that under extreme conditions of pH (9-11), solvent composition, high pressure (12), etc. almost all globular proteins can be converted into the amyloid form (8,13,14). Fortunately, at physiological conditions such aggregation is relatively rare. Experimental data indicate that the internal part of amyloid fibrils is highly ordered, although the detailed structure is not known. The leading hypothesis is that the fibrils are composed from protofibrils that have regular -sheet type structure (8, 9). Alternative molecular models postulate a -helical structure (8,15).Numerous computational studies, especially when combined with known experimental facts (11, 16), provided valuable insights into the structure and mechanism of formation of...