According to the amyloid hypothesis, the pathogenesis of Alzheimer's disease is triggered by the oligomerization and aggregation of the amyloid- (A) peptide into protein plaques. Formation of the potentially toxic oligomeric and fibrillar A assemblies is accompanied by a conformational change toward a high content of -structure. Here, we report the solution structure of A(1-40) in complex with the phage-display selected affibody protein ZA3, a binding protein of nanomolar affinity. Bound A(1-40) features a -hairpin comprising residues 17-36, providing the first highresolution structure of A in  conformation. The positions of the secondary structure elements strongly resemble those observed for fibrillar A. ZA3 stabilizes the -sheet by extending it intermolecularly and by burying both of the mostly nonpolar faces of the A hairpin within a large hydrophobic tunnel-like cavity. Consequently, Z A3 acts as a stoichiometric inhibitor of A fibrillation. The selected A conformation allows us to suggest a structural mechanism for amyloid formation based on soluble oligomeric hairpin intermediates.A-peptide ͉ engineered binding protein ͉ molecular recognition ͉ protein structure ͉ nuclear magnetic resonance