Fibrils play an important role in the pathogenesis of amyloidosis; however, the underlying mechanisms of the growth process and the structural details of fibrils are poorly understood. Crucial in the fibril formation of prion proteins is the stacking of PrP monomers. We previously proposed that the structure of the prion protein fibril may be similar as a parallel left-handed -helix. The -helix is composed of spiraling rungs of parallel -strands, and in the PrP model residues 105-143 of each PrP monomer can contribute two -helical rungs to the growing fibril. Here we report data to support this model. We show that two cyclized human PrP peptides corresponding to residues 105-124 and 125-143, based on two single rungs of the lefthanded -helical core of the human PrP Sc fibril, show spontaneous cooperative fibril growth in vitro by heterologous stacking. Because the structural model must have predictive value, peptides were designed based on the structure rules of the lefthanded -helical fold that could stack with prion protein peptides to stimulate or to block fibril growth. The stimulator peptide was designed as an optimal left-handed -helical fold that can serve as a template for fibril growth initiation. The inhibiting peptide was designed to bind to the exposed rung but frustrate the propagation of the fibril growth. The single inhibitory peptide hardly shows inhibition, but the combination of the inhibitory with the stimulatory peptide showed complete inhibition of the fibril growth of peptide huPrP-(106 -126). Moreover, the unique strategy based on stimulatory and inhibitory peptides seems a powerful new approach to study amyloidogenic fibril structures in general and could prove useful for the development of therapeutics.Transmissible spongiform encephalopathies are neurodegenerative disorders in a wide range of mammalian species, including Creutzfeldt-Jacob disease in man, scrapie in sheep, and bovine spongiform encephalopathy in cattle. The deposition of aggregated prion protein fibrils on and in neurons is regarded to be the source of these neurodegenerative diseases and is frequently associated with occurrence of Congo red positivity (1-3). It is still unknown how much of the whole PrP Sc molecule is involved in the fibril growth. It is shown that the N-terminal part of PrP, specifically residues 112-141, can go through conformational changes involving -strand formation, which subsequently triggers fibril growth (6 -8), and solid state NMR studies showed that residues 112-141 are part of the highly ordered core of huPrP-(23-144) (9). It was previously shown that peptides based on the 89 -143 region of the human PrP protein can form fibrils rich in -sheet structure which are biologically active in transgenic mice (10). Within this region it is the huPrP-(106 -126) peptide that is the smallest known region of PrP that forms fibrils that are toxic and resemble the physiological properties of PrP . The formation of PrP Sc is considered to be a two-step event; first, there is the binding between Pr...