A self-assembles into parallel cross- fibrillar aggregates, which is associated with Alzheimer's disease pathology. A central hairpin turn around residues 23-29 is a defining characteristic of A in its aggregated state. Major biophysical properties of A, including this turn, remain unaltered in the central fragment A 18 -35 . Here, we synthesize a single deletion mutant, ⌬G25, with the aim of sterically hindering the hairpin turn in A 18 -35 . We find that the solubility of the peptide goes up by more than 20-fold. Although some oligomeric structures do form, solution state NMR spectroscopy shows that they have mostly random coil conformations. Fibrils ultimately form at a much higher concentration but have widths approximately twice that of A 18 -35 , suggesting an opening of the hairpin bend. Surprisingly, two-dimensional solid state NMR shows that the contact between Phe 19 and Leu 34 residues, observed in full-length A and A 18 -35 , is still intact in these fibrils. This is possible if the monomers in the fibril are arranged in an antiparallel -sheet conformation. Indeed, IR measurements, supported by tyrosine cross-linking experiments, provide a characteristic signature of the antiparallel -sheet. We conclude that the self-assembly of A is critically dependent on the hairpin turn and on the contact between the Phe 19 and Leu 34 regions, making them potentially sensitive targets for Alzheimer's therapeutics. Our results show the importance of specific conformations in an aggregation process thought to be primarily driven by nonspecific hydrophobic interactions.Alzheimer's disease pathology has been associated with the aggregation of amyloid  (A), 6 a 39 -43-amino acid-long peptide (1, 2). In this process, the unstructured monomers of A get converted into amyloid fibrils composed of hairpin-shaped monomeric units assembled in a parallel  sheet arrangement (3, 4). The central part of this hairpin structure consists of a hydrophilic region flanked by hydrophobic -sheet-forming segments at both ends (5-10). This particular shape is believed to be dictated by the specific pattern of hydrophobic and charged residues in the A sequence and has been identified even in soluble A aggregates (7,(11)(12)(13)(14)(15)(16)(17), including the very early stage oligomers of A (18 , and stabilizes the soluble monomeric and oligomeric assemblies of A (19). This hairpin turn thus seems to be a critical factor dictating the self-assembly of A under physiological conditions. Studying the influence of the turn region on the properties of A, separately from that of the distal terminal regions and without changing the electrostatics, can yield valuable information on the logic of A assembly.A aggregation appears to be primarily hydrophobic in nature. In fact a contact between hydrophobic regions containing Phe 19 and Leu 34 is one of the earliest contacts formed during the aggregation of amyloid  (18). In a generic hydrophobic aggregate, the burial of the hydrophobic surface can in principle proceed in an ...