5.1. Monolayer Studies
Perhaps the earliest study on the interaction of Aβ peptide with lipid monolayers was performed by Seelig and co-workers in 1997 [
69]. Aβ40 was found to insert into acidic monolayers provided the lateral pressure was low (20 mN/m). The extent of incorporation increased distinctly with the content of acidic lipid in the monolayer. However, at a lipid packing density equivalent to that of a bilayer (lateral pressure ≥32 mN/m), no insertion of Aβ40 was observed. These studies were later confirmed and extended by Maltseva et al. using monolayers composed of phosphatidyl ethanolamine [
41] or of several zwitterionic or negatively charged phospholipids [
42]. Thakur et al. [
78] described the complex effects of cholesterol, in mixtures with several phospholipids, on the binding of Aβ40.
Ahyayauch et al. [
8] explored the initial stages of Aβ42 deposition on membranes. Aβ42 is considered to be more pathogenic than Aβ40. In the absence of lipids, injection of Aβ42 into the aqueous phase caused an increase in surface pressure, the latter reaching equilibrium after ≈1 h. This showed that Aβ42 was surface active, like many other peptides [
79]. The increase in surface pressure was dose-dependent and reached a plateau at ∼10 mN/m, for Aβ concentrations slightly above 1 μM. Thus, at these and higher concentrations the interface was saturated with adsorbed peptide and the peptide partitioned between the interface and the bulk water [
79]. Previous studies had found plateau values in the 12–17 mN/m range with Aβ42 or Aβ40 [
62,
63,
64,
66], the origin of the variability being unclear.
Aβ insertion into lipid monolayers was assayed in a different set of experiments, in which a lipid monolayer was extended at the air-water interface and the peptide was injected into the aqueous subphase. The initial surface pressure of the lipid monolayer was fixed as desired, at values >10 mN/m to avoid simultaneous peptide insertion and peptide adsorption. Aβ insertion into the lipid monolayer at the interface caused a further increase in surface pressure Δπ (
Figure 2A). As the initial pressure increased, Δπ decreased (
Figure 2B) until a point was reached, at 30–33 mN/m for this system, at which peptide insertion was no longer possible. When the negatively charged dimyristoyl phosphatidic acid (DMPA) was included in the monolayer lipid composition, and insertion was assayed in the 10–30 mN/m range, peptide insertion became easier in the order: SM/Chol (1:1) < SM/Chol/DMPA (40:40:20) < SM/Chol/DMPA (47.5:47.5:5), all figures given as mole ratios. However, the limiting initial pressure for all three lipid compositions was the same, close to 30 mN/m, supposed to be (with large fluctuations) the average surface pressure in the cell membranes. The same limiting initial pressure of 30 mN/m was found by Terzi et al. [
69] and by Maltseva et al. [
41,
42] for Aβ40. This may mean that, for a hypothetical cell membrane domain in the liquid-ordered state, Aβ would exist in equilibrium between the free and membrane-bound forms. The fact that insertion was facilitated by the presence of negatively charged lipids in the monolayer supports the role of electrostatic interactions in stabilizing Aβ42 insertion into lipid monolayers, in agreement with previous suggestions [
41,
78]. A compression isotherm of the SM/Chol/DMPA (40/40/20) mixture indicated an average area/molecule of ≈ 0.4 nm
2, in agreement with MD calculations (see Section 5.4 below).
Ahyayauch et al. [
9,
10,
11,
12] have further developed the possibilities of Langmuir monolayers to analyze the lipid interactions of Aβ42. The binding of A42 peptide monomers to sphingomyelin/cholesterol (1:1 mol ratio) monolayers containing 5 mol% gangliosides (either GM1, or GT1b, or a mixture of brain gangliosides) was assayed [
10]. In general, gangliosides facilitated monolayer-peptide binding. In the 10–30 mN/m range, peptide insertion became easier in the following order: SM/Chol < SM/Chol/total gangliosides ≈ SM/Chol/GT1b < SM/Chol/GM1. However, the limiting initial pressure for all four lipid compositions was the same, close to 32–34 mN/m. The monolayer data were independent of geometric fluctuations that could be produced by gangliosides in bilayers, and they confirmed that gangliosides facilitate the binding of Aβ42 to membrane lipids. In a different series of experiments [
10], four different lipid compositions were tested in monolayer form, namely POPC with 0, 1, 3, and 5 mol% GM1. In the 12–22 mN/m range, peptide binding became easier the higher the ganglioside concentration. However, the limiting initial pressure for all three lipid compositions was the same, close to 22 mN/m. Considering that 30 mN/m is supposed to be the average surface pressure in the (mostly fluid) cell membranes, the data indicate that, in fluid disordered bilayers, Aβ42 would adsorb onto the lipid surface, without being able of becoming inserted in the bilayer.
The state of aggregation of Aβ42 (monomer, oligomer or fibril) and its influence on the interaction with sphingomyelin/cholesterol (with or without gangliosides) in lipid monolayers has also been examined by Ahyayauch et al. [
11,
12]. The Langmuir balance demonstrated the capacity of all three peptide preparations to become inserted in lipid monolayers of any composition and initial π in the range 10–30 mN/m, although fibrils were less capable to do so than oligomers or monomers, their maximum initial π being ≈25 mN/m. When the various lipid compositions were compared, monolayers lacking gangliosides were most resistant to peptide insertion, while GM1 ganglioside allowed an easier insertion along a wide range of π
i. The effect of ganglioside concentration in the monolayers is as follows: For total ganglioside and for GM1, ganglioside concentrations below 5% did not clearly favor peptide insertion in the monolayer, as compared to the ganglioside-free SM/Chol mixture. A more gradual facilitation was observed, however, for GT1b. Moreover, when the monolayer electric charge was varied, through addition of electronegative phosphatidic acid, cardiolipin or gangliosides, the data showed that: (i) Aβ42 aggregation hindered peptide insertion into the monolayer, insertion decreasing in the order monomer > oligomer > fibril; (ii) lipid composition did not cause large differences in insertion, apart from a slight facilitation of monomer and oligomer insertion by gangliosides; (iii) SM/Chol constituted an exception to the above rule, in that it exhibited a particularly low binding to fibrils [
12].
Meanwhile, the group of Fidelio and co-workers have also published interesting results on the interaction of Aβ40 fibrils with lipid monolayers [
43,
44,
80,
81]. Alvarez et al. [
43] examined the surface properties of Aβ40 amyloid peptides mixed with 1-palmitoyl-2-oleoyl-phosphatidylcholine (POPC) (liquid crystalline state) or 1,2-distearoyl-phosphatidylcholine (DSPC) (gel state) phospholipids in the form of Langmuir monolayers. They observed, at a low amyloid peptide proportion (2.5-10% of total area), formation of a fibril-like structure when mixed with POPC, but not with DSPC. Fibrils were evidenced directly from the monolayers by using Brewster angle microscopy, as thioflavin T-positive structures when observed by fluorescence microscopy, and as an amyloid network by atomic force microscopy when the films were transferred onto a mica support. The authors concluded that amyloid fibrillogenesis on the membrane is regulated at least by the physical state of the water-lipid interface and by the relative content of amyloid protein at the interface. Later, the same authors described a “dynamical smelting”, or dissolution, process when pre-formed fibrils in amyloid/phospholipid monolayers was laterally mixed with gangliosides [
44]. They postulated that the ganglioside-dependent smelting of amyloid fibrils on the membrane surface resulted from the new interfacial environment imposed by the complex glycosphingolipids.
More recently Alvarez et al. [
80] described how Aβ40 fibrils alter the topography and mechanical properties of lipid membranes. When Aβ was assembled with DMPC in a binary film, the resulting mixed monolayers were heterogeneous, with a peptide-enriched phase distributed in a network-like pattern. The fibers covered most of the interface area and remained stable at higher pressures (20-30 mN·m
-1, depending on Aβ content) than pure peptide films (17 mN·m
-1). Furthermore, the fibers induced a compressional hysteresis in the film, similar to that of pure peptide films, which is nonexistent in the pure lipid monolayer, even at low peptide proportions. Thus, due to peptide intermolecular interactions, Aβ may have drastic effects on the molecular arrangement and mechanical properties of membranes. Conversely, the molecular lipid order can modulate interfacial Aβ fibril formation [
81]. These authors studied the surface properties of DPPC and Aβ40 mixed monolayers at different temperatures (from 15 to 40 °C). In this temperature range the surface properties of pure Aβ40 remain unchanged, whereas DPPC undergoes its characteristic liquid-expanded → liquid-condensed two-dimensional phase transition. As the initially expanded mixed film was isothermally compressed, the fibril-like structure of Aβ40 was triggered specifically in the liquid-expanded region, and excluded from the DPPC liquid-condensed domains. As the monolayers were compressed (from 11 mN/m to 20 mN/m) the condensed domains became irregular, perhaps because the fibrils were imposing additional lateral stress sequestering lipid molecules from the surrounding liquid-expanded phase to self-organize into amyloid.
5.2. Isothermal Calorimetric Studies
The earliest calorimetric studies of Alzheimer beta-amyloid fragments were also carried out by Seelig and co-workers, in 1994. They initially examined the random coil – β-sheet transition of a short fragment (residues 25-35) [
70]. Using ITC, they estimated an enthalpy of association ΔH ≈ -3 kcal/mol. This was followed by an investigation of the binding of Aβ peptides to lipid vesicles containing negatively charged lipids [
71]. The presence of lipids shifted the random coil – β-sheet equilibrium almost completely toward β-sheet structure. The Aβ(25-35)OH peptide exhibited an exothermic binding enthalpy ΔH ≈ -2 kcal/mol, with an intrinsic binding constant, after correction for electrostatic effects, K ≈ 2 M
-1. The same authors went on to examine the self-association of the much longer Aβ(1-40) in solution and binding to lipid membranes, using calorimetry together with other techniques [
7]. The binding isotherm, as measured with high sensitivity titration calorimetry, was approximately linear in the initial binding phase and exhibited an apparent saturation behavior. The apparent binding constant decreased with concentration from K
app ≈ 2100 M
-1 at low concentration to 700 M
-1 at the highest concentration measured. These authors were the first to propose peptide penetration into the lipid membrane and peptide aggregation at the membrane surface as possible mechanisms to explain the lipid-induced random coil – β-sheet transition [
7], the latter considered nowadays as the earliest step in pathogenic plaque formation [
3,
6,
8].
In more recent years, Ahyayauch et al. have carried out extensive and systematic calorimetric measurements of the interaction of Aβ42 peptide with lipids, in the form of liposomes (large unilamellar vesicles, LUV) [
8,
10,
11,
12]. When LUVs were composed of SM and Chol only, in the absence of negatively charged lipids, no measurable heats of interaction with monomeric Aβ were observed [
8]. This may be related to the relatively poor insertion of Aβ into SM/Chol monolayers, described above (
Section 5.1). However, reliable measurements were obtained with LUV containing the negatively charged lipid DMPA. The peptide association constant (K
a) decreased regularly (ΔG was made less negative) with increasing DMPA concentrations, in agreement with the surface pressure measurements of peptide insertion (
Figure 2B). A different negatively charged phospholipid, cardiolipin, favored Aβ42 interaction with bilayers even more than DMPA.
The SM/Chol mixtures used in the above experiments give rise to bilayers in the L
o state. With the aim of testing the influence of membrane order on Aβ42 binding, a number of experiments were performed in parallel with L
d bilayers, based on either pure eggPC, or on eggPC/DMPA mixtures. The more disordered membranes bound Aβ42 monomers with higher affinity than those in the L
o phase, even pure PC bilayers bound the peptide [
8].
In a different series of experiments, Ahyayauch et al. applied isothermal calorimetry to study the influence of gangliosides on Aβ42 interaction with either L
d or L
o bilayers. In the preparation of L
d bilayers [
10], POPC, either pure or in mixtures with 1, 3, or 5 mol% GM1 ganglioside was used. The peptide association constant (K
a) increased regularly (and correspondingly ΔG became more negative) when GM1 concentration increased from 0 to 3 mol%, and it decreased slightly (ΔG was made slightly less negative) for 5 mol% GM1. Aβ42 binding to fluid lipid bilayers appeared to be favored by GM1 at concentrations up to 3 mol%, while higher concentrations did not exhibit any clear effect [
10]. With bilayers in the L
o state, based on SM/Chol (1:1), mixed with 5 mol% ganglioside (GM1, GT1b, or a porcine brain total ganglioside extract) [
11], monomer binding could be reliably measured, unlike the situation in the absence of ganglioside. The peptide association constant (K
a) was of the same order of magnitude (≈10
5 M
−1) irrespective of the nature of the ganglioside. Correspondingly ΔG was in all three cases negative and very similar (−7 to −8 kcal/mol). Similar studies were carried out with varying ganglioside concentrations, namely 1, 3, and 5 mol%. The values for K
a and ΔG were very similar irrespective of ganglioside structure or concentration [
11]. Note however that the rather constant ΔG along the various conditions was the result of mutually compensating changes in enthalpy and entropy, the two latter functions of state varying widely with the ganglioside species.
All of the above calorimetric studies have been performed with Aβ42 in monomeric form. However, it was important to explore the effect of the peptide state of aggregation (monomer, oligomer, fibril) on its membrane binding capacity. The calorimetric results of such studies have been summarized in Ahyayauch et al. [
11,
12]. Aβ peptide oligomers were able to bind bilayers composed of SM and Chol only, in the absence of gangliosides, under conditions when measurable amounts of heat were released [
11]. The association constant K
a was of the order of 10
5 M
−1 with no gangliosides, or with 5 mol% total gangliosides, or with 5 mol% GT1b, corresponding to ΔG of about −7 kcal/mol. However, when GM1 ganglioside was present, K
a was lower, of the order of 10
3 M
−1, thus ΔG was of about −4 kcal/mol. As described for the case of Aβ monomers, similar ΔG values occur through mutually compensating changes of ΔH and ΔS. The low ΔG in the presence of GM1 was due to a low ΔH, not compensated by a high ΔS. When the Aβ peptide was in the form of fibrils [
11], a measurable amount of heat was also released as a result of peptide-vesicle interaction even in the absence of ganglioside. The heat exchange (absolute value) decreased in the order: total ganglioside > > GM1 > GT1b ≈ no ganglioside, and ΔS increased accordingly, so that ΔG was in all cases of about −7 kcal/mol, corresponding to K
a of the order of 10
5 M
−1 [
11].
Moreover, the SM/Chol bilayers were doped with the negatively charged phospholipids DMPA or CL, instead of gangliosides, under conditions similar to those used in [
8] for monomers, but with the Aβ42 peptide in the form of oligomers or fibrils [
12]. Studies with soluble oligomers have the additional interest that those appear to be most active from the pathogenic point of view [
82]. One major difference with monomers is that oligomers were able to interact with SM/Chol bilayers even in the absence of added negatively charged lipids (Table 2). They did so with a rather robust ΔG = −7.88 kcal/mol, in which an important entropic component (T · ΔS = −5.77 kcal/mol) occurred. Mixtures containing negatively charged lipids bound Aβ42 oligomers with ΔG rather similar to the case of the monomers, in the 5 to 7 kcal/mol range [
12]. An additional important difference between oligomers and monomers is the smaller ΔG (in absolute value) of the CL-containing mixtures with oligomers, as compared with those involving monomers. In general, the thermodynamic parameters describing binding equilibria appeared to be less dependent on bilayer composition for oligomers than for monomers. The remarkable positive values of ΔS observed with oligomers irrespective of lipid composition appear to speak in favor of a large disordering effect imposed by the oligomeric structures.
The interaction of Aβ(1-42) fibrils with LUV bilayers was assessed in the same way; the results showed that the association constants (K
a), related to the standard variation of the Gibbs’ free energy (ΔGº) and the actual changes in ΔG under our experimental conditions, were remarkably independent of the bilayer lipid composition [
12]. As discussed above for some examples of monomer binding, the constancy of ΔG was the result of compensating ΔH and ΔS values. ΔS was largest (most positive) for fibril interaction with SM/Chol than in any other system under study; this could be interpreted considering that the binary SM/Chol bilayer exhibited the largest degree of lipid order; thus, it was more perturbed than others by the fibril insertion. Conversely, in the samples containing the total ganglioside mixture, which is rich in trisialic gangliosides, the insertion of fibrils would cause a marked reorganization of the water molecules solvating the ganglioside sugar moieties, with the consequence of a decrease in entropy, compensating a large, exothermic (ΔH < 0) enthalpy change [
12].
From the ensemble of their isothermal calorimetry studies, Ahayayauch et al. [
8,
10,
11,
12] concluded that: (
i) the binding of Aβ42 fibrils, oligomers, and monomers was spontaneous (ΔG < 0) for all six lipid bilayer compositions tested, except that monomers could not interact with SM/Chol binary bilayers; (
ii) Aβ42 fibrils, oligomers, and monomers could bind bilayers in the liquid-ordered state, with the said exception for monomers and SM/Chol bilayers; (iii) both ΔH and ΔS were very sensitive to lipid composition, even if, in most cases, the composition was changed by only 5 mol%, and (iv) very similar values of ΔG were often attained through marked compensatory changes of ΔH and ΔS.
5.3. Molecular Dynamics (MD) Studies
To our knowledge, Yechun Xu et al. [
83] in 2005, were the first to apply molecular dynamics to examine Aβ peptides, specifically Aβ40, in an explicit bilayer environment. These authors first studied the conformational transitions of monomeric Aβ40 by a series of long time MD simulations. They found that conformational transitions from α-helix to coil occur through helix/β-sheet mixed conformations, in agreement with previous experimental work [
71]. This was interpreted as suggestive of helix/β-sheet mixed conformations as putative intermediates in Aβ oligomerization. Four glycines (G25, G29, G33, and G37) were found to be important for Aβ40 to form β-sheet in aqueous solution. In a DPPC bilayer, the major secondary structure of Aβ40 was a helix; moreover, the peptide exhibited a tendency to exit the membrane environment and lie down on the bilayer surface. Lys-28 was assigned to the interface region between the bilayer and the aqueous environment [
83].
A similar Aβ40/DPPC system was examined by Lemkul and Bevan [
84]. Unlike the previous study, they found that a portion of the peptide remained embedded in the bilayer in all cases. When deeper insertion occurred, Aβ40 adopted a near-transmembrane orientation, drawing water molecules into the bilayer to associate with its charged amino acids. In the more frequent case of shallower insertion, the peptide associated strongly with the membrane–water interface and the phosphatidylcholine headgroups of the bilayer. These authors concluded that Aβ-membrane association was highly dynamic and capable of adopting a number of conformations. To explain the fact that the peptide was not seen to leave the bilayer, Lemkul and Bevan suggested that maybe the length of time of the simulations was not long enough to observe such behavior. More importantly, these authors implied that a nucleation site was needed to initiate the aggregation process.
Davis and Berkowicz [
85] introduced a new factor in these MD studies, namely the DPPC lamellae were compared with dioleoyl phosphatidylserine (DOPS) bilayers, the latter lipid bearing unsaturated chains, and a net negative charge. In this case the peptide was Aβ42. In the light of their results, the authors suggest that the Aβ peptide, cleaved from the APP, would be brought close to the bilayer surface. With a mostly zwitterionic bilayer, the peptide would strongly interact with the hydrophobic core of the bilayer, this binding precluding any secondary structure change, thus extensive interactions with other nearby peptides. In turn, an anionic lipid membrane appeared to promote aggregation by locally increasing Aβ concentration on the bilayer surface, due to the highly favorable free energy of binding, and by decreasing the local pH on the bilayer surface to promote an Aβ configuration that would drive oligomerization [
85]. These authors did not take into account, in their interpretation of the data, that DPPC and DOPS bilayers would exist in different states at room temperature, respectively the gel and fluid disordered states.
Ahyayauch et al. [
8] considered the interactions of Aβ42 with mixed bilayers, composed of SM and Chol at equimolar amounts plus different proportions (5 or 20 mol%) of the saturated, negatively charged DMPA. Apart from the mixed composition, an important difference with respect to the previous MD studies was that, because of the high concentrations of SM and Chol, these bilayers were in the liquid-ordered state. It is reasonable to expect some liquid-ordered micro- or nanodomains in the cell membranes, while the presence of gel domains would be, unless under exceptional circumstances, disallowed [
20]. MD pictures were different for the low- and high-charge bilayers (respectively 5 and 20 mol% DMPA), in the former case the peptide was bound through many contact points to the bilayer, whereas for the latter case only a small fragment of the peptide appeared to be bound. Moreover, the MD methods indicated the development of a β-sheet structure by the peptide in bilayers containing 5% DMPA, whereas in the presence of 20 mol % DMPA the peptide would retain a partially helical conformation. This would lead, under equilibrium conditions, to the situation of maximum β-sheet at low DMPA concentrations experimentally observed by ITC, Langmuir balance, and spectroscopic measurements [
8]. The MD results indicated that the binding and fibril formation on the membrane surface depended on the composition of the bilayer, and was the result of a subtle balance of many inter- and intramolecular interactions between Aβ42 and membrane. The prevailing role of Lys-28 in bilayer binding was also underlined in this study, in agreement with previous data [
83].
Gangliosides had been shown to promote the structural conversion of Aβ and increase the rate of peptide aggregation, but the exact nature of the interactions driving these processes was not understood [
74,
76]. Manna and Mukhopadhyay [
86] investigated the behavior of Aβ42 monomers and dimers in GM1 ganglioside-containing liquid-ordered membranes, composed basically of 1-pamitoyl-2-oleoyl phosphatidylcholine (POPC) and Chol at a 3:1 mol ratio. The oligosaccharide head-group of GM1 was observed to act as scaffold for Aβ-binding through sugar-specific interactions. Starting from a monomer in a helical peptide conformation, a β-hairpin motif was formed at the C-terminus of the GM1-bound Aβ peptide, which did not appear in the absence of ganglioside. In the case of Aβ dimers, the β-structure was further enhanced by peptide-peptide interactions with the GM1-containing surfaces, which might influence the propensity of Aβ to aggregate into higher-ordered structures. Ganglioside effects were also considered in the MD studies by Ahyayauch et al. [
10], performed with POPC lipid bilayers, to which small amounts of GM1 ganglioside (1–5 mol%) were incorporated. These bilayers were, thus, in the liquid-disorderd state (L
d). MD measurements concurred with surface pressure (Langmuir monolayer) and thioflavin T data in showing that, under those conditions, the Aβ42 peptide bound (adsorbed onto) the bilayer surface, but did not become inserted into it at surface pressures compatible with the cell membrane conditions (π
i ≈ 30 mN/m). Moreover, those authors detected a very low degree of peptide oligomerization/aggregation under their conditions [
10]. All these data supported the notion that Aβ42 binding to lipid membranes was facilitated by lipid chain disorder. GM1 tends to increase lipid order [
50], and this property may also be responsible for the dual effect of GM1 on Aβ42 binding, its ordering properties compensating the pro-binding effects of the negative charge and H-bonding network.
The subject of Aβ42 oligomerization, or, more specifically, of tetramer formation in bilayers, was considered in at least three contributions [
82,
83,
84]. Poojari et al. [
87] used atomistic MD simulations to investigate the behavior of Aβ42 in zwitterionic and anionic lipid bilayers. These authors simulated transmembrane β-sheets (monomer and tetramer), as well as a helical structure, the latter obtained from an NMR study. In all cases Aβ42 remained embedded in the bilayer. It was found that zwitterionic surfaces and unsaturated lipids promoted Aβ42 transmembrane stability, and that the β-sheet tetramer was most stable as a result of inter-peptide interactions. A novel, interesting aspect of this study was that the translocation of water in the Aβ42-bilayer systems was analyzed. The process was slower in the presence than in the absence of peptide. The rate-limiting step was identified as the permeation through the hydrophobic core, where interactions between Aβ42 and permeating H
2O molecules slowed the translocation process. The β-sheet tetramer allowed more water molecules to pass through the bilayer than the monomeric Aβ, and the authors concluded that the experimentally observed permeabilization of membranes must be due to membrane-bound Aβ oligomers, and not monomers. In turn, Brown and Bevan [
88] utilized MD simulations to show the formation of a tetramer unit by four separate Aβ42 peptides, in the absence of lipid. Aβ42 tetramers showed a significant increase in β-strand formation relative to the monomers, suggesting that tetramerization could be a step in fibril formation. The previously formed Aβ42 tetramer was used in subsequent MD simulations in the presence of pure POPC or of a POPC/SM/Chol (1:1:1 mol ratio) membrane. The tetramer was elongated in the presence of the bilayers. With bilayers containing SM and Chol, formation of a more rod-like structure was observed, which could lead to generation of fibril-seeding aggregates.
The presence of tetramer led to more ordered, rigid membranes, with the pure POPC being affected to a greater extent than the 3-component membrane. In a complementary study on Aβ oligomerization, Tachi et al. [
89] found that Aβ40 formed an α-helix, then a β-hairpin structure at the air-water interface containing GM1. The β-hairpin promotes the formation of oligomers with intermolecular β-sheets. The results suggest that helix formation, which is the first step in the conformational changes toward pathological aggregation, is initiated at the GM1-glycan moieties rather than at the lipid-ceramide moieties.
Brains of Alzheimer’s disease patients exhibit a substantial decrease in unsaturated lipid contents, particularly lipids containing (𝜔 – 3) docosahexaenoic (22:6cis) fatty acid chains in the frontal gray matter [
90,
91]. Hossain et al. [
53], using spectroscopic and microscopic methods, demonstrated that docosahexaenoic acid inhibits Aβ42 fibril formation, suggesting that membranes rich in polyunsaturated lipids would hamper formation of Aβ aggregates on their surface. Moreover, electronic spin resonance experiments [
75] showed that docosahexaenoic-containing lipids enhanced Aβ25−35 peptide interaction with lipid membrane, favoring deep peptide internalization, and inhibiting peptide release and subsequent fibrillization. Then, Ntarakas et al. [
92] carried out MD simulations of Aβ1-28 and Aβ26-40 peptides in four different lipid bilayers: DMPC, 1-stearoyl-2-docosahexaenoyl PC (SDPC), and mixtures of distearoyl phosphatidyl ethanolamine (DSPE), didocosahexaenoyl PE (DDPE), DPPC, and dioleoyl PC (DOPC), mimicking neuronal membranes in "healthy" and "Alzheimer’s" brains. The simulations showed that the presence of polyunsaturated lipids caused stronger adsorption of Aβ peptides to the membrane and led to weaker binding between peptides when the latter form aggregates, thus confirming the previous experimental results [
53,
75].
More recently, Matthes and de Groot [
93] have considered the role of Aβ42 oligomer conformations in membrane permeabilization. They used Aβ42 oligomer structures, previously determined in a membrane-mimicking environment, as model systems to study the pore formation process in phospholipid bilayers with all-atom molecular dynamics simulations. These authors found that pore formation and ion permeation occurred in the presence of β-sandwich structures with exposed side-by-side β-strand pairs formed by residues 9 to 21 of Aβ42. Water or ions were only in contact with the outermost, exposed β-sheet hydrophilic edges, along which water and ion conductivity took place. The extent of pore formation and ion permeation depended on the insertion depth of hydrophilic residues 13 to 16 (HHQK domain). These results suggest that membrane-inserted, layered β-sheet edges are a key structural motif in pore-forming Aβ42 oligomers and aggregate-induced membrane permeabilization.