Alzheimer's disease is characterized pathologically by the presence of neurofibrillary tangles and amyloid plaques. The principal component of the plaque is the -amyloid peptide (A), a 39 -43-residue peptide. The conformational change required for the conversion of soluble peptide into amyloid fibrils is modulated by pH, A concentration, addition of kinetic and thermodynamic enhancers, and alterations in the primary sequence of A. We report here the ability of gangliosides to induce an ␣-helical structure in A and thereby diminish fibrillogenesis. Circular dichroism and a fluorescence dye release assay data indicate that gangliosides interact with and induce ␣-helix formation in A. We find that the sialic acid moiety of gangliosides is necessary for the induction of ␣-helical structure. Differences in the amount and the position of the sialic acid on the carbohydrate backbone also affect the conformational switch. The A-ganglioside interaction at pH 7.0, monitored by CD, is stable over time and resistant to high concentrations of NaCl. The induction of ␣-helical structure is greater with A1-40 than A1-42. The ability of gangliosides to sequester A from fibril formation was also evaluated by electron microscopy.Alzheimer's disease is characterized by the presence of amyloid plaques surrounded by dead and dying neurons in the brain (1, 2). The principal component of the plaque is the -amyloid (A) 1 peptide, a 39 -43-residue peptide found in normal human tissue and generated as a cleavage product from the larger amyloid precursor protein (3)(4)(5)(6). A in the plaque is in the form of an amyloid fibril, approximately 100 Å in diameter and several microns long (7). The conformational changes required for the conversion of soluble A into amyloid fibrils have been demonstrated to be a nucleation-dependent process (8, 9) which is modulated by pH, A-peptide concentrations, and presence of nucleation seeds, such as proteoglycans and apolipoproteins (10 -14). Alterations in the primary sequence of A peptides greatly affect amyloid fibril formation (15). The E22Q mutation in A, found in hereditary cerebral hemorrhage with amyloidosis of the dutch type (16), yields a peptide with increased ability to form amyloid fibrils (17). On the other hand, the single mutation of V18A increases the apparent ␣-helical content of A and diminishes fibrillogenesis (18). We have found that the interaction of A40 and A42 with mixed ganglioside preparations and GM1 increases the ␣-helical content, and we speculated that this interaction may prevent amyloid fibril formation (19).It has been well documented that amyloid fibrils are intimately associated with neuronal, microglial, and endothethial membranes. Cell processes are extended out into close proximity of amyloid deposits (20,21), and cell culture studies have demonstrated that overexpression of A results in cell surface ruffling (22-24). These results, as well as the studies on A-membrane interactions (19,(25)(26)(27)(28)(29)(30)(31), suggested that the interaction...