Hemolytic experiments and enzyme-linked immunosorbent assays specific for the activation products iC3b, C4d, Bb, and C5b-9 indicated that ABri and ADan are able to fully activate the complement cascade at levels comparable to those generated by A1-42. ABri and ADan specifically bound C1q with high affinity and formed stable complexes in physiological conditions. Activation proceeds ϳ70 -75% through the classical pathway while only ϳ25-30% seems to occur through the alternative pathway. The data suggest that the chronic inflammatory response generated by the amyloid peptides in vivo might be a contributing factor for the pathogenesis of FBD and FDD and, in more general terms, to other neurodegenerative conditions.The classic hallmark lesions of Alzheimer's disease (AD), 1 cerebral senile plaques and neurofibrillary tangles (NFTs), have been known for nearly a century. During the past two decades, a wide range of inflammatory markers, typically absent or significantly reduced in the normal elderly population, were reported in AD brains (1), and accumulating evidence suggests that sustained brain inflammation might be an essential cofactor in AD pathogenesis (2, 3). In this sense, immunological factors and inflammation mediators, including complement proteins and pro-inflammatory peptides generated at different stages of complement activation (4) as well as various cytokines (5), have been implicated in accelerating the progression of AD.The complement system is a highly regulated, powerful effector mechanism of the immune system that destroys and clears deleterious substances. It is composed of more than twenty proteins that become sequentially activated in a proteolytic cascade. Originally, activation of the complement system was thought to occur only by binding of immune complexes to C1q, the recognition component of the classical pathway. However, it became then evident that the complement system can directly be activated, in the absence of antibody, by interaction of certain foreign molecules with C3 (alternative activation pathway), C1q (antibody-independent classical activation pathway), or by specific lectins on the surface of certain microorganisms (lectin activation pathway) (3,6,7).The first step in the classical complement pathway involves the binding of an activator to C1q resulting in the subsequent conversion of the serine proesterases C1r and C1s to their active forms and, in turn, in the activation of C4, C2, and then C3. The alternative pathway differs from the classic pathway in that activation begins at the level of C3 and involves factors B and D and Properdin. Proteolytic modification of C3 by either pathway leads to the cleavage of C5 and the incorporation of C6, C7, C8, and multiple molecules of C9 resulting in the formation of the membrane attack complex (MAC), C5b-9, a transmembrane channel capable to produce cell lysis (8).Activation-derived proteins of both the classical and alternative pathways have been demonstrated in association with AD lesions by numerous groups (3). We investigate...