Abnormal aggregation of misfolded proteins and their deposition as inclusion bodies in the brain have been implicated as a common molecular pathogenesis of neurodegenerative diseases including Alzheimer, Parkinson, and the polyglutamine (poly(Q)) diseases, which are collectively called the conformational diseases. The poly(Q) diseases, including Huntington disease and various types of spinocerebellar ataxia, are caused by abnormal expansions of the poly(Q) stretch within diseasecausing proteins, which triggers the disease-causing proteins to aggregate into insoluble -sheet-rich amyloid fibrils. Although oligomeric structures formed in vitro are believed to be more toxic than mature amyloid fibrils in these diseases, the existence of oligomers in vivo has remained controversial. To explore oligomer formation in cells, we employed fluorescence correlation spectroscopy (FCS), which is a highly sensitive technique for investigating the dynamics of fluorescent molecules in solution. Here we demonstrate direct evidence for oligomer formation of poly(Q)-green fluorescent protein (GFP) fusion proteins expressed in cultured cells, by showing a time-dependent increase in their diffusion time and particle size by FCS. We show that the poly(Q)-binding peptide QBP1 inhibits poly(Q)-GFP oligomer formation, whereas Congo red only inhibits the growth of oligomers, but not the initial formation of the poly(Q)-GFP oligomers, suggesting that FCS is capable of identifying poly(Q) oligomer inhibitors. We therefore conclude that FCS is a useful technique to monitor the oligomerization of disease-causing proteins in cells as well as its inhibition in the conformational diseases.Abnormal aggregation and deposition of misfolded proteins in the brain have been implicated as a common molecular pathogenesis of neurodegenerative diseases including Alzheimer disease, Parkinson disease, and the polyglutamine (poly(Q)) 2 diseases, which are collectively called the conformational diseases (1-3). The poly(Q) diseases are a group of at least nine inherited neurodegenerative diseases including Huntington disease and various types of spinocerebellar ataxia, which are caused by abnormal expansions of the poly(Q) stretch to above 40 glutamines within each unrelated diseasecausing protein (4, 5). In the pathogenesis of the poly(Q) diseases, expansions of the poly(Q) stretch in disease-causing proteins are believed to cause alterations in the protein conformation, resulting in assembly of the proteins into insoluble -sheet-rich amyloid-like fibrillar aggregates, and eventually their deposition as inclusion bodies inside affected neurons. However, Finkbeiner and colleagues (6) demonstrated that neuronal cells with poly(Q) protein inclusions have a decreased risk of death, suggesting that the diffuse poly(Q) protein rather than inclusion bodies causes cytotoxicity. Inclusion bodies, which are large intracellular deposits of aggregated proteins, are believed to be formed as a cytoprotective response against the overproduction of misfolded/aggregated pro...