“…The recognition of Aβ42 peptides and their misfolded aggregates by microglial surveillance systems, and the inability of microglial cells to deal with these toxic, pro-inflammatory inclusions, especially in their multimeric and aggregated form are thought to form the molecular basis for the aberrant immune activation, chronic inflammation and elevated oxidative stress that is characteristic of AD neuropathology [ 8 , 34 , 39 , 46 – 51 ]. Notably, (i) Aβ42 peptides as monomers, dimers and fibrils induce patterns of inflammatory gene expression typical of the classical innate-immune and inflammatory response induced by infectious agents such as bacterial LPS, a common endotoxin of the outer membrane of gram-negative bacteria [ 49 , 52 ; see below]; (ii) the presence of bacterial LPS or endotoxin-mediated inflammation strongly contributes to amyloid neurotoxicity [ 19 , 24 – 27 , 32 , 42 , 50 – 55 ]; and (iii) AD amyloids, like prion amyloids, once formed, may induce a self-perpetuating process leading to amplification, aggregation and spreading of pathological protein assemblies, and serial propagation of distinct strains of Aβ prion-like amyloids from AD patients have been recently observed [ 56 , 57 ]. Indeed, an increasing number of studies support the idea (i) that certain self-propagating protein conformations feature in the pathogenesis of several common neurodegenerative diseases including AD; (ii) that pro-inflammatory and immunogenic aggregates of Aβ peptides may become self-propagating in AD brain; and (iii) that certain forms of Aβ peptides are serially transmissible and hence important in the propagation of neurological disease [ 57 ].…”