“…This definition as applied to the ensemble of α-synuclein oligomers would include not only their general size (i.e., small, medium, large) [94] but also their secondary structure characteristics including β-sheet content and arrangement [95,96] and α-helical content [40], overall 3-dimensional shape (morphology) [30,[97][98][99][100], reactivity with conformation and epitope-specific antibodies [101,102], and whether they are "on" [103] or "off" [32,[104][105][106] pathway to fibril formation. In addition, there are "operational definitions" that classify α-synuclein oligomers in terms of their biochemical characteristics or function, including protease resistance [32], effect on cell viability [96,107,108], ability to generate reactive oxygen species [32], recruit or activate microglia [109,110], bind to lipids [40], and form pores in lipid bilayers [103,[111][112][113][114][115]. In some cases, oligomers are formed as a result of an interaction with an exogenous small molecule [116,117], and some of these oligomers are "off-pathway" to fibril formation, but yet they may share some characteristics with "on-pathway" oligomers (see Sect.…”