The Alzheimer -amyloid peptide (A) and a fragment of the prion protein have the capacity of forming amyloid-like fibrils when incubated under physiological conditions in vitro. Here we show that a small amyloid ligand, RO-47-1816/001, enhances this process severalfold by binding to amyloid molecules and apparently promote formation of the peptide-to-peptide bonds that join the monomers of the amyloid fibrils. This effect could be antagonized by other ligands, including analogues of RO-47-1816/001, as well as the structurally unrelated ligand Congo red. Analogues of RO-47-1816/001 with low affinity for amyloid did not display any antagonistic effect. In conclusion, these data suggest that synthetic molecules, and possibly also small natural substances present in the brain, may act in a chaperone-like fashion, promoting A polymerization and growth of amyloid fibrils in vitro and possibly also in vivo. Furthermore, we demonstrate that small organic molecules can be used to inhibit the action of amyloid-enhancing compounds.The amyloid deposits in brain vasculature and parenchyma that are the main histopathological hallmarks of Alzheimer's disease (1) are composed of large polymers of Alzheimer -amyloid peptide (A). 1 This peptide is present in two major forms, one being 40 amino acids long, and the other, more aggregable form being 42 amino acids long (2-4). The A peptide is secreted by numerous cell types in the body but the amyloid deposits are only present in the central nervous system.The amyloid deposits are formed by the aggregation of individual monomers of A peptide into very large polymers which have a fibril-like appearance when observed in an electron microscope (5). These polymers can also be observed by light microscopy following staining with certain histological dyes such as Congo red and thioflavine T (6).Soluble A peptide can be detected in blood and cerebrospinal fluid. The levels are, however, very low, usually in the low nano-to picomolar range and at these concentrations the peptide polymerizes at a very slow rate (7). A number of recent studies on the mechanisms of amyloid formation have conclusively shown that the presence of preformed oligo-or polymers of the amyloid peptide in the reaction mixture increases the polymerization rate dramatically (7). These multimers serve as templates for the reaction and, as a result, the initial, slow phase of primary nucleation is eliminated.It has also been proposed that charged molecules, such as gangliosides (8) and metal ions, including Zn 2ϩ and Cu 2ϩ (9), may enhance formation of amyloid in vitro and in vivo. Apolipoprotein E4, a well established risk factor for Alzheimer's disease (10) has also been suggested to enhance amyloid formation by serving as a "pathological chaperone" (11-13). In the case of apolipoprotein E, there are conflicting data suggesting that the protein can enhance as well as inhibit amyloidogenesis (14, 15).The existence of putative co-factors capable of enhancing amyloid formation potentially offers new targets for pharm...