Abstract

The onset and development of Alzheimers disease (AD) is linked to the accumulation of pathological aggregates formed from the normally monomeric amyloid-{beta} peptide within the central nervous system. These A{beta} aggregates are increasingly successfully targeted with clinical therapies, but the fundamental molecular steps that trigger the initial nucleation event leading to the conversion of monomeric A{beta} peptide into pathological aggregates remain unknown. Here we show that the A{beta} peptide can form biomolecular condensates on lipid bilayers both in molecular assays and in living cells. Our results reveal that these A{beta} condensates can significantly accelerate the primary nucleation step in the amyloid conversion cascade that leads to the formation of amyloid aggregates and plaque. We show that A{beta} condensates contain phospholipids, are intrinsically heterogenous, and are prone to undergo a liquid-to-solid transition leading to the formation amyloid fibrils. These findings uncover the liquid-liquid phase separation behaviour of the A{beta} peptide, and reveal a new molecular step very early in the amyloid-{beta} aggregation cascade that can form the basis for novel therapeutic intervention strategies. Significance statementThe hallmark of Alzheimers disease is the abnormal buildup of the normally soluble amyloid {beta} protein aggregates in the central nervous system. While the molecular mechanisms at the late stages of the amyloid {beta} aggregation cascade are well understood, the initial steps remained elusive until now. Our current study demonstrates that amyloid {beta} undergoes liquid-liquid phase separation on lipid surfaces, which triggers primary nucleation and initiates the amyloid {beta} aggregation cascade. This newly identified step in the molecular mechanism of Alzheimers disease represents a promising target for the development of alternative innovative therapeutic strategies.