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344    Chapter  Nine

               associated with a distinct amyloid subtype. However, immunohis-
               tochemistry is fraught with specific problems. For one thing, most
               antibodies penetrate only poorly the compact beta-sheet accumula-
               tions of amyloid. Also, many amyloids incorporate nonspecifically
               other proteins, which can give rise to false-positive stains with
               diagnostic antibodies and––in worst-case scenarios––may lead to
               misdiagnoses.
                   For many years the only structural information about amyloid
               fibrils came from imaging techniques such as TEM (transmission
               electron microscopy), AFM (atomic force microscopy) and X-ray fiber
               diffraction. 103, 104  These experiments revealed that the fibrils predomi-
               nantly consist of a number (typically two to six) of protofilaments
               that twist together to form the typical amyloid fibrils. X-ray fiber dif-
               fraction data have shown that in each individual protofilament, the
               protein or peptide molecules are arranged so that the polypeptide
               chain forms β-strands that run perpendicular to the long axis of the
               fibril. Today novel structural insight and molecular details have been
               provided by solid-state NMR spectroscopy, 105, 106  and by single crystal
               X-ray diffraction analysis of small amyloid-like peptide fragments.  107
               The latter has allowed both the structure of the peptides and the way
               the molecules could be packed together to be determined with
               unprecedented resolution.  A particularly significant aspect of the
               structures determined with the different techniques is that they are
               strikingly similar even for polypeptides having no sequence homol-
               ogy, suggesting that many amyloid fibrils could share similar core
               structures. However, the specific nature of the side chain packing,
               including characteristics as the alignment of adjacent strands and the
               separation of the sheets, provides an explanation for the occurrence
               of variations in the details of the structures for specific types of
               fibril.
                   Even though a wide range of techniques have been applied for
               studying the amyloid fibrillation event and the pathological mecha-
               nism underlying protein aggregation disease, there are still many
               questions that remain to be answered regarding these events. Hence,
               there is a need for novel tools that provide greater insight into these
               events, and next we discuss the utilization of LCPs for monitoring
               these events.


          9.4  Luminescent Conjugated Polymers
                 as Amyloid Specific Dyes

               9.4.1  Detection of Amyloid Fibrils in Solution
               As discussed earlier, novel tools that detect the conformational
               changes in proteins, especially the formation of amyloid fibrils, are of
               great importance, as this is an extremely complex event and many
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