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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcell.2021.729001</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>&#x03B2;-Hairpin Peptide Mimics Decrease Human Islet Amyloid Polypeptide (hIAPP) Aggregation</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Lesma</surname> <given-names>Jacopo</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Bizet</surname> <given-names>Faustine</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Berardet</surname> <given-names>Corentin</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1399119/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tonali</surname> <given-names>Nicolo</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1399494/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Pellegrino</surname> <given-names>Sara</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/596404/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Taverna</surname> <given-names>Myriam</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Khemtemourian</surname> <given-names>Lucie</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1381694/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Soulier</surname> <given-names>Jean-Louis</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>van Heijenoort</surname> <given-names>Carine</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Halgand</surname> <given-names>Fr&#x00E9;d&#x00E9;ric</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Ha-Duong</surname> <given-names>T&#x00E2;p</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Kaffy</surname> <given-names>Julia</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1430877/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Ongeri</surname> <given-names>Sandrine</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1372313/overview"/>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>BioCIS, CNRS, Universit&#x00E9; Paris-Saclay</institution>, <addr-line>Ch&#x00E2;tenay-Malabry</addr-line>, <country>France</country></aff>
<aff id="aff2"><sup>2</sup><institution>Institute Galien Paris-Saclay, CNRS, Universit&#x00E9; Paris-Saclay</institution>, <addr-line>Ch&#x00E2;tenay-Malabry</addr-line>, <country>France</country></aff>
<aff id="aff3"><sup>3</sup><institution>DISFARM, Sezione di Chimica Generale e Organica &#x201C;A. Marchesini,&#x201D; Universit&#x00E0; degli Studi di Milano</institution>, <addr-line>Milan</addr-line>, <country>Italy</country></aff>
<aff id="aff4"><sup>4</sup><institution>Institute of Chemistry and Biology of Membranes and Nanoobjects, Institut Polytechnique Bordeaux, CNRS UMR 5248, Universit&#x00E9; de Bordeaux</institution>, <addr-line>Pessac</addr-line>, <country>France</country></aff>
<aff id="aff5"><sup>5</sup><institution>ICSN, Equipe Biologie et Chimie Structurales, D&#x00E9;partement de Chimie et Biologie Structurales et Analytiques, CNRS, Universit&#x00E9; Paris-Saclay</institution>, <addr-line>Gif-sur-Yvette</addr-line>, <country>France</country></aff>
<aff id="aff6"><sup>6</sup><institution>Institut de Chimie Physique, Equipe Chimie Analytique Physicochimie R&#x00E9;activit&#x00E9; des Ions, CNRS, Universit&#x00E9; Paris-Saclay</institution>, <addr-line>Orsay</addr-line>, <country>France</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Celine Galvagnion, University of Copenhagen, Denmark</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Wolfgang Hoyer, Heinrich Heine University D&#x00FC;sseldorf, Germany; Philippe Derreumaux, UPR 9080 Laboratoire de Biochimie Th&#x00E9;orique (LBT), France; Carmelo La Rosa, University of Catania, Italy</p></fn>
<corresp id="c001">&#x002A;Correspondence: Sandrine Ongeri, <email>sandrine.ongeri@universite-paris-saclay.fr</email></corresp>
<corresp id="c002">Julia Kaffy, <email>julia.kaffy@universite-paris-saclay.fr</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Molecular and Cellular Pathology, a section of the journal Frontiers in Cell and Developmental Biology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>729001</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>06</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>23</day>
<month>08</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Lesma, Bizet, Berardet, Tonali, Pellegrino, Taverna, Khemtemourian, Soulier, van Heijenoort, Halgand, Ha-Duong, Kaffy and Ongeri.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Lesma, Bizet, Berardet, Tonali, Pellegrino, Taverna, Khemtemourian, Soulier, van Heijenoort, Halgand, Ha-Duong, Kaffy and Ongeri</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Amyloid diseases are degenerative pathologies, highly prevalent today because they are closely related to aging, that have in common the erroneous folding of intrinsically disordered proteins (IDPs) which aggregate and lead to cell death. Type 2 Diabetes involves a peptide called human islet amyloid polypeptide (hIAPP), which undergoes a conformational change, triggering the aggregation process leading to amyloid aggregates and fibers rich in &#x03B2;-sheets mainly found in the pancreas of all diabetic patients. Inhibiting the aggregation of amyloid proteins has emerged as a relevant therapeutic approach and we have recently developed the design of acyclic flexible hairpins based on peptidic recognition sequences of the amyloid &#x03B2; peptide (A&#x03B2;<sub>1&#x2013;42</sub>) as a successful strategy to inhibit its aggregation involved in Alzheimer&#x2019;s disease. The present work reports the extension of our strategy to hIAPP aggregation inhibitors. The design, synthesis, conformational analyses, and biophysical evaluations of dynamic &#x03B2;-hairpin like structures built on a piperidine-pyrrolidine &#x03B2;-turn inducer are described. By linking to this &#x03B2;-turn inducer three different arms (i) pentapeptide, (ii) tripeptide, and (iii) &#x03B1;/aza/aza/pseudotripeptide, we demonstrate that the careful selection of the peptide-based arms from the sequence of hIAPP allowed to selectively modulate its aggregation, while the peptide character can be decreased. Biophysical assays combining, Thioflavin-T fluorescence, transmission electronic microscopy, capillary electrophoresis, and mass spectrometry showed that the designed compounds inhibit both the oligomerization and the fibrillization of hIAPP. They are also capable to decrease the aggregation process in the presence of membrane models and to strongly delay the membrane-leakage induced by hIAPP. More generally, this work provides the proof of concept that our rational design is a versatile and relevant strategy for developing efficient and selective inhibitors of aggregation of amyloidogenic proteins.</p>
</abstract>
<kwd-group>
<kwd>amyloid</kwd>
<kwd>hIAPP</kwd>
<kwd>type 2 diabetes</kwd>
<kwd>peptidomimetics</kwd>
<kwd>&#x03B2;-hairpin</kwd>
<kwd>aza-peptide</kwd>
<kwd>aggregation</kwd>
</kwd-group>
<counts>
<fig-count count="13"/>
<table-count count="2"/>
<equation-count count="1"/>
<ref-count count="81"/>
<page-count count="24"/>
<word-count count="18503"/>
</counts>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="S1">
<title>Introduction</title>
<p>Over the past decades, the field of amyloidosis research has gained increasing interest due to its relationship to at least 20 serious human diseases. Most of them are related to aging and they are all related to improper folding and assembly of proteins into various aggregate structures which can interact with membranes and lead to the death of cells (<xref ref-type="bibr" rid="B37">Ke et al., 2017</xref>, <xref ref-type="bibr" rid="B38">2020</xref>; <xref ref-type="bibr" rid="B52">Nguyen et al., 2021</xref>). Among the pathologies, the most in the spotlight are neurodegenerative diseases like Alzheimer&#x2019;s Disease (AD), Parkinson&#x2019;s Disease (PD), Huntington&#x2019;s Disease, Prion Disease, or Amyotrophic Lateral Sclerosis (ALS). Nevertheless, other organs than brain can be affected such as pancreas and heart in Type 2 Diabetes (T2D). T2D is a major public health issue that entered the TOP 10 causes of death in the world and affect nearly 422 million people in the world, a number that is expected to increase to 600 million in 2045 (<xref ref-type="bibr" rid="B16">Chaudhury et al., 2017</xref>). The actual treatments aim to reduce hyperglycemia, but the disease continues to progress, and the loss of function and the death of pancreatic &#x03B2;-cells requires a gradual transition to insulin therapy. Although the mechanism responsible for &#x03B2;-cell dysfunction and death is only partially understood, amyloid deposits of human islet amyloid polypeptide (hIAPP, also known as amylin) are found in more than 95% of T2D patients, and more and more findings suggest an important role in pancreatic damage of the accumulation of misfolded &#x03B2;-sheet rich aggregates of hIAPP in the Langerhans islets (<xref ref-type="bibr" rid="B34">Jeong and An, 2015</xref>; <xref ref-type="bibr" rid="B3">Akter et al., 2016</xref>; <xref ref-type="bibr" rid="B39">Kiriyama and Nochi, 2018</xref>). The cell toxicity is closely linked to membrane disruption characterized by pore formation and aggregate formation-induced detergent-like mechanism but also to other suspected but poorly understood phenomena (<xref ref-type="bibr" rid="B12">Brender et al., 2012</xref>; <xref ref-type="bibr" rid="B11">Bram et al., 2014</xref>; <xref ref-type="bibr" rid="B69">Terakawa et al., 2018</xref>). Cardiovascular complications affect around 65% of T2D patients despite medication and hIAPP aggregates mediates cardiotoxicity (<xref ref-type="bibr" rid="B20">Despa et al., 2014</xref>; <xref ref-type="bibr" rid="B63">Rodriguez Camargo et al., 2018</xref>). Furthermore, T2D has been recognized as a risk factor for Alzheimer&#x2019;s disease (AD) and cross-amyloid interactions between hIAPP and amyloid-&#x03B2; peptide (A&#x03B2;<sub>1&#x2013;42</sub>) have been shown to play a critical role in AD due to an increased toxicity of A&#x03B2;-IAPP hetero-oligomerization on neuronal cell membranes (<xref ref-type="bibr" rid="B64">Roriz-Filho et al., 2009</xref>; <xref ref-type="bibr" rid="B9">Bharadwaj et al., 2020</xref>; <xref ref-type="bibr" rid="B48">Ly et al., 2021</xref>). A cross interaction between hIAPP and synuclein has been also suspected to also explain why patients with T2D are more likely to get Parkinson&#x2019;s disease (<xref ref-type="bibr" rid="B31">Horvath and Wittung-Stafshede, 2016</xref>).</p>
<p>Thus, inhibiting the aggregation of hIAPP in order to prevent the formation of both large aggregates and highly toxic soluble oligomers has proven to be a valuable approach to be further explored to find a viable therapeutic strategy against T2D (<xref ref-type="bibr" rid="B12">Brender et al., 2012</xref>; <xref ref-type="bibr" rid="B11">Bram et al., 2014</xref>; <xref ref-type="bibr" rid="B1">Abedini et al., 2016</xref>; <xref ref-type="bibr" rid="B39">Kiriyama and Nochi, 2018</xref>). It might also decrease the risk factor of cardiovascular complications and of AD or PD in T2D patients.</p>
<p>Much fewer compounds have been reported as efficient inhibitors of hIAPP aggregation compared to A&#x03B2;<sub>1&#x2013;42</sub> inhibitors for AD. Small molecules such as non-selective polyphenols (<xref ref-type="bibr" rid="B59">Pithadia et al., 2016</xref>; <xref ref-type="bibr" rid="B50">Milardi et al., 2021</xref>) or di-phenyl pyrazole derivatives also able to inhibit the aggregation of several amyloid proteins (<xref ref-type="bibr" rid="B66">Saravanan et al., 2019</xref>) have been reported. Only few peptide derivatives (<xref ref-type="bibr" rid="B25">Gilead and Gazit, 2004</xref>; <xref ref-type="bibr" rid="B17">Cheng et al., 2012</xref>; <xref ref-type="bibr" rid="B78">Yan et al., 2013</xref>; <xref ref-type="bibr" rid="B56">Paul et al., 2017</xref>; <xref ref-type="bibr" rid="B5">Armiento et al., 2020</xref>) have been designed.</p>
<p>We recently demonstrated that peptide derivatives mimicking acyclic &#x03B2;-hairpin structures were very efficient to decrease A&#x03B2;<sub>1&#x2013;42</sub> aggregation and to preserve A&#x03B2;<sub>1&#x2013;42</sub> monomers (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>; <xref ref-type="bibr" rid="B71">Tonali et al., 2018</xref>). These compounds were built on a piperidine-pyrrolidine &#x03B2;-turn inducer and due to the fact that their design was based on self-recognition elements (SRE), i.e., selected sequences of A&#x03B2;<sub>1&#x2013;42</sub>, they were selective for A&#x03B2;<sub>1&#x2013;42</sub> and not active on hIAPP aggregation. The next step is to demonstrate that this strategy can be generalized and applied to the inhibition of the aggregation of other amyloid proteins. The present work presents the rational pattern, the synthesis and the biophysical evaluations of new &#x03B2;-hairpin mimics, built on the piperidine-pyrrolidine &#x03B2;-turn, and designed to inhibit hIAPP aggregation. SREs based on hIAPP were selected and new compounds bearing peptidic sequences were proposed in combination with a novel strategy to decrease the peptidic character using a peptidomimetic arm of the azapeptide family (<xref ref-type="bibr" rid="B18">Chingle et al., 2017</xref>). In particular, original &#x03B1;/aza/aza/pseudotripeptides constituted by one natural amino acid and two consecutive aza-amino acids [abbreviated aza, in which the &#x03B1;&#x2013;CH(R) of amino-acid residue is substituted by a nitrogen atom] were introduced. Complementary techniques were used to evaluate the overall conformation of the new structures (NMR and molecular modeling) and to attest the effect of this new class of peptidomimetics on both the early oligomerization steps (capillary electrophoresis and MS), and the overall fibrillization process (Thioflavin-T fluorescence assays and TEM). The capacity of the compounds to delay membrane leakage is also investigated. Pharmacomodulations were performed in order to establish some structure-activity relationships guidelines.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Synthesis and Characterization of the Compounds by NMR, HPLC, HRMS</title>
<p>Usual solvents were purchased from commercial sources, dried, and distilled by standard procedures. Pure compounds were obtained after liquid chromatography using Merck silica gel 60 (40&#x2013;63 &#x03BC;m). TLC analyses were performed on silica gel 60 F250 (0.26 mm thickness) plates. The plates were visualized with UV light (&#x03BB; = 254 nm) or revealed with a 4% solution of phosphomolybdic acid or ninhydrin in EtOH.</p>
<p>NMR spectra were recorded on a Bruker AMX 200 (<sup>1</sup>H, 200 MHz; <sup>19</sup>F, 188 MHz), an ultrafield Bruker AVANCE 300 (<sup>1</sup>H, 300 MHz, <sup>13</sup>C, 75 MHz), a Bruker AVANCE 400 (<sup>1</sup>H, 400 MHz, <sup>13</sup>C, 100 MHz, <sup>19</sup>F, 376 MHz), a Bruker AVANCE I 600 MHz (<sup>1</sup>H, 600 MHz, <sup>13</sup>C, 150 MHz, <sup>19</sup>F, 564 MHz) equipped with a z-gradient TCI and <sup>19</sup>F-QCI, or a Bruker AVANCE III 800 MHz (<sup>1</sup>H, 800 MHz, <sup>13</sup>C, 200 MHz) spectrometers, equipped with a z-gradient TCI cryoprobe.</p>
<p>Chemical shifts (&#x03B4;) are in ppm and downfield from Me<sub>4</sub>Si (&#x03B4; = 0.0 ppm) with the solvent resonance as the internal standard (<sup>1</sup>H NMR, CDCl<sub>3</sub>: &#x03B4; = 7.26 ppm, CD<sub>3</sub>OD and CD<sub>3</sub>OH: &#x03B4; = 3.31 ppm; <sup>13</sup>C NMR, CDCl3: &#x03B4; = 77.16 ppm, CD<sub>3</sub>OD and CD<sub>3</sub>OH: &#x03B4; = 49.00 ppm). the following abbreviations are used: singlet (s), doublet (d), doublet of doublet (dd), triplet (t), quadruplet (q), multiplet (m), and broad singlet (bs).</p>
<p>Melting points were determined on a Kofler melting point apparatus. High-resolution mass spectra (HRMS) were obtained using a TOF LCT Premier apparatus (Waters), with an electrospray ionization source. The purity of compounds was determined by HPLC using a WATERS gradient system (pump + controller E 600, UV detector PDA 2996, autosampler 717) on a XSelect column (C18, 2.1 mm &#x00D7; 150 mm&#x2013;3.5 &#x03BC;m), mobile phase, MeCN/H<sub>2</sub>O + 0.1% formic acid (gradient 5&#x2013;100% in 20 min), detection at 257 nm. Preparative HPLC were performed on Agilent Infinity II.</p>
<p>Compounds <bold>3&#x2013;4</bold>, <bold>8&#x2013;9</bold>, and <bold>14</bold> were subjected to conformational studies by NMR in CD<sub>3</sub>OH. When signals were sufficiently resolved and disperse, vicinal <sup>3</sup><italic>J</italic><sub><italic>HN&#x2013;H</italic>&#x03B1;</sub> coupling constants, H<sup>&#x03B1;</sup>-HN ROE correlations, temperature coefficient (&#x0394;&#x03B4;<sub><italic>HN</italic></sub>/&#x0394;T) of the amide protons and <sup>1</sup>H<sub>&#x03B1;</sub> and <sup>13</sup>C<sub>&#x03B1;</sub> chemical shift deviations (CSD), were examined to analyze backbone conformational propensities.</p>
<p>All the protocols of synthesis and characterization data are given in <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref>.</p>
</sec>
<sec id="S2.SS2">
<title>Computational Methods</title>
<p><bold>9a</bold> and <bold>9b</bold> three-dimensional structures were generated using the program MarvinSketch 6.2.1 from ChemAxon<sup><xref ref-type="fn" rid="footnote1">1</xref></sup>. In both initial conformers, the torsion angle between the piperidine and proline (C&#x03B1;-N-C3-C2) has a value of &#x2212;60&#x00B0;, so that the proline H&#x03B1; points toward piperidine H2, as observed in NMR experiments. The torsion angle around the amide bond between Leu-3 and Pip-4 (C&#x03B1;-C-N-C2) was manually adjusted to &#x2212;170&#x00B0; and &#x2212;5&#x00B0; in <bold>9a</bold> and <bold>9b</bold>, respectively. Each conformer was placed in a cubic simulation box so that the minimum distance between the solute and the cube sides was 1.4 nm. Afterward, both simulation boxes were filled with explicit methanol molecules. Molecular dynamics simulations were performed by using the GROMACS 2019.1 package (<xref ref-type="bibr" rid="B2">Abraham et al., 2015</xref>) with the Generalized AMBER Force Field (GAFF; <xref ref-type="bibr" rid="B75">Wang et al., 2004</xref>) for both solute and methanol solvent. The length of the covalent bonds involving hydrogens was kept constant using the LINCS procedure (<xref ref-type="bibr" rid="B28">Hess, 2008</xref>). Lennard-Jones potentials were cut-off at 1.2 nm and electrostatic interactions were treated using the smooth PME method (<xref ref-type="bibr" rid="B22">Essmann et al., 1995</xref>). After two short simulations of 1 ns each to bring the system temperature and pressure around <italic>T</italic> = 300 K and <italic>P</italic> = 1 bar, each system was simulated during 200 ns in the isothermal-isobaric ensemble using the Nose-Hoover (<xref ref-type="bibr" rid="B54">Nos&#x00E9;, 1984</xref>; <xref ref-type="bibr" rid="B30">Hoover, 1985</xref>) and Parrinello-Rahman (<xref ref-type="bibr" rid="B55">Parrinello and Rahman, 1981</xref>) coupling methods. Molecular coordinates were saved every 20 ps for subsequent analyses by GROMACS tools, including <italic>gmx angle</italic> for extracting torsion angle values.</p>
</sec>
<sec id="S2.SS3">
<title>Preparation of Large Unilamellar Vesicles</title>
<p>The LUVs were composed of a mixture of DOPC/DOPS in a 7:3 molar ratio. Stock solutions of DOPC and DOPS in chloroform at concentrations of 20&#x2013;30 mM were mixed in a glass tube. The solvent was evaporated with dry nitrogen gas yielding a lipid film that was subsequently kept in a vacuum desiccator for 1 h. Lipid films were hydrated during at least 30 min in the 10 mM Tris, 100 mM NaCl buffer at pH 7.4. The lipid suspensions were subjected to 10 freeze-thaw cycles, at temperatures of approximately &#x2212;190 and 50&#x00B0;C, respectively, and subsequently extruded 19 times through a mini-extruder (Avanti Alabaster, AL, United States) equipped with polycarbonate membranes (at 200 nm cut-off). Calcein-containing vesicles were obtained by adding 70 mM calcein to the hydration buffer and free calcein were removed from the LUVs using size exclusion chromatography (Sephadex G50-fine), using the hydration buffer (10 mM Tris, 100 mM NaCl, pH 7.4) to as the mobile phase. The phospholipid content of lipid stock solutions and vesicle preparations was determined by assessing inorganic phosphate according to Rouser (<xref ref-type="bibr" rid="B65">Rouser et al., 1970</xref>).</p>
</sec>
<sec id="S2.SS4">
<title>Fluorescence-Detected ThT Binding Assay (hIAPP)</title>
<p>Human islet amyloid polypeptide, purchased from Bachem, was dissolved in pure hexafluoro-isopropanol (HFIP) at a concentration of 1 mM and incubated for 1 h at room temperature to dissolve any preformed aggregates. Next, HFIP was evaporated with dry nitrogen gas followed by vacuum desiccation for at least 3 h. The resulting peptide film was then dissolved in DMSO to obtain stock solutions of hIAPP (0.2 mM) and stock solutions of compounds to test were dissolved in DMSO (10, 1, and 0.1 mM). The concentration of DMSO was kept constant at 3% (v/v) in the final volume of 200 &#x03BC;L. Thioflavin-T binding assays were used to measure the formation of fibrils in solution or in the presence of membranes over time. A plate reader (Fluostar Optima, BMG Labtech) and standard 96-wells flat-bottom black microtiter plates in combination with a 440 nm excitation and 480 nm emission filters were used. The ThT assay was started by adding 5 &#x03BC;L of a 0.2 mM hIAPP stock solution to a mixture of 10 &#x03BC;M ThT (obtained from Sigma) and 10 mM Tris/HCl, 100 mM NaCl at pH 7.4 containing 1 &#x03BC;L of stock solutions of compound to test. For the experiments in the presence of membranes, the fluorescence assays were started by adding 5 &#x03BC;L of a 0.2 mM hIAPP (5 &#x03BC;M peptide) to 195 &#x03BC;L of a mixture of 10 &#x03BC;M ThT, DOPC/DOPS (7:3) LUVs, with a peptide:lipid ratio of 1:20. The concentration of IAPP was held constant at 5 &#x03BC;M for all experiments and inhibitors were added to yield compound/IAPP ratios of 10/1, 1/1, and 0.1/1 (only at ratio 1/1 for the assays in membrane). The ThT assays were performed in triplicate and between 2 and 4 times on different days, with the same batch of peptide. The ability of compounds to inhibit IAPP aggregation was assessed considering the time of the half-aggregation (<italic>t1/2</italic>) and the intensity of the experimental fluorescence plateau (F), both values were obtained by fitting the obtained kinetic data to a Boltzmann sigmoidal curve using GraphPad Prism 5. The relative extension/reduction of <italic>t1/2</italic> is defined as the experimental <italic>t1/2</italic> in the presence of the tested compound relative to the one obtained without the compound and is evaluated as the following percentage: [<italic>t1/2</italic> (hIAPP + compound) &#x2212; <italic>t1/2</italic> (hIAPP)]/<italic>t1/2</italic> (hIAPP) &#x00D7; 100. The relative extension/reduction of the experimental plateau is defined as the intensity of experimental fluorescence plateau observed with the tested compound relative to the value obtained without the compound and is evaluated as the following percentage: (FhIAPP + compound &#x2013; FhIAPP)/FhIAPP &#x00D7; 100. The curves of the tested compounds are fitted to a Boltzmann sigmoidal model, normalized to the control experiment.</p>
<p>Representative curves of ThT fluorescence assays over time showing hIAPP aggregation (5 &#x03BC;M) in the absence and in the presence of compounds <bold>1</bold>&#x2013;<bold>15</bold> at compound/hIAPP ratios of 10/1, 1/1, and 0.1/1 are shown in <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref> (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 34</xref>). Representative curves of ThT fluorescence assays over time showing hIAPP aggregation (5 &#x03BC;M) in the presence of membranes, in the absence and in the presence of hairpins <bold>8</bold>, <bold>10</bold>, <bold>13,</bold> and <bold>14</bold> at compound/hIAPP ratios of 1/1 are shown in <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref> (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 35</xref>).</p>
</sec>
<sec id="S2.SS5">
<title>Fluorescence-Detected ThT Binding Assay (A&#x03B2;<sub>1&#x2013;42</sub>)</title>
<p>A&#x03B2;<sub>1&#x2013;42</sub> was purchased from Bachem and ThT was obtained from Sigma. The peptide was dissolved in an aqueous 1% ammonia solution to a concentration of 1 mM and then, just prior to use, was diluted to 0.2 mM with 10 mM Tris&#x2013;HCl and 100 mM NaCl buffer (pH 7.4). Stock solutions of compounds to test were dissolved in DMSO with the final concentration kept constant at 0.5% (v/v). ThT fluorescence was measured to evaluate the development of A&#x03B2;1-42 fibrils over time using a fluorescence plate reader (Fluostar Optima, BMG Labtech) with standard 96-well black microtiter plates (final volume in the wells of 200 &#x03BC;L). Experiments were started by adding the peptide (final A&#x03B2;1-42 concentration equal to 10 &#x03BC;M) into a mixture containing 40 &#x03BC;M ThT in 10 mM Tris&#x2013;HCl and 100 mM NaCl buffer (pH 7.4) with and without the compounds at different concentrations (100, 10, 1 &#x03BC;M) at room temperature. The ThT fluorescence intensity of each sample (performed in triplicate) was recorded with 440/480 nm excitation/emission filters set for 42 h performing a double orbital shaking of 10 s before the first cycle. The fluorescence assays were performed between 2 and 4 times on different days, with the same batch of peptide. The ability of compounds to inhibit A&#x03B2;1-42 aggregation was assessed considering the time of the half-aggregation (<italic>t1/2</italic>) and the intensity of the experimental fluorescence plateau (F), both values were obtained by fitting the obtained kinetic data to a Boltzmann sigmoidal curve using GraphPad Prism 5. The relative extension/reduction of <italic>t1/2</italic> is defined as the experimental <italic>t1/2</italic> in the presence of the tested compound relative to the one obtained without the compound and is evaluated as the following percentage: [<italic>t1/2</italic> (A&#x03B2; + compound) &#x2212; <italic>t1/2</italic> (A&#x03B2;)]/<italic>t1/2</italic> (A&#x03B2;) &#x00D7; 100. The relative extension/reduction of the experimental plateau is defined as the intensity of experimental fluorescence plateau observed with the tested compound relative to the value obtained without the compound and is evaluated as the following percentage: (FA&#x03B2; + compound &#x2013; FA&#x03B2;)/FA&#x03B2; &#x00D7; 100. Curves of the tested compounds are fitted to a Boltzmann sigmoidal model, normalized to the control experiment and represented in <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref>.</p>
<p>Representative curves of ThT fluorescence assays over time showing A&#x03B2;<sub>1&#x2013;42</sub> (10 &#x03BC;M) aggregation in the absence and in the presence of <bold>1&#x2013;3, 8,</bold> and <bold>14</bold> at compound/A&#x03B2;<sub>1&#x2013;42</sub> ratios of 10/1, 1/1, and 0.1/1 are shown in <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref> (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 36</xref>).</p>
</sec>
<sec id="S2.SS6">
<title>Transmission Electron Microscopy</title>
<p>Samples were prepared under the same conditions as in the ThT-fluorescence assay. Aliquots of hIAPP (5 &#x03BC;M in 10 mM Tris&#x2013;HCl, 100 mM NaCl, pH 7.4 in the presence and absence of hairpins <bold>3</bold>, <bold>8</bold>, and <bold>14</bold> were adsorbed onto 300-mesh carbon grids for 2 min, washed and dried). The samples were negatively stained for 45 s on 2% uranyl acetate in water. After draining off the excess of staining solution and drying, the grids were observed using a JEOL 2100HC TEM operating at 200 kV with a LaB6 filament. Images were recorded in zero-loss mode with a Gif Tridiem energy-filtered-CCD camera equipped with a 2 k &#x00D7; 2 k pixel-sized chip (Gatan, Inc., Warrendale, PA, United States). Acquisition was accomplished with the Digital Micrograph software (versions 1.83.842, Gatan, Inc., Warrendale, PA, United States).</p>
</sec>
<sec id="S2.SS7">
<title>Membrane Permeability Assay</title>
<p>Leakage experiments were performed in standard 96-wells transparent microtiter plates using a plate reader (Spectrafluor, Tecan, Salzburg, Austria). Aliquots of 2.5 &#x03BC;L of molecules solution in DMSO at the desired concentration were added to 192.5 &#x03BC;L of 100 &#x03BC;M calcein-containing lipid vesicles in 10 mM Tris&#x2013;HCl, 100 mM NaCl buffer at pH 7.4. The assay was then started by adding 5 &#x03BC;L of a 0.2 mM IAPP solution in DMSO or 2.5 &#x03BC;L DMSO only as control. Directly after addition of all components, the microtiter plate was shaken for 10 s. The plate was not shaken during the measurement. Fluorescence of calcein was measured from the top, every 5 min, using a 485 nm excitation filter and a 535 nm emission filter. The temperature during the measurement was 25 &#x00B1; 3&#x00B0;C. The maximum leakage at the end of each measurement was determined by adding 2 &#x03BC;L of 10% Triton X-100 to a final concentration of 0.1% (v/v). The release of fluorescent dye was calculated according to the following equation:</p>
<disp-formula id="S2.E1"><label>(1)</label><mml:math id="M1" display="block"><mml:mrow><mml:mi>L</mml:mi><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mi>t</mml:mi><mml:mo rspace="5.8pt" stretchy="false">)</mml:mo></mml:mrow><mml:mo rspace="5.8pt">=</mml:mo><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mi>F</mml:mi><mml:mi>t</mml:mi><mml:mo>-</mml:mo><mml:mo>-</mml:mo><mml:mi>F</mml:mi><mml:mn>0</mml:mn><mml:mo stretchy="false">)</mml:mo></mml:mrow><mml:mo>/</mml:mo><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mi>F</mml:mi><mml:mn>100</mml:mn><mml:mo>-</mml:mo><mml:mo>-</mml:mo><mml:mi>F</mml:mi><mml:mn>0</mml:mn><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:mrow></mml:math></disp-formula>
<p>L(t) is the fraction of dye released (normalized membrane leakage) at time t, Ft is the measured fluorescence intensity at time t, and F0 and F100 are the fluorescence intensities at times <italic>t</italic> = 0 and after addition of Triton X-100, respectively. All membrane leakage assays were performed three times, each in triplicate, on different days, using different IAPP stock solutions.</p>
</sec>
<sec id="S2.SS8">
<title>Capillary Electrophoresis</title>
<p>Sample preparation: commercial hIAPP was dissolved upon reception in pure HFIP at 1 mM and incubated for 1 h at room temperature, followed by an aliquoting and an immediate evaporation under nitrogen, then under vacuum and storage at &#x2212;20&#x00B0;C. Just before performing real time kinetics, the dried peptide was reconstituted in 50 mM ammonium acetate buffer pH 3.7 at 100 &#x03BC;M. Compounds <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> were dissolved in DMSO and added to the peptide solution to reach final concentrations 1 mM, 100 and 50 mM, corresponding, respectively, to ratios 10/1, 1/1, and 0.5/1 of compounds:hIAPP; the final concentration of DMSO in the ammonium acetate buffer being of 1% (v/v).</p>
<p>CE-UV experiments were carried out with a MDQ Instrument (SCIEX, Framingham, MA, United States) equipped with a UV detector. Detection was performed at 200 nm. Fused silica capillaries (50 &#x03BC;m id &#x00D7; 365 &#x03BC;m od) were purchased from Polymicro Technologies (Phoenix, AZ, United States). Silica capillaries were coated with a 0.2% polybrene solution. Briefly, solid polybrene was dissolved in water under heating at 50&#x00B0;C. The capillary was preconditioned with MeOH, NaOH 1 M, NaOH 0.1 M, and with H<sub>2</sub>O. All flushings were done at 20 psi for 15 min. The capillary was then coated with the 0.2% polybrene solution for 15 min at 20 psi. The coated capillary was then flushed with the background electrolyte (BGE) at 20 psi for 45 min and equilibrated under &#x2212;25 kV for 2 h. Polybrene-coated capillaries were 60 cm total length (49.8 cm to the detector). The BGE was a 50 mM ammonium acetate buffer, pH 3.7. The separation was carried out under &#x2212;25 kV at 25&#x00B0;C. Samples were injected from the inlet by hydrodynamic injection at 0.8 psi for 10 s. After each run, the capillary was rinsed for 5 min with 1 M NaOH, 5 min with water, recoated for 10 min with 0.2% polybrene, and finally equilibrated with the running buffer for 5 min at 20 psi.</p>
<p>Since the control hIAPP kinetics may slightly vary depending on external features (such as the use of different hIAPP aliquots, colder or warmer room temperature), the evaluation of each hairpin was carried out simultaneously with the hIAPP control experiment to avoid any bias.</p>
<sec id="S2.SS8.SSS1">
<title>ESI-MS Experiments</title>
<p>ESI-MS experiments were carried out with a Synapt G2-S<sup><italic>i</italic></sup> Q-TOF instrument (Waters, Manchester, United Kingdom) equipped with an ESI interface. Positive ion mode was used. Samples of hIAPP (as previously described for the CE-UV experiments) were injected by direct infusion through a syringe at 5 &#x03BC;L/min. Main MS parameters are detailed the following: the capillary voltage was set at 2.4 kV, with the sampling cone and source offset at 70 V. Source and desolvation temperatures were, respectively, 40 and 75&#x00B0;C. Data were processed with MassLynx.</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Design</title>
<p>As explained above, we designed peptides derivatives mimicking acyclic &#x03B2;-hairpin structures selective for hIAPP. Our choice for the first SRE to link to the piperidine-pyrrolidine &#x03B2;-turn inducer, turned on the amyloidogenic sequence N<sub>22</sub>FGAIL<sub>27</sub> because this region is strongly involved in hIAPP aggregation process and in the folding of hIAPP described in experimental and <italic>in silico</italic> models of monomers and aggregates found in the literature (<xref ref-type="bibr" rid="B68">Sumner Makin and Serpell, 2004</xref>; <xref ref-type="bibr" rid="B36">Kajava et al., 2005</xref>; <xref ref-type="bibr" rid="B47">Luca et al., 2007</xref>; <xref ref-type="bibr" rid="B76">Wiltzius et al., 2008</xref>; <xref ref-type="bibr" rid="B6">Bedrood et al., 2012</xref>; <xref ref-type="bibr" rid="B46">Liang et al., 2013</xref>; <xref ref-type="bibr" rid="B77">Wu and Shea, 2013</xref>; <xref ref-type="bibr" rid="B72">Tran and Ha-Duong, 2016</xref>; <xref ref-type="bibr" rid="B15">Cao et al., 2020</xref>; <xref ref-type="bibr" rid="B62">R&#x00F6;der et al., 2020</xref>). Furthermore, this sequence has been reported to be able to promote hIAPP fibrillization (<xref ref-type="bibr" rid="B60">Porat et al., 2004</xref>) and to inhibit its aggregation when inserted in a macrocycle peptide derivative (<xref ref-type="bibr" rid="B13">Buchanan et al., 2013</xref>). More recently, a series of hIAPP-derived 21-residues peptides, based on this hot segment FGAIL sequence, was designed by the group of Kapurniotu and reported as nanomolar inhibitors of hIAPP and A&#x03B2;140 self-assembly (<xref ref-type="bibr" rid="B4">Andreetto et al., 2015</xref>; <xref ref-type="bibr" rid="B53">Niu et al., 2020</xref>). Selecting the second SRE was trickier because the sequences facing N<sub>22</sub>FGAIL<sub>27</sub> vary from one model to another being slightly shifted within the sequence A<sub>13</sub> to S<sub>20</sub>. The selection of the complementary SRE in compounds <bold>1</bold> and <bold>2</bold> was based on models reported by <xref ref-type="bibr" rid="B36">Kajava et al. (2005)</xref>, <xref ref-type="bibr" rid="B4">Andreetto et al. (2015)</xref> and <xref ref-type="bibr" rid="B51">Mirecka et al. (2016)</xref>, where A<sub>13</sub>NFLV<sub>17</sub> is facing N<sub>22</sub>FGAIL<sub>27</sub>. The only difference lies in the inversion of the SRE position with NFGAIL at the <italic>N</italic>-terminus in <bold>1</bold> or at the <italic>C</italic>-terminus in <bold>2</bold> (<xref ref-type="fig" rid="F1">Figure 1</xref>). Compounds <bold>3</bold> and <bold>4</bold> (<xref ref-type="fig" rid="F1">Figure 1</xref>) were based on models reported by <xref ref-type="bibr" rid="B76">Wiltzius et al. (2008)</xref>, <xref ref-type="bibr" rid="B46">Liang et al. (2013)</xref>, and <xref ref-type="bibr" rid="B77">Wu and Shea (2013)</xref> where F<sub>15</sub>LVHSS<sub>20</sub> is facing N<sub>22</sub>FGAIL<sub>27</sub>. We kept five residues in each sequence, as pentapeptide sequences were sufficient in our hairpin mimics inhibiting A&#x03B2;<sub>1&#x2013;42</sub> (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>). On the contrary to A&#x03B2;<sub>1&#x2013;42</sub>, hIAPP does not present acidic residue in the amyloidogenic region with which the terminal amine of the inhibitor would establish interesting ionic interactions. Thus, we introduced in compound <bold>4</bold> an <italic>N</italic>-acetyl group. The isolated SREs F<sub>15</sub>LVHS<sub>19</sub> <bold>5</bold> and F<sub>23</sub>GAIL<sub>27</sub> <bold>6</bold> (<xref ref-type="fig" rid="F1">Figure 1</xref>) were also prepared to demonstrate the interest of inserting the SREs in &#x03B2;-hairpin mimics. The next step was to decrease the peptidic character in the &#x03B2;-hairpin mimics. We kept the sequences A<sub>25</sub>IL<sub>27</sub> and F<sub>15</sub>LV<sub>17</sub> that were present in compounds <bold>1&#x2013;3</bold>. The terminal amine was either free or protected by three different groups: Boc, acetyl or trifluoroacetyl (compounds <bold>7</bold>&#x2013;<bold>10</bold>). The free amine should increase the water solubility but is probably not mandatory for the interaction with hIAPP, as described above for <bold>4</bold>. The trifluoroacetyl group was selected to examine how the presence of fluorine atoms could influence the activity. Fluorine possesses the unique capacity to increase the local hydrophobicity, to strengthen hydrogen bonds and to increase metabolic stability, that have been exploited in more than 300 approved drugs but not yet in peptide pharmaceuticals (<xref ref-type="bibr" rid="B32">Inoue et al., 2020</xref>). Fluorine has been also recently demonstrated as a useful probe for studying biological events by <sup>19</sup>F-NMR spectroscopy (<xref ref-type="bibr" rid="B19">Dalvit and Vulpetti, 2019</xref>). The shorter compounds <bold>11</bold> and <bold>12</bold> were also evaluated to validate the interest of linking two peptide arms to the piperidine-pyrrolidine &#x03B2;-turn inducer. Finally, one &#x03B1;/aza/aza/pseudotripeptide, Phe-azaLys-azaVal-COCH<sub>3</sub> (abbreviated as FaLaV-COCH<sub>3</sub>) mimicking the <italic>C</italic>-terminal arm FLV of <bold>8</bold>, was inserted in compounds <bold>13</bold> and <bold>14</bold> and evaluated alone (compound <bold>15</bold>). The introduction of one aza-amino acid in peptides has shown significant success in providing biologically active peptides (see the references cited in <xref ref-type="bibr" rid="B70">Tonali et al., 2020</xref>). However, to our knowledge, only scarce examples of biologically active peptide mimics having two consecutive aza-amino acids have been reported (<xref ref-type="bibr" rid="B24">Gante et al., 1995</xref>; <xref ref-type="bibr" rid="B26">Han et al., 1998</xref>). We ourselves introduced a diazaGly motif (<xref ref-type="bibr" rid="B21">Dufau et al., 2012</xref>) in inhibitors of HIV-1 protease dimerization. Here, we want to assess whether the diaza-amino acid motif can retain the selectivity of natural peptides due to side chains.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>Structure of the synthesized compounds <bold>1</bold>&#x2013;<bold>15</bold>.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>Synthesis</title>
<p>The preparation of the &#x03B2;-hairpin mimics <bold>1</bold>&#x2013;<bold>4</bold> and of the SREs <bold>5</bold> and <bold>6,</bold> was performed by solid phase peptide synthesis, using the Fmoc strategy on a rink amide resin, as previously reported by some of us (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>). The solution synthesis, outlined in <xref ref-type="fig" rid="SC1">Scheme 1</xref>, allowed the preparation of the target compounds <bold>7&#x2013;14</bold> and start from scaffold <bold>16</bold> that was prepared in accordance with our published procedure (<xref ref-type="bibr" rid="B57">Pellegrino et al., 2014</xref>, <xref ref-type="bibr" rid="B58">2017</xref>). To the <italic>N</italic>-terminus of <bold>16</bold>, the three amino acids <italic>N</italic>-Fmoc-L-Leu-OH, <italic>N</italic>-Fmoc-L-Ile-OH, and <italic>N</italic>-Boc-L-Ala-OH were successively coupled to form the tripeptide AIL, in order to obtain the key intermediate <bold>11</bold>. The coupling reagents HBTU/HOBt in the presence of collidine in dry DMF allowed the couplings in very satisfactory yields (80&#x2013;96%, <xref ref-type="fig" rid="SC1">Scheme 1</xref>). The saponification of the methyl ester of <bold>11</bold>, using NaOH 2 M in MeOH, afforded <bold>19</bold> in an excellent yield (96%). Its coupling with the tripeptide FLV-NH<sub>2</sub> <bold>12</bold> (synthesized in good yield, see experimental section), using COMU/Oxyma as coupling agent, in the presence of DIPEA in dry DMF, led to <bold>7</bold> in a very good yield (87%). Then, a classical acidic cleavage of the Boc moiety of <bold>7</bold> gave <bold>8</bold> in quantitative yield. <italic>N-</italic>acylation of <bold>8</bold> using acetic anhydride or trifluoroacetic anhydride, provided <bold>9</bold> and <bold>10,</bold> respectively. The coupling between the intermediate <bold>19</bold> and the peptidomimetic arm FaLaVCOCH<sub>3</sub> <bold>15</bold>, (whose synthesis is explained just below and in <xref ref-type="fig" rid="SC2">Scheme 2</xref>) resulted more difficult than in the case of the coupling with the peptide FLV-NH<sub>2</sub> <bold>12</bold>. The desired compound <bold>13</bold> was obtained in satisfactory yield (59%), together with a compound resulting from the intramolecular cyclization between the carboxylic group and the NH of the sulphonamide of <bold>19</bold> (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 28</xref>). The formation of the cyclized by-product only observed in the coupling with the di-aza-tripeptide could be due to its steric hindrance and/or lower reactivity. Finally, the acid cleavage of the Boc moiety of <bold>13</bold> afforded the final compound <bold>14</bold> in quantitative yield.</p>
<fig id="SC1" position="float">
<label>SCHEME 1</label>
<caption><p>Synthesis of compounds <bold>7</bold>&#x2013;<bold>11</bold>, <bold>13</bold>, <bold>14</bold>.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g014.tif"/>
</fig>
<fig id="SC2" position="float">
<label>SCHEME 2</label>
<caption><p>Synthesis of the peptidomimetic arm FaLaVCOCH<sub>3</sub> <bold>15</bold>.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g015.tif"/>
</fig>
<p>The preparation of the di-aza-tripeptide FaLaVCOCH<sub>3</sub> <bold>15</bold>, reported in <xref ref-type="fig" rid="SC2">Scheme 2</xref>, required the combination of hydrazine chemistry and peptide synthesis. As recently reported by our group (<xref ref-type="bibr" rid="B10">Bizet et al., 2018</xref>), the introduction of two sequential aza-amino acids can be challenging because of the capricious reactivity of the alkyl-hydrazine. In our case, it was possible to prepare the di-aza-tripeptide arm <bold>15</bold> by elongating the peptidomimetic from the <italic>C-</italic>terminus to the <italic>N-</italic>terminus. Acetylation of Boc-2-isopropyl-hydrazine (<bold>20</bold>) prepared according to our reported procedure (<xref ref-type="bibr" rid="B10">Bizet et al., 2018</xref>), afforded <bold>21</bold> in a good yield (85%). The classical acidic cleavage of the Boc moiety of <bold>21</bold> gave <bold>22</bold>. The activation of <bold>22</bold> using 4-nitrophenyl chloroformate, followed by the reaction with Boc-2-isobutyl-hydrazine led to the Boc-protected intermediate <bold>23</bold> in a very satisfactory yield (85%). The acidic cleavage of the Boc moiety of <bold>23</bold> followed by the coupling reaction of the intermediate <bold>24</bold> with <italic>N</italic>-Cbz-L-Phe-OH gave <bold>25</bold> in very good yield (80%). The cleavage of the Cbz moiety of <bold>25</bold> to afford the desired FaLaVCOCH<sub>3</sub> <bold>15</bold> was achieved employing McMurray&#x2019;s hydrogenolysis (triethylsilane in the presence of Pd/C in MeOH (<xref ref-type="bibr" rid="B49">Mandal and McMurray, 2007</xref>).</p>
</sec>
<sec id="S3.SS3">
<title>Conformational Studies</title>
<p>In order to check if the conformational behavior of our new peptidomimetics was similar to the one of our previously reported acyclic &#x03B2;-hairpin structures bearing SREs based on A&#x03B2;<sub>1&#x2013;42</sub> (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>; <xref ref-type="bibr" rid="B71">Tonali et al., 2018</xref>), we performed conformational studies by NMR on the most active inhibitors of hIAPP aggregation <bold>3&#x2013;4</bold>, <bold>8&#x2013;9</bold>, and <bold>14</bold>, as assessed by ThT fluorescence assay (see below). The polar and protic solvent CD<sub>3</sub>OH was used instead of water because of the low solubility in water of some compounds. Another important advantage of CD<sub>3</sub>OH is the possibility to record NMR spectra at low temperatures (248&#x2013;273 K range), thus allowing to better characterize slowly interconverting conformers. When signals were sufficiently resolved and disperse, vicinal <sup>3</sup><italic>J</italic><sub><italic>HN&#x2013;H</italic>&#x03B1;</sub> coupling constants, H<sup>&#x03B1;</sup>-HN ROE (Rotating-frame Overhauser Effect) correlations, temperature coefficient (&#x0394;&#x03B4;<sub><italic>HN</italic></sub>/&#x0394;T) of the amide protons and <sup>1</sup>H<sub>&#x03B1;</sub> and <sup>13</sup>C<sub>&#x03B1;</sub> chemical shift deviations (CSD), were examined to analyze backbone conformational propensities (see <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref> for detailed data).</p>
<p>Compounds <bold>3</bold> and <bold>4</bold> bearing five residues sequences adopt similar &#x03B2;-hairpin like structure observed in our similar peptide compounds (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>) as confirmed by a good dispersion of the NH chemical shifts, sequential CH&#x03B1;<sub><italic>i</italic></sub>/NH<sub><italic>i+</italic>1</sub> ROEs for the extended peptide arms and characteristic ROE proximities in the beta-turn region and between the two strands (see <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref>).</p>
<p>Conversely, compounds <bold>8</bold> and <bold>9</bold>, bearing two shorter tripeptide arms, displayed the presence of at least two major conformers in dynamic equilibrium. Complete assignment of the <sup>1</sup>H and <sup>13</sup>C signals was performed for the two conformers of compound <bold>9</bold> at 278 K (<xref ref-type="supplementary-material" rid="DS1">Supplementary Tables 6</xref>, <xref ref-type="supplementary-material" rid="DS1">7</xref>). At this temperature, an equilibrium between two major conformers (ratio 1:1, <bold>9a</bold>/<bold>9b</bold>) was observed. Large vicinal <sup>3</sup>JNH-H<sub>&#x03B1;</sub> constants (&#x003E;8.0 Hz) were observed in both cases, suggesting the presence of dihedral angles typical of peptide segments in extended conformation. Several sequential CH&#x03B1;<sub><italic>i</italic></sub>/NH<sub><italic>i+</italic>1</sub> ROEs, indicating &#x03B2;-conformations, were found for both <bold>9a</bold> and <bold>9b</bold> conformers (<xref ref-type="fig" rid="F2">Figure 2</xref>). The extended conformation of the two peptide arms was assumed by the positive difference between experimental H&#x03B1; and HN chemical shift values and &#x201C;random ones&#x201D; (CSDs) (<xref ref-type="supplementary-material" rid="DS1">Supplementary Tables 8</xref>, <xref ref-type="supplementary-material" rid="DS1">9</xref>). The very slight differences in values of <sup>3</sup>JNH-H&#x03B1; and of CSD let consider that the peptide arms were similarly extended in both conformers <bold>9a</bold> and <bold>9b</bold>. ROESY experiments confirmed the presence of the &#x03B2;-turn in both conformers (for details, see <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref>). However, we detected inter-strand diagnostic ROEs only for <bold>9b</bold> isomer (<xref ref-type="fig" rid="F2">Figure 2</xref>), confirming spatial proximity between the two peptide arms. In particular, ROE contacts were visible between the H&#x03B1; of Ile-2 and the aromatic ring of Phe-6 and the CH<sub>3</sub> of Leu-7, between the H&#x03B1; of Leu-7 and the CH<sub>3</sub> of Ile-2 and, finally, between the side chains of Ile-2 and Leu-7 (<xref ref-type="fig" rid="F2">Figure 2</xref> right and <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 23</xref>). This difference in ROEs let us hypothesize a dynamic equilibrium between two different &#x03B2;-hairpin architectures, with only one of them allowing the spatial proximity between the peptide arms. This difference between the two conformers also results in a different ROE contact between the H&#x03B1; of Leu-3 and the diastereotopic protons H2 or H6 of Pip-4. In <bold>9a</bold>, Leu-3 H&#x03B1; is closed to H6, while in <bold>9b</bold> Leu-3 H&#x03B1; provides a ROE with H2 (<xref ref-type="fig" rid="F2">Figure 2</xref> and <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 21</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>Structure of conformers <bold>9a (left)</bold> and <bold>9b (right)</bold> showing the assigned ROEs: in blue the sequential CH&#x03B1;<sub><italic>i</italic></sub>/NH<sub><italic>i+1</italic></sub> ROEs, in green the common ROEs, and in red the differences.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g002.tif"/>
</fig>
<p>We decided to perform a molecular dynamics (MD) study to investigate if a different torsion angle of the amide bond between Leu-3 and Pip-4 could explain the two different &#x03B2;-hairpin architectures observed experimentally.</p>
<p>200 ns-MD simulations of both conformers <bold>9a</bold> and <bold>9b</bold> were performed in explicit MeOH solvent at 280 K in order to be as close as possible to experimental conditions. In both initial structures, the torsion angle between the piperidine and proline rings was identical with proline H&#x03B1; pointing toward piperidine H2 (torsion angle C&#x03B1;-N-C3-C2 around &#x2212;60&#x00B0;), as found in NMR analysis. The main difference between the two initial structures was the torsion angle around the amide bond between Leu-3 and Pip-4 (<xref ref-type="fig" rid="F2">Figure 2</xref>): the C&#x03B1;-C-N-C2 angle was equal to &#x2212;170&#x00B0; and &#x2212;5&#x00B0; in the initial structures <bold>9a</bold> and <bold>9b</bold>, respectively. The piperidine-proline local structure was maintained and no conformational transition of the corresponding initial torsion angle C&#x03B1;-C-N-C2 between Leu-3 and Pip-4 occurred in MD simulations, for both conformers <bold>9a</bold> and <bold>9b</bold> (see section &#x201C;Discussion&#x201D; and <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 24</xref>). The computed <sup>3</sup>J<sub><italic>HN&#x2013;H</italic>&#x03B1;</sub> coupling constants had lower values than NMR data, indicating that the two peptide arms were slightly less extended in MD simulations than in NMR experiments (see section &#x201C;Discussion&#x201D; and <xref ref-type="supplementary-material" rid="DS1">Supplementary Table 14</xref>). Interestingly, as observed in our NMR studies, significant differences in the spatial proximity of the two peptide arms were observed between modeled conformers <bold>9a</bold> and <bold>9b</bold>. Indeed, when analyzing the probability distribution of the distances between protons for which ROEs were detected (<xref ref-type="fig" rid="F3">Figure 3</xref>), the distance between Ile-2 H&#x03B1; and Phe-6 aromatic ring as well as that one between Ile-2 side chain CH<sub>3</sub> and Leu-7 H&#x03B1; were clearly lower in <bold>9b</bold> than in <bold>9a</bold>. This indicates that the two peptide arms are closer in conformer <bold>9b</bold> than in <bold>9a</bold> (<xref ref-type="fig" rid="F3">Figure 3</xref>). These results confirm that the conformation of the torsion angle C&#x03B1;-C-N-C2 between Leu-3 and Pip-4 impacts the spatial proximity of the two peptide arms and the global &#x03B2;-hairpin architecture. When Leu-3 H&#x03B1; is oriented toward piperidine H6 (<bold>9a</bold>), this promotes a separation of the two peptide arms, whereas when it is oriented toward piperidine H2 (<bold>9b</bold>), the two arms can approach one to the other.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>MD-derived probability distribution of distances between protons in each of the two peptide arms. On the right are displayed representative structures of the most populated clusters of <bold>9a</bold> and <bold>9b</bold>.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g003.tif"/>
</fig>
<p>This conformational analysis by NMR and molecular dynamics, performed on the acetylated hairpin mimic <bold>9</bold>, allowed us to establish some general guidelines, useful for the structural characterization of similar compounds based on our &#x03B2;-turn inducer when NMR assignment was not as precise as for compound <bold>9</bold>. In the case of the free <italic>N</italic>-terminal compound <bold>8</bold>, it was not possible to perform a complete assignment of the two major conformers in equilibrium, even by lowering the temperature at 278 K. By increasing the temperature at 313 K, we could approach an approximately complete coalescence of the two conformers, allowing the attribution of an average conformation with a complete <sup>1</sup>H and <sup>13</sup>C assignment (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 3</xref>). The good dispersion of the NH chemical shifts indicated the presence of a single and major conformation whose turn structure was confirmed by ROESY experiments. Several sequential CH&#x03B1;<sub><italic>i</italic></sub>/NH<sub><italic>i+</italic>1</sub> ROEs, large <sup>3</sup><italic>J</italic><sub><italic>NH&#x2013;H</italic>&#x03B1;</sub> coupling constants and positive <sup>1</sup>H CSD values (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 4</xref>) for most of the amino acids (less remarkable for the more dynamic <italic>N</italic>-terminal Ala and <italic>C</italic>-terminal Val), suggested the extended conformation of the two peptide arms. Diagnostic inter-strand ROEs were observed between the NH of Leu-3 and the H&#x03B1; and H&#x03B2; of Phe-6 and were in favor of a &#x03B2;-hairpin architecture (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figures 13</xref>, <xref ref-type="supplementary-material" rid="DS1">14</xref>). No one of the amide protons showed a temperature coefficient lower than &#x2212;4.5 ppb K<sup>&#x2013;1</sup> (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 5</xref>). However, Ile-2, Leu-3, and Leu-7 values fell within intermediate values, suggesting their partial involvement in hydrogen-bond. Taking together all these experimental results, it is possible to conclude that at 313 K, the average conformation of <bold>8</bold> adopts a partial &#x03B2;-hairpin conformation, with the <italic>N</italic>-terminal Ala residue not in contact with the C-terminal acetyl amide group, contact that would have allowed to form a more extended &#x03B2;-hairpin.</p>
<p>The <sup>1</sup>H and <sup>13</sup>C assignment of compound <bold>14</bold> was tricky even performed on a spectrometer operating at 800 MHz and equipped with a TCI cryoprobe. A dispersion of NH chemical shifts and poor resolution of the signals indicated the presence of different conformers whatever the temperature from 278 to 313 K. Some signals and <sup>3</sup><italic>J</italic><sub><italic>NH&#x2013;H</italic>&#x03B1;</sub> coupling constants of the natural amino acids could not be determined with certainty (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 15</xref>). The temperature dependence of amide proton chemical shifts of Ile-2 was intermediate (&#x2212;4.5 ppb K<sup>&#x2013;1</sup>, <xref ref-type="supplementary-material" rid="DS1">Supplementary Table 16</xref>), suggesting its partial involvement in hydrogen-bond. Several sequential CH&#x03B1;<sub><italic>i</italic></sub>/NH<sub><italic>i+</italic>1</sub> ROEs and large and positive <sup>1</sup>H CSD values (<xref ref-type="supplementary-material" rid="DS1">Supplementary Table 17</xref>) for Ile, Leu, and Phe confirmed the extended conformation of the natural amino acids in the two arms (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 30</xref>). No typical spatial proximities were found between H<sub>&#x03B1;</sub> Pro-5 and Pip-4 and between the Pip-4 and NH Phe-6 to confirm the turn structure. Moreover, it can be affirmed that an equilibrium between two different &#x03B2;-hairpin architectures, one of which more &#x201C;open&#x201D; than the other, occurs even for compound <bold>14</bold>, reflecting the same behavior as conformers <bold>9a</bold> and <bold>9b</bold>. A very weak inter-strand ROE was observed and attributed to Phe-6 H&#x03B4; and Leu-3 H&#x03B4; or Ile-2 H&#x03B3; whose chemical shifts were identical (<xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 31</xref>). Overall, <bold>14</bold> seems to adopt a more flexible &#x03B2;-hairpin structure than the peptide analogs <bold>8</bold> and <bold>9</bold>.</p>
</sec>
<sec id="S3.SS4">
<title>Evaluation of the Effect of the Synthesized Compounds on hIAPP Aggregation</title>
<sec id="S3.SS4.SSS1">
<title>Inhibition of hIAPP Fibrillization by Thioflavin-T (ThT) Fluorescence Assay</title>
<p>The evaluation on hIAPP fibrillization was performed for the hairpin <bold>1</bold>&#x2013;<bold>4</bold>, <bold>7</bold>&#x2013;<bold>10, 13</bold>&#x2013;<bold>14,</bold> the intermediate <bold>11</bold> and the arms <bold>5</bold>&#x2013;<bold>6</bold>, <bold>12</bold>, <bold>15</bold> employing Thioflavin-T (ThT) fluorescence assay (representative curves are shown in <xref ref-type="fig" rid="F4">Figure 4</xref> and <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 34</xref>). ThT is a dye able to fluoresce upon binding to &#x03B2;-sheet rich structures (<xref ref-type="bibr" rid="B43">LeVine, 1999</xref>) and it is the standard dye used to study the aggregation kinetics of amyloidogenic proteins (<xref ref-type="bibr" rid="B23">Gade Malmos et al., 2017</xref>). The aggregation curve of hIAPP alone displays the classical sigmoidal pattern, characterized by three different portions: an initial lag phase of about 1 h, followed by a rapid elongation phase which ends to a final plateau reached after about 5 h (red curves, <xref ref-type="fig" rid="F4">Figure 4</xref>). From the curve it is possible to collect two parameters: (1) F, maximal fluorescence measured at the plateau which is related to the highest amount of the formed fibrils (2) <italic>t<sub>1/2</sub></italic>, the time at which the fluorescence has reached the half of F. The inhibitory activity was evaluated at three different compound/hIAPP ratios: 10/1, 1/1, and 0.1/1; the calculated F and <italic>t</italic><sub>1/2</sub> are summarized in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Kinetics of amyloid fibrils formation. Representative curves of ThT fluorescence assays over time showing hIAPP aggregation (5 &#x03BC;M) in the absence (red curve) and in the presence of compounds <bold>1</bold>&#x2013;<bold>3</bold>, <bold>8,</bold> and <bold>14</bold> at compound/hIAPP ratios of 10/1 (purple curves), 1/1 (green curves) and 0.1/1 (blue curves). The control curves are represented in orange lines and buffer in gray.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g004.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Effects of compounds <bold>1</bold>&#x2013;<bold>15</bold> on hIAPP fibrillization assessed by ThT-fluorescence spectroscopy at 10/1, 1/1, and 0.1/1 ratios of compound/hIAPP.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Compound</td>
<td valign="top" align="center">Compound/hIAPP ratio<sup>[a]</sup></td>
<td valign="top" align="center"><italic>t</italic><sub>1/2</sub> extension/reduction (%)<sup>[b]</sup></td>
<td valign="top" align="center">F extension/reduction (%)<sup>[c]</sup></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><bold>1</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+230 &#x00B1; 20%</td>
<td valign="top" align="center">&#x2212;89 &#x00B1; 2%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+27 &#x00B1; 14%</td>
<td valign="top" align="center">&#x2212;49 &#x00B1; 28%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">+15 &#x00B1; 8%</td>
<td valign="top" align="center">&#x2212;57 &#x00B1; 18%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>2</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+441 &#x00B1; 64%</td>
<td valign="top" align="center">&#x2212;76 &#x00B1; 5%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+27 &#x00B1; 14%</td>
<td valign="top" align="center">&#x2212;44 &#x00B1; 8%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">+37 &#x00B1; 9%</td>
<td valign="top" align="center">+22 &#x00B1; 13%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>3</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+280 &#x00B1; 65%</td>
<td valign="top" align="center">&#x2212;87 &#x00B1; 2%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+166 &#x00B1; 32%</td>
<td valign="top" align="center">&#x2212;72 &#x00B1; 3%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">+88 &#x00B1; 47%</td>
<td valign="top" align="center">&#x2212;78 &#x00B1; 8%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>4</bold></td>
<td valign="top" align="center">(10/1)<sup>[d]</sup></td>
<td valign="top" align="center">+72 &#x00B1; 16%</td>
<td valign="top" align="center">&#x2212;73 &#x00B1; 3%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+82 &#x00B1; 4%</td>
<td valign="top" align="center">&#x2212;54 &#x00B1; 7%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">+56 &#x00B1; 25%</td>
<td valign="top" align="center">&#x2212;46 &#x00B1; 5%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>5</bold></td>
<td valign="top" align="center">(10/1)<sup>[d]</sup></td>
<td valign="top" align="center">ne<sup>[e]</sup></td>
<td valign="top" align="center">&#x2212;59 &#x00B1; 10%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1) 5</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;44 &#x00B1; 31%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1) 0.5</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;48 &#x00B1; 9%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>6</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;46 &#x00B1; 10%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td valign="top" align="left"><bold>7</bold></td>
<td valign="top" align="center">(10/1) <sup>[d]</sup></td>
<td valign="top" align="center">&#x2212;10 &#x00B1; 3%</td>
<td valign="top" align="center">&#x2212;57 &#x00B1; 12%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">&#x2212;13 &#x00B1; 1%</td>
<td valign="top" align="center">&#x2212;70 &#x00B1; 5%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;37 &#x00B1; 9%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>8</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+147 &#x00B1; 24%</td>
<td valign="top" align="center">&#x2212;72 &#x00B1; 8%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+45 &#x00B1; 6%</td>
<td valign="top" align="center">&#x2212;62 &#x00B1; 6%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">+64 &#x00B1; 2%</td>
<td valign="top" align="center">&#x2212;36 &#x00B1; 2%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>9</bold></td>
<td valign="top" align="center">(10/1) <sup>[d]</sup></td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;65 &#x00B1; 6%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;67 &#x00B1; 14%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;51 &#x00B1; 3%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>10</bold></td>
<td valign="top" align="center">(10/1) <sup>[d]</sup></td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;67 &#x00B1; 5%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;60 &#x00B1; 10%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td valign="top" align="left"><bold>11</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+55 &#x00B1; 6%</td>
<td valign="top" align="center">&#x2212;52 &#x00B1; 8%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;44 &#x00B1; 1%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">nd<sup>[f]</sup></td>
<td valign="top" align="center">nd</td>
</tr>
<tr>
<td valign="top" align="left"><bold>12</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+25 &#x00B1; 9%</td>
<td valign="top" align="center">&#x2212;19 &#x00B1; 4%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;58 &#x00B1; 9%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">&#x2212;13 &#x00B1; 2%</td>
<td valign="top" align="center">+27 &#x00B1; 10%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>13</bold></td>
<td valign="top" align="center">(10/1) <sup>[d]</sup></td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;88 &#x00B1; 1%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;76 &#x00B1; 4%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;48 &#x00B1; 7%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>14</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+186 &#x00B1; 11%</td>
<td valign="top" align="center">&#x2212;93 &#x00B1; 2%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;85 &#x00B1; 1%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;60 &#x00B1; 2%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>15</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p><italic>Parameters are expressed as mean &#x00B1; SE, n = 3. <sup>[a]</sup>Compounds were dissolved in DMSO; the final concentration kept constant at 3% (v). The concentration of hIAPP was 5 &#x03BC;M. <sup>[b]</sup>See <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref> for the calculation of the t<sub>1/2</sub> extension/reduction. <sup>[c]</sup>See <xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref> for the calculation of the F extension/reduction. <sup>[d]</sup>Compounds <bold>4, 5, 7, 9, 10,</bold> and <bold>13</bold> self-aggregate at 50 &#x03BC;M, <sup>[e]</sup>ne, no effect, <sup> [f]</sup>nd, not determined.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
<p>The longer hairpins <bold>1&#x2013;4</bold> displayed significant and similar inhibitory effect on hIAPP fibrillization at the three tested ratios with a dose-dependent effect. Hairpin <bold>1</bold> showed only a slightly more pronounced activity on the fluorescence plateau compared to <bold>2</bold> (&#x0394;F = &#x2212;89, &#x2212;49, &#x2212;57% vs. &#x2212;76, &#x2212;44, +22% for <bold>1</bold> and <bold>2,</bold> respectively, at 10/1, 1/1, and 0.1/1 ratios), however, hairpin <bold>2</bold> exhibited a significant higher activity in delaying aggregation, in particular at the highest ratio 10/1 (&#x0394; <italic>t</italic><sub>1/2</sub> = +441% for <bold>2</bold> vs. +230% for <bold>1</bold>). For both hairpins <bold>1</bold> and <bold>2</bold>, the activity on <italic>t</italic><sub>1/2</sub> was more modest at 1/1 and 0.1/1 ratios (+15% &#x003C;&#x0394; <italic>t</italic><sub>1/2</sub>&#x003C; +37%). Hairpin <bold>3</bold>, bearing the two pentapeptidic arms F<sub>15</sub>LVHS<sub>19</sub> facing F<sub>23</sub>GAIL<sub>27</sub>, showed a comparable activity to <bold>1</bold> at a 10-fold excess (&#x0394; <italic>t</italic><sub>1/2</sub> = +280% vs. +230% and &#x0394;F = &#x2212;87% vs. &#x2212;89% for <bold>3</bold> and <bold>1,</bold> respectively). Remarkably, hairpin <bold>3</bold> has proven to be the most potent inhibitor in this series since its activity on fibrillization kinetics was still significative at the low 1/1 and 0.1/1 ratios (&#x0394; <italic>t</italic><sub>1/2</sub> = +166, +88% and &#x0394;F = &#x2212;72, &#x2212;78% at 1/1 and 0.1/1 ratios, respectively). Hairpin <bold>4</bold> which is the <italic>N</italic>- acetylated analog of <bold>3</bold>, was significantly less active in particular in delaying the fibrillization (+72% &#x003C;&#x0394; <italic>t</italic><sub>1/2</sub>&#x003C; +56% for <bold>4</bold> compared to +280% &#x003C;&#x0394; <italic>t</italic><sub>1/2</sub>&#x003C; +88% for <bold>3</bold> at the three tested ratios). These results suggested that the position of the sequence F<sub>23</sub>GAIL<sub>27</sub> at the <italic>C</italic>-terminus, its alignment with the sequence F<sub>15</sub>LVHS<sub>19</sub>, and the free <italic>N</italic>-terminus in hairpin <bold>3</bold> are three beneficial elements to reach a good effect on delaying the aggregation kinetics and decreasing the amount of hIAPP fibrils, even at low 1/1 and 0.1/1 (<bold>3</bold>/hIAPP) ratios. On the contrary, minimal to no activity was observed for the isolated SREs, FGAIL (<bold>5</bold>) and FLVHS (<bold>6</bold>), demonstrating that these SREs are effective only when they are inserted in the whole &#x03B2;-hairpin structure.</p>
<p>Pleasantly, the hairpin <bold>8</bold>, bearing two shorter tripeptidic arms, retained most of the activity. Indeed, the free amine <bold>8</bold> significantly delayed the fibrillization at 10/1 ratio (&#x0394; <italic>t</italic><sub>1/2</sub> = +147%, &#x0394;F = &#x2212;72%) but to a lesser extent than hairpins <bold>1</bold>&#x2013;<bold>3</bold>. Nevertheless, at the low 1/1 and 0.1/1 ratios, the activity on hIAPP fibrillization was maintained and comparable to slightly better than for hairpins <bold>1</bold> and <bold>2</bold> (&#x0394; <italic>t</italic><sub>1/2</sub> = +45, +27, +27% for <bold>8</bold>, <bold>1,</bold> and <bold>2,</bold> respectively; &#x0394;F = &#x2212;62, &#x2212;49, &#x2212;44% for <bold>8</bold>, <bold>1,</bold> and <bold>2,</bold> respectively, at 1/1 ratio). Here also the protection of the <italic>N</italic>-terminal amine was deleterious. Even if Boc-protected (<bold>7</bold>), acetylated (<bold>9</bold>), and trifluoroacetylated (<bold>10</bold>) compounds retained some activity on the fluorescence plateau comparable to the free amine hairpin <bold>8</bold> (&#x2212;57% &#x003C;&#x0394;F&#x003C;&#x2212;67% at 10/1 ratio and &#x2212;60% &#x003C;&#x0394;F&#x003C;&#x2212;70% at 1/1 ratio), however, they were totally inefficient on the kinetics of hIAPP fibrillization. The Boc protected analog <bold>7</bold> induced a very slight acceleration of the aggregation process (&#x0394; <italic>t</italic><sub>1/2</sub> = &#x2212;10 and &#x2212;13%, respectively, at 10/1 and 1/1 ratios). The lower efficiency of the three protected hairpins <bold>7</bold>, <bold>9,</bold> and <bold>10</bold> could be linked to their tendency to self-aggregate.</p>
<p>Interestingly, the hairpin of lower peptidic character <bold>14</bold>, bearing one diaza-tripeptide arm exceeded the delay activity of its peptide analog <bold>8</bold> at the highest ratio 10/1 (&#x0394; <italic>t</italic><sub>1/2</sub> = +186% vs. +160% for, respectively, <bold>14</bold> and <bold>8</bold>) but no effect was detected on the fibrillization rate at 1/1 and 0.1/1 ratios. Nevertheless, an important reduction of the fluorescence plateau was observed whatever the concentration tested (&#x0394;F = &#x2212;93, &#x2212;85, &#x2212;60% for 10/1, 1/1, and 0.1/1 ratios), this decrease being more pronounced compared to that observed for the peptide analog <bold>8</bold> (&#x0394;F = &#x2212;72, &#x2212;62, &#x2212;36% for 10/1, 1/1, and 0.1/1 ratios), and being the most effective among all the evaluated compounds. As observed for the peptide analogs <bold>7</bold> and <bold>8</bold>, the activity of the <italic>N</italic>-terminal Boc-protected hairpin <bold>13</bold> was lower; no effect was observed on the <italic>t</italic><sub>1/2</sub> while the effect on the fluorescence plateau was maintained but slightly lower than for <bold>14</bold> at each ratio (&#x0394;F = &#x2212;88, &#x2212;76, &#x2212;48% vs. &#x2212;93, &#x2212;85, &#x2212;60% for respectively, <bold>13</bold> and <bold>14</bold> at 10/1, 1/1, and 0.1/1 ratios). Finally, to confirm that the entire &#x03B2;-hairpin structure was essential to modulate hIAPP fibrillization, the truncated molecule <bold>11</bold>, the peptide arm FLV <bold>12</bold> and the diaza-pseudopeptide arm <bold>15</bold> were also evaluated by the ThT-fluorescence assay. The intermediate <bold>11</bold>, composed of the scaffold linked to only one tripeptide arm AIL, retained some activity (&#x0394; <italic>t</italic><sub>1/2</sub> = +55%, ne and &#x0394;F = &#x2212;52, &#x2212;44% for 10/1 and 1/1 ratios), but nevertheless much weaker than the full peptide (<bold>8</bold>) and peptidomimetic (<bold>14</bold>) hairpins. The peptide (<bold>12</bold>) and the diaza-tripeptide (<bold>15</bold>) arms were almost to completely inactive, respectively.</p>
<p>These results clearly indicate that the peptidic character can be lowered by decreasing the length of the peptide arms and by inserting an &#x03B1;/aza/aza/pseudotripeptide without compromising the inhibition of hIAPP fibrillization.</p>
</sec>
<sec id="S3.SS4.SSS2">
<title>Evaluation of the Selectivity Toward hIAPP Versus A&#x03B2;<sub>1&#x2013;42</sub> Fibrillization</title>
<p>In order to evaluate the relative selectivity toward hIAPP peptide, the ability of the most active inhibitors of hIAPP <bold>1&#x2013;3</bold>, <bold>8,</bold> and <bold>14</bold> to interact with A&#x03B2;<sub>1&#x2013;42</sub>, an amyloid protein involved in Alzheimer&#x2019;s disease presenting about 50% of similarity of sequences but characterized by different amyloidogenic sequences, was also tested by the ThT-fluorescence assay (representative curves are shown in <xref ref-type="supplementary-material" rid="DS1">SupplementaryFigure 35</xref>). The longer peptide hairpins <bold>1</bold>&#x2013;<bold>3</bold> were much less active on A&#x03B2;<sub>1&#x2013;42</sub> than on hIAPP fibrillization (<xref ref-type="table" rid="T2">Table 2</xref>), and much less active than our reported hairpins <bold>G1b</bold> and <bold>G2b</bold> based on specific SREs from A&#x03B2;<sub>1&#x2013;42</sub> (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>). No significant effect on the fibrillization kinetics of A&#x03B2;<sub>1&#x2013;42</sub> was observed for the shorter tripeptidic hairpin <bold>8</bold>. On the contrary to its activity on hIAPP, this hairpin displayed no effect on A&#x03B2;<sub>1&#x2013;42</sub> fluorescence plateau at 1/1 and 0.1/1 ratios, however, it showed a comparable effect at high concentration. The diaza-pseudopeptide analog <bold>14</bold> displayed no activity on the fluorescence plateau of A&#x03B2;<sub>1&#x2013;42</sub> even at 10/1 ratio while it was dramatically reduced in the case of IAPP (&#x0394;F = &#x2212;93%) but slightly delayed the kinetics of fibrillization of A&#x03B2;<sub>1&#x2013;42</sub> at 10/1 ratio (&#x0394; <italic>t</italic><sub>1/2</sub> = +51% on A&#x03B2;<sub>1&#x2013;42</sub> vs. +186% on hIAPP). These results confirm that our design based on specific SREs of hIAPP is relevant, and also confirm that shortening the peptide or inserting diaza-pseudopeptide maintain the selectivity for hIAPP versus A&#x03B2;<sub>1&#x2013;42</sub>.</p>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Effects of compounds <bold>1</bold>&#x2013;<bold>3</bold>, <bold>8,</bold> and <bold>14</bold> on A&#x03B2;<sub>1&#x2013;42</sub> fibrillization assessed by ThT-fluorescence spectroscopy at 10/1, 1/1, and 0.1/1 ratios of compound/A&#x03B2;<sub>1&#x2013;42</sub>.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Compound</td>
<td valign="top" align="center">Compound/hIAPP ratio<sup>[a]</sup></td>
<td valign="top" align="center"><italic>t</italic><sub>1/2</sub> extension/reduction (%)<sup>[b]</sup></td>
<td valign="top" align="center">F extension/reduction (%)<sup>[c]</sup></td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left"><bold>G1b</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">NA<sup>[d]</sup></td>
<td valign="top" align="center">&#x2212;97 &#x00B1; 1%</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref></td>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">NA</td>
<td valign="top" align="center">&#x2212;90 &#x00B1; 1%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>G2b</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">NA</td>
<td valign="top" align="center">&#x2212;95 &#x00B1; 1%</td>
</tr>
<tr>
<td valign="top" align="left"><xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref></td>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">&#x003E;+356 &#x00B1; 12%</td>
<td valign="top" align="center">&#x2212;73 &#x00B1; 3%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>1</bold></td>
<td valign="top" align="center">(10/1)<sup>[e]</sup></td>
<td valign="top" align="center">+99 &#x00B1; 32%</td>
<td valign="top" align="center">&#x2212;29 &#x00B1; 3%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+28 &#x00B1; 4%</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne<sup>[f]</sup></td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td valign="top" align="left"><bold>2</bold></td>
<td valign="top" align="center">(10/1)<sup>[e]</sup></td>
<td valign="top" align="center">+102 &#x00B1; 22%</td>
<td valign="top" align="center">+84 &#x00B1; 23%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">&#x2212;35 &#x00B1; 6%</td>
</tr>
<tr>
<td valign="top" align="left"><bold>3</bold></td>
<td valign="top" align="center">(10/1)<sup>[e]</sup></td>
<td valign="top" align="center">+75 &#x00B1; 21%</td>
<td valign="top" align="center">&#x2212;14 &#x00B1; 5%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+43 &#x00B1; 13%</td>
<td valign="top" align="center">&#x2212;27 &#x00B1; 8%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td valign="top" align="left"><bold>8</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">&#x2212;13 &#x00B1; 4%</td>
<td valign="top" align="center">&#x2212;61 &#x00B1; 7%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">+13 &#x00B1; 7%</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td valign="top" align="left"><bold>14</bold></td>
<td valign="top" align="center">(10/1)</td>
<td valign="top" align="center">+51 &#x00B1; 19%</td>
<td valign="top" align="center">+8 &#x00B1; 2%</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
<tr>
<td/>
<td valign="top" align="center">(0.1/1)</td>
<td valign="top" align="center">ne</td>
<td valign="top" align="center">ne</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn><p><italic>Parameters are expressed as mean &#x00B1; SE, n = 3. <sup>[a]</sup>Compounds were dissolved in DMSO; the final concentration kept constant at 0.5% (v). The concentration of A&#x03B2;<sub>1&#x2013;42</sub> was 10 &#x03BC;M. <sup>[b]</sup>See Supplementary Material for the calculation of the t<sub>1/2</sub> extension/reduction. <sup>[c]</sup>See Supplementary Material for the calculation of the F extension/reduction. <sup>[d]</sup>NA, no aggregation. <sup>[e]</sup>Compounds <bold>1, 2,</bold> and <bold>3</bold> self-aggregate at 100 &#x03BC;M, <sup>[f]</sup>ne, no effect.</italic></p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="S3.SS4.SSS3">
<title>Morphology of hIAPP Fibrils by Transmission Electron Microscopy (TEM) Imaging</title>
<p>To evaluate the impact of the hairpins on the morphology of the hIAPP fibrillar material, transmission electron microscopy (TEM) images were acquired for hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> which were the three most promising inhibitors of IAPP fibrillization in the ThT assays. These analyses were performed after 17 h of incubation, corresponding to the time needed to reach the complete conversion of hIAPP monomer into fibrils in the ThT assay. The hIAPP control sample showed the usual extremely dense network of long and tangled fibrils (<xref ref-type="fig" rid="F5">Figure 5a</xref>). The compounds were tested at the hairpin/hIAPP ratio of 10/1. In the presence of hairpin <bold>3</bold> bearing pentapeptide sequences, a drastic reduction in the density of network formed by very shorter fibrils was observed compared to the control sample (<xref ref-type="fig" rid="F5">Figures 5b</xref> vs. <xref ref-type="fig" rid="F7">5a</xref>). For both compounds <bold>8</bold> and <bold>14</bold> (<xref ref-type="fig" rid="F5">Figures 5c,d</xref>) bearing two tripeptide sequences and one diaza-tripeptide sequence, respectively, the amount of fibers remained significantly less important and shorter than in the control grid but longer than for the sample <bold>3</bold>. The comparable density of the fibrils in samples <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> was in accordance with the similar reduction of the fluorescence plateau in the ThT experiment. The fibers of the grid of <bold>14</bold> appeared less tangled compared to the other grids. Thus, these results were consistent with the ThT-fluorescence data and confirmed the efficiency of hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> in disrupting and reducing the fibrillization process of hIAPP amyloid peptide.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Effect of hairpins on the fibril formation of hIAPP visualized by TEM (scale bars 500 nm). Negatively stained images recorded after 17 h of incubation of a 5 &#x03BC;M solution (in 10 mM Tris&#x2013;HCl, 100 mM NaCl, pH 7.4) of <bold>(a)</bold> hIAPP alone or in the presence of a 50 &#x03BC;M solution of hairpins: <bold>(b) 3</bold>, <bold>(c) 8</bold>, and <bold>(d) 14</bold>.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g005.tif"/>
</fig>
</sec>
<sec id="S3.SS4.SSS4">
<title>Effect of the Hairpins on hIAPP-Membrane Fibril Formation and on Membrane Permeability</title>
<p>Several studies have demonstrated a clear interaction between hIAPP and lipid membrane and have shown that membrane can modify both the peptide structure and the kinetics of fibril formation (<xref ref-type="bibr" rid="B14">Caillon et al., 2014</xref>; <xref ref-type="bibr" rid="B50">Milardi et al., 2021</xref>). hIAPP is also known to modify the properties of membranes, by modulating the membrane structure and by altering the permeability. Therefore, the ability of the hairpins to reduce in the presence of membrane models (DOPC/DOPS LUVs) both hIAPP fibrillization and hIAPP-induced membrane damage was evaluated. <xref ref-type="fig" rid="F6">Figure 6a</xref> (gray) showed typical S-shaped curves characteristic of hIAPP fibril formation in the presence of membranes. The presence of the hairpins <bold>3</bold> (<xref ref-type="fig" rid="F6">Figure 6a</xref>) (green), <bold>8</bold>, <bold>10,</bold> and <bold>14</bold> at a 1/1 ratio, displayed the same S-shaped curve but we observed a significant decrease of the rate of hIAPP fibrillization from 4.7 h for hIAPP alone to 6.1&#x2013;8.8 h with the compounds (<xref ref-type="fig" rid="F6">Figure 6b</xref> and <xref ref-type="supplementary-material" rid="DS1">Supplementary Figure 35</xref>). This effect was even more pronounced with the compound <bold>3</bold>. However, the final plateau of fluorescence was not affected by the presence of hairpins. Afterward, we decided to study the morphology of hIAPP incubated with vesicles composed of DOPC/DOPS (7/3), in the presence of the hairpins using transmission electron microscopy. The hIAPP fibrils exhibited the typical morphology of long and twisted amyloid fibrils (<xref ref-type="fig" rid="F6">Figure 6c</xref>). Similar fibrils were observed in the presence of hairpins <bold>3</bold>, <bold>8</bold>, <bold>10,</bold> and <bold>14</bold>, however, the network of the fibrils was less dense and had a lower frequency compared to the fibrils formed by hIAPP alone (<xref ref-type="fig" rid="F6">Figures 6c&#x2013;g</xref>). It is interesting to note that for the hairpins <bold>3</bold>, <bold>8,</bold> and <bold>10</bold>, a few vesicles were surrounded by the fibrils and that those vesicles in contact with the fibrils somehow showed distorted shapes.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p><bold>(a)</bold> Kinetics of hIAPP amyloid fibril formation in the absence (black) and in the presence (green) of the hairpin <bold>3</bold> (ratio 1/1) in 10 mM Tris&#x2013;HCl, 100 mM NaCl buffer at pH 7.4. <bold>(b)</bold> The value of the intensity of the final plateau (gray) and the average half-time (t<sub>1/2</sub>, blue) are reported for each hairpin tested in the same condition (5 &#x03BC;M hIAPP, 5 &#x03BC;M hairpin, and 100 &#x03BC;M LUVs). Negatively stained microscopy images of mature hIAPP alone <bold>(c)</bold>, and in the presence of the hairpins <bold>3 (d)</bold>, <bold>8 (e)</bold>, <bold>10 (f)</bold>, and <bold>14 (g)</bold> at a ratio 1/1 after 24 h of incubation with vesicles composed of DOPC/DOPS (7/3) (scale bars 200 nm). <bold>(h)</bold> Kinetics of membrane disruption induced by 5 &#x03BC;M hIAPP in the absence (gray) and in the presence (green) of the hairpin <bold>3</bold> (ratio 1/1) in 10 mM Tris&#x2013;HCl, 100 mM NaCl buffer at pH 7.4. hIAPP and the hairpin were added to the calcein-containing DOPC/DOPS LUVs (100 &#x03BC;M) at time zero. <bold>(i)</bold> The value of the intensity of the final plateau (gray) and the average half-time (t<sub>1/2</sub>, blue) are reported for each hairpin tested in the same condition (5 &#x03BC;M hIAPP, 5 &#x03BC;M hairpin, and 100 &#x03BC;M LUVs). The error bars shown were calculated as mean &#x00B1; SE of three independent measurements in triplicate.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g006.tif"/>
</fig>
<p>The membrane leakage was then determined using the fluorescence signal of the encapsulated calcein, a highly fluorescent molecule whose fluorescence is self-quenched at high concentrations. High concentrations of calcein were thus encapsulated into LUVs, and upon membrane disruption by hIAPP, the dye was released, and the subsequent dilution leads to enhanced fluorescence. The fluorescence in the presence of the hairpins was compared to the one in the absence of the hairpins to validate their efficacy.</p>
<p>The leakage kinetics is shown in <xref ref-type="fig" rid="F6">Figure 6</xref> for hIAPP alone (gray) and in the presence of the hairpin <bold>3</bold> (green) in DOPC/DOPS vesicles at 25&#x00B0;C. The spontaneous calcein leakage through lipid membranes in the absence of hIAPP was found to be negligible. Our data indicate that 5 &#x03BC;M of hIAPP induced significant leakage in DOPC/DOPS vesicles to about 57% of the total vesicle content, in agreement with previous report (<xref ref-type="bibr" rid="B29">Hoffmann et al., 2018</xref>). The process of hIAPP-induced membrane leakage was characterized by an S-shaped curve with a t<sub>1/2</sub> of approximately 4.5 h. The same experiments were done for hIAPP in the presence of the three most active hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> and compared with an experiment in the presence of the slightly less active hairpin <bold>10</bold>. The compounds were evaluated at 1/1 ratio and similar sigmoidal curves were obtained but were more or less shifted. The kinetics data obtained from the sigmoidal curved are given in <xref ref-type="fig" rid="F6">Figure 6h</xref> and indicate that the presence of <bold>10</bold> only slightly delay the kinetics of membrane damage from 4.5 h for hIAPP alone to 5.6 h while hairpins <bold>3</bold>, <bold>8</bold> and <bold>14</bold> have a more drastic effect in the t<sub>1/2</sub> increase. Indeed, the t<sub>1/2</sub> increases from 4.5 h for hIAPP alone to 10.5 h, 8.7 h, and 8.0 h for <bold>3</bold>, <bold>8,</bold> and <bold>14,</bold> respectively (<xref ref-type="fig" rid="F6">Figure 6i</xref>).</p>
<p>Altogether, the ThT assays, TEM images and the membrane leakage assays indicated that the hairpins interacted strongly with hIAPP in the presence of membrane but are not able to totally inhibit hIAPP-fibril formation. Nevertheless, hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> are able to decrease the fibrillization kinetics and thus delay hIAPP-induced membrane damage even at a low hairpin/hIAPP ratio of 1/1.</p>
</sec>
<sec id="S3.SS4.SSS5">
<title>Effect on hIAPP Oligomerization Process by Capillary Electrophoresis (CE)</title>
<p>We then evaluated the effect of the three hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> on the oligomerization process of hIAPP peptide using our recently developed CE method able to monitor the soluble oligomeric species formed during the early hIAPP aggregation process (<xref ref-type="bibr" rid="B8">Berardet et al., 2018</xref>, <xref ref-type="bibr" rid="B7">2020</xref>). The control electropherogram of hIAPP, shown in <xref ref-type="fig" rid="F7">Figure 7A</xref>, displayed over time the typical profile, showing three groups of soluble species: peak 3 is mainly composed by monomers with possibly a small amount of dimers and trimers whereas peaks 1 and 2 are mainly assigned to oligomeric aggregates larger than 25-mers (peak 1 co-migrates with the electroosmotic flow EOF) (<xref ref-type="bibr" rid="B8">Berardet et al., 2018</xref>). Over time, the monomer peak 3 decreased steadily to almost disappear at 10 h and in the meantime, the oligomeric peak 2 regularly increased (<xref ref-type="fig" rid="F7">Figure 7A</xref>). The CE evaluations were conducted at three different compound/hIAPP ratios: 10/1, 1/1, and 0.5/1. In the presence of hairpin <bold>3</bold> bearing two pentapeptide arms, at 1/1 ratio, the quantity of monomeric species (peak 3) was significantly preserved until 5 h while the two thirds of it disappeared in the control sample (62% of monomer maintained in the presence of <bold>3</bold> vs. 35% in the control) (<xref ref-type="fig" rid="F7">Figures 7A,D,F</xref>). After 5 h, the kinetics of disappearance of the monomer was almost similar to the one observed for the control sample. Hairpin <bold>3</bold> was also tested at a 10-fold excess, but at this high concentration, the peak 4 corresponding to <bold>3</bold> itself (see control of <bold>3</bold>, <xref ref-type="fig" rid="F7">Figure 7B</xref>) was very intense and partially (until <italic>t</italic> = 10 h) to totally (from <italic>t</italic> = 15 h) merged with the monomer peak 3, preventing its quantification (<xref ref-type="fig" rid="F7">Figure 7C</xref>). This electrophoretic profile could suggest that one proportion of hairpin <bold>3</bold> self-assembles (peak 4) and another one binds to the monomeric species of hIAPP (peak 3); both association phenomena being in equilibrium and in competition. Surprisingly, in contrast with the ThT results, the hairpin <bold>3</bold>, displayed the stronger activity on hIAPP oligomerization at the substoichiometric ratio of 0.5/1 (<bold>3</bold>/hIAPP, <xref ref-type="fig" rid="F7">Figures 7E,F</xref>); the monomer being maintained up to 26% until 20 h while it almost disappeared in the control hIAPP experiment at 10 h (<xref ref-type="fig" rid="F7">Figure 7A</xref>). Concerning the control electrophoretic profile of hairpin <bold>3</bold> at 50 &#x03BC;M, a decrease and an enlargement of its peak 4 was observed during the kinetics while an additional peak 4&#x2032; migrating close to the EOF was observed and increased over the time (<xref ref-type="fig" rid="F7">Figure 7B</xref>). This peak was attributed to self-aggregated species that might explain the lack of activity of hairpin <bold>3</bold> at higher ratio (we also suspected self-aggregation of hairpin <bold>3</bold>, as peak 4 was more intense at t0 in the experiment at 0.5/1 ratio than at the 1/1 ratio). In the case of the shorter peptidic hairpin <bold>8</bold>, the quantity of monomers was significantly maintained at both 10/1 and 1/1 ratios in a dose dependant manner. At a 10-fold excess, hairpin <bold>8</bold> (control of 8, <xref ref-type="fig" rid="F8">Figure 8B</xref>) strongly maintained the monomer species during the whole kinetics; half remaining after 20 h (<xref ref-type="fig" rid="F8">Figures 8C,F</xref>), while it almost totally disappeared in the control electropherogram (51 vs. 7% for respectively, <bold>8</bold>/hIAPP at 10/1 and hIAPP control, <xref ref-type="fig" rid="F8">Figure 8A</xref>). At 1/1 ratio, the activity was still significant; 21% of the monomer was still visible at 20 h (<xref ref-type="fig" rid="F8">Figures 8D,F</xref>), while at the substoichiometric ratio of 0.5/1 and unlike hairpin <bold>3</bold>, hairpin <bold>8</bold> was found inactive (<xref ref-type="fig" rid="F8">Figures 8E,F</xref>). Like hairpin <bold>8</bold>, the azapeptidomimetic analog <bold>14</bold> displayed a strong activity at 10-fold excess (<xref ref-type="fig" rid="F9">Figures 9C,F</xref>), but only at the beginning of the kinetics: the monomeric species being fully maintained while two thirds were no longer present in the control electropherogram at 5 h (99 vs. 35% for respectively, <bold>14</bold>/hIAPP at 10/1 and hIAPP control, <xref ref-type="fig" rid="F9">Figure 9A</xref>). The hairpin <bold>14</bold> displayed no activity at 1/1 ratio (<xref ref-type="fig" rid="F9">Figure 9D</xref>) and showed a very small activity at the substoichiometric ratio of 0.5/1 (<bold>14</bold>/hIAPP) (<xref ref-type="fig" rid="F9">Figures 9E,F</xref>) until 5 h (51 vs. 35% for respectively, <bold>14</bold>/hIAPP at 0.5/1 and hIAPP control). Like hairpin <bold>3</bold>, <bold>14</bold> was suspected to self-aggregate due to the appearance of peak 4&#x2032; and the decrease of peak 4 in the control experiment (<xref ref-type="fig" rid="F9">Figure 9B</xref>). In conclusion, hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> are able to delay the early hIAPP oligomerization by preserving the monomers, described as non-toxic species (<xref ref-type="bibr" rid="B1">Abedini et al., 2016</xref>; <xref ref-type="bibr" rid="B3">Akter et al., 2016</xref>). However, the shorter hairpin <bold>8</bold> was very active at 1/1 and 10/1 ratio while the longer hairpin <bold>3</bold> was efficient at the lowest 0.5/1 ratio. In conclusion, these results show that the ability of these three hairpins to inhibit the oligomerization process is stronger when their tendency to self-aggregate is lower.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>Electrophoretic profiles over time (0&#x2013;20 h) of control samples of <bold>(A)</bold> hIAPP (100 &#x03BC;M) and <bold>(B)</bold> hairpin <bold>3</bold> (50 &#x03BC;M). EOF, electroosmotic flow; Peaks 1 and 2: large hIAPP oligomer species; Peak 3: monomer of hIAPP; Peak 4: hairpin <bold>3</bold>; Peak 4&#x2032;: self-aggregated species of hairpin <bold>3</bold>. Electrophoretic profile over time (0&#x2013;20 h) of hIAPP peptide (100 &#x03BC;M) incubated with <bold>3</bold> at <bold>3</bold>/hIAPP ratio of: <bold>(C)</bold> 10/1, <bold>(D)</bold> 1/1, <bold>(E)</bold> 0.5/1. <bold>(F)</bold> Evolution of the hIAPP monomer area (peak 3) over time in the absence or in the presence of <bold>3</bold> (at 1/1 and 0.5/1 ratios) relative to hIAPP monomer peak area at <italic>t</italic> = 0 h.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g007.tif"/>
</fig>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption><p>Electrophoretic profiles over time (0&#x2013;20 h) of control samples of <bold>(A)</bold> hIAPP (100 &#x03BC;M) and <bold>(B)</bold> hairpin <bold>8</bold> (50 &#x03BC;M). EOF, electroosmotic flow peak; Peaks 1 and 2: large oligomer species; Peak 3: monomer of hIAPP; Peak 4: hairpin <bold>8</bold>; Peak 4&#x2032;: self-aggregated species of hairpin <bold>8</bold>. Electrophoretic profile over time (0&#x2013;20 h) of hIAPP peptide (100 &#x03BC;M) incubated with <bold>8</bold> at compound/hIAPP ratio of: <bold>(C)</bold> 10/1, <bold>(D)</bold> 1/1, <bold>(E)</bold> 0.5/1. <bold>(F)</bold> Evolution of hIAPP monomer area (peak 3) over time in the absence or in the presence of <bold>8</bold> (at 10/1, 1/1, and 0.5/1 ratios) relative to hIAPP monomer peak area at <italic>t</italic> = 0 h.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g008.tif"/>
</fig>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption><p>Electrophoretic profiles over time (0&#x2013;20 h) of control samples of <bold>(A)</bold> hIAPP (100 &#x03BC;M) and <bold>(B)</bold> hairpin <bold>14</bold> (50 &#x03BC;M). EOF, electroosmotic flow; Peaks 1 and 2: large oligomer species; Peak 3: monomer of hIAPP; Peak 4: hairpin <bold>14</bold>; Peak 4&#x2032;: self-aggregated species of hairpin <bold>14</bold>. Electrophoretic profile over time (0&#x2013;20 h) of hIAPP peptide (100 &#x03BC;M) incubated with <bold>14</bold> at compound/hIAPP ratio of: <bold>(C)</bold> 10/1, <bold>(D)</bold> 1/1, <bold>(E)</bold> 0.5/1. <bold>(F)</bold> Evolution of the hIAPP monomer area (peak 3) over time in the absence or in the presence of <bold>14</bold> (at 10/1, 1/1, and 0.5/1 ratios) relative to hIAPP monomer peak area at <italic>t</italic> = 0 h.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g009.tif"/>
</fig>
</sec>
<sec id="S3.SS4.SSS6">
<title>Effect on hIAPP Oligomerization Process by Native Mass Spectrometry Experiments</title>
<p>Over the last years, mass spectrometry (MS) and ion mobility coupling (IMS-MS) have been reported as a pertinent tool for the identification of the oligomeric species formed during the aggregation process. This was exemplified by the detection of prion oligomers using SEC and ion mobility coupled with mass spectrometry under &#x201C;native&#x201D; detection for the first time (<xref ref-type="bibr" rid="B74">Van der Rest and Halgand, 2017</xref>). A similar approach was used to characterize beta-amyloid oligomer-aggregates properties (<xref ref-type="bibr" rid="B33">Iura&#x015F;cu et al., 2009</xref>). In addition, they also have been reported as powerful methods for studying the mechanism of hIAPP aggregation inhibitors (<xref ref-type="bibr" rid="B79">Young et al., 2014</xref>, <xref ref-type="bibr" rid="B81">2015</xref>, <xref ref-type="bibr" rid="B80">2016</xref>; <xref ref-type="bibr" rid="B44">Li et al., 2015a</xref>; <xref ref-type="bibr" rid="B61">Riba et al., 2015</xref>; <xref ref-type="bibr" rid="B7">Berardet et al., 2020</xref>). Our reported method, using the same buffer as for CE experiments (<xref ref-type="bibr" rid="B7">Berardet et al., 2020</xref>; <xref ref-type="bibr" rid="B35">Kaffy et al., 2020</xref>), allowed us to study the effect of the hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> on the oligomerization process of hIAPP at three different hairpin/hIAPP ratios (10/1, 5/1, and 1/1).</p>
<p>The MS spectrum of hIAPP control presented the classical sets of multicharged monomeric and oligomeric species; dimers to pentamers were visible on the mass spectrum (<xref ref-type="fig" rid="F10">Figures 10A</xref>, <xref ref-type="fig" rid="F11">11A</xref>, <xref ref-type="fig" rid="F12">12A</xref>). In the presence of hairpin <bold>3</bold> at the three different ratios, high mass oligomer species such as tetramers and pentamers were not any more visible. Dimers and trimers have decreased to finally almost completely disappear at ratio 10/1 (<xref ref-type="fig" rid="F10">Figure 10D</xref>). At ratio 5/1 (<xref ref-type="fig" rid="F10">Figure 10C</xref>) the formation of dimers and trimers was also strongly inhibited with only traces of dimers remaining. Finally, at the ratio 1/1 (<xref ref-type="fig" rid="F10">Figure 10B</xref>), dimers and trimers were the only observed oligomers. Thus hairpin <bold>3</bold> has an anti-oligomerization activity on hIAPP preventing the formation of small oligomeric species, dimers up to pentamers. Noticeably, non-covalent complexes of <bold>3</bold> with hIAPP monomers and dimers [(M + <bold>3</bold>) and (2M + <bold>3</bold>)] were visible at the three ratios and stable under the ionization conditions, indicating that <bold>3</bold> preferentially interacts with the monomeric and the dimeric species of hIAPP. However, we cannot completely exclude that monomers and dimers could also result from minor higher order oligomers dissociation.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption><p>Mass spectra for the 500&#x2013;3000 <italic>m/z</italic> range of <bold>(A)</bold> hIAPP control (hIAPP oligomers are labeled in orange) and hIAPP in the presence of hairpin <bold>3</bold> at three different ratios of <bold>3</bold>/hIAPP: <bold>(B)</bold> 1/1, <bold>(C)</bold> 5/1, and <bold>(D)</bold> 10/1. The different species are labeled with the number of hIAPP monomer, the addition of n molecules of hairpin <bold>3</bold> and the charge state of the ion corresponding to this complex {e.g., [2M + (3)<sub>2</sub>]<sup>+5</sup>, is the dimer complexed with two molecules of hairpin <bold>3</bold> and refers to the ion of <italic>m/z</italic> 2142.9 having a + 5 charge state}. Peaks labeled with an asterisk belong to contaminants. Regions labeled in purple illustrate relevant changes.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g010.tif"/>
</fig>
<fig id="F11" position="float">
<label>FIGURE 11</label>
<caption><p>Mass spectra for the 500&#x2013;3000 <italic>m/z</italic> range of <bold>(A)</bold> hIAPP control (hIAPP oligomers are labeled in orange) and hIAPP in the presence of hairpin <bold>8</bold> at three different ratios of <bold>8</bold>/hIAPP: <bold>(B)</bold> 1/1, <bold>(C)</bold> 5/1, and <bold>(D)</bold> 10/1. The different species are labeled with the number of hIAPP monomer, the addition of n molecules of hairpin <bold>8</bold> and the charge state of the ion corresponding to this complex [e.g., (5M + 8)<sup>+4</sup>]. Peaks labeled with an asterisk belong to contaminants. Regions labeled in purple illustrate relevant changes.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g011.tif"/>
</fig>
<fig id="F12" position="float">
<label>FIGURE 12</label>
<caption><p>Mass spectra for the 500&#x2013;3000 <italic>m/z</italic> range of <bold>(A)</bold> hIAPP control (IAPP oligomers are labeled in orange) and hIAPP in the presence of hairpin <bold>14</bold> at three different ratios of <bold>14</bold>/hIAPP: <bold>(B)</bold> 1/1, <bold>(C)</bold> 5/1 and <bold>(D)</bold> 10/1. The different species are labeled with the number of hIAPP monomer, the addition of n molecules of hairpin <bold>14</bold> and the charge state of the ion corresponding to this complex {e.g., [2M + (<bold>14</bold>)<sub>2</sub>]<sup>+4</sup>}. Peaks labeled with an asterisk belong to contaminants. Regions labeled in purple illustrate relevant changes.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g012.tif"/>
</fig>
<p>Addition of tripeptidic hairpin <bold>8</bold> at 10/1 ratio led to the inhibition of all oligomeric species (<xref ref-type="fig" rid="F11">Figure 11D</xref>). Furthermore, the monomeric hIAPP complexed with <bold>8</bold> was the main visible species [(M + <bold>8</bold>)<sup>+3</sup>, (M + <bold>8</bold>)<sup>+2</sup>] with a very small quantity of a complex with the pentamer [(5M + <bold>8</bold>)<sup>+4</sup>]. The inhibition was also efficient at ratio 5/1 with the disappearance of trimers to pentamers and the presence of very small quantity of hIAPP dimer (2M)<sup>+3</sup>. Similarly, monomers in complex with <bold>8</bold> remained the main visible species (<xref ref-type="fig" rid="F11">Figure 11C</xref>). At 1/1 ratio, trimer of hIAPP (3M)<sup>+5</sup> were still present and a higher proportion of complexes of <bold>8</bold> with the pentamer were noticed (<xref ref-type="fig" rid="F11">Figure 11B</xref>). Thus hairpin <bold>8</bold> has an efficient anti-oligomerization activity on hIAPP preventing the formation of oligomeric species. Moreover, it interacts preferentially with monomers and pentamers of hIAPP, by forming non-covalent complexes [(M + <bold>8</bold>) and (5M + <bold>8</bold>)]; the pentameric complex being mainly visible at the lowest 1/1 ratio and decreasing when the concentration of <bold>8</bold> increased.</p>
<p>Like in the case of hairpins <bold>3</bold> and <bold>8</bold>, the mass spectra in the presence of <bold>14</bold> (<xref ref-type="fig" rid="F12">Figure 12</xref>) showed the disappearance of the higher mass oligomer species observed on hIAPP control. The effect on the formation of small oligomers (dimer and trimer) was dose dependent: almost none formed at the ratio 10/1 (<xref ref-type="fig" rid="F12">Figure 12D</xref>), a very small amount of dimers at the ratio 5/1 (<xref ref-type="fig" rid="F12">Figure 12C</xref>) and the presence of dimers and trimers for the ratio 1/1 (<xref ref-type="fig" rid="F12">Figure 12B</xref>). Non-covalent complexes formed between hairpin <bold>14</bold> and monomers (M + <bold>14</bold>)<sup>+2</sup> and dimers (2M + <bold>14</bold>)<sup>+4</sup> of hIAPP at 1/1 and 5/1 ratios were also detected; the only complex detected at 10 fold excess being with the monomeric form of hIAPP (M + <bold>14</bold>)<sup>+2</sup>.</p>
<p>By comparing the effect of the three hairpins at the lower ratio of 1/1, we observed that, among the oligomeric species of hIAPP formed in the control experiment, the pentamers and tetramers have disappeared in presence of the three hairpins at 1/1 ratio (<xref ref-type="fig" rid="F13">Figure 13</xref>). The trimer (3M<sup>+5</sup>) was not detectable when incubated with the longer hairpin <bold>3</bold> but still visible in the presence of <bold>8</bold> and <bold>14</bold>. The dimer (2M<sup>+3</sup>) remained visible in the presence of the three hairpins. The main difference is that compound <bold>3</bold> formed non-covalent complexes mainly with dimers and trimers [(2M + <bold>3</bold>), (3M + <bold>3</bold>)] and in a smaller amount with the monomer of hIAPP [M + (<bold>3</bold>)<sub>2</sub>], whereas compounds <bold>8</bold> and <bold>14</bold> formed the same main non-covalent complex with monomeric hIAPP [(M + <bold>8</bold>/<bold>14</bold>)], and in a smaller amount one complex with pentamers and dimers for <bold>8</bold> and <bold>14,</bold> respectively [(5M + <bold>8</bold>) and (2M + <bold>14</bold>)]. These observations allowed us to conclude that hairpins <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> exhibit an efficient anti-oligomeric activity and that the shorter hairpins <bold>8</bold> and <bold>14</bold> bind more preferentially to the monomeric species of hIAPP than the longer hairpin <bold>3</bold>.</p>
<fig id="F13" position="float">
<label>FIGURE 13</label>
<caption><p>Mass spectra for the 500&#x2013;3000 <italic>m/z</italic> range of hIAPP control <bold>(A)</bold> (IAPP oligomers are labeled in orange) and hIAPP in the presence of hairpin <bold>3 (B)</bold>, <bold>8 (C)</bold>, and <bold>14 (D)</bold> for 1/1 ratio. The different species are labeled with the number of IAPP monomer, the addition of n molecules of dedicated hairpin and the charge state of the ion corresponding to this complex {e.g., [2M + (hairpin)<sub>2</sub>]<sup>+4</sup>}. Peaks labeled with an asterisk belong to contaminants. Highlighted regions show regions of interest. Regions labeled in purple illustrate relevant changes.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcell-09-729001-g013.tif"/>
</fig>
</sec>
</sec>
</sec>
<sec sec-type="discussion" id="S4">
<title>Discussion</title>
<p>Nowadays, the reduction of blood glycemic level is still the standard therapy in T2D, although it does not represent an etiological treatment. Over the past decades, increasing evidences on the link between hIAPP peptide deposits and loss of pancreatic &#x03B2;-cells has made the hIAPP peptide a promising target in the development of new treatments for T2D. Only few inhibitors of hIAPP aggregation and mainly natural compounds such as polyphenols (<xref ref-type="bibr" rid="B59">Pithadia et al., 2016</xref>), have been reported to date. Furthermore, they are generally described as non-selective because they have been reported as able to target other amyloid proteins such as A&#x03B2;<sub>1&#x2013;42</sub> involved in AD, but also to exert various other biological activities.</p>
<p>The recent dramatic increased of peptides approved or in active development in various therapeutic areas corroborates that peptides are reasonable alternatives to small molecule pharmaceuticals and to biologics (<xref ref-type="bibr" rid="B27">Henninot et al., 2018</xref>; <xref ref-type="bibr" rid="B41">Lau and Dunn, 2018</xref>). Greater efficacy, selectivity, and a reduced risk of unforeseen side-reactions compared to small organic molecules, combined with strategies to improve their pharmacokinetics properties explain this revival of interest of peptides in pharmaceutical science. Only few peptide or pseudopeptide derivatives (<xref ref-type="bibr" rid="B25">Gilead and Gazit, 2004</xref>; <xref ref-type="bibr" rid="B17">Cheng et al., 2012</xref>; <xref ref-type="bibr" rid="B78">Yan et al., 2013</xref>; <xref ref-type="bibr" rid="B56">Paul et al., 2017</xref>; <xref ref-type="bibr" rid="B5">Armiento et al., 2020</xref>) have been reported as hIAPP aggregation inhibitors.</p>
<p>We previously reported that designing specific acyclic &#x03B2;-hairpin peptidomimetics built on a piperidine-pyrrolidine &#x03B2;-turn inducer and on self-recognition elements (SRE), selected from A&#x03B2;<sub>1&#x2013;42</sub>, were able to decrease its aggregation and to preserve A&#x03B2;<sub>1&#x2013;42</sub> monomers (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>; <xref ref-type="bibr" rid="B71">Tonali et al., 2018</xref>). These compounds were selective for A&#x03B2;<sub>1&#x2013;42</sub> and not active on hIAPP aggregation. In the present work we hypothesized that this strategy could be extended and applied to the selective inhibition of the aggregation of hIAPP.</p>
<p>By carefully selecting SREs derived from hIAPP amyloidogenic sequence and by modifying the length of the peptide sequences, the <italic>N</italic>-terminus or by incorporating a diaza-peptide motif, this present study allowed us to explore the inhibitory behavior in relation with the structural modifications introduced in our compounds.</p>
<p>The selection of the most active compounds was performed by ThT fluorescence spectroscopy, that is a technique exploring the kinetics of aggregation but that is more particularly informative on the late fibrillization process. Hairpins <bold>3</bold> and <bold>4</bold> based on models reported by <xref ref-type="bibr" rid="B76">Wiltzius et al. (2008)</xref>, <xref ref-type="bibr" rid="B46">Liang et al. (2013)</xref> and <xref ref-type="bibr" rid="B77">Wu and Shea (2013)</xref> are bearing two SREs: the amyloidogenic sequence F<sub>23</sub>GAIL<sub>27</sub> at their <italic>C</italic>-terminus and F<sub>15</sub>LVHSS<sub>19</sub> at their <italic>N</italic>-terminus. They were more active than compounds <bold>1</bold> and <bold>2</bold> which were designed based on models reported by <xref ref-type="bibr" rid="B36">Kajava et al. (2005)</xref>, <xref ref-type="bibr" rid="B4">Andreetto et al. (2015)</xref>, and <xref ref-type="bibr" rid="B51">Mirecka et al. (2016)</xref>, where the amyloidogenic sequence N<sub>22</sub>FGAIL<sub>27</sub> faces A<sub>13</sub>NFLV<sub>17</sub>. This effect was even more pronounced at lower ratios 1/1 and 0.1/1. As <bold>3</bold> was slightly more active than <bold>4</bold>, we suggest that a free terminal amine is beneficial for both increasing the solubility and the activity.</p>
<p>By shortening the peptide sequence, we observed that three amino acids per arm in compounds <bold>7</bold>&#x2013;<bold>10</bold> were sufficient to maintain the activity against hIAPP aggregation, although this activity was slightly lower than that of compound <bold>3</bold> bearing pentapeptides. Also in this series, the free terminal amine in <bold>8</bold> was more beneficial for the activity than its protection by respectively, Boc, acetyl and trifluoroacetyl in <bold>7</bold>, <bold>9,</bold> and <bold>10</bold> which tend to self-aggregate. Finally, the replacement of the <italic>C</italic>-terminal tripeptide sequence FLV of <bold>8</bold> by one &#x03B1;/aza/aza/pseudotripeptide (Phe-azaLys-azaVal-COCH<sub>3</sub>) led to compound <bold>14</bold> whose fibrillization inhibitory activity was even better than that of its peptide analog <bold>8</bold>. The evaluation of truncated molecule <bold>11</bold> and arms <bold>5</bold>, <bold>6</bold>, <bold>12,</bold> and <bold>15</bold>, corroborates the necessity of a whole hairpin to inhibit hIAPP aggregation. The ability of the best compounds <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> to disrupt and reduce the late fibrillization of hIAPP was confirmed by TEM imaging. The lack of activity of the best compounds <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> on A&#x03B2;<sub>1&#x2013;42</sub>, compared with their effectiveness on hIAPP fibrillization, and compared to our reported <bold>G1b</bold> and <bold>G2b</bold> hairpins, designed for A&#x03B2;<sub>1&#x2013;42</sub> (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>), was next proven. These results validate our selection of SREs from hIAPP sequences.</p>
<p>The ability of compounds <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> to modulate hIAPP aggregation reflects a strong delay of membrane damage induced by the presence of hIAPP peptide, as evaluated by calcein leakage through lipid membranes mimicked by DOPC/DOPS vesicles. However, in the presence of membranes, these three compounds were not able to totally prevent the fibrils formation.</p>
<p>The next step was to evaluate the ability of our compounds to decrease the presence of toxic oligomers and to maintain the presence of non-toxic monomers, as it is now well established that oligomers of hIAPP are toxic species (<xref ref-type="bibr" rid="B11">Bram et al., 2014</xref>; <xref ref-type="bibr" rid="B1">Abedini et al., 2016</xref>; <xref ref-type="bibr" rid="B3">Akter et al., 2016</xref>; <xref ref-type="bibr" rid="B39">Kiriyama and Nochi, 2018</xref>; <xref ref-type="bibr" rid="B63">Rodriguez Camargo et al., 2018</xref>). The very early steps of the oligomerization process overtime and the analysis of the effect of our hairpins on these challenging first stages was thus performed by our reported CE and MS methods (<xref ref-type="bibr" rid="B8">Berardet et al., 2018</xref>, <xref ref-type="bibr" rid="B7">2020</xref>). The most promising compounds <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> as inhibitors of hIAPP fibrillization had also a strong anti-oligomeric activity, and were able to stabilize the non-toxic monomeric species. The longer hairpin <bold>3</bold> was efficient in maintaining the monomer species in the CE and MS assays at 1/1 ratio and even at a lower ratio of 0.5/1 in the CE assay. While the shorter compounds <bold>8</bold> and <bold>14</bold> were more active at 10/1 ratio. Interestingly, we observed by MS that the three compounds <bold>3</bold>, <bold>8,</bold> and <bold>14</bold> dramatically decreased the presence of oligomers (from dimers to pentamers), however, compound <bold>3</bold> formed non-covalent complexes mainly with hIAPP oligomers (dimers and trimers), whereas compounds <bold>8</bold> and <bold>14</bold> formed non-covalent complexes essentially with monomeric hIAPP and in a smaller amount with pentamers for <bold>8</bold> and dimers for <bold>14</bold>.</p>
<p>The NMR conformational studies performed for the most active compounds of the series <bold>3</bold>, <bold>8,</bold> and <bold>14</bold>, as well as for the two acetyl derivatives <bold>4</bold> and <bold>9</bold> allowed us to confirm their &#x03B2;-hairpin like structure. However, a similar dynamic equilibrium between two different &#x03B2;-hairpin architectures was observed and was explained through MD simulations. These studies suggest that the conformation of C&#x03B1;-C-N-C2 torsion angle between Leu-3 and Pip-4 impacts the spatial proximity of the two peptide arms. The presence of the semi-rigid piperidine-pyrrolidine scaffold allows flexibility that might be important for the activity. Indeed, this has been already suggested in our previous observations that dynamic hairpins based on this piperidine-pyrrolidine scaffold (<xref ref-type="bibr" rid="B58">Pellegrino et al., 2017</xref>) were much more efficient to inhibit A&#x03B2;<sub>1&#x2013;42</sub> than very stable hairpins based on diketopiperazine scaffold (<xref ref-type="bibr" rid="B73">Vahdati et al., 2017</xref>).</p>
</sec>
<sec sec-type="conclusion" id="S5">
<title>Conclusion</title>
<p>The work reported in this paper constitutes the proof of concept that our strategy using flexible &#x03B2;-hairpin mimics represents a versatile approach for the development of compounds able to inhibit the aggregation of different amyloidogenic peptides. Our compounds rationally based on a semi-rigid piperidine-pyrrolidine &#x03B2;-turn mimic, and on specific small peptide arms selected from hIAPP, validate that they can be selective drug candidates to inhibit hIAPP aggregation involved in T2D. We also demonstrated that our hairpins are able not only to delay hIAPP fibrillization process but also to delay the early oligomerization and the membrane damage induced by hIAPP. With a view to developing a new future treatment for T2D, we demonstrated that it is possible to prepare a more druggable compound with lower peptide character while maintaining the selective inhibitory activity toward hIAPP versus another amyloid protein. The good inhibitory activities observed even at the low 1/1 ratio, were similar to those reported for related longer peptide compounds (<xref ref-type="bibr" rid="B25">Gilead and Gazit, 2004</xref>; <xref ref-type="bibr" rid="B17">Cheng et al., 2012</xref>; <xref ref-type="bibr" rid="B78">Yan et al., 2013</xref>; <xref ref-type="bibr" rid="B4">Andreetto et al., 2015</xref>; <xref ref-type="bibr" rid="B56">Paul et al., 2017</xref>; <xref ref-type="bibr" rid="B5">Armiento et al., 2020</xref>). Furthermore, the deeper structural analysis that we performed allowed us to draw some guidelines to better characterize the dynamic equilibrium between conformers of the hairpin compounds. Flexible &#x03B2;-hairpin mimics might adapt to different conformations and to different monomer or oligomer species of amyloid proteins to prevent the presence of toxic oligomers and to impact the fibrils formation. These small acyclic &#x03B2;-hairpins also represent valuable bio-chemical tools to further elucidate the interaction of amyloid proteins with membranes and lipids (<xref ref-type="bibr" rid="B67">Scollo and La Rosa, 2020</xref>) and with other components of cells, and to better understand the mechanism of toxicity of these proteins on membranes and on cells. These new results also support the hypothesis that compounds possessing several kinetically and thermodynamically accessible local minima representing conformations might be more powerful inhibitors compared to rigid ones in modulating protein-protein interactions (<xref ref-type="bibr" rid="B40">Ko et al., 2013</xref>; <xref ref-type="bibr" rid="B45">Li et al., 2015b</xref>). So, we believe that the use of these flexible small &#x03B2;-hairpin like compounds could be extended to study and combat other diseases associated with protein-protein interactions involving &#x03B2;-sheet structures, which are far from being understood or even discovered, as in cancer, in neurodegenerative diseases or infections (<xref ref-type="bibr" rid="B42">Laxio et al., 2019</xref>).</p>
</sec>
<sec sec-type="data-availability" id="S6">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="DS1">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>SO designed the compounds, supervised the studies, and wrote the manuscript in collaboration with all authors. JL, FB, and SP performed the chemistry and conformational studies under the supervision of NT, SP, and CH. TH-D performed the simulation part. JK performed the ThT-fluorescence and TEM experiments. CB and JK performed the CE assays under the supervision of MT. LK was responsible for ThT-fluorescence and TEM in the presence of membrane as well as membrane permeability experiments. FH and CB performed the MS experiments. J-LS corrected the bibliographic and experimental parts. All authors contributed to the manuscript writing and gave approval to the final version of the manuscript.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="S8">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<p>The Laboratory of Excellence LERMIT is thanked for financial support for FB (LERMIT is supported by a Grant from ANR, ANR-10-LABX-33). The Minist&#x00E8;re de l&#x2019;Enseignement Sup&#x00E9;rieur et de la Recherche (MESR) is thanked for financial support for JL. IDEX Paris Saclay (IDI 2015, ANR-11-IDEX-0003-02) is acknowledged for financial support of CB (PhD fellowship). Karine Leblanc (BioCIS, UMR 8076) is thanked for her help with the HPLC analysis. Agostino Oliva (BioCIS, UMR 8076, Erasmus student from the Universit&#x00E0; degli Studi di Milano) is thanked for his help in the preparation of some &#x03B2;-hairpin compounds. Ghislaine Fr&#x00E9;bourg [Institut de Biologie Paris Seine (IBPS)/FR 3631, Service de Microscopie Electronique, Universit&#x00E9; Pierre et Marie Curie (UPMC), France] and Sandra Casale (Institut des Mat&#x00E9;riaux de Paris Centre, Sorbonne Universit&#x00E9;, France) are thanked for their contribution to transmission electron microscopy. The laboratory PNAS is a member of the Laboratory of Excellence Nanosaclay supported by a Grant from ANR (ANR-10-LABX-0035).</p>
</ack>
<sec id="S9" sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2021.729001/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2021.729001/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Data_Sheet_1.pdf" id="DS1" mimetype="application/pdf" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abedini</surname> <given-names>A.</given-names></name> <name><surname>Plesner</surname> <given-names>A.</given-names></name> <name><surname>Cao</surname> <given-names>P.</given-names></name> <name><surname>Ridgway</surname> <given-names>Z.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Tu</surname> <given-names>L. H.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Time-resolved studies define the nature of toxic IAPP intermediates, providing insight for anti-amyloidosis therapeutics.</article-title> <source><italic>eLife</italic></source> <volume>5</volume>:<issue>e12977</issue>. <pub-id pub-id-type="doi">10.7554/eLife.12977</pub-id> <pub-id pub-id-type="pmid">27213520</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Abraham</surname> <given-names>M. J.</given-names></name> <name><surname>Murtola</surname> <given-names>T.</given-names></name> <name><surname>Schulz</surname> <given-names>R.</given-names></name> <name><surname>P&#x00E1;ll</surname> <given-names>S.</given-names></name> <name><surname>Smith</surname> <given-names>J. C.</given-names></name> <name><surname>Hess</surname> <given-names>B.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>GROMACS: high performance molecular simulations through multi-level parallelism from laptops to supercomputers.</article-title> <source><italic>SoftwareX</italic></source> <volume>1-2</volume> <fpage>19</fpage>&#x2013;<lpage>25</lpage>.</citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Akter</surname> <given-names>R.</given-names></name> <name><surname>Cao</surname> <given-names>P.</given-names></name> <name><surname>Noor</surname> <given-names>H.</given-names></name> <name><surname>Ridgway</surname> <given-names>Z.</given-names></name> <name><surname>Tu</surname> <given-names>L.-H.</given-names></name> <name><surname>Wang</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Islet amyloid polypeptide: structure, function, and pathophysiology.</article-title> <source><italic>J. Diabetes Res.</italic></source> <volume>2016</volume>:<issue>2798269</issue>. <pub-id pub-id-type="doi">10.1155/2016/2798269</pub-id> <pub-id pub-id-type="pmid">26649319</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Andreetto</surname> <given-names>E.</given-names></name> <name><surname>Malideli</surname> <given-names>E.</given-names></name> <name><surname>Yan</surname> <given-names>L.-M.</given-names></name> <name><surname>Kracklauer</surname> <given-names>M.</given-names></name> <name><surname>Farbiarz</surname> <given-names>K.</given-names></name> <name><surname>Tatarek-Nossol</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>A hot-segment-based approach for the design of cross-amyloid interaction surface mimics as inhibitors of amyloid self-assembly.</article-title> <source><italic>Angew. Chem. Int. Ed.</italic></source> <volume>54</volume> <fpage>13095</fpage>&#x2013;<lpage>13100</lpage>. <pub-id pub-id-type="doi">10.1002/anie.201504973</pub-id> <pub-id pub-id-type="pmid">26336938</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Armiento</surname> <given-names>V.</given-names></name> <name><surname>Spanopoulou</surname> <given-names>A.</given-names></name> <name><surname>Kapurniotu</surname> <given-names>A.</given-names></name></person-group> (<year>2020</year>). <article-title>Peptide-based molecular strategies to interfere with protein misfolding, aggregation, and cell degeneration.</article-title> <source><italic>Angew. Chem. Int. Ed.</italic></source> <volume>59</volume> <fpage>3372</fpage>&#x2013;<lpage>3384</lpage>. <pub-id pub-id-type="doi">10.1002/anie.201906908</pub-id> <pub-id pub-id-type="pmid">31529602</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bedrood</surname> <given-names>S.</given-names></name> <name><surname>Li</surname> <given-names>Y.</given-names></name> <name><surname>Isas</surname> <given-names>J. M.</given-names></name> <name><surname>Hegde</surname> <given-names>B. G.</given-names></name> <name><surname>Baxa</surname> <given-names>U.</given-names></name> <name><surname>Haworth</surname> <given-names>I. S.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Fibril structure of human islet amyloid polypeptide.</article-title> <source><italic>J. Biol. Chem.</italic></source> <volume>287</volume> <fpage>5235</fpage>&#x2013;<lpage>5241</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M111.327817</pub-id> <pub-id pub-id-type="pmid">22187437</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berardet</surname> <given-names>C.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Halgand</surname> <given-names>F.</given-names></name> <name><surname>Van der Rest</surname> <given-names>G.</given-names></name> <name><surname>Ongeri</surname> <given-names>S.</given-names></name> <name><surname>Taverna</surname> <given-names>M.</given-names></name></person-group> (<year>2020</year>). <article-title>Evidence for different in Vitro oligomerization behaviors of synthetic hiapp obtained from different sources.</article-title> <source><italic>Anal. Bioanal. Chem.</italic></source> <volume>412</volume> <fpage>3103</fpage>&#x2013;<lpage>3111</lpage>. <pub-id pub-id-type="doi">10.1007/s00216-020-02560-5</pub-id> <pub-id pub-id-type="pmid">32211924</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Berardet</surname> <given-names>C.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Ongeri</surname> <given-names>S.</given-names></name> <name><surname>Taverna</surname> <given-names>M.</given-names></name></person-group> (<year>2018</year>). <article-title>A capillary zone electrophoresis method to investigate the oligomerization of the human islet amyloid polypeptide involved in Type 2 diabetes.</article-title> <source><italic>J. Chromatogr. A</italic></source> <volume>1578</volume> <fpage>83</fpage>&#x2013;<lpage>90</lpage>. <pub-id pub-id-type="doi">10.1016/j.chroma.2018.10.006</pub-id> <pub-id pub-id-type="pmid">30327182</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bharadwaj</surname> <given-names>P.</given-names></name> <name><surname>Solomon</surname> <given-names>T.</given-names></name> <name><surname>Sahoo</surname> <given-names>B. R.</given-names></name> <name><surname>Ignasiak</surname> <given-names>K.</given-names></name> <name><surname>Gaskin</surname> <given-names>S.</given-names></name> <name><surname>Rowles</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Amylin and beta amyloid proteins interact to form amorphous heterocomplexes with enhanced toxicity in neuronal cells.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>10</volume>:<issue>10356</issue>. <pub-id pub-id-type="doi">10.1038/s41598-020-66602-9</pub-id> <pub-id pub-id-type="pmid">32587390</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bizet</surname> <given-names>F.</given-names></name> <name><surname>Tonali</surname> <given-names>N.</given-names></name> <name><surname>Soulier</surname> <given-names>J.-L.</given-names></name> <name><surname>Oliva</surname> <given-names>A.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Crousse</surname> <given-names>B.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Towards a general synthesis of Di-Aza-amino acids containing peptides.</article-title> <source><italic>New J. Chem.</italic></source> <volume>42</volume> <fpage>17062</fpage>&#x2013;<lpage>17072</lpage>. <pub-id pub-id-type="doi">10.1039/C8NJ03635G</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bram</surname> <given-names>Y.</given-names></name> <name><surname>Frydman-Marom</surname> <given-names>A.</given-names></name> <name><surname>Yanai</surname> <given-names>I.</given-names></name> <name><surname>Gilead</surname> <given-names>S.</given-names></name> <name><surname>Shaltiel-Karyo</surname> <given-names>R.</given-names></name> <name><surname>Amdursky</surname> <given-names>N.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Apoptosis induced by islet amyloid polypeptide soluble oligomers is neutralized by diabetes-associated specific antibodies.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>4</volume>:<issue>4267</issue>. <pub-id pub-id-type="doi">10.1038/srep04267</pub-id> <pub-id pub-id-type="pmid">24589570</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Brender</surname> <given-names>J. R.</given-names></name> <name><surname>Salamekh</surname> <given-names>S.</given-names></name> <name><surname>Ramamoorthy</surname> <given-names>A.</given-names></name></person-group> (<year>2012</year>). <article-title>Membrane disruption and early events in the aggregation of the diabetes related peptide IAPP from a molecular perspective.</article-title> <source><italic>Acc. Chem. Res.</italic></source> <volume>45</volume> <fpage>454</fpage>&#x2013;<lpage>462</lpage>. <pub-id pub-id-type="doi">10.1021/ar200189b</pub-id> <pub-id pub-id-type="pmid">21942864</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Buchanan</surname> <given-names>L. E.</given-names></name> <name><surname>Dunkelberger</surname> <given-names>E. B.</given-names></name> <name><surname>Tran</surname> <given-names>H. Q.</given-names></name> <name><surname>Cheng</surname> <given-names>P.-N.</given-names></name> <name><surname>Chiu</surname> <given-names>C.-C.</given-names></name> <name><surname>Cao</surname> <given-names>P.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Mechanism of IAPP amyloid fibril formation involves an intermediate with a transient -sheet.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>110</volume> <fpage>19285</fpage>&#x2013;<lpage>19290</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1314481110</pub-id> <pub-id pub-id-type="pmid">24218609</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Caillon</surname> <given-names>L.</given-names></name> <name><surname>Duma</surname> <given-names>L.</given-names></name> <name><surname>Lequin</surname> <given-names>O.</given-names></name> <name><surname>Khemtemourian</surname> <given-names>L.</given-names></name></person-group> (<year>2014</year>). <article-title>Cholesterol modulates the interaction of the islet amyloid polypeptide with membrane.</article-title> <source><italic>Mol. Membr. Biol.</italic></source> <volume>31</volume> <fpage>239</fpage>&#x2013;<lpage>249</lpage>. <pub-id pub-id-type="doi">10.3109/09687688.2014.987182</pub-id> <pub-id pub-id-type="pmid">25495656</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cao</surname> <given-names>Q.</given-names></name> <name><surname>Boyer</surname> <given-names>D. R.</given-names></name> <name><surname>Sawaya</surname> <given-names>M. R.</given-names></name> <name><surname>Ge</surname> <given-names>P.</given-names></name> <name><surname>Eisenberg</surname> <given-names>D. S.</given-names></name></person-group> (<year>2020</year>). <article-title>Cryo-EM structure and inhibitor design of human IAPP (amylin) fibrils.</article-title> <source><italic>Nat. Struct. Mol. Biol.</italic></source> <volume>27</volume> <fpage>653</fpage>&#x2013;<lpage>659</lpage>. <pub-id pub-id-type="doi">10.1038/s41594-020-0435-3</pub-id> <pub-id pub-id-type="pmid">32541896</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chaudhury</surname> <given-names>A.</given-names></name> <name><surname>Duvoor</surname> <given-names>C.</given-names></name> <name><surname>Dendi</surname> <given-names>V. S. R.</given-names></name> <name><surname>Kraleti</surname> <given-names>S.</given-names></name> <name><surname>Chada</surname> <given-names>A.</given-names></name> <name><surname>Ravilla</surname> <given-names>R.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Clinical review of antidiabetic drugs: implications for Type 2 diabetes mellitus management.</article-title> <source><italic>Front. Endocrinol.</italic></source> <volume>8</volume>:<issue>6</issue>. <pub-id pub-id-type="doi">10.3389/fendo.2017.00006</pub-id> <pub-id pub-id-type="pmid">28167928</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname> <given-names>P.-N.</given-names></name> <name><surname>Liu</surname> <given-names>C.</given-names></name> <name><surname>Zhao</surname> <given-names>M.</given-names></name> <name><surname>Eisenberg</surname> <given-names>D.</given-names></name> <name><surname>Nowick</surname> <given-names>J. S.</given-names></name></person-group> (<year>2012</year>). <article-title>Amyloid &#x03B2;-sheet mimics that antagonize amyloid aggregation and reduce amyloid toxicity.</article-title> <source><italic>Nat. Chem.</italic></source> <volume>4</volume> <fpage>927</fpage>&#x2013;<lpage>933</lpage>. <pub-id pub-id-type="doi">10.1038/nchem.1433</pub-id> <pub-id pub-id-type="pmid">23089868</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Chingle</surname> <given-names>R.</given-names></name> <name><surname>Proulx</surname> <given-names>C.</given-names></name> <name><surname>Lubell</surname> <given-names>W. D.</given-names></name></person-group> (<year>2017</year>). <article-title>Azapeptide synthesis methods for expanding side-chain diversity for biomedical applications.</article-title> <source><italic>Acc. Chem. Res.</italic></source> <volume>50</volume> <fpage>1541</fpage>&#x2013;<lpage>1556</lpage>. <pub-id pub-id-type="doi">10.1021/acs.accounts.7b00114</pub-id> <pub-id pub-id-type="pmid">28598597</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dalvit</surname> <given-names>C.</given-names></name> <name><surname>Vulpetti</surname> <given-names>A.</given-names></name></person-group> (<year>2019</year>). <article-title>Ligand-Based Fluorine NMR screening: principles and applications in drug discovery projects.</article-title> <source><italic>J. Med. Chem.</italic></source> <volume>62</volume> <fpage>2218</fpage>&#x2013;<lpage>2244</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jmedchem.8b01210</pub-id> <pub-id pub-id-type="pmid">30295487</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Despa</surname> <given-names>S.</given-names></name> <name><surname>Sharma</surname> <given-names>S.</given-names></name> <name><surname>Harris</surname> <given-names>T. R.</given-names></name> <name><surname>Dong</surname> <given-names>H.</given-names></name> <name><surname>Li</surname> <given-names>N.</given-names></name> <name><surname>Chiamvimonvat</surname> <given-names>N.</given-names></name><etal/></person-group> (<year>2014</year>). <article-title>Cardioprotection by controlling hyperamylinemia in a &#x201C;humanized&#x201D; diabetic rat model.</article-title> <source><italic>J. Am. Heart Assoc.</italic></source> <volume>3</volume>:<issue>e001015</issue>. <pub-id pub-id-type="doi">10.1161/JAHA.114.001015</pub-id> <pub-id pub-id-type="pmid">25146704</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Dufau</surname> <given-names>L.</given-names></name> <name><surname>Marques Ressurrei&#x00E7;&#x00E3;o</surname> <given-names>A. S.</given-names></name> <name><surname>Fanelli</surname> <given-names>R.</given-names></name> <name><surname>Kihal</surname> <given-names>N.</given-names></name> <name><surname>Vidu</surname> <given-names>A.</given-names></name> <name><surname>Milcent</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Carbonylhydrazide-based molecular tongs inhibit wild-type and mutated HIV-1 protease dimerization.</article-title> <source><italic>J. Med. Chem.</italic></source> <volume>55</volume> <fpage>6762</fpage>&#x2013;<lpage>6775</lpage>. <pub-id pub-id-type="doi">10.1021/jm300181j</pub-id> <pub-id pub-id-type="pmid">22800535</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Essmann</surname> <given-names>U.</given-names></name> <name><surname>Perera</surname> <given-names>L.</given-names></name> <name><surname>Berkowitz</surname> <given-names>M. L.</given-names></name> <name><surname>Darden</surname> <given-names>T.</given-names></name> <name><surname>Lee</surname> <given-names>H.</given-names></name> <name><surname>Pedersen</surname> <given-names>L. G.</given-names></name></person-group> (<year>1995</year>). <article-title>A smooth particle mesh Ewald method.</article-title> <source><italic>J. Chem. Phys.</italic></source> <volume>103</volume> <fpage>8577</fpage>&#x2013;<lpage>8593</lpage>. <pub-id pub-id-type="doi">10.1063/1.470117</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gade Malmos</surname> <given-names>K.</given-names></name> <name><surname>Blancas-Mejia</surname> <given-names>L. M.</given-names></name> <name><surname>Weber</surname> <given-names>B.</given-names></name> <name><surname>Buchner</surname> <given-names>J.</given-names></name> <name><surname>Ramirez-Alvarado</surname> <given-names>M.</given-names></name> <name><surname>Naiki</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>ThT 101: a primer on the use of thioflavin T to investigate amyloid formation.</article-title> <source><italic>Amyloid</italic></source> <volume>24</volume> <fpage>1</fpage>&#x2013;<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1080/13506129.2017.1304905</pub-id> <pub-id pub-id-type="pmid">28393556</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gante</surname> <given-names>J.</given-names></name> <name><surname>Krug</surname> <given-names>M.</given-names></name> <name><surname>Lauterbach</surname> <given-names>G.</given-names></name> <name><surname>Weitzel</surname> <given-names>R.</given-names></name> <name><surname>Hiller</surname> <given-names>W.</given-names></name></person-group> (<year>1995</year>). <article-title>Synthesis and properties of the first All-Aza analogue of a biologically active peptide.</article-title> <source><italic>J. Pept. Sci.</italic></source> <volume>1</volume> <fpage>201</fpage>&#x2013;<lpage>206</lpage>. <pub-id pub-id-type="doi">10.1002/psc.310010307</pub-id> <pub-id pub-id-type="pmid">9222997</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gilead</surname> <given-names>S.</given-names></name> <name><surname>Gazit</surname> <given-names>E.</given-names></name></person-group> (<year>2004</year>). <article-title>Inhibition of amyloid fibril formation by peptide analogues modified with alpha-aminoisobutyric acid.</article-title> <source><italic>Angew. Chem. Int. Ed.</italic></source> <volume>43</volume> <fpage>4041</fpage>&#x2013;<lpage>4044</lpage>. <pub-id pub-id-type="doi">10.1002/anie.200353565</pub-id> <pub-id pub-id-type="pmid">15300690</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Han</surname> <given-names>H.</given-names></name> <name><surname>Yoon</surname> <given-names>J.</given-names></name> <name><surname>Janda</surname> <given-names>K. D.</given-names></name></person-group> (<year>1998</year>). <article-title>Investigations of azapeptides as mimetics of Leu-Enkephalin.</article-title> <source><italic>Bioorg. Med. Chem. Lett</italic>.</source> <volume>8</volume> <fpage>117</fpage>&#x2013;<lpage>120</lpage>. <pub-id pub-id-type="doi">10.1016/S0960-894X(97)10198-6</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Henninot</surname> <given-names>A.</given-names></name> <name><surname>Collins</surname> <given-names>J. C.</given-names></name> <name><surname>Nuss</surname> <given-names>J. M.</given-names></name></person-group> (<year>2018</year>). <article-title>The current state of peptide drug discovery: back to the future?</article-title> <source><italic>J. Med. Chem.</italic></source> <volume>61</volume> <fpage>1382</fpage>&#x2013;<lpage>1414</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jmedchem.7b00318</pub-id> <pub-id pub-id-type="pmid">28737935</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hess</surname> <given-names>B.</given-names></name></person-group> (<year>2008</year>). <article-title>P-LINCS: a parallel linear constraint solver for molecular simulation.</article-title> <source><italic>J. Chem. Theory Comput.</italic></source> <volume>4</volume> <fpage>116</fpage>&#x2013;<lpage>122</lpage>. <pub-id pub-id-type="doi">10.1021/ct700200b</pub-id> <pub-id pub-id-type="pmid">26619985</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hoffmann</surname> <given-names>A. R. F.</given-names></name> <name><surname>Saravanan</surname> <given-names>M. S.</given-names></name> <name><surname>Lequin</surname> <given-names>O.</given-names></name> <name><surname>Killian</surname> <given-names>J. A.</given-names></name> <name><surname>Khemtemourian</surname> <given-names>L.</given-names></name></person-group> (<year>2018</year>). <article-title>A single mutation on the human amyloid polypeptide modulates fibril growth and affects the mechanism of amyloid-induced membrane damage.</article-title> <source><italic>Biochim. Biophys. Acta Biomembr.</italic></source> <volume>1860</volume> <fpage>1783</fpage>&#x2013;<lpage>1792</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbamem.2018.02.018</pub-id> <pub-id pub-id-type="pmid">29499190</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hoover</surname> <given-names>W. G.</given-names></name></person-group> (<year>1985</year>). <article-title>Canonical dynamics: equilibrium phase-space distributions.</article-title> <source><italic>Phys. Rev. A</italic></source> <volume>31</volume> <fpage>1695</fpage>&#x2013;<lpage>1697</lpage>. <pub-id pub-id-type="doi">10.1103/physreva.31.1695</pub-id> <pub-id pub-id-type="pmid">9895674</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Horvath</surname> <given-names>I.</given-names></name> <name><surname>Wittung-Stafshede</surname> <given-names>P.</given-names></name></person-group> (<year>2016</year>). <article-title>Cross-talk between amyloidogenic proteins in type-2 diabetes and Parkinson&#x2019;s disease.</article-title> <source><italic>Proc. Natl. Acad. Sci. U.S.A.</italic></source> <volume>113</volume> <fpage>12473</fpage>&#x2013;<lpage>12477</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.1610371113</pub-id> <pub-id pub-id-type="pmid">27791129</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Inoue</surname> <given-names>M.</given-names></name> <name><surname>Sumii</surname> <given-names>Y.</given-names></name> <name><surname>Shibata</surname> <given-names>N.</given-names></name></person-group> (<year>2020</year>). <article-title>Contribution of organofluorine compounds to pharmaceuticals.</article-title> <source><italic>ACS Omega</italic></source> <volume>5</volume> <fpage>10633</fpage>&#x2013;<lpage>10640</lpage>. <pub-id pub-id-type="doi">10.1021/acsomega.0c00830</pub-id> <pub-id pub-id-type="pmid">32455181</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Iura&#x015F;cu</surname> <given-names>M. I.</given-names></name> <name><surname>Cozma</surname> <given-names>C.</given-names></name> <name><surname>Tomczyk</surname> <given-names>N.</given-names></name> <name><surname>Rontree</surname> <given-names>J.</given-names></name> <name><surname>Desor</surname> <given-names>M.</given-names></name> <name><surname>Drescher</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>Structural characterization of beta-amyloid oligomer-aggregates by ion mobility mass spectrometry and electron spin resonance spectroscopy.</article-title> <source><italic>Anal. Bioanal. Chem.</italic></source> <volume>395</volume> <fpage>2509</fpage>&#x2013;<lpage>2519</lpage>. <pub-id pub-id-type="doi">10.1007/s00216-009-3164-3</pub-id> <pub-id pub-id-type="pmid">19838688</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jeong</surname> <given-names>H. R.</given-names></name> <name><surname>An</surname> <given-names>S. S. A.</given-names></name></person-group> (<year>2015</year>). <article-title>Causative factors for formation of toxic islet amyloid polypeptide oligomer in type 2 diabetes mellitus.</article-title> <source><italic>Clin. Interv. Aging</italic></source> <volume>10</volume> <fpage>1873</fpage>&#x2013;<lpage>1879</lpage>. <pub-id pub-id-type="doi">10.2147/CIA.S95297</pub-id> <pub-id pub-id-type="pmid">26604727</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Berardet</surname> <given-names>C.</given-names></name> <name><surname>Mathieu</surname> <given-names>L.</given-names></name> <name><surname>Legrand</surname> <given-names>B.</given-names></name> <name><surname>Taverna</surname> <given-names>M.</given-names></name> <name><surname>Halgand</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Helical &#x03B3;-peptide foldamers as dual inhibitors of amyloid-&#x03B2; peptide and islet amyloid polypeptide oligomerization and fibrillization.</article-title> <source><italic>Chem. Eur. J.</italic></source> <volume>26</volume> <fpage>14612</fpage>&#x2013;<lpage>14622</lpage>. <pub-id pub-id-type="doi">10.1002/chem.202001716</pub-id> <pub-id pub-id-type="pmid">32542806</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kajava</surname> <given-names>A. V.</given-names></name> <name><surname>Aebi</surname> <given-names>U.</given-names></name> <name><surname>Steven</surname> <given-names>A. C.</given-names></name></person-group> (<year>2005</year>). <article-title>The parallel superpleated beta-structure as a model for amyloid fibrils of human amylin.</article-title> <source><italic>J. Mol. Biol.</italic></source> <volume>348</volume> <fpage>247</fpage>&#x2013;<lpage>252</lpage>. <pub-id pub-id-type="doi">10.1016/j.jmb.2005.02.029</pub-id> <pub-id pub-id-type="pmid">15811365</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ke</surname> <given-names>P. C.</given-names></name> <name><surname>Sani</surname> <given-names>M.-A.</given-names></name> <name><surname>Ding</surname> <given-names>F.</given-names></name> <name><surname>Kakinen</surname> <given-names>A.</given-names></name> <name><surname>Javed</surname> <given-names>I.</given-names></name> <name><surname>Separovic</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Implications of peptide assemblies in amyloid diseases.</article-title> <source><italic>Chem. Soc. Rev.</italic></source> <volume>46</volume> <fpage>6492</fpage>&#x2013;<lpage>6531</lpage>. <pub-id pub-id-type="doi">10.1039/c7cs00372b</pub-id> <pub-id pub-id-type="pmid">28702523</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ke</surname> <given-names>P. C.</given-names></name> <name><surname>Zhou</surname> <given-names>R.</given-names></name> <name><surname>Serpell</surname> <given-names>L. C.</given-names></name> <name><surname>Riek</surname> <given-names>R.</given-names></name> <name><surname>Knowles</surname> <given-names>T. P. J.</given-names></name> <name><surname>Lashuel</surname> <given-names>H. A.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Half a century of amyloids: past, present and future.</article-title> <source><italic>Chem. Soc. Rev.</italic></source> <volume>49</volume> <fpage>5473</fpage>&#x2013;<lpage>5509</lpage>. <pub-id pub-id-type="doi">10.1039/c9cs00199a</pub-id> <pub-id pub-id-type="pmid">32632432</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kiriyama</surname> <given-names>Y.</given-names></name> <name><surname>Nochi</surname> <given-names>H.</given-names></name></person-group> (<year>2018</year>). <article-title>Role and cytotoxicity of amylin and protection of pancreatic Islet &#x03B2;-Cells from amylin cytotoxicity.</article-title> <source><italic>Cells</italic></source> <volume>7</volume>:<issue>95</issue>. <pub-id pub-id-type="doi">10.3390/cells7080095</pub-id> <pub-id pub-id-type="pmid">30082607</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ko</surname> <given-names>E.</given-names></name> <name><surname>Raghuraman</surname> <given-names>A.</given-names></name> <name><surname>Perez</surname> <given-names>L.</given-names></name> <name><surname>Ioerger</surname> <given-names>T. R.</given-names></name> <name><surname>Burgess</surname> <given-names>K.</given-names></name></person-group> (<year>2013</year>). <article-title>Exploring key orientations at protein&#x2013;protein interfaces with small molecule probes.</article-title> <source><italic>J. Am. Chem. Soc.</italic></source> <volume>135</volume> <fpage>167</fpage>&#x2013;<lpage>173</lpage>. <pub-id pub-id-type="doi">10.1021/ja3067258</pub-id> <pub-id pub-id-type="pmid">23270593</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lau</surname> <given-names>J. L.</given-names></name> <name><surname>Dunn</surname> <given-names>M. K.</given-names></name></person-group> (<year>2018</year>). <article-title>Therapeutic peptides: historical perspectives, current development trends, and future directions.</article-title> <source><italic>Bioorg. Med. Chem.</italic></source> <volume>26</volume> <fpage>2700</fpage>&#x2013;<lpage>2707</lpage>.</citation></ref>
<ref id="B42"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Laxio</surname> <given-names>A. J.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Ongeri</surname> <given-names>S.</given-names></name></person-group> (<year>2019</year>). <article-title>Peptides and peptidomimetics as inhibitors of protein&#x2013;protein interactions involving &#x03B2;-sheet secondary structures.</article-title> <source><italic>Curr. Opin. Chem. Biol.</italic></source> <volume>52</volume> <fpage>157</fpage>&#x2013;<lpage>167</lpage>. <pub-id pub-id-type="doi">10.1016/j.cbpa.2019.07.008</pub-id> <pub-id pub-id-type="pmid">31590141</pub-id></citation></ref>
<ref id="B43"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>LeVine</surname> <given-names>H.</given-names></name></person-group> (<year>1999</year>). <article-title>Quantification of &#x03B2;-sheet amyloid fibril structures with Thioflavin T.</article-title> <source><italic>Methods Enzymol.</italic></source> <volume>309</volume> <fpage>274</fpage>&#x2013;<lpage>284</lpage>. <pub-id pub-id-type="doi">10.1016/S0076-6879(99)09020-5</pub-id></citation></ref>
<ref id="B44"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>H.</given-names></name> <name><surname>Ha</surname> <given-names>E.</given-names></name> <name><surname>Donaldson</surname> <given-names>R. P.</given-names></name> <name><surname>Jeremic</surname> <given-names>A. M.</given-names></name> <name><surname>Vertes</surname> <given-names>A.</given-names></name></person-group> (<year>2015a</year>). <article-title>Rapid assessment of human amylin aggregation and its inhibition by Copper(II) ions by laser ablation electrospray ionization mass spectrometry with ion mobility separation.</article-title> <source><italic>Anal. Chem.</italic></source> <volume>87</volume> <fpage>9829</fpage>&#x2013;<lpage>9837</lpage>. <pub-id pub-id-type="doi">10.1021/acs.analchem.5b02217</pub-id> <pub-id pub-id-type="pmid">26352401</pub-id></citation></ref>
<ref id="B45"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Taechalertpaisarn</surname> <given-names>J.</given-names></name> <name><surname>Xin</surname> <given-names>D.</given-names></name> <name><surname>Burgess</surname> <given-names>K.</given-names></name></person-group> (<year>2015b</year>). <article-title>Protein-protein interface mimicry by an oxazoline piperidine-2,4-dione.</article-title> <source><italic>Org. Lett</italic>.</source> <volume>17</volume> <fpage>632</fpage>&#x2013;<lpage>635</lpage>. <pub-id pub-id-type="doi">10.1021/ol5036547</pub-id> <pub-id pub-id-type="pmid">25625791</pub-id></citation></ref>
<ref id="B46"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liang</surname> <given-names>G.</given-names></name> <name><surname>Zhao</surname> <given-names>J.</given-names></name> <name><surname>Yu</surname> <given-names>X.</given-names></name> <name><surname>Zheng</surname> <given-names>J.</given-names></name></person-group> (<year>2013</year>). <article-title>Comparative molecular dynamics study of human islet amyloid polypeptide (IAPP) and rat IAPP oligomers.</article-title> <source><italic>Biochemistry</italic></source> <volume>52</volume> <fpage>1089</fpage>&#x2013;<lpage>1100</lpage>. <pub-id pub-id-type="doi">10.1021/bi301525e</pub-id> <pub-id pub-id-type="pmid">23331123</pub-id></citation></ref>
<ref id="B47"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Luca</surname> <given-names>S.</given-names></name> <name><surname>Yau</surname> <given-names>W.-M.</given-names></name> <name><surname>Leapman</surname> <given-names>R.</given-names></name> <name><surname>Tycko</surname> <given-names>R.</given-names></name></person-group> (<year>2007</year>). <article-title>Peptide conformation and supramolecular organization in amylin fibrils: constraints from solid-state NMR.</article-title> <source><italic>Biochemistry</italic></source> <volume>46</volume> <fpage>13505</fpage>&#x2013;<lpage>13522</lpage>. <pub-id pub-id-type="doi">10.1021/bi701427q</pub-id> <pub-id pub-id-type="pmid">17979302</pub-id></citation></ref>
<ref id="B48"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ly</surname> <given-names>H.</given-names></name> <name><surname>Verma</surname> <given-names>N.</given-names></name> <name><surname>Sharma</surname> <given-names>S.</given-names></name> <name><surname>Kotiya</surname> <given-names>D.</given-names></name> <name><surname>Despa</surname> <given-names>S.</given-names></name> <name><surname>Abner</surname> <given-names>E. L.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>The association of circulating amylin with <italic>&#x03B2;</italic>-amyloid in familial Alzheimer&#x2019;s disease.</article-title> <source><italic>Alzheimers Dement.</italic></source> <volume>7</volume>:<issue>e12130</issue>. <pub-id pub-id-type="doi">10.1002/trc2.12130</pub-id> <pub-id pub-id-type="pmid">33521236</pub-id></citation></ref>
<ref id="B49"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mandal</surname> <given-names>P. K.</given-names></name> <name><surname>McMurray</surname> <given-names>J. S.</given-names></name></person-group> (<year>2007</year>). <article-title>Pd-C-induced catalytic transfer hydrogenation with triethylsilane.</article-title> <source><italic>J. Org. Chem.</italic></source> <volume>72</volume> <fpage>6599</fpage>&#x2013;<lpage>6601</lpage>. <pub-id pub-id-type="doi">10.1021/jo0706123</pub-id> <pub-id pub-id-type="pmid">17630799</pub-id></citation></ref>
<ref id="B50"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Milardi</surname> <given-names>D.</given-names></name> <name><surname>Gazit</surname> <given-names>E.</given-names></name> <name><surname>Radford</surname> <given-names>S. E.</given-names></name> <name><surname>Xu</surname> <given-names>Y.</given-names></name> <name><surname>Gallardo</surname> <given-names>R. U.</given-names></name> <name><surname>Caflisch</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Proteostasis of islet amyloid polypeptide: a molecular perspective of risk factors and protective strategies for Type II diabetes.</article-title> <source><italic>Chem. Rev.</italic></source> <volume>121</volume> <fpage>1845</fpage>&#x2013;<lpage>1893</lpage>. <pub-id pub-id-type="doi">10.1021/acs.chemrev.0c00981</pub-id> <pub-id pub-id-type="pmid">33427465</pub-id></citation></ref>
<ref id="B51"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Mirecka</surname> <given-names>E. A.</given-names></name> <name><surname>Feuerstein</surname> <given-names>S.</given-names></name> <name><surname>Gremer</surname> <given-names>L.</given-names></name> <name><surname>Schr&#x00F6;der</surname> <given-names>G. F.</given-names></name> <name><surname>Stoldt</surname> <given-names>M.</given-names></name> <name><surname>Willbold</surname> <given-names>D.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>&#x03B2;-Hairpin of Islet amyloid polypeptide bound to an aggregation inhibitor.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>6</volume>:<issue>33474</issue>. <pub-id pub-id-type="doi">10.1038/srep33474</pub-id> <pub-id pub-id-type="pmid">27641459</pub-id></citation></ref>
<ref id="B52"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nguyen</surname> <given-names>P. H.</given-names></name> <name><surname>Ramamoorthy</surname> <given-names>A.</given-names></name> <name><surname>Sahoo</surname> <given-names>B. R.</given-names></name> <name><surname>Zheng</surname> <given-names>J.</given-names></name> <name><surname>Faller</surname> <given-names>P.</given-names></name> <name><surname>Straub</surname> <given-names>J. E.</given-names></name><etal/></person-group> (<year>2021</year>). <article-title>Amyloid oligomers: a joint experimental/computational perspective on Alzheimer&#x2019;s disease, Parkinson&#x2019;s disease, Type II diabetes, and amyotrophic lateral sclerosis.</article-title> <source><italic>Chem. Rev.</italic></source> <volume>121</volume> <fpage>2545</fpage>&#x2013;<lpage>2647</lpage>. <pub-id pub-id-type="doi">10.1021/acs.chemrev.0c01122</pub-id> <pub-id pub-id-type="pmid">33543942</pub-id></citation></ref>
<ref id="B53"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Niu</surname> <given-names>Z.</given-names></name> <name><surname>Prade</surname> <given-names>E.</given-names></name> <name><surname>Malideli</surname> <given-names>E.</given-names></name> <name><surname>Hille</surname> <given-names>K.</given-names></name> <name><surname>Jussupow</surname> <given-names>A.</given-names></name> <name><surname>Mideksa</surname> <given-names>Y. G.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Structural insight into IAPP-derived amyloid inhibitors and their mechanism of action.</article-title> <source><italic>Angew. Chem. Int. Ed. Engl.</italic></source> <volume>59</volume> <fpage>5771</fpage>&#x2013;<lpage>5781</lpage>. <pub-id pub-id-type="doi">10.1002/anie.201914559</pub-id> <pub-id pub-id-type="pmid">31863711</pub-id></citation></ref>
<ref id="B54"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Nos&#x00E9;</surname> <given-names>S.</given-names></name></person-group> (<year>1984</year>). <article-title>A unified formulation of the constant temperature molecular dynamics methods.</article-title> <source><italic>J. Chem. Phys.</italic></source> <volume>81</volume> <fpage>511</fpage>&#x2013;<lpage>519</lpage>. <pub-id pub-id-type="doi">10.1063/1.447334</pub-id></citation></ref>
<ref id="B55"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Parrinello</surname> <given-names>M.</given-names></name> <name><surname>Rahman</surname> <given-names>A.</given-names></name></person-group> (<year>1981</year>). <article-title>Polymorphic transitions in single crystals: a new molecular dynamics method.</article-title> <source><italic>J. Appl. Phys.</italic></source> <volume>52</volume> <fpage>7182</fpage>&#x2013;<lpage>7190</lpage>. <pub-id pub-id-type="doi">10.1063/1.328693</pub-id></citation></ref>
<ref id="B56"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Paul</surname> <given-names>A.</given-names></name> <name><surname>Kalita</surname> <given-names>S.</given-names></name> <name><surname>Kalita</surname> <given-names>S.</given-names></name> <name><surname>Sukumar</surname> <given-names>P.</given-names></name> <name><surname>Mandal</surname> <given-names>B.</given-names></name></person-group> (<year>2017</year>). <article-title>Disaggregation of amylin aggregate by novel conformationally restricted aminobenzoic acid containing &#x03B1;/&#x03B2; and &#x03B1;/&#x03B3; hybrid peptidomi metics.</article-title> <source><italic>Sci. Rep</italic>.</source> <volume>7</volume>:<issue>40095</issue>. <pub-id pub-id-type="doi">10.1038/srep40095</pub-id> <pub-id pub-id-type="pmid">28054630</pub-id></citation></ref>
<ref id="B57"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pellegrino</surname> <given-names>S.</given-names></name> <name><surname>Contini</surname> <given-names>A.</given-names></name> <name><surname>Gelmi</surname> <given-names>M. L.</given-names></name> <name><surname>Lo Presti</surname> <given-names>L.</given-names></name> <name><surname>Soave</surname> <given-names>R.</given-names></name> <name><surname>Erba</surname> <given-names>E.</given-names></name></person-group> (<year>2014</year>). <article-title>Asymmetric modular synthesis of a semirigid dipeptide mimetic by cascade cycloaddition/ring rearrangement and borohydride reduction.</article-title> <source><italic>J. Org. Chem.</italic></source> <volume>79</volume> <fpage>3094</fpage>&#x2013;<lpage>3102</lpage>. <pub-id pub-id-type="doi">10.1021/jo500237j</pub-id> <pub-id pub-id-type="pmid">24635115</pub-id></citation></ref>
<ref id="B58"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pellegrino</surname> <given-names>S.</given-names></name> <name><surname>Tonali</surname> <given-names>N.</given-names></name> <name><surname>Erba</surname> <given-names>E.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Taverna</surname> <given-names>M.</given-names></name> <name><surname>Contini</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>&#x03B2;-hairpin mimics containing a piperidine&#x2013;pyrrolidine scaffold modulate the &#x03B2;-amyloid aggregation process preserving the monomer species.</article-title> <source><italic>Chem. Sci.</italic></source> <volume>8</volume> <fpage>1295</fpage>&#x2013;<lpage>1302</lpage>. <pub-id pub-id-type="doi">10.1039/C6SC03176E</pub-id> <pub-id pub-id-type="pmid">28451272</pub-id></citation></ref>
<ref id="B59"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pithadia</surname> <given-names>A.</given-names></name> <name><surname>Brender</surname> <given-names>J. R.</given-names></name> <name><surname>Fierke</surname> <given-names>C. A.</given-names></name> <name><surname>Ramamoorthy</surname> <given-names>A.</given-names></name></person-group> (<year>2016</year>). <article-title>Inhibition of IAPP aggregation and toxicity by natural products and derivatives.</article-title> <source><italic>J. Diabetes Res.</italic></source> <volume>2016</volume>:<issue>2046327</issue>. <pub-id pub-id-type="doi">10.1155/2016/2046327</pub-id> <pub-id pub-id-type="pmid">26649317</pub-id></citation></ref>
<ref id="B60"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Porat</surname> <given-names>Y.</given-names></name> <name><surname>Mazor</surname> <given-names>Y.</given-names></name> <name><surname>Efrat</surname> <given-names>S.</given-names></name> <name><surname>Gazit</surname> <given-names>E.</given-names></name></person-group> (<year>2004</year>). <article-title>Inhibition of islet amyloid polypeptide fibril formation: a potential role for heteroaromatic interactions.</article-title> <source><italic>Biochemistry</italic></source> <volume>43</volume> <fpage>14454</fpage>&#x2013;<lpage>14462</lpage>. <pub-id pub-id-type="doi">10.1021/bi048582a</pub-id> <pub-id pub-id-type="pmid">15533050</pub-id></citation></ref>
<ref id="B61"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Riba</surname> <given-names>I.</given-names></name> <name><surname>Barran</surname> <given-names>P. E.</given-names></name> <name><surname>Cooper</surname> <given-names>G. J. S.</given-names></name> <name><surname>Unwin</surname> <given-names>R. D.</given-names></name></person-group> (<year>2015</year>). <article-title>On the structure of the copper&#x2013;amylin complex.</article-title> <source><italic>Int. J. Mass Spectrom.</italic></source> <volume>391</volume> <fpage>47</fpage>&#x2013;<lpage>53</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijms.2015.09.001</pub-id></citation></ref>
<ref id="B62"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>R&#x00F6;der</surname> <given-names>C.</given-names></name> <name><surname>Kupreichyk</surname> <given-names>T.</given-names></name> <name><surname>Gremer</surname> <given-names>L.</given-names></name> <name><surname>Sch&#x00E4;fer</surname> <given-names>L. U.</given-names></name> <name><surname>Pothula</surname> <given-names>K. R.</given-names></name> <name><surname>Ravelli</surname> <given-names>R. B. G.</given-names></name><etal/></person-group> (<year>2020</year>). <article-title>Amyloid fibril structure of islet amyloid polypeptide by cryo-electron microscopy reveals similarities with amyloid beta.</article-title> <source><italic>Nat. Struct. Mol. Biol.</italic></source> <volume>27</volume> <fpage>660</fpage>&#x2013;<lpage>667</lpage>. <pub-id pub-id-type="doi">10.1101/2020.02.11.944546</pub-id></citation></ref>
<ref id="B63"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rodriguez Camargo</surname> <given-names>D. C.</given-names></name> <name><surname>Garg</surname> <given-names>D.</given-names></name> <name><surname>Buday</surname> <given-names>K.</given-names></name> <name><surname>Franko</surname> <given-names>A.</given-names></name> <name><surname>Rodriguez Camargo</surname> <given-names>A.</given-names></name> <name><surname>Schmidt</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>hIAPP forms toxic oligomers in plasma.</article-title> <source><italic>Chem. Commun.</italic></source> <volume>54</volume> <fpage>5426</fpage>&#x2013;<lpage>5429</lpage>. <pub-id pub-id-type="doi">10.1039/C8CC03097A</pub-id> <pub-id pub-id-type="pmid">29745410</pub-id></citation></ref>
<ref id="B64"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Roriz-Filho</surname> <given-names>J. S.</given-names></name> <name><surname>S&#x00E1;-Roriz</surname> <given-names>T. M.</given-names></name> <name><surname>Rosset</surname> <given-names>I.</given-names></name> <name><surname>Camozzato</surname> <given-names>A. L.</given-names></name> <name><surname>Santos</surname> <given-names>A. C.</given-names></name> <name><surname>Chaves</surname> <given-names>M. L. F.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>(Pre)diabetes, brain aging, and cognition.</article-title> <source><italic>Biochim. Biophys. Acta Mol. Basis Dis.</italic></source> <volume>1792</volume> <fpage>432</fpage>&#x2013;<lpage>443</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbadis.2008.12.003</pub-id> <pub-id pub-id-type="pmid">19135149</pub-id></citation></ref>
<ref id="B65"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rouser</surname> <given-names>G.</given-names></name> <name><surname>Fkeischer</surname> <given-names>S.</given-names></name> <name><surname>Yamamoto</surname> <given-names>A.</given-names></name></person-group> (<year>1970</year>). <article-title>Two dimensional then layer chromatographic separation of polar lipids and determination of phospholipids by phosphorus analysis of spots.</article-title> <source><italic>Lipids</italic></source> <volume>5</volume> <fpage>494</fpage>&#x2013;<lpage>496</lpage>. <pub-id pub-id-type="doi">10.1007/BF02531316</pub-id> <pub-id pub-id-type="pmid">5483450</pub-id></citation></ref>
<ref id="B66"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Saravanan</surname> <given-names>M. S.</given-names></name> <name><surname>Ryazanov</surname> <given-names>S.</given-names></name> <name><surname>Leonov</surname> <given-names>A.</given-names></name> <name><surname>Nicolai</surname> <given-names>J.</given-names></name> <name><surname>Praest</surname> <given-names>P.</given-names></name> <name><surname>Giese</surname> <given-names>A.</given-names></name><etal/></person-group> (<year>2019</year>). <article-title>The small molecule inhibitor anle145c thermodynamically traps human islet amyloid peptide in the form of non-cytotoxic oligomers.</article-title> <source><italic>Sci. Rep.</italic></source> <volume>9</volume>:<issue>19023</issue>. <pub-id pub-id-type="doi">10.1038/s41598-019-54919-z</pub-id> <pub-id pub-id-type="pmid">31836748</pub-id></citation></ref>
<ref id="B67"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Scollo</surname> <given-names>F.</given-names></name> <name><surname>La Rosa</surname> <given-names>C.</given-names></name></person-group> (<year>2020</year>). <article-title>Amyloidogenic intrinsically disordered proteins: new insights into their self-assembly and their interaction with membranes.</article-title> <source><italic>Life</italic></source> <volume>10</volume>:<issue>144</issue>. <pub-id pub-id-type="doi">10.3390/life10080144</pub-id> <pub-id pub-id-type="pmid">32784399</pub-id></citation></ref>
<ref id="B68"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sumner Makin</surname> <given-names>O.</given-names></name> <name><surname>Serpell</surname> <given-names>L. C.</given-names></name></person-group> (<year>2004</year>). <article-title>Structural characterisation of islet amyloid polypeptide fibrils.</article-title> <source><italic>J. Mol. Biol.</italic></source> <volume>335</volume> <fpage>1279</fpage>&#x2013;<lpage>1288</lpage>. <pub-id pub-id-type="doi">10.1016/j.jmb.2003.11.048</pub-id> <pub-id pub-id-type="pmid">14729343</pub-id></citation></ref>
<ref id="B69"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Terakawa</surname> <given-names>M. S.</given-names></name> <name><surname>Lin</surname> <given-names>Y.</given-names></name> <name><surname>Kinoshita</surname> <given-names>M.</given-names></name> <name><surname>Kanemura</surname> <given-names>S.</given-names></name> <name><surname>Itoh</surname> <given-names>D.</given-names></name> <name><surname>Sugiki</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Impact of membrane curvature on amyloid aggregation.</article-title> <source><italic>Biochim. Biophys. Acta</italic></source> <volume>1860</volume> <fpage>1741</fpage>&#x2013;<lpage>1764</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbamem.2018.04.012</pub-id> <pub-id pub-id-type="pmid">29709613</pub-id></citation></ref>
<ref id="B70"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tonali</surname> <given-names>N.</given-names></name> <name><surname>Correia</surname> <given-names>I.</given-names></name> <name><surname>Lesma</surname> <given-names>J.</given-names></name> <name><surname>Bernadat</surname> <given-names>G.</given-names></name> <name><surname>Ongeri</surname> <given-names>S.</given-names></name> <name><surname>Lequin</surname> <given-names>O.</given-names></name></person-group> (<year>2020</year>). <article-title>Introducing sequential aza-amino acids units induces repeated &#x03B2;-turns and helical conformations in peptides.</article-title> <source><italic>Org. Biomol. Chem</italic>.</source> <volume>18</volume> <fpage>3452</fpage>&#x2013;<lpage>3458</lpage>. <pub-id pub-id-type="doi">10.1039/C9OB02654A</pub-id> <pub-id pub-id-type="pmid">32091060</pub-id></citation></ref>
<ref id="B71"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tonali</surname> <given-names>N.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Soulier</surname> <given-names>J.-L.</given-names></name> <name><surname>Gelmi</surname> <given-names>M. L.</given-names></name> <name><surname>Erba</surname> <given-names>E.</given-names></name> <name><surname>Taverna</surname> <given-names>M.</given-names></name><etal/></person-group> (<year>2018</year>). <article-title>Structure-activity relationships of &#x03B2;-hairpin mimics as modulators of amyloid &#x03B2;-peptide aggregation.</article-title> <source><italic>Eur. J. Med. Chem.</italic></source> <volume>154</volume> <fpage>280</fpage>&#x2013;<lpage>293</lpage>. <pub-id pub-id-type="doi">10.1016/j.ejmech.2018.05.018</pub-id> <pub-id pub-id-type="pmid">29807333</pub-id></citation></ref>
<ref id="B72"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tran</surname> <given-names>L.</given-names></name> <name><surname>Ha-Duong</surname> <given-names>T.</given-names></name></person-group> (<year>2016</year>). <article-title>Insights into the conformational ensemble of human islet amyloid polypeptide from molecular simulations.</article-title> <source><italic>Curr. Pharm. Des.</italic></source> <volume>22</volume> <fpage>3601</fpage>&#x2013;<lpage>3607</lpage>. <pub-id pub-id-type="doi">10.2174/1381612822666160414142538</pub-id> <pub-id pub-id-type="pmid">27075579</pub-id></citation></ref>
<ref id="B73"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Vahdati</surname> <given-names>L.</given-names></name> <name><surname>Kaffy</surname> <given-names>J.</given-names></name> <name><surname>Brinet</surname> <given-names>D.</given-names></name> <name><surname>Bernadat</surname> <given-names>G.</given-names></name> <name><surname>Correia</surname> <given-names>I.</given-names></name> <name><surname>Panzeri</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Synthesis and characterization of hairpin mimics that modulate the early oligomerization and fibrillization of amyloid &#x03B2;-peptide: synthesis and characterization of hairpin mimics that modulate the early oligomerization and fibrillization of amyloid &#x03B2;-peptide.</article-title> <source><italic>Eur. J. Org. Chem</italic>.</source> <volume>2017</volume> <fpage>2971</fpage>&#x2013;<lpage>2980</lpage>. <pub-id pub-id-type="doi">10.1002/ejoc.201700010</pub-id></citation></ref>
<ref id="B74"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Van der Rest</surname> <given-names>G.</given-names></name> <name><surname>Halgand</surname> <given-names>F.</given-names></name></person-group> (<year>2017</year>). <article-title>Size exclusion chromatography-ion mobility-mass spectrometry coupling: a step toward structural biology.</article-title> <source><italic>J. Am. Soc. Mass Spectrom.</italic></source> <volume>28</volume> <fpage>2519</fpage>&#x2013;<lpage>2522</lpage>. <pub-id pub-id-type="doi">10.1007/s13361-017-1810-0</pub-id> <pub-id pub-id-type="pmid">28933014</pub-id></citation></ref>
<ref id="B75"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>J.</given-names></name> <name><surname>Wolf</surname> <given-names>R. M.</given-names></name> <name><surname>Caldwell</surname> <given-names>J. W.</given-names></name> <name><surname>Kollman</surname> <given-names>P. A.</given-names></name> <name><surname>Case</surname> <given-names>D. A.</given-names></name></person-group> (<year>2004</year>). <article-title>Development and testing of a general amber force field.</article-title> <source><italic>J. Comput. Chem.</italic></source> <volume>25</volume> <fpage>1157</fpage>&#x2013;<lpage>1174</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.20035</pub-id> <pub-id pub-id-type="pmid">15116359</pub-id></citation></ref>
<ref id="B76"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wiltzius</surname> <given-names>J. J. W.</given-names></name> <name><surname>Sievers</surname> <given-names>S. A.</given-names></name> <name><surname>Sawaya</surname> <given-names>M. R.</given-names></name> <name><surname>Cascio</surname> <given-names>D.</given-names></name> <name><surname>Popov</surname> <given-names>D.</given-names></name> <name><surname>Riekel</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Atomic structure of the cross-&#x03B2; spine of islet amyloid polypeptide (Amylin).</article-title> <source><italic>Protein Sci.</italic></source> <volume>17</volume> <fpage>1467</fpage>&#x2013;<lpage>1474</lpage>. <pub-id pub-id-type="doi">10.1110/ps.036509.108</pub-id> <pub-id pub-id-type="pmid">18556473</pub-id></citation></ref>
<ref id="B77"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>C.</given-names></name> <name><surname>Shea</surname> <given-names>J.-E.</given-names></name></person-group> (<year>2013</year>). <article-title>Structural similarities and differences between amyloidogenic and non-amyloidogenic islet amyloid polypeptide (IAPP) sequences and implications for the dual physiological and pathological activities of these peptides.</article-title> <source><italic>PLoS Comput. Biol.</italic></source> <volume>9</volume>:<issue>e1003211</issue>. <pub-id pub-id-type="doi">10.1371/journal.pcbi.1003211</pub-id> <pub-id pub-id-type="pmid">24009497</pub-id></citation></ref>
<ref id="B78"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname> <given-names>L.-M.</given-names></name> <name><surname>Velkova</surname> <given-names>A.</given-names></name> <name><surname>Tatarek-Nossol</surname> <given-names>M.</given-names></name> <name><surname>Rammes</surname> <given-names>G.</given-names></name> <name><surname>Sibaev</surname> <given-names>A.</given-names></name> <name><surname>Andreetto</surname> <given-names>E.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Selectively N-methylated soluble IAPP mimics as potent iapp receptor agonists and nanomolar inhibitors of cytotoxic self-assembly of both IAPP and A&#x03B2;40.</article-title> <source><italic>Angew. Chem. Int. Ed.</italic></source> <volume>52</volume> <fpage>10378</fpage>&#x2013;<lpage>10383</lpage>. <pub-id pub-id-type="doi">10.1002/anie.201302840</pub-id> <pub-id pub-id-type="pmid">23956012</pub-id></citation></ref>
<ref id="B79"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Young</surname> <given-names>L. M.</given-names></name> <name><surname>Cao</surname> <given-names>P.</given-names></name> <name><surname>Raleigh</surname> <given-names>D. P.</given-names></name> <name><surname>Ashcroft</surname> <given-names>A. E.</given-names></name> <name><surname>Radford</surname> <given-names>S. E.</given-names></name></person-group> (<year>2014</year>). <article-title>Ion mobility spectrometry&#x2013;mass spectrometry defines the oligomeric intermediates in amylin amyloid formation and the mode of action of inhibitors.</article-title> <source><italic>J. Am. Chem. Soc.</italic></source> <volume>136</volume> <fpage>660</fpage>&#x2013;<lpage>670</lpage>. <pub-id pub-id-type="doi">10.1021/ja406831n</pub-id> <pub-id pub-id-type="pmid">24372466</pub-id></citation></ref>
<ref id="B80"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Young</surname> <given-names>L. M.</given-names></name> <name><surname>Saunders</surname> <given-names>J. C.</given-names></name> <name><surname>Mahood</surname> <given-names>R. A.</given-names></name> <name><surname>Revill</surname> <given-names>C. H.</given-names></name> <name><surname>Foster</surname> <given-names>R. J.</given-names></name> <name><surname>Ashcroft</surname> <given-names>A. E.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>ESI-IMS&#x2013;MS: a method for rapid analysis of protein aggregation and its inhibition by small molecules.</article-title> <source><italic>Methods</italic></source> <volume>95</volume> <fpage>62</fpage>&#x2013;<lpage>69</lpage>. <pub-id pub-id-type="doi">10.1016/j.ymeth.2015.05.017</pub-id> <pub-id pub-id-type="pmid">26007606</pub-id></citation></ref>
<ref id="B81"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Young</surname> <given-names>L. M.</given-names></name> <name><surname>Saunders</surname> <given-names>J. C.</given-names></name> <name><surname>Mahood</surname> <given-names>R. A.</given-names></name> <name><surname>Revill</surname> <given-names>C. H.</given-names></name> <name><surname>Foster</surname> <given-names>R. J.</given-names></name> <name><surname>Tu</surname> <given-names>L.-H.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Screening and classifying small-molecule inhibitors of amyloid formation using ion mobility spectrometry&#x2013;mass spectrometry.</article-title> <source><italic>Nat. Chem.</italic></source> <volume>7</volume> <fpage>73</fpage>&#x2013;<lpage>81</lpage>. <pub-id pub-id-type="doi">10.1038/nchem.2129</pub-id> <pub-id pub-id-type="pmid">25515893</pub-id></citation></ref>
</ref-list>
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