Drusen deposits associated with aging
and age-related macular degeneration
contain nonfibrillar amyloid oligomers
J. Clin. Invest. Volker Luibl, et al. 116:378 doi:10.1172/JCI25843 [
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Figure 1Immunolocalization of amyloidogenic oligomers in drusen by confocal laser microscopy. (
A,
C,
E, and
G) Differential interference contrast images. (
B,
D,
F, and
H) Confocal fluorescence images of amyloid oligomer cores (green, FITC channel). Drusen exhibit amyloid oligomer reactivity in the form of a core-like structure that accumulates centrally within drusen and in close proximity to the Bm. Autofluorescence of lipofuscin granules in the RPE cytoplasm is shown in red (Cy3 channel). (
A and
B) Anti-oligomer–specific antibody recognizes a spherical structure (∼15 μm) in a small druse (∼30 μm). (
C–
F) Two larger drusen with centrally located core structure. (
G and
H) A very large macular soft druse from an 81-year-old female donor. Despite the difference in sizes and shapes of the drusen, the amyloid oligomer cores remain 10–15 μm in size. Scale bars: 10 μm.