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 4Morphology of amyloid oligomer cores in drusen at higher magnification. (
A–
C) Confocal micrographs of drusen. Amyloid oligomer cores are labeled with fluorescein (green), and lipofuscin autofluorescence in the RPE is visualized in red (Cy3 channel). (
A) Amyloid oligomer cores seemed to consist of an aggregate of small vesicular structures (arrowheads) that increased in density toward the center. (
B) Some of these vesicular structures appeared to extend toward the RPE with diminishing density (arrowheads). (
C) Occasionally, the amyloid oligomer cores penetrated through the Bm and extended toward the choroid (arrowhead). (
D) Ultrastructure of an amyloid oligomer core is depicted in an immunogold-labeled electron micrograph (inset), wherein gold particles decorate vesicular structures that are heterogeneous in size. The highest density of gold particles seen in
D was from the region above the Bm (rectangle). Scale bars: 100 nm (
D, inset). Magnification, ×3,000 (
A), ×2,000 (
B–
D).