Nucleation-elongation mechanism underlying Alzheimer's, Parkinson's, and prion diseases
Amyloid aggregation follows a nucleation-elongation mechanism (Knowles 2009, Science). Primary nucleation (rate ∝ m^n_c) creates initial seeds. Elongation (rate ∝ m·P) extends fibrils. Secondary nucleation (rate ∝ m²·P) on fibril surfaces is autocatalytic and produces the sigmoidal kinetics. Integrated rate law: M(t) ≈ M₀·[1 − e^(−(t/τ)²)] in the lag phase regime. The nucleation-free seeding protocol can bypass the lag phase entirely — a key experimental observation in prion biology.