Alzheimer's disease (AD) is primarily nonfamilial or sporadic (SAD) in origin, although several genetic linkages are reported. Tissues from AD patients contain fibrillar plaques made of 39 to 43 amino acid-long amyloid beta peptide (A beta P), although the mechanisms of A beta P toxicity are poorly understood. A beta P1-40 is the most prevalent A beta P present in the neuronal and non-neuronal tissues from SAD patients. A beta P1-40 toxicity has been examined mainly after prolonged incubation and correlates with the age and fibrillar morphology of A beta P1-40. Globular and nonfibrillar A beta Ps are released continually during normal cellular metabolism; they elevate cellular Ca2+ and form cation-permeable channels. However, their role in cellular toxicity is poorly understood. We have used an integrated atomic force and light fluorescence microscopy (AFM-LFM), laser confocal microscopy, and calcium imaging to examine real-time and acute effect of fresh and globular A beta P1-40 on cultured, aged human, AD-free fibroblasts. AFM images show that freshly prepared A beta P1-40 in phosphate-buffered saline (PBS) are globular and do not form fiber for an extended time period. A beta P1-40 induced rapid structural modifications, including cytoskeletal reorganization, retraction of cellular processes, and loss of cell-cell contacts, within minutes of incubation. This led to eventual cellular degeneration A beta P1-40-induced degeneration was prevented by anti-A beta P antibody, zinc, and Tris, but not by tachykinin neuropeptides. In Ca2+-free extracellular medium, A beta P1-40, did not induce cellular degeneration. In the presence of extracellular Ca2+, A beta P1-40 induced a sustained increase in the cellular Ca2+. Thus, short-term and acute A beta P1-40 toxicity is mediated by Ca2+ uptake, most likely via calcium-permeable A beta P pores. Such rapid degeneration does not require fibrillar plaques, suggesting that the plaques may not have any causative role.-Zhu, Y. J., Lin, H., Lal, R. Fresh and nonfibrillar amyloid beta protein(1-40) induces rapid cellular degeneration in aged human fibroblasts: evidence for A beta P-channel-mediated cellular toxicity.