The 3D structure of lipidic fibrils of α-synuclein

α-synuclein (αSyn) is abundant in neurons, but its misfolding and abnormal fibrillization are associated with severe neurodegenerative diseases. Although interactions between αSyn and phospholipid membranes are relevant during αSyn fibril assembly, insights into the interactions of αSyn fibrils with phospholipids have remained elusive. Here, we present six novel polymorphic atomic structures of αSyn fibrils aggregated in the presence of phospholipids. The structures reveal that phospholipids favor a novel protofilament fold, mediate an unusual arrangement of protofilaments, and fill the central cavities between the protofilaments. These findings provide a structural rationale for fibril-induced lipid extraction, a mechanism likely to be involved in the development of α-synucleinopathies.