Protein amyloid fibrils have widespread implications for human health. Over the last twenty years, fibrillation has been studied using a variety of crowding agents to mimic the packed interior of cells or to probe the mechanisms and pathways of the process. We tabulate and review these results by considering three classes of crowding agent: synthetic polymers, osmolytes and other small molecules, and globular proteins. While some patterns are observable for certain crowding agents, the results are highly variable and often depend on the specific pairing of crowder and fibrillating protein.
Keywords: aggregation; amyloid fibril; excluded volume; molecular crowding; neurodegenerative disease; osmolyte; polyol; protein fibrillation; proteopathy; synthetic polymer; viscosity.