Proteolytic processing of the amyloid precursor protein by -and ␥-secretase generates the amyloid- (A) peptides, which are principal drug targets in Alzheimer disease therapeutics. ␥-Secretase has imprecise cleavage specificity and generates the most abundant A40 and A42 species together with longer and shorter peptides such as A38. Several mechanisms could explain the production of multiple A peptides by ␥-secretase, including sequential processing of longer into shorter A peptides. A novel class of ␥-secretase modulators (GSMs) that includes some non-steroidal anti-inflammatory drugs has been shown to selectively lower A42 levels without a change in A40 levels. A signature of GSMs is the concomitant increase in shorter A peptides, such as A38, leading to the suggestion that generation of A42 and A38 peptide species by ␥-secretase is coordinately regulated. However, no evidence for or against such a precursor-product relationship has been provided. We have previously shown that stable overexpression of aggressive presenilin-1 (PS1) mutations associated with early-onset familial Alzheimer disease attenuated the cellular response to GSMs, resulting in greatly diminished A42 reductions as compared with wild type PS1. We have now used this model system to investigate whether A38 production would be similarly affected indicating coupled generation of A42 and A38 peptides. Surprisingly, treatment with the GSM sulindac sulfide increased A38 production to similar levels in four different PS1 mutant cell lines as compared with wild type PS1 cells. This was confirmed with the structurally divergent GSMs ibuprofen and indomethacin. Mass spectrometry analysis and high resolution urea gel electrophoresis further demonstrated that sulindac sulfide did not induce detectable compensatory changes in levels of other A peptide species. These data provide evidence that A42 and A38 species can be independently generated by ␥-secretase and argue against a precursor-product relationship between these peptides.A variety of therapeutic strategies in clinical development for Alzheimer disease (AD), 2 the most common neurodegenerative disorder, target the amyloid- (A) peptides that are generated through proteolytic processing of the transmembrane amyloid precursor protein (APP) (1). In the A-producing pathway, APP is cleaved by two aspartyl proteases, first by -secretase within its ectodomain and subsequently by ␥-secretase, which cleaves APP within its transmembrane domain (TMD) (2). ␥-Secretase is a multiprotein complex with the presenilin (PS) proteins at its enzymatic core (2). Because of its imprecise cleavage specificity, ␥-secretase generates A peptides of variable length at the carboxyl terminus, with the highly amyloidogenic A42 isoform thought to be the key pathogenic species (3). A central role of A42 developed largely from genetic research demonstrating that mutations in the APP and PS genes associated with early-onset familial AD (FAD) invariably increase the A42/A40 ratio in primary fibroblast...