Amyloid precursor protein (APP) derivative β-amyloid (Aβ) plays an important role in the pathogenesis of Alzheimer's disease (AD). Sequential proteolysis of APP by β-secretase and γ-secretase generates Aβ. Conversely, the α-secretase "a disintegrin and metalloproteinase" 10 (ADAM10) cleaves APP within the eventual Aβ sequence and precludes Aβ generation. Therefore, up-regulation of ADAM10 represents a plausible therapeutic strategy to combat overproduction of neurotoxic Aβ. Peroxisome proliferator-activated receptor α (PPARα) is a transcription factor that regulates genes involved in fatty acid metabolism. Here, we determined that the Adam10 promoter harbors PPAR response elements; that knockdown of PPARα, but not PPARβ or PPARγ, decreases the expression of Adam10; and that lentiviral overexpression of PPARα restored ADAM10 expression in Ppara −/− neurons. Gemfibrozil, an agonist of PPARα, induced the recruitment of PPARα:retinoid x receptor α, but not PPARγ coactivator 1α (PGC1α), to the Adam10 promoter in wild-type mouse hippocampal neurons and shifted APP processing toward the α-secretase, as determined by augmented soluble APPα and decreased Aβ production. Accordingly, Ppara −/− mice displayed elevated SDS-stable, endogenous Aβ and Aβ 1-42 relative to wild-type littermates, whereas 5XFAD mice null for PPARα (5X/α −/− ) exhibited greater cerebral Aβ load relative to 5XFAD littermates. These results identify PPARα as an important factor regulating neuronal ADAM10 expression and, thus, α-secretase proteolysis of APP.is the most prevalent neurodegenerative disease. Although the precise physiologic changes that trigger development of AD remain unknown, abnormal metabolism of the type 1 transmembrane amyloid precursor protein (APP) into amyloid-β (Aβ) plays a causative role in AD (1). Sequential proteolytic processing of APP by the aspartic proteases β-secretase 1 (BACE1) and γ-secretase (reviewed in ref.2) at ectodomain and intramembrane sites, respectively, generates pathogenic Aβ fragments between residues 36 and 43. Conversely, juxtamembrane cleavage of APP between K16/L17 residues by α-secretase precludes Aβ generation and results in clearance of APP (3).Several proteases have been suggested as AD-relevant α-secretases, many of which belong to the "a disintegrin and metalloproteinase" (ADAM) Zn 2+ sheddase family (reviewed in ref. 4) and include ADAM9, ADAM10, and ADAM17. However, ADAM10 has emerged as the constitutive and inducible APP α-secretase in neurons (5). Of note, ADAM9 and ADAM17 do not recover α-secretase proteolysis of APP in the absence of ADAM10 (5), neuron-specific overexpression of ADAM10 decreases Aβ load in a mouse model of AD (6), and impaired ADAM10 trafficking to the synapse generates a model of sporadic AD (7). Similarly, human studies have observed deficits in ADAM10 expression (8), trafficking (9), and activity (10) in AD. Therefore, dysregulation of ADAM10 may play a significant role in the establishment of Aβ pathology. However, little is known about the genetic regulation of ADAM10....