␥-Protocadherins (PCDH-␥) regulate neuronal survival in the vertebrate central nervous system. The molecular mechanisms of how PCDH-␥ mediates this function are still not understood. In this study, we show that through their common cytoplasmic domain, different PCDH-␥ isoforms interact with an intracellular adaptor protein named PDCD10 (programmed cell death 10). PDCD10 is also known as CCM3, a causative genetic defect for cerebral cavernous malformations in humans. Using RNAi-mediated knockdown, we demonstrate that PDCD10 is required for the occurrence of apoptosis upon PCDH-␥ depletion in developing chicken spinal neurons. Moreover, overexpression of PDCD10 is sufficient to induce neuronal apoptosis. Taken together, our data reveal a novel function for PDCD10/CCM3, acting as a critical regulator of neuronal survival during development.Apoptosis is essential in controlling the size of distinct neuron populations in the nervous system (1, 2). During development, 50% or more neurons undergo apoptosis to ensure the appropriate partnership of pre-and postsynaptic target cells (1,(3)(4)(5). It is well known that target-derived cues such as trophic factors and synaptic activity are critical for the survival of different neuronal populations (6 -9). Emerging evidence shows that clustered protocadherins (PCDH) 3 also play an important role in the regulation of neuronal survival (10 -13).PCDH proteins are vertebrate-specific members of the cadherin superfamily, which share significant homology in extracellular domains with cadherins but have distinct cytoplasmic domains (14 -17). Pcdh genes have a unique genomic organization in which nearly 60 Pcdh genes are tandem-arrayed in three clusters (Pcdh-␣, Pcdh-, and Pcdh-␥) on a single chromosome (16). Cell-specific promoter activation and allelic exclusion at the Pcdh locus generate distinct combinatorial expression patterns among individual neurons (18 -21).PCDH proteins have been shown to mediate homophilic cellcell adhesion, and they are enriched at synapses in the brain (15,(22)(23)(24). Furthermore, genetic analyses in model systems highlight the importance of PCDH function in the nervous system. These studies reveal that PCDH proteins are required for neuronal survival and synaptic connectivity in neuronal subpopulations. Deletion of Pcdh-␥ in mice leads to an increased apoptosis of spinal interneurons and retina ganglion cells and knockdown of Pcdh-␣ in zebrafish causes massive neuronal loss during neurogenesis (10 -13). Thus, clustered PCDH appears to be critical survival factors for certain neuronal populations during development. Independently from the role for survival, PCDH plays a role in the maintenance of synaptic connectivity in several neural circuits. For example, in Pcdh-␥ mutant mice, spinal interneurons and hypothalamic neurons exhibit abnormal synaptic connectivity (25, 26). Similarly, olfactory sensory neurons and serotonergic neurons have been shown to have abnormal axon projections in Pcdh-␣ mutant mice (27,28). Collectively, these data suggest th...