Extracellular deposition of amyloid- (A) aggregates in the brain represents one of the histopathological hallmarks of Alzheimer's disease (AD). A peptides are generated from proteolysis of the amyloid precursor proteins (APPs) by -and ␥-secretases. -Secretase (BACE1) is a type I integral membrane glycoprotein that can cleave APP first to generate C-terminal 99-or 89-amino acid membrane-bound fragments containing the N terminus of A peptides (CTF). As BACE1 cleavage is an essential step for A generation, it is proposed as a key therapeutic target for treating AD. In this study, we show that small interfering RNA (siRNA) specifically targeted to BACE1 can suppress BACE1 (but not BACE2) protein expression in different cell systems. Furthermore, BACE1 siRNA reduced APP CTF and A production in primary cortical neurons derived from both wildtype and transgenic mice harboring the Swedish APP mutant. The subcellular distribution of APP and presenilin-1 did not appear to differ in BACE1 suppressed cells. Importantly, pretreating neurons with BACE1 siRNA reduced the neurotoxicity induced by H 2 O 2 oxidative stress. Our results indicate that BACE1 siRNA specifically impacts on -cleavage of APP and may be a potential therapeutic approach for treating AD.With the global increase in human life expectancy, Alzheimer's disease (AD) 1 with its debilitating memory loss and dementia poses an ever increasing burden to society. Despite an intensive search for therapeutic intervention, no drug has proven effective in combating this devastating neurodegenerative disease. The cause of AD is virtually unknown, with age being one of the only clearly defined major risk factors. The pathological hallmarks of AD include severe brain atrophy, neuronal loss, neurofibrillary tangles, and senile plaques composed of aggregated amyloid- (A) peptides (1). Interestingly, all known mutations that are associated with early onset AD enhance A42 production (2). Thus, the amyloid cascade hypothesis has been proposed based on the speculation that A42 production plays an early and critical role in the pathogenesis of AD (3-5). When aggregated, these amyloidogenic peptides may elicit inflammatory and neurotoxic responses in the brain, which are believed to result in the clinical manifestations of AD.A peptides are generated from the sequential cleavage of the amyloid precursor protein (APP), a type I transmembrane protein, by -secretase in the ectodomain and by ␥-secretase in the transmembrane region (6). A C-terminal membranebound fragment of 99 or 89 residues (C99/C89, CTFs) is produced by -secretase cleavage of APP, which is subsequently cleaved by ␥-secretase within the transmembrane domain to release the A peptides and APP intracellular domain. APP can also be cleaved by ␣-secretase in the ectodomain, which precludes its processing by the -secretase pathway. Much effort in drug development has been aimed at reducing the generation or aggregation of A peptides, among which inhibition of -secretase or ␥-secretase activity has bee...