Alterations in cellular cholesterol synthesis or content in cultured neurons affect the cleavage of amyloid precursor protein to amyloidogenic A 40 and A42 peptides characteristic of Alzheimer's disease. To determine whether a decrease in cholesterol synthesis affects amyloid precursor protein processing in vivo, we crossed cholesterol 24-hydroxylase knockout mice, which exhibit a 50% reduction in brain sterol synthesis, with transgenic mice [B6.CgTg(APPswe, PSEN1E9)85Dbo/J] that develop Alzheimer's diseaselike pathology. Amyloid precursor protein expression and amyloid plaque deposition in the cortex and hippocampus of male and female Alzheimer's disease mice between the ages of 3 to 15 months were similar in the presence and absence of cholesterol 24-hydroxylase. A modest but statistically significant decline in insoluble A 42 peptide levels was detected in the hippocampus of 12-month-old knockout/Alzheimer's disease males. The levels of insoluble A 40 and A42 peptides in 15-month-old knockout/ Alzheimer's disease females were also reduced slightly. Although amyloid plaque accumulation did not affect brain sterol or fatty acid synthesis rates in 24-hydroxylase WT or knockout mice, loss of one or both cholesterol 24-hydroxylase alleles increased longevity in Alzheimer's disease mice. These studies suggest that reducing de novo cholesterol synthesis in the brain will not substantially alter the course of Alzheimer's disease, but may confer a survival advantage.amyloid plaque ͉ cholesterol 24-hydroxylase ͉ P450 ͉ statin A lzheimer's disease (AD) is a progressive neurodegenerative disease of the central nervous system that affects a growing percentage of the elderly population. AD is characterized by gradual loss of cognitive function leading to death, and at the biochemical level, by the deposition of aberrantly folded proteins in the cortex and hippocampus of the brain (1). These protein deposits, termed amyloid plaques and neurofibrillary tangles, contain proteolytic fragments of the amyloid precursor protein (APP) and hyperphosphorylated forms of the tau microfilament protein, respectively (2, 3).Mutations in genes encoding proteins that produce amyloid plaques such as APP, presenilin 1, and presenilin 2 cause early onset forms of AD (1), as do altered versions of several proteins with less well-defined roles in the pathogenesis of the disorder, such as apolipoprotein E (ApoE). There are 3 major isoforms of ApoE, referred to as ApoE2, E3, and E4, and individuals who inherit one of more copies of the gene specifying ApoE4 are predisposed to earlier ages of AD onset (4). ApoE plays an important role in cholesterol metabolism in peripheral tissues (5), and this function has led to the notion that alterations in brain cholesterol metabolism may affect the inception or progression of AD. In support of this hypothesis, some but not all epidemiological studies show that subjects who take statins, a class of drugs that reduce plasma cholesterol levels by inhibiting de novo cholesterol synthesis, have altered sus...