Alzheimer's disease (AD) is associated with a magnesium ion (Mg 2+ ) deficit in the serum or brain. However, the mechanisms regulating the roles of Mg 2+ in the pathologic condition of AD remain unknown. We studied whether brain Mg 2+ can decrease b-amyloid (Ab) deposition and ameliorate the cognitive decline in a model of AD, the APPswe/PS1DE9 transgenic (Tg) mouse. We used a recently developed compound, magnesium-L-threonate (MgT), for a treatment that resulted in enhanced clearance of Ab in an anterior pharynx-defective (APH)-1a/-1b-dependent manner. To further explore how MgT treatment inhibits cognitive decline in APP/PS1 Tg mice, the critical molecules for amyloid precursor protein (APP) cleavage and signaling pathways were investigated. In neurons, ERK1/2 and PPARg signaling pathways were activated by MgT treatment, which in turn suppressed (by >80%) the expression of APH-1a/-1b, which is responsible for the deposition of Ab and potentially contributes to the memory deficit that occurs in AD. More important, Ab oligomers in the cerebrospinal fluid (CSF) further promoted the expression of APH-1a/-1b (by >2.5-fold), which enhances the g-cleavage of APP and Ab deposition during AD progression. These findings provide new insights into the mechanisms of AD progression and are instrumental for developing better strategies to combat the disease.-Yu, X., Guan, P.-P., Guo, J.-W., Wang, Y., Cao, L.-L., Xu, G.-B., Konstantopoulos, K., Wang, Z.-Y., Wang, P. By suppressing the expression of anterior pharynxdefective-1a and -1b and inhibiting the aggregation of b-amyloid protein, magnesium ions inhibit the cognitive decline of amyloid precursor protein/presenilin 1 transgenic mice. FASEB J. 29, 5044-5058 (2015). www.fasebj.orgAlzheimer's disease (AD) is usually characterized by cognitive decline and dementia in aged people. Clinically, it is diagnosed by the accumulation of b-amyloid (Ab) protein in amyloid plaques (APs) and the hyperphosphorylation of tau in neurofibrillary tangles (NFTs) (1). Although the mechanisms of Ab deposition and tau phosphorylation have not been thoroughly delineated, recent reports have revealed that Mg 2+ elevation may be involved in Ab clearance (2). These observations are based on prior studies that suggested that brain magnesium ion (Mg 2+ ) levels (3) and serum Mg 2+ concentration (4) are significantly lower in patients with AD than in age-matched normal subjects. In light of these studies, dyshomeostasis of Mg 2+ in the brain may be involved in the pathogenesis and progression of AD.Although the mechanisms that regulate Mg 2+ concentrations over the course of the development of AD have yet to be defined, the potential roles of Mg 2+ in AD have been examined in a few investigations. For example, it has been shown that a reduced level of Mg 2+ blocks the NMDA receptor (NMDAR)-mediated Ca 2+ influx that is essential for associative learning and long-term memory formation in Drosophila (5). The administration of magnesium-L-threonate (MgT) to aged rats increases Mg 2+ levels in the...