The amyloid precursor protein (APP) has garnered considerable attention due to its genetic links to Alzheimer's disease. Death receptor 6 (DR6) was recently shown to bind APP via the protein extracellular regions, stimulate axonal pruning, and inhibit synapse formation. Here, we report the crystal structure of the DR6 ectodomain in complex with the E2 domain of APP and show that it supports a model for APP-induced dimerization and activation of cell surface DR6. The amyloid precursor protein (APP) is a single-pass transmembrane protein best known for its genetic association with Alzheimer's disease (AD). APP serves as the proteolytic precursor to Aβ, the major peptide component of amyloid plaques in the brains of Alzheimer's patients (Selkoe 2011). Therapeutic strategies to modify APP processing or clear Aβ from plaques in Alzheimer's patients have not yet proven effective (Gandy and DeKosky 2013), encouraging the search for additional approaches for treating AD. This has stimulated interest in understanding the normal physiological role of APP in the developing and adult nervous system in the hope that this will provide new insights into how perturbed APP function may contribute to disease onset and/or progression. These studies have implicated APP in several physiological processes, including axon pruning, synapse formation, axonal transport, and cellular adhesion (Kamal et al. 2001;Priller et al. 2006;Bittner et al. 2009;Nikolaev et al. 2009;Wang et al. 2009). The extracellular domain of APP is comprised of an N-terminal domain termed E1 and a more C-terminal domain termed E2 that are linked via an acidic unstructured sequence and followed by a transmembrane helix and a cytoplasmic region. Previous studies have elucidated the structures of the unbound APP extracellular domains (Wang and Ha 2004;Dahms et al. 2010Dahms et al. , 2012Hoopes et al. 2010;Lee et al. 2011; Xue et al. 2011a,b;Coburger et al. 2013Coburger et al. , 2014. High-affinity binding of APP to death receptor 6 (DR6, also known as TNFRSF21), a death domain-containing member of the extended TNF receptor superfamily (Pan et al. 1998), was recently documented (Nikolaev et al. 2009) and shown to be mediated by the E2 domain of APP (Olsen et al. 2014). DR6 has four cysteine-rich domain (CRD) modules in its extracellular region, followed by a transmembrane domain and death domain in its cytoplasmic region. The structure of the unbound DR6 ectodomain (ECD) (Kuester et al. 2011;Ru et al. 2012) revealed an elongated architecture with a kink between CRD modules 2 and 3. Genetic analysis of DR6 and APP mutant mice showed that the animals share several coincident phenotypes, including behavioral deficits, altered synapse formation, and delayed axon pruning during development or following sensory deprivation Olsen et al. 2014). These and other data Olsen et al. 2014) indicate that APP and DR6 function cell-autonomously and in the same pathway to stimulate axon pruning and synapse elimination. However, how APP and DR6 interact to mediate their actions is poor...