Background: Heparan sulfate colocalizes with amyloid- in senile plaques of Alzheimer disease. Results: Overexpression of the heparan sulfate-degrading enzyme (heparanase) lowers the amyloid burden in a transgenic mouse model of Alzheimer disease. Conclusion: Heparan sulfate modulates amyloid- deposition. Significance: We present the first direct in vivo proof that heparan sulfate actively participates in senile plaque formation.