A prevalent model of Alzheimer's disease (AD) pathogenesis postulates the generation of neurotoxic fragments derived from the amyloid precursor protein (APP) after its internalization to endocytic compartments. However, the molecular pathways that regulate APP internalization and intracellular trafficking in neurons are unknown.Here we report that 5xFAD mice, an animal model of AD, expressing signalingdeficient variants of the p75 neurotrophin receptor (p75 NTR ) show greater neuroprotection from AD neuropathology than animals lacking this receptor. p75 NTR knock-in mice lacking the death domain or transmembrane Cys 259 showed lower levels of Aβ species, amyloid plaque burden, gliosis, mitochondrial stress and neurite dystrophy than global knock-outs. Strikingly, long-term synaptic plasticity and memory, which are completely disrupted in 5xFAD mice, were fully recovered in the knock-in mice. Mechanistically, we found that p75 NTR interacts with APP and regulates its internalization in hippocampal neurons. Inactive p75 NTR variants internalized much slower and to lower levels than wild type p75 NTR , favoring nonamyloidogenic APP cleavage by reducing APP internalization and colocalization with BACE1, the critical protease for generation of neurotoxic APP fragments. These results reveal a novel pathway that directly and specifically regulates APP internalization, amyloidogenic processing and disease progression, and suggest that inhibitors targeting the p75 NTR transmembrane domain may be an effective therapeutic strategy in AD. generation of all BACE-derived products, including Aβ, and constitutes the nonamyloidogenic pathway in APP processing. Cleavage by alpha-secretase generates a soluble N-terminal fragment (sAPPα) and a C-terminal stub (sCTFα) that can be further processed by gamma-secretase.Recent studies have indicated that, while cleavage by alpha secretases occurs at the plasma membrane, proteolytic processing by BACE requires APP internalization from the cell surface and thus mainly takes places in intracellular, endocytic compartments (Haass et al, 2012). Several studies have linked APP internalization to Aβ production (Koo & Squazzo, 1994; Selkoe et al, 1996), and complementary lines of evidence support this notion, including the requirement of low pH for BACE Ibáñez CF & Simi A (2012) p75 neurotrophin receptor signaling in nervous system injury and degeneration: paradox and opportunity. Trends Neurosci 35: 431-440 Karran E, Mercken M & De Strooper B (2011) The amyloid cascade hypothesis for Alzheimer's disease: an appraisal for the development of therapeutics. Nat Rev Drug (2012) The β-secretase-derived C-terminal fragment of βAPP, C99, but not Aβ, is a key contributor to early intraneuronal lesions in triple-transgenic mouse hippocampus.