Presenilin (PS) plays a central role in the pathogenesis of Alzheimer's disease, and loss of PS causes progressive memory impairment and age-related neurodegeneration in the mouse cerebral cortex. In hippocampal neurons, PS is essential for neurotransmitter release, NMDA receptor-mediated responses, and long-term potentiation. PS is also involved in the regulation of calcium homeostasis, although the precise site of its action is less clear. Here we investigate the mechanism by which PS regulates synaptic function and calcium homeostasis using acute hippocampal slices from PS conditional knockout mice and primary cultured postnatal hippocampal neurons, in which PS is inducibly inactivated. Using two different calcium probes, Fura-2 and Mag-Fura-2, we found that inactivation of PS in primary hippocampal neurons does not affect calcium concentration in the endoplasmic reticulum. Rather, in the absence of PS, levels of ryanodine receptor (RyR) are reduced in the hippocampus, measured by Western analysis and radioligand binding assay, although the mRNA expression is unaffected. RyRmediated function is also impaired, as indicated by reduced RyR agonist-induced calcium release from the ER and RyR-mediated synaptic responses in the absence of PS. Furthermore, knockdown of RyR expression in wild-type hippocampal neurons by two independent shRNAs to levels comparable with the RyR protein reduction in PS-deficient hippocampal neurons mimics the defects exhibited in calcium homeostasis and presynaptic function. Collectively, our findings show that PS regulates calcium homeostasis and synaptic function via RyR and suggest that disruption of intracellular calcium homeostasis may be an early pathogenic event leading to presynaptic dysfunction in Alzheimer's disease.ER calcium | caffeine M utations in the presenilin (PS) genes account for ∼90% of causative mutations in familial Alzheimer's disease (AD), highlighting the importance of PS in the pathogenesis of AD. We previously reported that presenilins play essential roles in the regulation of long-term potentiation, short-term plasticity and neurotransmitter release (1-4). Interestingly, presynaptic defects caused by loss of presynaptic PS can be mimicked by depletion of calcium in the endoplasmic reticulum (ER), suggesting that disrupted intracellular calcium homeostasis may underlie these presynaptic defects (2). Although large numbers of reports have indicated an involvement of PS in the regulation of intracellular calcium homeostasis, the precise site of its action is less clear (4, 5).The ER is a major source of intracellular calcium and is present in both axonal and dendritic compartments (6). Cytosolic calcium is pumped into the ER by sarco-ER calcium ATPase (SERCA), and calcium release from the ER into the cytosol can be mediated through either the ryanodine receptor (RyR) or the inositol 1,4,5 trisphosphate receptor (IP 3 R). Blockade of the RyR but not the IP 3 R mimics and occludes the presynaptic defects in hippocampal slices of CA3-PS conditional double knockout ...