It might be expected that great apes, because of their genetic similarity to humans (1-3), would be the most appropriate models for the study of the neuropathological changes seen in the brain in aging and Alzheimer disease (AD). These changes include senile plaques (extracellular aggregates of amyloid, often surrounded by degenerating neuronal processes), neurofibrillary tangles [intraneuronal cytoplasmic aggregates of paired helical filaments composed of abnormally phosphorylated microtubule-associated protein, tau (4-7)], and vascular amyloid deposition involving meningeal and cortical blood vessels. The amyloid in plaques and blood vessels is composed primarily of the amyloid a-protein (,B/A4), which is cleaved from the larger amyloid precursor protein (APP) (8-10).Given the relative rarity ofgreat apes in captivity combined with their long fife-spans (=w50-60 yr in captivity), studies of age-related changes in the brains ofthese primates have been extremely rare. Senile plaques and vascular amyloid have been described in a 46-yr-old orangutan (11), and vascular amyloid was noted in a 56-yr-old chimpanzee (these observations were made on a portion offrontal lobe from the brain of the same 56-yr-old chimpanzee included in the present study; ref. (28-31). Thus, the combination of senile plaques, vascular amyloid, and neurofibrillary tangles observed in AD has not yet been described in any animal species.Molecular studies suggest that, of the great apes, chimpanzees are most closely related to humans (1-3). Chimpanzees rarely survive past the age of 35 yr in the wild but may live well into the sixth decade in captivity (32). Gamma, the 59-yr-old chimpanzee in our study, was the oldest known chimpanzee. In contrast, the maximum ifMe-span for rhesus monkeys has been estimated at just under 40 yr, with aging in rhesus monkeys estimated to occur at about three times the rate in humans (12,(32)(33)(34)(35). We had the opportunity to examine the brains of three aged chimpanzees (Pan troglodytes), two females aged 56 (Bula) and 59 yr (Gamma) and a male (Frans) aged 45 yr, and to compare the changes observed with those seen in the brains of four elderly rhesus monkeys (Macaca mulatta), aged 20, 21, 29, and 30 yr, and in the brains of individuals with AD.