Alzheimer disease (AD) 2 is the most common form of dementia and a leading cause of death. Amyloid- (A) peptides of varying length (30 -51 amino acid residues) are produced by the sequential, proteolytic processing of the amyloid precursor protein (APP) by -and ␥-secretases (1, 2). In the healthy brain, these protein fragments are normally degraded and eliminated. In the AD brain, the 42-amino acid peptide (A42) is prone to form aggregated amyloid oligomers, which are believed to contribute to plaque formation and cognitive decline (3-6).The ␥-secretase also liberates an intracellular fragment called AICD composed of up to 50 residues depending on N-terminal variations (7-9). The first identification of the APP intracellular fragment (AICD) and its detection in brain tissue (8) immediately suggested that it has transcriptional activity, like the Notch intracellular domain (NICD). Whether amyloid A represents a biologically inert bypass product of APP processing or can harbor its own function is a leading question in the AD field. A is potentially toxic depending on its biophysical state (10). Equimolar amounts of the A peptides and the C-terminal fragment AICD are derived from the -C-terminal fragment C99 (11), which represents the APP fragment generated by the initial APP cleavage by -secretase (Fig. 1).A seminal discovery concerning the transcriptional regulatory function of the APP cytoplasmic tail was the observation of its complex formation with Fe65 and the histone acetyltransferase Tip60 and transcriptional activity in reporter gene assays (12). Transactivation of transcription requires ␥-secretase activity and nuclear translocation of Fe65 but not of AICD under these assay conditions (13). However, other studies detected AICD in transcriptional complexes on promoters of target genes using ChIP (see below).In addition, there is evidence that soluble APP fragments (sAPP) of the ectodomain can modulate gene transcription in stimulating downstream signaling through unknown sAPP receptor(s) (14). Accumulation of intracellular A species in neuronal cells before plaque formation leading to concomitant loss of MAP2 expression suggested that A may affect expression or turnover of other proteins (15-17). However, it was not clarified whether this occurs at the transcriptional or translational level.Using a variety of techniques, the recently detected uptake of A peptides into the nuclei of cultured cells (as well as in vivo) revealed that A42 possesses unique modulatory activity (18). Direct evidence for the presence of (i) nuclear A42 in wildtype animals, (ii) the increased level of nuclear A42 in APPoverexpressing animals, and (iii) the detection of nuclear A in quantities comparable with other transcription factors imply a certain biological relevance.The second major hallmark of AD pathology is the presence of neurofibrillary tangles and is associated with intracellular Tau aggregates called neurofibrillary tangles and with modified Tau (19). Although the neuronal Tau (tubulin-associated unit...