Summary Influence of oxidative stress on fusion of pre-synaptic plasma membranes with phosphatidylcholine (PC) liposomes as a model of synaptic vesicle was investigated. The inhibitory effect of vitamin E on the decline in the fusion caused by oxidative stress was also assessed. Rats subjected to hyperoxia as oxidative stress showed significant increases in the levels of lipid hydroperoxides and protein carbonyl moieties in pre-synaptic plasma membranes in the brain. The potential of pre-synaptic membrane surface was decreased markedly. When synaptosomes were incubated with PC liposomes labeled by either rhodamine B or calcein as a fluorescence probe, or 12-doxyl stearic acid as an ESR spin trapping agent, translocation of each probe into oxidatively damaged pre-synaptic membranes was decreased significantly. Fatty acid composition analysis in pre-synaptic membranes obtained from normal rats revealed a marked increase in linoleic acid and a moderate decrease in docosahexaenoic content after the incubation with liposomes. However, rats subjected to hyperoxia did not show marked changes in these fatty acid contents in their pre-synaptic membranes after the incubation. Such changes caused by hyperoxia were inhibited by vitamin E treatment of rats. These results suggest that oxidative damage of pre-synaptic membranes caused by oxidative stress lowers the lipid-mixing for the membrane fusion. The results of this study imply that vitamin E prevents the deficit in neurotransmission at nerve terminals due to the decline in fusion between pre-synaptic membrane and synaptic vesicles caused by oxidative membrane damage. Key Words vitamin E, neurotransmission, synaptic membrane fusion, oxidative damage, lipid-mixing Neurodegenerative diseases such as senile dementia including Alzheimer's disease have been characterized by progressive deterioration of cognitive function ( 1 ). Previous studies on brain aging revealed the high level of oxidative damage in the brain during normal aging, as well as in dementia ( 2 -4 ). Dementia is considered to be an acceleration of normal aging in affected brain regions which undergo progressive damage from reactive oxygen species (ROS) ( 5 ). It is, therefore, reasonable to assume that the deficit in neurotransmission is caused by oxidative damage to nerve terminals through chronic oxidative stress experienced over a long time, resulting in a cognitive dysfunction. In terms of neurodegeneration, the amount of oxidative damage to synapses in the brain regions, which modulate cognitive and motor functions, seems to depend on the protection afforded by several antioxidants ( 6 ). Accordingly, it seems that long-term vitamin E supplementation may prevent the oxidative damage of the nervous system during aging. In fact, a previous report revealed that long-term high-dose supplementation of vitamin E to aged individuals provides significant enhancement in cognitive function ( 7 ). A clinical trial on vitamin E supplementation in patients with moderately severe Alzheimer's disease showed delays in ...