Alzheimer's disease (AD) and Parkinson's disease (PD) are the two most common neurodegenerative diseases that occur either in relatively rare, familial forms or in common, sporadic forms. The genetic defects underlying several monogenic familial forms of AD and PD have recently been identified, however, the causes of other AD and PD cases, particularly sporadic cases, remain unclear. To gain insights into the pathogenic mechanisms involved in AD and PD, we used a proteomic approach to identify proteins with altered expression levels and/or oxidative modifications in idiopathic AD and PD brains. Here, we report that the protein level of ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), a neuronal de-ubiquitinating enzyme whose mutation has been linked to an early-onset familial PD, is down-regulated in idiopathic PD as well as AD brains. By using a combination of two-dimensional gel electrophoresis and mass spectrometry, we have identified three human brain UCH-L1 isoforms, a full-length form and two amino-terminally truncated forms. Our proteomic analyses reveal that the full-length UCH-L1 is a major target of oxidative damage in AD and PD brains, which is extensively modified by carbonyl formation, methionine oxidation, and cysteine oxidation. Furthermore, immunohistochemical studies show that prominent UCH-L1 immunostaining is associated with neurofibrillary tangles and that the level of soluble UCH-L1 protein is inversely proportional to the number of tangles in AD brains. Together, these results provide evidence supporting a direct link between oxidative damage to the neuronal ubiquitination/de-ubiquitination machinery and the pathogenesis of sporadic AD and PD.Alzheimer's disease (AD) 1 and Parkinson's disease (PD) are the two most common neurodegenerative disorders in humans, however, the causes of AD and PD, particularly the sporadic cases, remain unclear. A prominent feature of AD and PD as well as other neurodegenerative diseases is the accumulation of insoluble proteinaceous deposits, such as senile plaques and neurofibrillary tangles in AD and Lewy bodies in PD (1). Although these deposits have different protein compositions, they all contain ubiquitin and ubiquitinated proteins (2). Interestingly, mutations in two enzymes of the ubiquitination/de-ubiquitination system, parkin and ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), have been identified as causative genetic defects for certain familial forms of PD (3). In familial AD patients, an aberrant form of ubiquitin resulting from a ϩ1 frameshift mutation in the ubiquitin-B gene has been detected (4). Moreover, impaired proteasome function has been reported in idiopathic AD and PD brains (2). Collectively, these different lines of evidence support a role for dysfunction of the ubiquitinproteasome pathway in the pathogenesis of AD and PD.Oxidative stress is another important factor that has been implicated in the pathogenesis of a number of age-related neurodegenerative diseases, including AD and PD (5, 6). Both AD and PD have been associated wit...