Sequential processing of amyloid precursor protein (APP) by membrane-bound proteases, BACE1 and ␥-secretase, plays a crucial role in the pathogenesis of Alzheimer disease. Much has been discovered on the properties of these proteases; however, regulatory mechanisms of enzyme-substrate interaction in neurons and their involvement in pathological changes are still not fully understood. It is mainly because of the membrane-associated cleavage of these proteases and the lack of information on new substrates processed in a similar way to APP. Here, using RNA interference-mediated BACE1 knockdown, mouse embryonic fibroblasts that are deficient in either BACE1 or presenilins, and BACE1-deficient mouse brain, we show clear evidence that  subunits of voltage-gated sodium channels are sequentially processed by BACE1 and ␥-secretase. These results may provide new insights into the underlying pathology of Alzheimer disease.Alzheimer disease is a progressive neurodegenerative disorder and the most common form of age-dependent dementia. The major pathological features of Alzheimer disease are senile plaques and neurofibrillary tangles, which are the deposits of amyloid  peptide (A) 1 and hyperphosphorylated tau, respectively. It is widely accepted that the sequential processing of APP, a type I membrane protein, by -and ␥-secretases in the brain is crucial for the accumulation of A and disease pathogenesis (1, 2). Although -site APP-cleaving enzyme (BACE1) has been identified to be the -secretase (3-6), a growing body of evidence favors presenilins-1 and -2 as the catalytic core of ␥-secretase (7). Although the properties of both proteases as APP processing enzymes are relatively well established, the regulatory mechanisms of sequential cleavage by both proteases in neurons are not completely clear. This is partly because of the fact that APP and its family proteins are still the only substrates identified for both -and ␥-secretases, although a number of integral membrane proteins have been reported to be processed either by BACE1 (8, 9) or ␥-secretase (10). Identifying new substrates for both -and ␥-secretases in neurons would therefore be useful to further explore the precise mechanism by which BACE1 and ␥-secretase function in cohort.Recently, our laboratory has been focusing on examining the role of voltage-gated sodium channel (VGSC)  in the pathogenesis of Huntington disease and the regulation of APP processing in lipid rafts.2,3 VGSC is a large, multimeric complex that consists of an ␣ subunit and one or more  subunits. To date, nine functional ␣ subunits and four  subunits have been identified (11,12). Although VGSC subunits are not essential to the basic operation of sodium channels, they are considered to be important auxiliary subunits, because co-expression of  subunits are required to reconstitute full properties of the native sodium channel and to modify channel properties and intracellular localization (11,13). In the course of analyzing the VGSC, we found that these subunits are preferentially a...