CHT1 is a Na؉ -and Cl ؊ -dependent, hemicholinium-3 (HC-3)-sensitive, high affinity choline transporter. Par-4 (prostate apoptosis response-4) is a leucine zipper protein involved in neuronal degeneration and cholinergic signaling in Alzheimer's disease. We now report that Par-4 is a negative regulator of CHT1 choline uptake activity. Transfection of neural IMR-32 cells with human CHT1 conferred Na ؉ -dependent, HC-3-sensitive choline uptake that was effectively inhibited by cotransfection of Par-4. Mapping studies indicated that the C-terminal half of Par-4 was physically involved in interacting with CHT1, and the absence of Par-4⅐CHT1 complex formation precluded the loss of CHT1-mediated choline uptake induced by Par-4, indicating that Par-4⅐CHT1 complex formation is essential. Kinetic and cell-surface biotinylation assays showed that Par-4 inhibited CHT1-mediated choline uptake by reducing CHT1 expression in the plasma membrane without significantly altering the affinity of CHT1 for choline or HC-3. These results suggest that Par-4 is directly involved in regulating choline uptake by interacting with CHT1 and by reducing its incorporation on the cell surface.Cholinergic neurotransmission plays a major role in the regulation of many physiological functions (1-3). For example, basal forebrain cholinergic neurons are involved in learning and memory processes, and hypoactivity of the cholinergic system may be directly responsible for the cognitive deficit in Alzheimer's disease (AD) 1 (4 -8). Reductions in choline acetyltransferase (ChAT) activity and a profound loss of cholinergic neurons in the nucleus basalis magnocellularis have been observed in AD brain (5-12). High affinity choline uptake is generally believed to be the rate-limiting step in acetylcholine synthesis in cholinergic neurons and is essential for cholinergic transmission in the central nervous system (13-16). Reduced choline uptake has been implicated in degenerating neurons in AD (15, 17), although spared cholinergic nerve terminals in AD may show a compensatory increase in choline uptake (18,19).CHT1 is a Na ϩ -and Cl Ϫ -dependent, hemicholinium-3 (HC-3)-sensitive, high affinity choline transporter, and it is located specifically in cholinergic neurons (13). The human CHT1 (hCHT1) gene is ϳ25 kb in length, contains nine exons, and has been mapped to chromosome II at 20,21). The hCHT1 protein is composed of 580 amino acids with a predicted molecular mass of ϳ63 kDa. Sequence analysis of the hCHT1 protein predicts 13 transmembrane domains (13,20,21). Par-4 (prostate apoptosis response-4) is a leucine zipper protein that plays an important role in neuronal dysfunction and cell death in neurodegenerative disorders (22-28). Levels of Par-4 expression are significantly increased in cortical, hippocampal, and cholinergic neurons in in vivo and in vitro models of AD (24), and blockade of Par-4 expression prevents neuronal death (23,24,27,29). In addition, Par-4 contributes to apoptosis and aberrant production of amyloid -peptide 1-42 in neural cells ...