Prostate apoptosis response-4 (Par-4) is a leucine zipper protein that promotes neuronal cell death in Alzheimer's disease (AD). Neuronal degeneration in AD may result from extracellular accumulation of amyloid  peptide (A) 1-42. To examine the effect of Par-4 on A secretion and to reconcile amyloid/apoptosis hypotheses of AD, we generated IMR-32 cell lines that overexpress Par-4 and/or its leucine zipper domain. Overexpression of Par-4 did not significantly affect levels of the endogenously expressed  amyloid precursor protein but drastically increased the A 1-42 /A total ratio in the conditioned media about 6 -8 h after trophic factor withdrawal. Time course analysis of caspase activation reveals that Par-4 overexpression exacerbated caspase activation, which is detectable within 2 h after trophic factor withdrawal. Furthermore, inhibition of caspase activity by the broad spectrum caspase inhibitor BDfmk significantly attenuated the Par-4-induced increase in A 1-42 production. In addition, the effects of Par-4 on secretion of A 1-42 were consistently blocked by co-expression of the leucine zipper domain, indicating that the effect of Par-4 on A secretion may require its interaction with other protein(s). These results suggest that Par-4 increases secretion of A 1-42 largely through a caspase-dependent pathway after apoptotic cascades are initiated.Mutations in familial Alzheimer's disease genes, such as -amyloid precursor protein (APP) 1 , presenilin-1, and presenilin-2, have been shown to regulate the processing of APP and result in increased production of the longer form of amyloid  peptide (A), A 1-42 (1-5). It is widely accepted that neuronal degeneration in AD is caused by extracellular accumulation of A 1-42. On the other hand, all three familial Alzheimer's disease genes have been shown to regulate neuronal apoptosis, suggesting that dysregulation of apoptotic pathways may play an important role in neuronal degeneration in AD (6 -10). Importantly, abnormal processing of APP and increased production of A may be induced by apoptotic insults (11)(12)(13)(14). Several studies show that APP in neuronal cells can be processed by caspase-6 and -8 and that this processing can be blocked by caspase inhibitors (12, 15).We recently identified Par-4 as a novel cell death-promoting protein associated with neuronal degeneration in AD (16, 17 -42 (18 -20). These data strongly suggest that induction of Par-4 is an important and necessary event in the pathogenic mechanisms of Alzheimer's presenilin-1 mutations and is very likely involved in the abnormal processing of APP during the apoptotic process. To provide better solutions for the treatment of Alzheimer's disease, it is very important to reconcile amyloid/apoptosis hypotheses of AD and examine how Par-4 might alter APP processing during apoptosis, leading to increased production of the neurotoxic A 1-42.The cell types responsible for overproduction of A 1-42 are not completely known, although it has been suggested that A 1-42 is produced by huma...