The trisomy 16 (Ts16) mouse, which shares genetic and phenotypic homologies with Down syndrome, exhibits impaired development of the basal forebrain cholinergic system. Basal forebrains obtained from Ts16 and euploid littermate fetuses at 15 days of gestation were dissociated and cultured in completely defined medium, with cholinergic neurons identified by choline acetyltransferase (ChAT) immunoreactivity. The Ts16 cultures exhibited fewer ChAT-immunoreactive neurons, which were smaller and emitted shorter, smoother, and more simplified neurites than those from euploid littermates. Whereas the addition of fl-nerve growth factor (100 ng/ml) augmented the specific activity of ChAT and neuritic extension for both Ts16 and euploid cholinergic neurons, only Ts16 cultures exhibited an increase in the number and size of ChAT-immunoreactive neurons. Furthermore, Ts16 ChAT-immunoreactive neurites formed varicosities only in the presence of fl-nerve growth factor.Essentially all individuals with Down syndrome (DS) develop the neuropathologic alterations ofAlzheimer disease (AD) by the fourth decade (1). DS results from trisomy of chromosome 21 (HSA 21) or, in rare cases, triplication of the distal portion of the long arm of HSA 21. Synaptic neurochemical studies have demonstrated that, as in AD (2), brains of DS individuals with AD pathology also exhibit significant reductions in choline acetyltransferase (ChAT), the presynaptic marker for cholinergic neurons, in the cerebral cortex (3). Furthermore, studies of the basal forebrain (BF) of young individuals with DS revealed a reduced complement of presumptive cholinergic neurons prior to the onset of AD neuropathology (4), although a quantitative neurochemical study did not demonstrate a reduction in presynaptic cholinergic markers in the cerebral cortex and related structures in young individuals with DS (5).Gene mapping studies have revealed remarkable genetic homology between a portion of the distal end of long arm of HSA 21 and the distal end of mouse chromosome 16 (MMU 16) (6-8). At least six genes and two anonymous DNA sequences are shared between the two chromosomes. Where the spatial relationships among these genes have been identified, their relationships are preserved between the two species, suggesting that there may also be genetic homology in other genes in this region yet to be mapped. Of particular note are the shared location of the gene encoding the amyloid precursor protein (7) and two anonymous DNA sequences (8) that have been linked to an autosomal dominant hereditary form of AD (9). Because of the genetic homology between portions of MMU 16 and HSA 21, mice with trisomy of MMU 16 (Ts16) may provide a useful genetic model for determining the neurobiologic consequences of triplication of genes shared between HSA 21 and MMU 16, which may contribute to the DS phenotype and its risk for AD (10).