The overproduction of ~amyloid (A~) appears to be a primary cause of Alzheimer's disease (AD). Ap can be generated by proteolytic cleavage of precursor protein (pAPP) at I~ and 7-secretasc sites in both disease and normal cells. There is, however, no evidence that proteolytic processing of ~APP in sporadic AD-affected tissues differs qualitatively or quantitatively from that occurring in normal cells, and additional pathways for the enhanced production of A~ in sporadic AD which constitutes the majority of all AD cases should be considered. The major factor limiting the production of A~ in normal cells is cleavage at the ~t-secretase site within the A~ sequence. But, whereas the intact ~APP is a substrate for cleavage at the ~secretase site, the immediate precursor of Ap, 12-kDa C-terminal ~APP fragment, is not susceptible to the ot-secretase cleavage but it can be cleaved by ~secretase thus generating A~. Moreover, the 7-secretase cleavage is not the ratelimiting step in the production of A~. Therefore, the increase in production of the 12-kDa C-terminal ~APP fragment may be an efficient way to overproduce A~. A mechanism for the generation of the 12-kDa fragment independently of pAPP is proposed. It postulates an additional step of amplification of mRNA, namely the antisense RNA-mediated generation of a truncated mRNA encoding 12-kDa C-terminal fragment. Initiation of translation at the first AUG in the truncated mRNA results in a polypeptide that is cleaved by ~'-secretase generating Ap. The proposed model makes several verifiable predictions and suggests new directions of experimentation that may lead to a better understanding of the mechanisms involved in AD.Key words: Alzheimer's disease; ~-Amyloid precursor protein (pAPP); [~-Amyloid (AI~); [~-Amyloid overproduction; Antisense RNA; mRNA replication cells from patients with a defect in the S182 gene, associated with the most common form of the early-onset AD, make abnormally high amounts of Ap [5]; Down syndrome, associated with trisomy 21 and, consequently, increased dosage of the 13APP gene which is located on chromosome 21, is characterized by increased levels of pAPP gene expression and by the early cerebral deposition of AI~ [6,7]. The most convincing evidence for the notion that overproduction of Ap is sufficient to trigger AD comes from experiments with transgenic mice overexpressing full-length human pAPP, which generate high levels of AI~ and develop AD-like neuropathology [8].AI~ can be produced by proteolysis of pAPP, a process that occurs constitutively in both normal and AD-affected tissues as well as in cultured cells [8][9][10][11][12], and its overproduction in AD is currently explained in terms of proteolytic processing of I~APP. pAPP proteolysis is effected by yet to be identified enzymes designated t~-, [~-and y-secretases ( Fig. 1) and occurs at Met596/Asp 597 (13-secretase; pAPP695 numbering), at Lys612/Leu 613 (ct-secretase) and between Va1635 and Thr 639 (y-secretase). Cleavage by 13-secretase generates an ectodomain fragmen...