-Amyloid precursor protein apparently undergoes at least three major cleavages, ␥-, ⑀-, and the newly identified -cleavage, within its transmembrane domain to produce secreted -amyloid protein (A). However, the roles of ⑀-and -cleavages in the formation of secreted A and the relationship among these three cleavages, namely ⑀-, -, and ␥-cleavages, remain elusive. We investigated these issues by attempting to determine the formation and turnover of the intermediate products generated by these cleavages, in the presence or absence of known ␥-secretase inhibitors. By using a differential inhibition strategy, our data demonstrate that A 46 is an intermediate precursor of secreted A. Our co-immunoprecipitation data also reveal that, as an intermediate, A 46 is tightly associated with presenilin in intact cells. Furthermore, we identified a long A species that is most likely the long sought after intermediate product, A 49 , generated by ⑀-cleavage, and this A 49 is further processed by -and ␥-cleavages to generate A 46 and ultimately the secreted A 40/42 . More interestingly, our data demonstrate that ␥-cleavage not only occurs last but also depends on -cleavage occurring prior to it, indicating that -cleavage is crucial for the formation of secreted A. Thus, we conclude that the C terminus of secreted A is most likely generated by a series of sequential cleavages, namely first ⑀-cleavage which is then followed by -and ␥-cleavages, and that A 46 produced by -cleavage is the precursor of secreted A 40/42 .The mechanism of the formation of the -amyloid protein (A) 2 is the central issue in Alzheimer disease research, not only because A is the major constituent of senile plaques, one of the neuropathological hallmarks of Alzheimer disease, but also because A formation may be a causative event in the disease (1). A is proteolytically derived from a large single transmembrane protein, the -amyloid precursor protein (APP), as a result of sequential cleavages by -and ␥-secretases (1). -Secretase has been identified as a type I membrane aspartyl protease (2, 3). Although the exact nature of ␥-secretase is still a matter of debate, accumulating evidence supports the idea that ␥-secretase is a multiple molecular complex composed of, at least, presenilins, nicastrin, Aph-1, and Pen-2 and that presenilin may function as the catalytic subunit (4).In understanding the mechanism by which the C termini of secreted A are generated during the processing of APP, three major intramembranous cleavages have been established. The first one is the cleavage now specifically referred to as ␥-cleavage (5), which produces the C termini of most of the secreted A species that end at amino acids 40 (A40) or 42 (A42) of the A sequence. The second one is the ⑀-cleavage occurring between A residues 49 and 50, which produces the N terminus of most of the APP intracellular domain (AICD) (5-8). The identification of this ⑀-cleavage site raises a question as to whether this ⑀-cleavage is obligatory for the generation of the...