Based on a variety of genetic, biochemical, and neuropathological evidence, amyloid- peptide (A) has been suggested to be causal in Alzheimer's disease (AD). A has been shown to mediate neurodegenerative and inflammatory changes associated with amyloid plaques, as well as exert direct neurotoxicity through oligomeric forms of A. The mechanism of A toxicity, however, remains largely unknown. In this work, we show that an early event after exposure of postmitotic neurons to A is tyrosine phosphorylation of FISH adapter protein. FISH binds to and potentially regulates certain ADAM family members. We present evidence that FISH and ADAM12 mediate the neurotoxic effect of A. Expression of an ADAM12 protease-deficient mutant (ADAM12⌬MP) blocks A-induced neuronal death, and expression of an N-terminal fragment of FISH reduces A toxicity. The Cterminal fragment of FISH containing the ADAMs binding region is found to be sufficient for induction of neuronal death, which is prevented by coexpression of the ADAM12⌬MP. A treatment, as well as expression of the C-terminal toxic FISH fragment, induces accumulation of ADAM12 N-terminal cleavage product in conditioned medium, demonstrating activation of the ADAM metalloprotease͞sheddase activity. ADAM12 protein is reduced in AD brains, pointing to a possible increase in ADAM12 proteolytic activity. These data suggest that A toxicity is mediated by FISH and ADAM12 and may provide insights into therapeutic strategies for AD treatment.Alzheimer's disease A lzheimer's disease (AD) is characterized by accumulation of amyloid- peptide (A), tau phosphorylation, paired helical filament formation, and massive neurodegeneration (1), which is thought to result from the deposition of A in the cortex and hippocampus. It has been shown that A induces neuronal death in vitro (2), and several proteins have been proposed for the role of the specific A receptor (3-6), although little information is available about early steps of the signaling pathway that mediates A neurotoxicity (7). c-Jun N-terminal kinase as well as the p38 kinase cascades have been implicated as downstream effectors mediating the A-induced neuronal death (8-11). Several reports have suggested that activation of tyrosine kinases may play a role in A-induced neuronal death (12, 13) or may have a neuroprotective function, as was shown for nicotinic receptor-dependent Jak2 kinase activation, which is induced by nicotine, but not A, binding to the receptor (14). Some other putative A receptors are thought to signal through G proteins (5, 15), which might implicate tyrosine kinase activity in downstream signaling (reviewed in ref. 16), although the kinase substrates functionally involved in A toxicity are not known. In an attempt to identify these substrates in an in vitro model of A toxicity, we used a panel of anti-phosphotyrosine site-specific antibodies to probe a whole-cell lysate (WCL) of A-treated and control human cortical cultures (HCC). Because our search for proteins phosphorylated on tyrosine resi...