Amyloid plaques are a neuropathological hallmark of Alzheimer's disease (AD), but their relationship to neurodegeneration and dementia remains controversial. In contrast, there is a good correlation in AD between cognitive decline and loss of synaptophysin-immunoreactive (SYN-IR) presynaptic terminals in specific brain regions. We used expression-matched transgenic mouse lines to compare the effects of different human amyloid protein precursors (hAPP) and their products on plaque formation and SYN-IR presynaptic terminals. Four distinct minigenes were generated encoding wild-type hAPP or hAPP carrying mutations that alter the production of amyloidogenic A peptides. The platelet-derived growth factor  chain promoter was used to express these constructs in neurons. hAPP mutations associated with familial AD (FAD) increased cerebral A 1-42 levels, whereas an experimental mutation of the -secretase cleavage site (671 M3I ) eliminated production of human A.High levels of A 1-42 resulted in age-dependent formation of amyloid plaques in FAD-mutant hAPP mice but not in expression-matched wild-type hAPP mice. Yet, significant decreases in the density of SYN-IR presynaptic terminals were found in both groups of mice. Across mice from different transgenic lines, the density of SYN-IR presynaptic terminals correlated inversely with A levels but not with hAPP levels or plaque load. We conclude that A is synaptotoxic even in the absence of plaques and that high levels of A 1-42 are insufficient to induce plaque formation in mice expressing wild-type hAPP. Our results support the emerging view that plaque-independent A toxicity plays an important role in the development of synaptic deficits in AD and related conditions.