Studies of semantic dementia and PET neuroimaging investigations suggest that the anterior temporal lobes (ATL) are a critical substrate for semantic representation. In stark contrast, classical neurological models of comprehension do not include ATL, and likewise functional MRI studies often fail to show activations in the ATL, reinforcing the classical view. Using a novel application of low-frequency, repetitive transcranial magnetic stimulation (rTMS) over the ATL, we demonstrate that the behavioral pattern of semantic dementia can be mirrored in neurologically intact participants: Specifically, we show that temporary disruption to neural processing in the ATL produces a selective semantic impairment leading to significant slowing in both picture naming and word comprehension but not to other equally demanding, nonsemantic cognitive tasks.repetitive transcranial magnetic stimulation Í semantic cognition Í temporal pole S emantic memory encompasses the meaning of all types of verbal and nonverbal stimuli including words, pictures, objects, and faces. In addition to underpinning comprehension, it also allows us to express knowledge in a wide variety of domains, both verbal (e.g., naming and verbal definitions) and nonverbal (e.g., drawing and object use). As such, it is integral to our everyday lives, and impairments of semantic memory are extremely debilitating. Key questions for neuroscience research, therefore, are which parts of the brain support semantic memory, and how do they function?Various neurological disorders cause impairments of semantic processing; however, the purest syndrome is semantic dementia (SD; the temporal lobe variant of frontotemporal dementia) (1). This neurodegenerative disease results in relatively focal atrophy and hypometabolism of the anterior temporal lobes (ATL) bilaterally (2, 3). SD is characterized by progressive impairment of verbal and nonverbal semantic tasks, with anomia as the first presenting symptom (4-6). Strikingly, other aspects of language and cognition remain largely intact. SD patients have increasing difficulty distinguishing concepts from their semantic neighbors, reflecting an increasing loss of ''semantic acuity'' (6, 7). As such, the patients have greater difficulty activating specific semantic information (e.g., ''zebras have stripes'') than more general properties (e.g., ''zebras are animals'') (6, 8). Likewise, their naming difficulties are graded by specificity (higher naming accuracy for basic-level concepts such as dog than specific ones, e.g., springer spaniel) (9) with errors reflecting more general semantic knowledge (e.g., dog 3 ''animal'').Careful and extensive assessment of SD patients indicates that bilateral anterior temporal lobe regions support the formation of amodal semantic representations. Accordingly, SD patients exhibit poor comprehension of items presented in every modality, including spoken and written words, pictures, environmental sounds, smells, and touch (4, 10, 11). The marked semantic deficit is also apparent in production task...