Understanding the specific gene changes underlying the prodromic stages of Alzheimer's disease pathogenesis will aid the development of new, targeted therapeutic strategies for this neurodegenerative disorder. Here, we employed RNA-sequencing to analyze global differential gene expression in a defined model nerve cell line expressing α4β2 nicotinic receptors (nAChRs), high-affinity targets for beta amyloid (Aβ). The nAChR-expressing neuronal cells were treated with nanomolar Aβ 1-42 to gain insights into the molecular mechanisms underlying Aβ-induced neurotoxicity in the presence of this sensitizing target receptor. We identified 15 genes (out of 15,336) that were differentially expressed upon receptor-linked Aβ treatment. Genes up-regulated with Aβ treatment were associated with calcium signaling and axonal vesicle transport (including the α4 nAChR subunit, the calcineurin regulator RCAN3, and KIF1C of the kinesin family). Downregulated genes were associated with metabolic, apoptotic or DNA repair pathways (including APBA3, PARP1 and RAB11). Validation of the differential expression was performed via qRT-PCR and immunoblot analysis in the defined model nerve cell line and primary mouse neurons. Further verification was performed using immunocytochemistry. In conclusion, we identified apparent changes in gene expression on Aβ treatment in the presence of the sensitizing nAChRs, linked to early-stage Aβ-induced neurotoxicity, which may represent novel therapeutic targets. Amyloid-β (Aβ) is a short, potentially neurotoxic peptide derived from amyloid precursor protein (APP) in select regions of the brain 1,2. At "physiological" levels (pM), there is considerable evidence for Aβ functioning as a positive neuromodulator 3-7 , acting through neuronal signaling receptors. In Alzheimer's disease (AD), a progressive neurodegenerative disorder that is the most prevalent cause of dementia, histopathology is mainly characterized by extracellular plaques composed primarily of the Aβ peptide in fibrillar form, intracellular neurofibrillary tangles formed from hyperphosphorylated tau, and neuronal degeneration including extensive loss of cholinergic basal forebrain neurons. In addition, synaptic impairment and loss are central to changes in memory and cognition in AD 8. Notably, during the prodromic phase of AD, soluble oligomeric Aβ levels are dramatically increased (high nM to μM) years before diagnosis (see 9). There is ample evidence that it is the diffusible oligomeric Aβ assemblies that play a role in neurotoxicity 10 and contribute to driving development of synaptic impairment and degeneration, largely through induction of abnormal tau and, later, neuroinflammation 11,12. There remain important questions, however, in regard to the impact of elevated Aβ levels on neuronal function, integrity and viability, in particular altered signaling through known target receptors. Despite extensive understanding of the pathology of AD, differential diagnosis of the disease in the prodromic and early stages has been problematic, part...