Autosomal dominant forms of familial Alzheimer's disease (FAD) are associated with increased production of the amyloid  peptide, A42, which is derived from the amyloid protein precursor (APP). In FAD, as well as in sporadic forms of the illness, A peptides accumulate abnormally in the brain in the form of amyloid plaques. Here, we show that overexpression of FAD(717 V3 F )-mutant human APP in neurons of transgenic mice decreases the density of presynaptic terminals and neurons well before these mice develop amyloid plaques. Electrophysiological recordings from the hippocampus revealed prominent deficits in synaptic transmission, which also preceded amyloid deposition by several months. Although in young mice, functional and structural neuronal deficits were of similar magnitude, functional deficits became predominant with advancing age. Increased A production in the context of decreased overall APP expression, achieved by addition of the Swedish FAD mutation to the APP transgene in a second line of mice, further increased synaptic transmission deficits in young APP mice without plaques. These results suggest a neurotoxic effect of A that is independent of plaque formation.Alzheimer's disease (AD) is a progressive dementing illness in which the brain becomes littered with neuritic amyloid plaques. These plaques are associated with degenerating neuronal processes and consist primarily of fibrillar aggregates of the amyloid  peptide, A. A is derived from the amyloid protein precursor (APP), presumably via proteolytic cleavage of APP by -and ␥-secretases (1). The predominant forms of A are 40 (A40) or 42 (A42) amino acids in length (2). A42 and A40 appear to be generated in different intracellular compartments, and A42 has a greater propensity to selfaggregate into insoluble fibrils than A40 (3, 4). Various point mutations in three distinct genes (APP, presenilin 1, presenilin 2) have been linked to autosomal dominant forms of familial AD (FAD). Notably, all of these mutations increase the production of A42 (5).Although A has been shown to be neurotoxic in cell culture (6-8), a causal role for A in widespread neuronal degeneration in vivo remains speculative. A particularly controversial question concerns whether A-induced neurotoxicity requires deposition of aggregated A into plaques (9-13). Transgenic mice in which full-length FAD-mutant APPs and A are coexpressed at high levels develop typical neuritic amyloid plaques (14-17). However, loss of neurons so far has been identified in only one of these models (18) whereas two others showed no significant neuronal loss despite extensive cerebral A deposition (19,20). No electrophysiological studies have been reported in these models.In the current study, we investigated in transgenic mice what early effects neuronal expression of full-length, FAD-mutant human APP has on the anatomy and physiology of the hippocampus, a central nervous system structure considered crucial for learning and memory. Our study demonstrates that the development ...