Amyloid β-Mediated Cell Death of Cultured Hippocampal Neurons Reveals Extensive Tau Fragmentation without Increased Full-length Tau Phosphorylation*

A variety of genetic and biochemical evidence suggests that amyloid β (Aβ) oligomers promote downstream errors in Tau action, in turn inducing neuronal dysfunction and cell death in Alzheimer and related dementias. To better understand molecular mechanisms involved in Aβ-mediated neuronal cell death, we have treated primary rat hippocampal cultures with Aβ oligomers and examined the resulting cellular changes occurring before and during the induction of cell death with a focus on altered Tau biochemistry. The most rapid neuronal responses upon Aβ administration are activation of caspase 3/7 and calpain proteases. Aβ also appears to reduce Akt and Erk1/2 kinase activities while increasing GSK3β and Cdk5 activities. Shortly thereafter, substantial Tau degradation begins, generating relatively stable Tau fragments. Only a very small fraction of full-length Tau remains intact after 4 h of Aβ treatment. In conflict with expectations based on suggested increases of GSK3β and Cdk5 activities, Aβ does not cause any major increases in phosphorylation of full-length Tau as assayed by immunoblotting one-dimensional gels with 11 independent site- and phospho-specific anti-Tau antibodies as well as by immunoblotting two-dimensional gels probed with a pan-Tau antibody. There are, however, subtle and transient increases in Tau phosphorylation at 3–4 specific sites before its degradation. Taken together, these data are consistent with the notion that Aβ-mediated neuronal cell death involves the loss of full-length Tau and/or the generation of toxic fragments but does not involve or require hyperphosphorylation of full-length Tau.

A variety of genetic and biochemical evidence suggests that amyloid ␤ (A␤) oligomers promote downstream errors in Tau action, in turn inducing neuronal dysfunction and cell death in Alzheimer and related dementias. To better understand molecular mechanisms involved in A␤-mediated neuronal cell death, we have treated primary rat hippocampal cultures with A␤ oligomers and examined the resulting cellular changes occurring before and during the induction of cell death with a focus on altered Tau biochemistry. The most rapid neuronal responses upon A␤ administration are activation of caspase 3/7 and calpain proteases. A␤ also appears to reduce Akt and Erk1/2 kinase activities while increasing GSK3␤ and Cdk5 activities. Shortly thereafter, substantial Tau degradation begins, generating relatively stable Tau fragments. Only a very small fraction of fulllength Tau remains intact after 4 h of A␤ treatment. In conflict with expectations based on suggested increases of GSK3␤ and Cdk5 activities, A␤ does not cause any major increases in phosphorylation of full-length Tau as assayed by immunoblotting one-dimensional gels with 11 independent site-and phosphospecific anti-Tau antibodies as well as by immunoblotting twodimensional gels probed with a pan-Tau antibody. There are, however, subtle and transient increases in Tau phosphorylation at 3-4 specific sites before its degradation. Taken together, these data are consistent with the notion that A␤-mediated neuronal cell death involves the loss of full-length Tau and/or the generation of toxic fragments but does not involve or require hyperphosphorylation of full-length Tau.
Many neurodegenerative diseases are characterized by the accumulation of aggregated proteins in the brain. For example, the microtubule-associated protein Tau forms aggregates in a variety of neurodegenerative diseases known as tauopathies, including Alzheimer, frontotemporal dementia and parkinsonism linked to chromosome 17 (FTDP-17), progressive supranu-clear palsy, corticobasal degeneration, and related dementias (1,2). Alzheimer disease is distinguished from many other tauopathies by accumulation of a second pathological feature known as amyloid ␤ (A␤) 3 plaques (3,4). Complementary genetic evidence demonstrates that errors in the action or regulation of either Tau or the amyloid precursor protein (which is proteolytically cleaved to produce A␤) can cause neuronal cell death and dementia in humans (5). Furthermore, experiments in both cultured rodent hippocampal neurons and transgenic mice demonstrate that A␤-mediated neuronal cell death and memory deficits require Tau (6,7). Taken together, the data suggest an intrinsic relationship between A␤ and Tau dysfunction. Indeed, the widely cited "amyloid cascade hypothesis" proposes that A␤ oligomers induce aberrant effects on Tau, which in turn promotes neurodegeneration and dementia (8 -10).
One central feature of Alzheimer and related dementias is that Tau isolated from affected brains is hyperphosphorylated (11,12). This observation led investigators to search upstream of Tau for A␤-induced effects on the regulation of Tau-targeting kinases and phosphatases and downstream of Tau for deleterious consequences of Tau hyperphosphorylation. Unfortunately, our knowledge of the many biochemical events upstream and downstream of Tau remains poorly understood. It is known, however, that A␤ induces increased activity of several Tau-targeting kinases, including GSK3␤ and Cdk5 (13,14). Additionally, hyperphosphorylated Tau has been shown to possess a reduced ability to bind and regulate microtubule behavior (15) while harboring an increased propensity to aggregate (16). Furthermore, A␤-triggered protease activity mediates Tau fragmentation, producing potentially toxic Tau species (17,18). A better understanding of initial A␤-induced events and subsequent alterations to Tau as well as how these events relate to neuronal cell death is key to determining the molecular mechanisms underlying Alzheimer disease progression.
To explore the detailed molecular basis of A␤ action, with a focus on Tau dysfunction, we treated primary rat hippocampal neurons with A␤ and analyzed downstream events. Surprisingly, the data demonstrate that although GSK3␤ and Cdk5 appear to be activated, A␤ treatment does not dramatically affect site-specific Tau phosphorylation at any of 11 distinct sites analyzed, including known GSK3␤ and Cdk5 sites, many of which are believed to be involved in pathological Tau dysfunction. In contrast, A␤ treatment does cause rapid induction of calpain and caspase 3/7 proteases, demonstrated through inhibitor pretreatments to be responsible for dramatic Tau degradation. The A␤-induced Tau fragments are stable and appear to be phosphorylated at multiple sites. Neuronal cell death follows, which we suggest results from the combined effects of accumulated Tau fragments as well as alterations to full-length Tau. These observations have important implications for understanding the molecular basis of neuronal cell death involved in the onset and progression of Alzheimer disease.

EXPERIMENTAL PROCEDURES
A␤ Oligomer Preparation-Human A␤ 1-42 (Bachem) was solubilized and aggregated to enrich for soluble oligomers as described in Kayed et al. (19). Briefly, 1 mg of lyophilized A␤ peptide was resuspended in 400 l of hexafluoroisopropanol and diluted 1:10 in sterile water. Insoluble material was removed by centrifugation at 20,000 ϫ g for 10 min, and the supernatant was subjected to a gentle stream of nitrogen gas to evaporate the hexafluoroisopropanol solvent. Next, the solution was stirred at 500 rpm for 48 h at room temperature to promote oligomerization. Aggregated insoluble fibrils were subsequently removed by centrifugation for 10 min at 20,000 ϫ g, and the concentration of the supernatant was determined spectrophotometrically using an extinction coefficient (⑀ 280 ) for A␤ of 1490 M Ϫ1 cm Ϫ1 , as described in Jan et al. (20). Generally speaking, ϳ75% of the starting A␤ peptide is removed as insoluble material, leaving an A␤ oligomer concentration in the soluble fraction at ϳ15 M (supplemental Fig. 1). The spectrophotometric analysis was verified using a BCA colorimetric assay on the final A␤ stock solution. A␤ was added to cells immediately after the concentration determination. Both the stock solution and the resulting A␤ diluted in culture media for neuronal treatments consists of monomers and a variety of higher order A␤ oligomers (supplemental Fig. 1).
Cell Culture-Hippocampal cultures were prepared from embryonic Spraque-Dawley rats as described (21,22). All animal work was performed in strict compliance with all applicable federal and local regulations for the proper use of animals in research. Briefly, hippocampi were dissected from E18/19 rat fetuses in Hepes-buffered Hank's balanced salt solution (Invitrogen), trypsinized (0.25%) for 10 min at 37°C, triturated with fire-polished Pasteur pipettes, and plated at medium to high density in DMEM with 5% fetal bovine serum on poly-L-lysinecoated culture dishes (2 ϫ 10 6 cells/100 mm-dish, 3 ϫ 10 5 cells/ well in 6-well dishes, and 1 ϫ 10 4 cells/well in 96-well dishes). After 16 h, the medium was changed to Neurobasal medium supplemented with L-glutamine, 2% B-27, and 0.2% penicillin/ streptomycin (Invitrogen). Subsequent half-media changes were performed every 3-4 days for 15 days, at which time A␤ treatments were initiated. This duration in culture was used because at this point cells express equal amounts of three-repeat Tau and four-repeat Tau (data not shown), which mimics the Tau isoform ratio in adult human brain (23). For immunofluorescence microscopy, hippocampal neurons were plated at low density (1 ϫ 10 4 cells/well) on poly-L-lysine-coated Per-manox TM 8-well chamber slides (Lab-Tek) and cultured as described above.
A␤ Treatments-Immediately after preparation of soluble oligomers, the A␤ solution was diluted to between 0.16 and 2.5 M in neuronal culture media derived as half-fresh media and half-conditioned media from cultures, as performed for the half-media changes described above. Neurons were exposed to A␤ for various times ranging from 1 min to 72 h. Untreated control neurons were exposed to the same volume of culture media with a mock dilution to mimic A␤ administration.
Inhibitor Treatments-Neurons were preincubated with inhibitors for 1 h before and during the duration of exposure to A␤. The calpain inhibitor Z-L-Abu-CONH-ethyl (Calpain inhibitor X: Calbiochem) was used at 1 M, diluted in media from a DMSO stock solution of 200 M. The caspase inhibitor benzyloxycarbonyl-VAD-fluoromethyl ketone (Calbiochem) was used at 50 M, diluted in media from a DMSO stock solution of 5 mM.
Cell Death Assays-After A␤ treatment for specified lengths of time, neurons were analyzed for cell death using two independent assays. The CellTiter Glo (Promega) assay quantifies the ATP content of the primary cultures. Neurons were plated directly in 96-well dishes and treated with A␤, and the ATP content of the cells was measured at various time points. The luminescent values were normalized between untreated control cells (100% viable) and a cell death control treatment of 200 M staurosporine for 24 h (0% viable), which consistently gave luminescent readings only slightly above background (wells with culture media but without cells). The CytoTox-ONE TM (Promega) assay measures lactate dehydrogenase released into the culture media through compromised cell membranes (24). 100 l of media was removed from A␤-treated cells and placed into 96-well dishes in triplicate. The neurons were subsequently used for parallel immunoblot or microscopic analyses. LDH activity in the media was measured as per the manufacturer's protocol, and fluorescent values were normalized between untreated controls (100% viable) and Triton X lysis controls to represent the maximum amount of LDH available for release (0% viable).
Immunoblotting-Whole-cell lysates were prepared from hippocampal neurons cultured in 100 mm or 6-well dishes. An SDS-radioimmune precipitation assay lysis buffer (50 mM Tris-HCl, pH 7.6, 150 mM NaCl, 5 mM EDTA, 0.5% Triton X-100, 0.5% Nonidet P-40, 0.1% SDS, and 0.1% sodium deoxycholate) with freshly added protease (Thermo 78410) and phosphatase (Sigma P2850 and P5726) inhibitor cocktails was used for lysis. After 1 h of lysis buffer treatment at 4°C, insoluble material was removed by centrifugation for 10 min at 20,000 ϫ g, and protein concentration of the lysate was determined using a BCA assay (Thermo). Cortical tissue from adult Tau knock-out mouse brain, a kind gift from Hana Dawson (Duke University), was lysed similarly. 10 -20 g of each lysate was fractionated on 8, 12, or 4 -20% SDS-PAGE gels, depending on the size of the band(s) of interest. After transferring to nitrocellulose membranes, the blots were probed with various primary antibodies listed in Table 1. When appropriate, the same blot was probed for a housekeeping protein such as GAPDH to serve as a loading control. Secondary antibodies conjugated to AlexaFluor 680 (1:10,000 Molecular Probes) or IRDye 800CW (1:10,000 Odyssey) were used for detection followed by imaging on a LiCor Odyssey Infrared Imager (Odyssey). Quantitation was performed using LiCor software (Odyssey), and target protein density was normalized to GAPDH internal controls.
Two-dimensional Immunoblotting-Protein was isolated from neurons using an SDS lysis buffer with freshly added protease and phosphatase inhibitor cocktails (described above) and prepared for two gels using the ReadyPrep 2-D clean-up kit (Bio-Rad). Protein concentration was determined using a BCA assay, and the lysate was diluted to 1 mg/ml. 200 g of protein was focused isoelectrically between pH 5-8 on an 11-cm immobilized pH gradient strip using the Protean IEF Cell (Bio-Rad). The focused strips were then fractionated using 12% Criterion XT Bis-Tris precast gels (Bio-Rad). After transferring the two-dimensional separated samples to a nitrocellulose membrane, blots were probed with the primary pan-Tau antibody ( Table 1, see also supplemental Fig. 2 for specificity controls). Secondary antibodies conjugated to horseradish peroxidase (1:2500, GE Healthcare) were used for protein detection with SuperSignal West Dura chemiluminescence substrate (Pierce). An EPI-Chemi Darkroom system and Labworks software (UVP Laboratory Systems) were used to image the protein blots.
Immunofluorescence Microscopy-Neurons cultured in chamber slides (described above) were fixed for 20 min with 4% paraformaldehyde in phosphate-buffered saline. Double immunolabeling was performed using pan-Tau and tubulin antibodies as indicated. For detection, tubulin antibodies directly conjugated to FITC were used (1:100, Sigma), whereas Tau antibodies were detected with either an anti-mouse Cy3 or an anti-rabbit Cy3 secondary antibody (1:200, The Jackson Labs, West Grove, PA).
Protease Activity Assays-Neurons cultured in 96-well dishes were directly measured for caspase 3/7 and calpain protease activities using substrates that upon cleavage release luminescent signals. Caspase 3/7 activity was measured using the Caspase-Glo 3/7 assay (Promega). Luminescent measurements from A␤-treated wells (triplicate) were normalized to control, mock-treated wells (set to 1). Calpain activity was measured using the Calpain-Glo assay (Promega) and analyzed in the same fashion as the caspase assay.
Statistical Analyses-The significance of cell death and protease activity induced by A␤ treatments was analyzed by twotailed unpaired Student's t test comparing treated sample data to untreated data from the same time point. Western blot densitometry data were analyzed and normalized for GAPDH housekeeping levels followed by -fold intensity comparisons between untreated and A␤ treatments for each time point. Values obtained from three independent experiments were analyzed by two-tailed unpaired Student's t test. Significant values are indicated and determined to have p Ͻ 0.05.

RESULTS
Over the past few years, a number of independent lines of evidence have converged to demonstrate that Tau is intrinsically involved in A␤-mediated neuronal dysfunction and cell death (6,7,25,26). The present work investigates molecular mechanisms underlying A␤-induced cell death by identifying A␤-mediated biochemical and cell biological effects on cultured primary neuronal cells, with an emphasis on Tau biochemistry, before, and during the period of cell death.

Significant Cell Death of Primary Rat Hippocampal Cultures Occurs between 8 and 24 h of Exposure to Soluble A␤ Oligomers-
To define an appropriate time frame to analyze biochemical and cell biological changes induced by A␤, we first determined the time-course of A␤-mediated cell death in primary rat hippocampal neurons using two independent assays. Our initial cell death assay, measuring ATP content in cells, yielded a dosedependent effect with A␤ treatment generating significant cell death between 8 and 24 h of exposure to 1.25-2.5 M A␤ (Fig.  1A). Lower A␤ concentrations also caused cell death but required longer durations. A concentration of 2.5 M A␤ was chosen for all subsequent analyses because of the rapidity of the response (ϳ50% cell death in 24 h) and because this concentration is comparable with many previous cell culture studies assessing A␤ induced cell death (19,27). Our A␤ preparation includes multiple oligomeric states (monomers, dimers, and higher order oligomers), and although it remains controversial which oligomeric state(s) contributes to toxicity, it is possible that multiple oligomer states converge in toxic function producing the rapidity and potency we observe in our assays (28,29) (see supplemental Fig. 1 for our A␤ preparation analysis).
To confirm our time-course of A␤-mediated neuronal cell death, we employed an independent cell death assay measuring the release of lactate dehydrogenase (24) into the media, thereby reflecting a compromised membrane structure. The pattern of LDH release in this assay was similar in kinetics and the extent to the loss of ATP in the previous cell death measurements (Figs. 1, A and B).
We next examined neuronal cell morphology at various times during a 24-h A␤ time-course using immunofluorescence microscopy to image both tubulin and Tau (Fig. 1C). The anti-tubulin images demonstrated that the neurons retained a relatively normal morphology for at least 8 h of exposure to A␤. However, by 24 h, the anti-tubulin labeling revealed a beaded neuritic morphology characteristic of dead or dying neurons. The anti-Tau images presented a similar general pattern, with the exception of the 8-h time point. At this time, despite the fact that the overall neuronal morphology was largely intact, the Tau signal decreased noticeably, especially in the distal regions of the neurites. In contrast, Tau remains readily detectable in the soma. At 24 h, the Tau signal was almost completely absent from the neurites and only remained in the cell body. Taken together, the cell death assays and imaging data both indicate that extensive neuronal cell death occurs between 8 and 24 h of exposure to 2.5 M A␤.
A␤ Induces Rapid Biochemical Changes in Erk1/2, Akt, GSK3␤, and Cdk5 Indicative of Inactivation of Erk1/2 and Akt and Activation of GSK3␤ and Cdk5 Kinases-We next sought to explore the effects of A␤ treatment on neuronal cell signaling before and during the induction of cell death. Whole cell protein lysates were prepared from primary rat hippocampal neurons treated with A␤ for durations of between 3 min and 24 h. To assess relative changes in the activities of individual signaling proteins in these lysates, we immunoblotted with pairs of antibodies specific to each protein of interest. One antibody of each pair detected a phospho-epitope corresponding to the active state (or inactive state) of the signaling protein, whereas the other detected total protein independent of phosphorylation. We conducted a preliminary screen of numerous candidate signaling proteins to determine which might be affected by A␤ treatment. Most revealed little or no effect, including PTEN, ELK, RAF, DARPP32, Pin1, Bim, NFB, and IKK␣/␤ (data not shown). On the other hand, the preliminary screen indicated robust effects of A␤ on Erk1/2 and Akt signaling, consistent with previous work (30,31), leading us to perform a more detailed kinetic analysis of these two signaling cascades that could be correlated with the kinetics of additional biochemical changes induced by A␤ and eventual neuronal cell death (see below).
A␤-treated neurons demonstrated a remarkably rapid reduction in the level of Akt phosphorylation on its activation loop at serine 473, suggesting decreased Akt activity ( Fig. 2A). Indeed, phospho-Akt decreased by 35% within only 3 min of exposure to A␤. The reduced phospho-Akt level was maintained throughout the entire 24-h time-course, with only minor reductions in total Akt abundance late in the time-course when cell death becomes prominent. A similar, albeit perhaps slightly slower, pattern was observed for Erk1/2 (Fig. 2B). For both phospho-Akt and phospho-Erk1/2, signal intensity levels decreased ϳ6-fold after only 2 h of A␤ treatment.
Akt can regulate GSK3␤ activity (32), which is widely believed to regulate normal and pathological Tau activity through its ability to phosphorylate multiple sites on Tau (33). More specifically, Akt can phosphorylate GSK3␤ at serine 9, thereby suppressing GSK3␤ kinase activity (34). Therefore, we next assayed the A␤ time-course lysates for phospho-GSK3␤. Phospho-GSK3␤ levels rapidly declined with A␤ treatment (ϳ13-fold; Fig. 2C), revealing a time-course similar to or perhaps slightly slower than the phospho-Akt time-course. These data suggest rapid changes in activity levels of both kinases, consistent with a mechanism in which A␤ inactivates Akt, thereby relieving suppression of GSK3␤ activity.
Finally, we assessed A␤ effects upon the production of p25, an activator of Cdk5 activity, that is also widely held to regulate normal and pathological Tau activity (35,36). Because p25 is generated via proteolytic processing of p35 (37), we indirectly assessed Cdk5 activity across the A␤ time-course by immuno-blotting with an antibody recognizing both p25 and p35 and determining the relative abundance of each. Again, we observed a relatively rapid production of p25 beginning 10 min after A␤ administration and reaching maximal levels (ϳ20fold) after 8 h (Fig. 2D).
The relative signal intensities examined above are summarized in Fig. 2E. Taken together, these data suggest that A␤ promotes a rapid and marked decrease in Akt and Erk1/2 activities and a slightly slower but more marked increase in GSK3␤ and Cdk5 activities.
A␤ Induces Activation of Both Calpain and Caspase 3/7 Proteases-Calpain has been shown to cleave p35, producing p25 and thereby promoting increased Cdk5 activity (38). Because our data showed a time-dependent accumulation of p25 when neurons are treated with A␤ (Fig. 2D), we next sought to determine the relative activity of calpain during the A␤ timecourse. Additionally, both calpain and caspase 3/7 have been implicated in generating potentially toxic Tau fragments (17,18).
We performed calpain and caspase 3/7 activity assays on neuronal cells as a function of time in A␤ (Fig. 3). We observed a rapid induction of calpain activity, first detectable at 5 min, reaching a maximum at 10 min (a 5-fold increase) and then incrementally returning to control levels by 4 h. Caspase 3/7 activity was induced even faster but was smaller in magnitude (2-fold) and returned to control levels after only 1 h of A␤ treatment. Pretreatment of cells with calpain and caspase 3/7 inhibitors, respectively, effectively diminished the A␤-mediated activations.
The specificities of the protease activity assays and their respective inhibitors were verified using immunoblot analysis of known substrates for calpain and caspase 3/7 present in the lysates. A␤ treatment leads to the rapid fragmentation of spectrin, producing a 150-kDa product, consistent with calpain digestion, which is effectively blocked by the calpain inhibitor ( Fig. 3C) (39). On the other hand, spectrin cleavage is not blocked by pretreatment with the caspase 3/7 inhibitor (data not shown). These data implicate calpain as the protease responsible for spectrin cleavage and further suggest a more prominent role for calpain over caspase 3/7, as spectrin can be a substrate for both proteases (40). Additionally, A␤ treatment leads to the rapid fragmentation of vimentin (a known caspase 3/7 substrate), and this fragmentation is effectively blocked by the caspase 3/7 inhibitor (Fig. 3D) (41).
These data are consistent with previous observations of activated calpain and caspase proteases in Alzheimer brain (42,43). Interestingly, our data suggest a biphasic proteolytic response to A␤ treatment in hippocampal neurons, with early caspase activation followed shortly thereafter by a larger and more sustained calpain activation.
Efficient A␤-induced Tau Degradation Precedes the Onset of Neuronal Cell Death-Up to this point, we have investigated cellular changes induced by exposure to A␤ that may influence the onset of Tau dysfunction (i.e. kinase and protease activities). We next sought to examine effects of A␤ treatment on Tau itself, focusing on effects that might be mediated by proteases and kinases.
Because we observed increased caspase and calpain protease activities when neurons were treated with A␤ and these proteases have been implicated in degrading full-length Tau, we next examined the integrity of Tau during the time-course of A␤ treatment using immunoblotting analysis. We immunoblotted lysates from an A␤ time-course to assay for the presence and kinetics of Tau fragmentation (Fig. 4A) using a pan-Tau antibody that recognizes all Tau isoforms (see supple-mental Fig. 2). In non-A␤-treated control lysates, pan-Tau recognized three resolvable Tau bands in the size range between ϳ50 and 60 kDa, corresponding to intact Tau. The abundance of Tau in this region of the gel began to decline between 40 -60 min into the A␤ time-course. More detailed analysis reveals the largest and least abundant of the three Tau bands disappeared very early in the time-course (within 3 min). The middle Tau band began to disappear between 20 -40 min, and the smallest  (473)). B, shown are immunoblots of Erk1/2 and its activated form, phospho-Erk1/2. C, shown are immunoblots of GSK3␤ and an inactivated form, phospho-GSK3␤, at serine 9 (pGSK3␤ (9)). D, shown are immunoblots of p35 and the production of its proteolytic fragment, p25 (an activator of Cdk5). Panels A-D graphically present densitometry analysis (above) of the respective protein levels determined by immunoblotting (below). For each time point we first normalize the GAPDH data from the untreated (Ϫ) and treated (ϩ) samples. Using this correction factor, we then ratio the A␤ treated versus untreated signals for each band of interest to generate the -fold intensity of each treated time point (shown in the bar graphs). Error bars represent S.E. of densitometry from three independent experiments. E, shown is a graphic summary of the data in A-D. Cdk5 activity is suggested by p25 fragment production. Non-phospho-GSK3␤ (npGSK3␤) indicates the loss of signal for phospho-GSK3␤ at serine 9, suggesting activation of this kinase. Kinases in black are graphed against the left y axis, whereas kinases in gray are graphed against the right y axis. Note that the x axis is non-linear. Error bars represent S.E. of densitometry from 3 independent experiments. and most abundant Tau band began to disappear between 1-2 h. By 2 h, essentially no Tau migrated at the control positions, although two bands did migrate, only slightly faster. It is important to note that these slightly faster migrating species could be the result of either proteolytic cleavage of small fragments from one of the Tau ends and/or dephosphorylation, which is known to affect Tau migration on SDS/PAGE. Four hours after A␤ treatment, the vast majority of the Tau was depleted from the region of the gel corresponding to intact Tau.
When the same protein lysates were fractionated on gradient gels and probed with the Tau-5 monoclonal antibody, we observed extensive A␤-dependent Tau fragmentation (Fig. 4B). After 2 h of A␤ administration, there was significant accumulation of Tau fragments with apparent molecular masses of ϳ24 and 17 kDa, consistent with earlier work (17). These fragments were first detectable at 10 -20 min of the time-course and increased in abundance over time. Importantly, these fragments appeared to be quite stable, as the strength of their signals increased through 8 h of A␤ treatment and remained throughout the entire duration of the time-course. In fact, these fragments are still readily detectable after 72 h of A␤ treatment (data not shown). Blotting the same extracts with the Tau-1 monoclonal antibody revealed a slightly simpler fragmentation pattern but again revealed major Tau fragments at ϳ17 and 24 kDa without increased immunoblot exposure times as needed when probed with the pan-Tau and Tau-5 antibodies. Both Tau-5 and Tau-1 recognize epitopes in the region between amino acids 195 and 230. As controls for specificity of Tau degradation and to ensure equal protein loading, Fig. 4A shows a GAPDH housekeeping control immunoblot of the lysates and Fig. 4C, right, shows a Coomassie Blue-stained gel correspond-ing to the samples fractionated in Fig. 4C (44). Fig. 4D graphically depicts the densitometric analysis of the loss of full-length pan-Tau signal (black line, left y axis) and the accumulation of the 24-and 17-kDa fragments (gray line, right y axis) as detected by the Tau-5 antibody. Taken together, the data demonstrate that A␤ induces (i) relatively rapid and specific Tau degradation and (ii) the generation of relatively stable Tau fragments before and during the period of prominent cell death.
Protease Inhibitors Eliminate or Reduce the Production of Low MW Tau Fragments and Partially Protect Neuronal Viability upon A␤ Treatment-Calpain and caspase proteases are implicated in Tau degradation into low MW products with potential toxic function, but the contribution of each protease or both together in producing these Tau fragments and the resulting toxicity remains unclear (17,18,45). We, therefore, aimed to protect Tau integrity using calpain and caspase inhibitors and measured corresponding cell death induced by A␤ treatment to better understand the role Tau fragments may play in A␤-mediated neuronal cell death.
After pretreatment for 1 h with a calpain inhibitor, a caspase inhibitor, or both together, we exposed neurons to A␤ for durations between 3 min and 72 h. Immunoblots on the prepared lysates demonstrate that both the calpain and caspase inhibitors protect against loss of full-length Tau induced by A␤; however, the calpain inhibitor provides much more protection than the caspase inhibitor at later time points (Fig. 5A). Interestingly, after 4 and 8 h of A␤ treatment, the pan-Tau immunoblots revealed the retention of full-length Tau when calpain was inhibited and to a lesser degree with caspase inhibition compared with A␤ treatment alone, but neither inhibitor (or inhibition of both proteases together) protected against the pro-

. A␤ induces rapid activation of caspase 3/7 and calpain proteases.
A and B, direct activity measurements were performed as described under "Experimental Procedures" as a function of time exposed to A␤ without (Ϫ) or with (ϩ) the respective protease inhibitor pretreatment. Data were normalized to 1 for mock-treated controls (Un). Error bars represent the S.E. of three independent experiments. *, p Ͻ 0.01 compared with controls. C and D, an immunoblot analysis verifies protease activity with substrate cleavage. Calpain substrate spectrin and caspase substrate vimentin demonstrate cleavage into smaller molecular weight fragments upon A␤ treatment, both of which are protected by the respective inhibitors. duction of the slightly faster-migrating Tau bands produced at early time points of A␤ treatment. The production of the 24and 17-kDa Tau fragments upon A␤ treatment is completely abolished when calpain is inhibited and partially abolished when caspase is inhibited, demonstrating a differential protective response with each of the inhibitors (Fig. 5B). Inhibition of both proteases together is only as protective as the calpain inhibitor alone, further suggesting a more prominent calpain activation (compared with caspase activation) upon A␤ treatment.
Given that the calpain and caspase 3/7 inductions precede the onset of A␤-mediated neuronal cell death, we next asked if these induced proteolytic activities contributed to A␤-mediated neuronal cell death by conducting a dose-response analysis of A␤ treatment in the presence or absence of protease inhibitors. When neuronal cell death was measured between 24 and 72 h of 2.5 M A␤ exposure using the ATP assay, a moderate protection was observed with the calpain inhibitor, whereas only a minimal protection was observed with the caspase inhibitor pretreatment (Fig. 5C and data not shown). This result prompted us to explore a dose titration of A␤ to determine whether the protease inhibitors might provide more dramatic protection at lower A␤ concentrations. As seen in Fig. 5C, the calpain inhibitor but not the caspase 3/7 inhibitor provided protection against loss of ATP at all concentrations tested. This is especially apparent in the linear parts of the curves on either side of the 1 M points. We also performed a time-course analysis of A␤-mediated neuronal cell death using the LDH assay, holding the A␤ concentration at 2.5 M. In this analysis both inhibitors provided considerable protection against cell death, with the calpain inhibitor providing somewhat more protection than the caspase 3/7 inhibitor. Importantly, as was true in the ATP content assay, neither inhibitor provided complete protection (Fig. 5, C and D). In fact, cell death was still observed even when both inhibitors were present simultaneously. Although it is unclear exactly why the two different cell death assays yielded somewhat different results, we suspect that the ATP assay is more sensitive to early metabolic alterations in the cell death pathway, whereas the LDH release assay corresponds to late-stage cellular destruction. We conclude that both calpain and caspase 3/7 contribute to A␤-mediated neuronal cell death, with calpain playing a greater role.
Neurons Treated with A␤ Exhibit Only Transient and Limited Increases in Tau Phosphorylation-Thus far we have demonstrated a time-course of elevated caspase and calpain proteolytic activities leading to Tau fragmentation, which precedes neuronal cell death. Because our data also suggest rapid increases in GSK3␤ and Cdk5 kinase activities upon A␤ exposure, we next sought to define the kinetics of site-specific effects of A␤ upon Tau phosphorylation. Based on the literature (for review, see Ref. 46) and our kinase activity data, we expected to observe marked and widespread increases in Tau phosphorylation in A␤-treated neurons relative to non-A␤-treated control cells. We selected 11 different phosphorylation sites for analysis (amino acid positions 181, 199/202, 205, 217, 231, 235, 262, 396, 400, 396/404, 413) based in large part upon literature citations implicating particular Tau sites in Alzheimer pathology (46). Surprisingly, there were no sustained increases in phosphorylation at any of these sites (Fig. 6, A and B). Four sites exhibited modest transient increases in phosphorylation upon A␤ exposure, which then decreased below their corresponding control levels within very short periods of time. More specifically, positions 205 and 262 exhibited clear and significant increases in phosphorylation after only 3 min of exposure to A␤, with levels returning to those of controls by 10 min. Phosphorylation at amino acid position 400 exhibited a more sustained increase in signal, returning to its control level within 1 h. Phosphorylation at amino acid position 181 also showed a subtle but sustained increase between 3 min and 1 h of A␤ exposure; however, this trend was not statistically significant. Several controls were FIGURE 4. A␤ induces rapid Tau degradation and the production of relatively stable low molecular weight fragments. A, full-length Tau immunoblots were detected using the pan-Tau antibody. The GAPDH housekeeping signal is shown below. B, Tau-5 immunoblot highlights the fragmentation pattern and accumulation of low molecular weight Tau fragments. C, the Tau-1 blot corroborates the generation of low molecular weight Tau fragments along with a Coomassie Blue stained gel, demonstrating protein integrity and lack of general degradation. The line graph shown in D presents the loss of full-length Tau as a function of time exposed to A␤ (graphed against the left y axis) and the production of the 24-and 17-kDa Tau fragments (graphed against the right y axis). Note that the x axis is non-linear. employed for these assays. First, to assess the Tau specificity of the various antibodies, we assayed cortical extracts from an adult Tau knock-out mouse (a kind gift from Hana Dawson). With the exception of antibodies directed against phospho Tau 231 and 235, none of the site-and phospho-specific Tau antibodies recognized any proteins in the lysates, demonstrating their specificities. Anti-phospho Tau 231 and anti-phospho Tau 235 detected high molecular weight bands in the Tau knock-out mouse extract, well above any Tau band in the normal rat extracts. It is likely that these bands correspond to MAP2, which is a relatively large protein that shares extensive sequence homology with Tau. Second, multiple loading controls were used, including GAPDH, ␣-tubulin, and ␤III-tubulin.
Because A␤-mediated Tau degradation is rapid and we cannot rule out that the lack of detection of Tau phosphorylation was due to rapid loss of full-length Tau, we also probed lysates pretreated with the calpain inhibitor followed by A␤ exposure, suspecting that protection against Tau degradation may expose epitopes on Tau that become phosphorylated. Surprisingly, although Tau is readily detectable with the pan-Tau, Tau-1, and Tau-5 antibodies with calpain inhibition throughout the timecourse, none of the phospho-specific antibodies demonstrated long-term increases in signal intensity. In fact, only three antibodies (phospho-Tau 231, 400, and 413) detected Tau in the A␤ ϩ calpain inhibitor lysates after 2 h of A␤ exposure, and these gave only low intensity signals (data not shown).
Another important observation is that, with the possible exception of anti-phospho Tau 235, none of the other phosphospecific antibodies detected any of the Tau proteolytic fragments (data not shown) that are detected by pan-Tau, Tau-5, and Tau-1 antibodies (Fig. 4, C and D).
Along with the phospho-Tau analysis, we also examined a tubulin post-translational modification: acetylation. Interestingly, A␤ treatment induced a rapid and sustained increase in tubulin acetylation, which returned to non-A␤-treated levels at 8 h in the A␤ time-course. A recent report indicates that tubulin acetylation combined with removal of Tau from the axon may increase the sensitivity of the microtubules to be cleaved by katenin (47), suggesting a possible mechanism for axonal degradation upon A␤ treatment. Finally, we also examined the localization of each phospho-Tau epitope by immunofluorescence microscopy. As examples, Fig. 6C shows untreated, control cultures stained with four different phospho-Tau antibodies. In all cases, staining was observed primarily in neurites but also in somas to a lesser extent. The remaining seven phospho-specific antibodies generated similar images to those shown. These data demonstrate that healthy neurons express basal levels of Tau phosphorylated at each of these specific sites and that this observed level of phosphorylation is not inherently toxic. Parallel images were also captured for each phospho-Tau antibody during the timecourse of A␤ treatment with no observable differences relative to the pan-Tau images shown in Fig. 1 (data not shown).
In summary, the most important observation among these data was the very surprising lack of dramatic effects of A␤ treatment upon site-specific Tau phosphorylation. However, it should be noted that the transient increases observed in specific phosphorylated epitopes could mediate important structural and/or regulatory effects on Tau biochemistry that may influence subsequent cellular events.
Two-dimensional Immunoblotting Demonstrates the Lack of a General A␤-mediated Effect on Full-length Tau Phosphorylation-The unexpected absence of a dramatic and widespread A␤ effect on site-specific Tau phosphorylation led us to question if we might have missed the bulk of a major phosphorylation effect by assaying Tau phosphorylation in a site-specific manner. Therefore, we fractionated lysates from the A␤ timecourse using two-dimensional gels and probed the immunoblots with the pan-Tau antibody. Because the first dimension is isoelectric focusing and each phosphorylation event adds negative charges to its substrate, a marked effect on Tau phosphorylation at any site (including those not assayed above) would appear as a shift in Tau migration toward the acidic side of the gel. For frame of reference, based on the amino acid sequence of rat Tau, a Tau molecule possessing two phosphates has a predicted pI of 6.96, and a Tau molecule possessing 6 phosphates has a predicted pI of 6.25 (calculation at Scansite at the Massachusetts Institute of Technology). Preliminary experiments demonstrated that the different species of Tau with different isoelectric points separate optimally between a pI of 5 and 8. This result is consistent with reports that the pIs of recombinant Tau isoforms range from 7.1 to 8.5, whereas Tau isolated from Alzheimer brain can have isoelectric points as low as 5 (48,49). We fractionated lysates from neurons treated with A␤ for up to 4 h. As seen in the Sypro Ruby stain of fractionated non-A␤ treated extract (Fig. 7, top left), our gels effectively resolve the proteins in the extract. Pan-Tau immunoblotting of a non-A␤-treated lysate (Un panel) showed that the most prominent Tau species were detected between a pI of 7 and 8 at the full-length size. Lighter exposures reveal many individual spots at different sizes and charges (data not shown). At the 20-min A␤ time point and to a lesser extent at the 3-min time point, a small subset of Tau became acidified (note the arrows in Fig. 7). Importantly, the observed acidification was transient and did not persist beyond the 20-min time point. By 40 min in the time-course, the full-length Tau signal looked much like the non-A␤-treated sample. Thus, this general assay for A␤-mediated acidification of Tau did not detect the shift in isoelectric point that would be predicted if A␤-induced a dramatic increase in Tau phosphorylation at sites other than those assayed in Fig. 6.
On the other hand, consistent with the one-dimensional gel analyses in Fig. 4, the two-dimensional gels detected extensive A␤-mediated Tau fragmentation as early as 20 min in the timecourse. Interestingly, these low molecular weight fragments exhibited a broad range of pIs. The periodicity of the Tau fragments migrating in the isoelectric focusing dimension (most obvious in the 4-h time point) suggests that these Tau fragments likely vary from one another by virtue of numbers of phosphates per fragment, which is especially interesting because we did not detect any significant amount of Tau fragment phosphorylation with any of the 11 site-specific antibodies (data not shown). This leads to the conclusion that these fragments are likely phosphorylated on some subset of the remaining ϳ20 known Tau phosphorylation sites. Fig. 8 summarizes the kinetics of the events we observed when treating hippocampal neurons with A␤ oligomers.

DISCUSSION
To develop effective therapeutics for Alzheimer and related dementias, it is essential that we acquire a thorough understanding of the biochemical events contributing to neuronal cell death in these diseases. Toward that goal, this work sought to define a detailed kinetic timeline of biochemical events in a well controlled neuronal cell culture system. We began with administration of A␤ oligomers and ended with the induction of neuronal cell death, focusing on candidate signaling pathways altered by A␤ and a detailed analysis of Tau fragmentation and Tau phosphorylation. The most important findings were as follows. 1) A␤ oligomers rapidly induce robust calpain and caspase proteolytic activities, with activity measurements and substrate cleavage data, both, suggesting calpain activation is more prominent than activation of caspase 3/7. 2) A␤ oligomers rapidly reduce levels of phospho-GSK3␤ while promoting the cleavage of p35 into p25, suggesting increased activity of both GSK3␤ and Cdk5. 3. Tau degradation is first detected after only 10 -20 min of A␤ administration. By 2-4 h, very little full-length Tau remains, and there is a substantial accumulation of a series of relatively stable Tau fragments. Inhibitor studies indicate that Tau fragmentation is largely mediated by calpain and, to a lesser extent, caspase 3/7. 4) Surprisingly, A␤ administration does not dramatically increase full-length Tau phosphorylation, as assayed by immunoblots with 11 different site-and phospho-specific antibodies as well as two-dimensional immunoblotting using a pan-Tau antibody. However, subtle and transient increases in Tau phosphorylation are observed at 4 distinct sites on Tau, at positions 181, 205, 262, and 400. 5) Stable fragments of Tau induced by A␤ administration are likely to become phosphorylated, as suggested by their altered isoelectric points on two-dimensional gels.
Consistent with previous work by Park and Ferreira (17) and Gamblin et al. (25), our data confirm the roles of calpain and caspase, respectively, in the dramatic fragmentation of Tau when cultured hippocampal neurons are treated with toxic levels of A␤. We have expanded upon these earlier efforts by performing a detailed biochemical analysis of numerous key molecular events occurring either before or after Tau fragmentation. This includes both an examination of altered kinases as well as an extensive analysis of A␤ effects on Tau phosphorylation utilizing both site-and phospho-specific anti-Tau antibodies and one-and two-dimensional gels. These data demonstrate that proteolytic fragmentation of Tau followed by Tau fragment phosphorylation may be an important component of A␤ action in Alzheimer disease. Furthermore, our data are especially timely in view of a recent controversy regarding the toxic potential of the 17-kDa Tau fragment (17,45). Our data indicate that the 17-kDa fragment alone is likely not sufficient to account for A␤ toxicity. Alternatively, we propose the combination of loss of full-length Tau together with the generation of multiple Tau fragments by both calpain-and caspase-mediated proteolysis converge to promote cell death after exposure to A␤ oligomers. Finally, the extensive analysis conducted in this study allows for a detailed chronological view of the many neuronal parameters affected by exposure to A␤.
The most rapid events we observed upon A␤ treatment of the hippocampal neurons were induction of both calpain and caspase 3/7 activities. These findings are consistent with previous literature implicating caspase and calpain proteolysis as early events in the Alzheimer disease pathway (50,51). Based on our protease inhibitor analysis, it appears that the early protease activities impact upon Tau function, degrading full-length Tau and creating low molecular weight Tau fragments. Indeed, calpain inhibition completely eliminated A␤-mediated production of the 24-and 17-kDa Tau fragments, and caspase inhibition reduced the production of the 17-kDa fragment. These, and other Tau fragments have been implicated in neuronal dys- function and eventual cell death (17,18). However, because our data demonstrate caspase and calpain inhibition protects against the production of A␤-mediated low MW Tau fragments but only partially protect neuronal viability, it is likely that a combination of insults contribute to neuronal cell death (Fig. 5). It has recently been suggested that the 17-kDa Tau fragment is not toxic to neurons when overexpressed, in conflict with earlier data implicating the 17-kDa fragment as the source of A␤-mediated toxicity (17,45). Our results suggest the generation of this fragment likely contributes to toxicity but is not inherently toxic, as demonstrated by caspase inhibition dramatically reducing the production of this fragment but only providing mild protective effects in cell viability as measured by the ATP assay (Fig. 5).
How might one account for neuronal cell death that still occurs in the presence of both the calpain and caspase 3/7 inhibitors? Because both caspase and calpain inhibition failed to protect against the A␤-mediated production of the slightly faster migrating Tau bands on SDS-PAGE, these may represent a Tau dysfunction independent of the proteases that contribute to neuron toxicity.
The lack of a dramatic effect of A␤ upon Tau phosphorylation is extremely surprising given the voluminous literature (46), especially as even our own data suggest GSK3␤ and Cdk5 activation. The Tau specificity of the site-specific antibodies we utilized was confirmed by their ability to recognize full-length Tau in wild type rat extracts and their failure to detect bands in the corresponding region of the gel from Tau knock-out mouse extracts (Fig. 5). The lack of dramatic A␤-induced increases in Tau phosphorylation was independently confirmed by two-dimensional immunoblotting analysis, which would have easily detected significant changes in Tau phosphorylation via changes in Tau spot isoelectric points. Indeed, in vitro phosphorylation of Tau with purified Cdk5/p25 revealed the expected series of increasingly acidic spots on two-dimensional Tau immunoblots (data not shown). That our A␤ was biologi-cally active was confirmed by its effects on kinase and protease activities and the ultimate induction of neuronal cell death. Thus, in our hands A␤ does not dramatically alter Tau phosphorylation as part of its promotion of neuronal cell death. Stated another way, marked Tau hyperphosphorylation is not necessary for A␤/Tau-mediated neuronal cell death. However, we did observe rapid, transient, and relatively subtle increases in Tau phosphorylation at four sites. In principle, these phosphorylation events could be involved in initiating downstream biochemical events contributing to cell death. Interestingly, phosphorylation at one of these sites, serine 262, has been detected in "pre-tangle" neurons, suggesting this modification is an early disease-related event (52). Furthermore, Tau phosphorylated at serine 262 exhibits reduced ability to bind and polymerize microtubules (53), early events likely involved in the demise of neurons. A more detailed and focused analysis of these four specific sites will be required to elucidate their possible roles in promoting A␤-mediated neuronal cell death. Finally, it is notable that every one of the 11 sites tested for phosphorylation exhibited reactivity with the phospho-specific antibodies even in healthy control cells that were not treated with A␤ and are readily detected with immunofluorescence microscopy in the neurites of healthy neurons (Fig. 6). This suggests that none of the sites tested here is inherently toxic when phosphorylated.
If A␤ does not induce dramatic Tau phosphorylation, how might one explain the vast literature showing Tau hyperphosphorylation in the Alzheimer brain? One possibility is that Tau hyperphosphorylation is indeed a key component of the Alzheimer pathway but is not induced by toxic levels of A␤, at least not by itself. Genetic analyses demonstrate that mutations in the A␤ parent molecule, APP, cause early-onset Alzheimer disease (54). The sites of those APP mutations implicate proteolytic processing as a likely participant in the process, a conclusion that is greatly strengthened by disease-linked mutations in presenilin, one of the APP proteolytic enzymes. However, the proteolytic generation of A␤ also generates equal quantities of two other peptides, the amyloid intracellular domain (AICD) and the large extracellular APP domain. Both of these fragments have been shown to cause neuronal dysfunction and cell death independent of A␤ (55, 56). Our experimental system focuses only on the toxic A␤ component of this multifaceted disease-related situation. It is plausible that both A␤ accumulation and liberation of the extracellular and/or intracellular APP fragments converge in disease progression, and Tau hyperphosphorylation may be a consequence of one or both of these other important components.
In contrast, A␤ promoted rapid and complete degradation of full-length Tau within a few hours of treatment, generating a family of smaller, relatively stable fragments. Because the Tau fragments shift toward an acidic pI on two-dimensional gels, consistent with increased phosphorylation, it is likely that Tau is first fragmented by proteases and then phosphorylated by kinases. This raises the question of why the fragments were not detected by any of the 11 site-and phospho-specific antibodies. Previous work has suggested that A␤-mediated fragmentation of Tau generates a relatively stable 17-kDa fragment, likely located on the amino half of the molecule (17), which is con- FIGURE 8. Timeline summary of observed events on A␤-treated hippocampal neurons. The earliest events we observed were activation of caspase and calpain proteases, which display maximal activity within 20 min of A␤ treatment and return to normal levels by 4 h. Erk1/2 and Akt activities are depleted within 30 min to 1 h of A␤ treatment. GSK3␤ and Cdk5 activation also occurred rapidly and remained elevated throughout the entire timecourse. These events precede and overlap with changes in Tau biochemistry, loss of full-length Tau, and accumulation of 17-and 24-kDa Tau fragments. The surprising lack of sustained Tau phosphorylation is depicted as an early spike (phosphorylated epitopes 181, 205, 262, and 400) and subsequent reduction. Events observed that are not depicted in this figure include reduced tubulin immunofluorescence between 8 and 24 h and the rapid and sustained increase in tubulin acetylation after A␤ treatment. sistent with our detection of this fragment with both Tau-1 and Tau-5 antibodies. However, only 4 of the 11 phospho-epitopes that we assayed lie within this region, specifically 181, 199/202, 205, and 217. Indeed, there are numerous additional potential phosphorylation sites in the amino half of Tau, and additional probing of these sites will help determine the nature of phosphorylation on the Tau fragments.
Because previous work demonstrates that A␤-mediated neuronal cell death requires Tau (6, 7), how might A␤ promote Tau-mediated neuronal cell death? As noted above, our data do not support a role for A␤-mediated full-length Tau hyperphosphorylation under toxic conditions. On the other hand, A␤-mediated Tau fragmentation could cause neuronal death via a number of possible, non-mutually exclusive mechanisms. For example, Tau fragments might promote Tau aggregation, which could be inherently toxic, as has been suggested in previous cell culture studies (57). Alternatively, cell death could be caused by the loss of normal Tau activity leading to misregulation of microtubule dynamics and microtubule function (58,59). This scenario could be mediated by several possible mechanisms, such as (i) the degradation of full-length Tau, (ii) sequestration of full-length Tau by Tau aggregates, or (iii) fragment induced disruption of Tau oligomerization, as recently suggested (60). Yet another possibility is that the process of proteolyzing an abundant protein such as Tau might saturate and overwhelm the proteasome machinery, leading to cell death. Finally, it also should be noted that combined calpain and caspase proteolysis might produce other phosphorylated Tau fragments from the carboxyl terminus of the molecule that were too small to detect on our gels. Such fragments could represent species of phosphorylated Tau prone to aggregation and resistant to turnover by cellular machinery.
In summary, the most important conclusions of this paper are that A␤-mediated neuronal cell death involves rapid and complete Tau fragmentation but no dramatic effects upon fulllength Tau hyperphosphorylation. If full-length Tau hyperphosphorylation is indeed a part of the biochemical pathway leading to neuronal cell death in Alzheimer and related dementias, our data indicate that toxic A␤ does not mediate this effect, at least not by itself. These observations will be important to consider in the design of future efforts targeted at developing of rational therapeutics for Alzheimer disease.