Most early onset cases of familial Alzheimer's disease (AD) are caused by m
utations in presenilin-1 (PS1) and presenilin-2 (PS2). These mutations lead
to increased beta-amyloid formation and may induce apoptosis in some model
systems. Using primary cultured hippocampal neurons (HNs) and rat pheochro
mocytoma (PC12) cells transiently transfected with replication-defective re
combinant adenoviral vectors expressing wild-type or mutant PS1, we demonst
rate that mutant PS1s induce apoptosis, downregulate the survival factor Ak
t/PKB, and affect several Akt/PKB downstream targets, including glycogen sy
nthase kinase-3 beta and beta-catenin. Expression of a constitutively activ
e Akt/PKB rescues HNs from mutant PS1-induced neuronal cell death, suggesti
ng a potential therapeutic target for AD. Downregulation of Akt/PKB may be
a mechanism by which mutant PS1 induces apoptosis and may play a role in th
e pathogenesis of familial AD.