The deposition of beta-amyloid peptide (A beta), the hyperphosphorylation o
f tau protein and the death of neurons in certain brain regions are charact
eristic features of Alzheimer's disease. It has been proposed that the accu
mulation of aggregates of A beta is the trigger of neurodegeneration in thi
s disease. In support of this view, several studies have demonstrated that
the treatment of cultured neurons with A beta leads to the hyperphosphoryla
tion of tau protein and neuronal cell death. Here we report that lithium pr
events the enhanced phosphorylation of tau protein at the sites recognized
by antibodies Tau-1 and PHF-1 which occurs when cultured rat cortical neuro
ns are incubated with A beta. Interestingly, lithium also significantly pro
tects cultured neurons from A beta-induced cell death. These results raise
the possibility of using chronic lithium treatment for the therapy of Alzhe
imer's disease. (C) 1999 Federation of European Biochemical Societies.