The mechanism by which cells die in Alzheimer disease (AD) is unknown. Seve
ral investigators speculate that much of the cell loss may be due to apopto
sis, a highly regulated form of programmed cell death. Caspase-3 is a criti
cal effector of neuronal apoptosis and may be inappropriately activated in
AD. To address this possibility, we examined cortical and hippocampal brain
sections from AD patients, as well as 2 animal models of AD, for in situ e
vidence of caspase-3 activation. We report here that senile plaques and neu
rofibrillary tangles in the AD brain are not associated with caspase-3 acti
vation. Furthermore, amyloid beta (AP) deposition in the APPsw transgenic m
ouse model of ED does not result in caspase-3 activation despite the abilit
y of AP to induce caspase-3 activation and neuronal apoptosis in vitro. AD
brain sections do, however, exhibit caspase-3 activation in hippocampal neu
rons undergoing granulovacuolar degeneration. Our data suggests that caspas
e-3 does not have a significant role in the widespread neuronal cell death
that occurs in AD, but may contribute to the specific loss of hippocampal n
eurons involved in learning and memory.