The application of amyloid beta-peptide (A beta) 1-40 (10 mu M) caused neurodegeneration of hippocampal neuronal cells, as indicated by the release of lactate dehydrogenase (LDH) into the culture medium. Treatment with idebenone (10-1000 nM), a potent antioxidant in mitochondria, protected the hippocampal neurons against the A beta 1-40 (10 mu M)-induced neurotoxicity. To determine the morphological change in neurons during; the A beta 1-40-induced cytotoxicity, the cells were immunostained with anti-MAP2 antibodies. After 4-day exposure to 10 mu M A beta 1-40, the number of neurons was reduced, and the surviving neurons had an apparently reduced number of neurites which were shorter than those of control neurons. When idebenone was added to the culture medium with A beta 1-40, the number of surviving neurons was significantly increased, and their neurites were as long as seen in control culture. These results suggest that reactive oxygen species mediate neurotoxicity of A beta 1-40, and idebenone protects neurons against the A beta 1-40-induced neurotoxicity.