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We hypothesized that altered <jats:styled-content style=\"fixed-case\">APP<\/jats:styled-content> processing, because of augmented <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> activity, would affect the actions of direct and indirect <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> inhibitors. We therefore compared post\u2010mitotic human neurons (<jats:styled-content style=\"fixed-case\">LUHMES<\/jats:styled-content>) with their <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content>\u2010overexpressing counterparts (<jats:styled-content style=\"fixed-case\"><jats:styled-content>B<\/jats:styled-content>LUHMES<\/jats:styled-content>). Although \u03b2\u2010cleavage of <jats:styled-content style=\"fixed-case\">APP<\/jats:styled-content> was strongly increased in <jats:styled-content style=\"fixed-case\">BLUHMES<\/jats:styled-content>, they produced less full\u2010length and truncated amyloid beta (A\u03b2) than <jats:styled-content style=\"fixed-case\">LUHMES<\/jats:styled-content>. Moreover, low concentrations of <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> inhibitors decreased cellular <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> activity as expected, but increased A\u03b2<jats:sub>1\u201040<\/jats:sub> levels. Several other approaches to modulate <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> activity led to a similar, apparently paradoxical, behavior. For instance, reduction in intracellular acidification by bepridil increased A\u03b2 production in parallel with decreased <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> activity. In contrast to <jats:styled-content style=\"fixed-case\">BLUHMES<\/jats:styled-content>, the respective control cells (<jats:styled-content style=\"fixed-case\">LUHMES<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">BLUHMES<\/jats:styled-content> with catalytically inactive <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content>) showed conventional pharmacological responses. Other non\u2010canonical neurochemical responses (so\u2010called \u2018rebound effects\u2019) are well\u2010documented for the A\u03b2 pathway, especially for \u03b3\u2010secretase: a partial block of its activity leads to an increased A\u03b2 secretion by some cell types. We therefore compared <jats:styled-content style=\"fixed-case\">LUHMES<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">BLUHMES<\/jats:styled-content> regarding rebound effects of \u03b3\u2010secretase inhibitors and found an A\u03b2 rise in <jats:styled-content style=\"fixed-case\">LUHMES<\/jats:styled-content> but not in <jats:styled-content style=\"fixed-case\">BLUHMES<\/jats:styled-content>. Thus, different cellular factors are responsible for the \u03b3\u2010secretase\u2010 versus <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content>\u2010related A\u03b2 rebound. We conclude that increased <jats:styled-content style=\"fixed-case\">BACE<\/jats:styled-content> activity, possibly accompanied by an altered cellular localization pattern, can dramatically influence A\u03b2 generation in human neurons and affect pharmacological responses to secretase inhibitors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Open Practices<\/jats:title><jats:p><jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/jnc14467-gra-0001.png\" xlink:title=\"image\"\/><\/jats:p><jats:p>Open Science: This manuscript was awarded with the Open Materials Badge.<\/jats:p><jats:p>For more information see: <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/cos.io\/our-services\/open-science-badges\/\">https:\/\/cos.io\/our-services\/open-science-badges\/<\/jats:ext-link><\/jats:p><\/jats:sec><jats:sec><jats:label\/><jats:p>\n<jats:boxed-text content-type=\"graphic\" position=\"anchor\"><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" mimetype=\"image\/png\" position=\"anchor\" specific-use=\"enlarged-web-image\" xlink:href=\"graphic\/jnc14467-fig-0008-m.png\"><jats:alt-text>image<\/jats:alt-text><\/jats:graphic><\/jats:boxed-text>\n<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnc.14467","type":"journal-article","created":{"date-parts":[[2018,5,27]],"date-time":"2018-05-27T08:09:15Z","timestamp":1527408555000},"page":"256-274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Reduced A\u03b2 secretion by human neurons under\u00a0conditions of strongly increased <scp>BACE<\/scp> activity"],"prefix":"10.1111","volume":"147","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9869-7296","authenticated-orcid":false,"given":"Diana","family":"Scholz","sequence":"first","affiliation":[{"name":"Chair for in\u00a0vitro Toxicology and Biomedicine University of Konstanz Konstanz 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