The effects of the muscarinic receptor agonist 6β-acetoxy nortropane on amyloid precursor protein (APP) processing were studied in both transfected Chinese hamster ovary cells stably expressing muscarinic M 1 receptors (denoted as CHOm 1 cell line) and in cerebral cortical and hippocampal slices. Exposure of CHOm 1 cells to 6β-acetoxy nortropane for 1 h significantly increased the secretion of secretory amyloid precursor protein (derived from α-secretase cleavage) in a concentration-dependent manner. In the same system, 6β-acetoxy nortropane reduced the β-amyloid peptide production. Similar results were obtained in hippocampal and cerebral cortical slices, with 6β-acetoxy nortropane administration resulting in an increase in secretory amyloid precursor protein and a decrease in β-amyloid peptide release. The increase of secretory amyloid precursor protein secretion was abolished by preincubation with selective muscarinic M 1 receptor antagonist pirenzepine, but not by preincubation with selective muscarinic M 2 receptor antagonist methoctramine, suggesting that 6β-acetoxy nortropane promotes secretory amyloid precursor protein release in the brain via muscarinic M 1 receptor activation. These results suggest that 6β-acetoxy nortropane could exert a beneficial effect on the progress of Alzheimer's disease by promoting amyloid precursor protein processing through α-secretase.