Amyloid plaques and neurofibrillary tangles are the pathological hallmarks of Alzheimer's disease. However, there has been a long-standing discussion on the dynamic relations between A β and tau proteins, partially due to the lack of a tool to track protein dynamics in individual live neurons at the early stage of A β generation and tau phosphorylation. Here, we developed nanoplasmonic fiber tip probe (nFTP) technology to simultaneously monitor A β42 generation and tau phosphorylation (at serine 262) in living, single neuroblastoma cells over 12 h. We observed that A β42 generation, under clinically relevant anesthetic treatment, preceded tau phosphorylation, which then facilitated A β42 generation. This observation is also supported by measuring proteins in cell lysates using the ultrasensitive label-free photonic crystal nanosensors. nFTP therefore provides an advanced method to investigate protein expression and post-translational modification in live cells and determine outcomes of intervention of Alzheimer's disease and other neurodegenerative disorders.