Alzheimer's disease (AD) is an etiologically heterogeneous disorder. While many genes have been found to be associated with Early and Late onset AD, a large portion of the predicted heritability remains unidentified. Here we review AD pathology, with an overview of AD genetics. In addition, we review epigenetic mechanisms and the current literature that suggests a relationship between epigenetic mechanisms and AD pathology. The genome wide association studies conducted to date can explain a percentage of AD cases. The remainder may be best explained by complex interactions between epigenetic and environmental factors that differ between individuals.hypothesis postulates that the disease is the result of an imbalance between the production and degradation of β-Amyloid [9]. Normally, β-Amyloidis degraded by peptidases such as neprilysin, insulindegrading enzyme, and endothelin-converting enzyme [2]. This central theory has strong support, from work beginning with Alois Alzheimer [1]and continuing through the deduction of the sequence of the amyloid beta protein [10] and cloning of mutations in APP [11,12], PSEN1 and PSEN2genes [13,14]. A recent development that significantly strengthened the amyloid hypothesis was the discovery by Jonssonet al.[15] of an APP mutation that reduces production of β-Amyloid and is protective against Alzheimer's disease as well as age-related cognitive decline.It has been hypothesized that β-Amyloid protein deposition precedes neurofibrillary tangles [16], cell loss, and vascular damage [17]. In transgenic murinemodels, β-Amyloid deposition developed prior to tangles [18]. Working witha transgenic mouse model, Xu et al. [16] described an accumulation of β-Amyloid precipitateda loss of solubility of intracellular cytosolic proteins such as glycolytic enzymes and members of the chaperone family. β-Amyloidplaques have also been thought to induce neuronal oxidative stress, resulting in phospholipid peroxidation and protein oxidation in AD brain [19].The second hallmark of AD is the presence of hyperphosphorylated microtubule associated protein tau (MAPT). The tau protein is primarily expressed in neurons [20] and has been shown to be involved with tubulin polymerization as well as acting to stabilize microtubules against depolymerization [21], stabilize microtubules responsible for axonal transport [20], increase neuritic stability, impact the rate of neurite elongation, and increase net microtubule stability [2,22]. Different iso forms of the tau protein are expressed due to alternative RNA splicing, and all iso forms are capable of forming the fibrillary tangles that are a hallmark of AD [23] , [23,24]. A balance between kinases (ex. GSK-3Beta, CDK5) and phosphatases (ex. PP-1,PP2) plays a role in regulating tau phosphorylation [2]. Tau A widely held theory of AD pathogenesis is the amyloid cascade hypothesis, which states that the deposition of the β-Amyloidpeptide in the brain is the initiating event in disease pathology [8]. The amyloid