We investigated oxidative stress in human postmortem frontal cortex from individuals characterized as mild-cognitive impairment (n = 8), mild/moderate Alzheimer disease (AD) (n = 4), and late stage AD (n = 9). Samples from subjects with no cognitive impairment (n = 10) that were age- and postmortem interval-matched with these cases were used as controls. The short postmortem interval brain samples were processed for postmitochondrial supernatant (PMS), non-synaptic mitochondria, and synaptosome fractions. Samples were analyzed for several antioxidants (glutathione [GSH], glutathione peroxidase [GPx], glutathione reductase, glutathione-S-transferase [GST] glucose-6-phosphate dehydrogenase, superoxide dismutase [SOD], catalase) and the oxidative marker, thiobarbituric acid reactive substances. The tissue was also analyzed for possible changes in protein damage using neurochemical markers for protein carbonyls, 3-nitrotyrosine, 4-hydroxynonenal, and acrolein. All 3 neuropil fractions (PMS, mitochondrial, and synaptosomal) demonstrated significant disease-dependent increases in oxidative markers. The highest changes were observed in the synaptosomal fraction. Both mitochondrial and synaptosomal fractions had significant declines in antioxidants (GSH, GPx, GST, and SOD). Levels of oxidative markers significantly correlated with Mini-Mental Status Examination scores. Oxidative stress was more localized to the synapses, with levels increasing in a disease-dependent fashion. These correlations implicate an involvement of oxidative stress in AD-related synaptic loss.