Background:Lifetime risk of Alzheimer’s disease (AD) dementia is two-fold higher in women compared with men, and low estrogen levels in post menopause have been suggested as a possible contributor. We examined 3ERs (GPER1,ER2,ER1) variants in association with AD traits as an indirect method to test the association between estrogen and AD in women. While the study focus was on women, in a comparison we separately examinedERmolecular variants in men.Methods:Participants were followed for an average 10 years in one of two longitudinal clinical pathological studies of aging. Global cognition was assessed using a composite score derived from 19 neuropsychological tests’ scores. Postmortem pathological assessment included examination of 3 AD (amyloid-β and tau tangles determined by immunohistochemistry, and a global AD pathology score derived from diffuse and neurotic plaques and neurofibrillary tangles count) and 8 non-AD pathology indices.ERmolecular genomic variants included genotyping and examiningERDNA methylation and RNA expression in brain regions including dorsolateral prefrontal cortex (DLPFC) that are major players in cognition and often have AD pathology.Results:Mean age of women (N=1711) at baseline was 78.0 (SD=7.7) years. In women,GPER1molecular variants had the most consistent associations with AD traits.GPER1DNA methylation was associated with cognitive decline, tau tangles density, and global AD pathology score.GPER1RNA expression in DLPFC was related to cognitive decline and tau tangles density. Other associations included associations ofER2andER1SNPs and DNA methylation with cognition. RNA expressions in DLPFC of genes involved in signaling mechanisms of activated ERs were also associated with cognitive decline and tau tangles density in women. In men (N=651, average age at baseline: 77.4 (SD=7.3)), there were less robust associations betweenERmolecular genomic variants and AD cognitive and pathological traits. No consistent association was seen betweenERmolecular genomic variations and non-AD pathologies in either of sexes.Conclusion:ERDNA methylation and RNA expression, and to some extentERpolymorphisms, were associated with AD cognitive and pathologic traits in women, and to a lower extent in men.