Many lines of evidence suggest that decreased mitochondrialfunction is a hallmark of aging and that mitochondrialdysfunction has a central role in Alzheimer's disease (AD), the most common type of age-related dementia worldwide, which has no cure. The central role of mitochondria in aging was first proposed by Denham Harman, on the basis of his original theory that aging is caused by the accumulation of damage resulting from reactive oxygen species (ROS) (Harman, 2009). However, recent findings suggest that formation of ROS is neither the primary nor the initial cause of aging. Moreover, transient stress on mitochondria, including mitochondrial ROS (playing a critical role in a number of intra-and extracellular processes), elicits beneficial changes that extend the lifespan (Rose et al., 2017). Clearly, mitochondrial function regulates the rate of aging, and mitochondrial dysfunction takes the center stage in the pathophysiology of age-related neurodegenerative disorders, but the underlying mechanisms remain unclear. We explored the role of mitochondrial dysfunction in the development of sporadic late-onset AD, which accounts for ~95 % of all disease cases, using senescence-accelerated OXYS rats. This rat model simulates key characteristics of AD including tau protein hyper-phosphorylation, synaptic losses, neuronal cell death, behavioral alterations, and a decrease in cognitive functions on the background of increase in APP levels, enhanced accumulation of Aβ, and formation of amyloid plaques in the brain.The genome of OXYS rats lacking the mutations in the App, Psen1, and Psen2 genes, which are specific for the early form of AD, also speaks in favor of the this model matching the particular criteria of sporadic AD . According to our data, the development and progression of AD-like pathology in OXYS rats may be caused by mitochondrial dysfunction -2016, Kolosova et al., 2017, Tyumentsev et al., 2018). Here we summarize our evidence supporting the validity of this assertion.First, already at the age of 20 days, i.e., at the preclinical stage of the development of AD-like pathology, OXYS rats showed some characteristic changes in hippocampal mitochondria, which increased in size during the manifestation (the age of 5 months) and progression of these pathological changes (18 months). Even at this early age, OXYS rats show significantly lower respiratory complex IV activity and a tendency toward a decrease in the activity of complexes I and V. The persistent depression of respiratory chain activity in the hippocampal mitochondria of OXYS rats is observed throughout the lifespan. Simultaneously this decreased activity, OXYS rats show increased fusion, which leads to formation of larger mitochondria. Such fused highly integrated mitochondrial phenotype is thought to be geared toward upregulation of energy supply via ATP synthesis. Therefore, we did not detect any signs of energy deficiency in OXYS rats' brain up to the age of 3 months, when we estimated the brain energy metabolism by 31P NMR spectroscopy. What's more...