Factors associated with maintaining good cognition into old age are unclear. Decreased brain-derived neurotrophic factor (BDNF) contributes to memory loss in Alzheimer's disease (AD), and soluble assemblies of amyloid-beta (Aβ) and tau contribute to neurodegeneration. However, it is unknown whether AD-type neuropathology, soluble Aβ and tau, or levels of BDNF and its receptor TrkB correlate with dementia in the oldest-old. We examined these targets in post-mortem Brodmann's areas 7 and 9 (BA7, BA9) in 4 groups of subjects >90 years old: 1) No Dementia/No AD Pathology, 2) No Dementia/AD Pathology, 3) Dementia/No AD Pathology, 4) Dementia/AD Pathology. In BA7, BDNF mRNA correlated with MMSE scores and was decreased in demented vs. non-demented subjects, regardless of pathology. Soluble Aβ42 was increased in both groups with AD pathology, demented or not, compared to No dementia/No AD Pathology subjects. Groups did not differ in TrkB isoform levels or in levels of total soluble tau, individual tau isoforms, threonine-181 tau phosphorylation or ratio of phosphorylated 3R to 4R isoforms. In BA9, soluble Aβ42 correlated with MMSE scores and with BDNF mRNA expression. Thus, soluble Aβ42 and BDNF, but not TrkB or soluble tau, correlate with dementia in the oldest-old.