35Background: While significant advances have been made in uncovering the aetiology 36 of Alzheimer's disease and related dementias at the genetic level, molecular events at 37 the epigenetic level remain largely un-investigated. Emerging evidence indicates that 38 small non-coding RNAs (sncRNAs) and their associated RNA modifications are 39 important regulators of complex physiological and pathological processes, including 40 aging, stress responses, and epigenetic inheritance. However, whether small RNAs 41and their modifications are altered in dementia is not known. 42 Methods: We performed LC-MS/MS-based, high-throughput small RNA modification 43 assays on post-mortem samples of the prefrontal lobe of Alzheimer's disease (AD), 44 vascular dementia+AD (VaD+AD), and control individuals. 45 Findings: We report altered small RNA modifications in the 15-25-nt fractions 46 enriched for microRNAs, and 30-40-nt RNA fractions enriched for tRNA-derived small 47 RNAs (tsRNAs), rRNA-derived small RNAs (rsRNAs), and YRNA-derived small RNAs 48(ysRNAs). Interestingly, most of these altered RNA modifications were unique to AD 49 and were not identified in VaD+AD subjects. In addition, sequencing of small RNA in 50 the 30-40-nt fraction from AD cortices revealed reductions in rsRNA-5S, tsRNA-Tyr, 51 and tsRNA-Arg. 52