This chapter discusses different genetic and environmental factors that either cause, or increase the risk of, Alzheimer's Disease (AD). Each genetic causal or predisposition factor promotes increased oxidative stress and disrupts cellular calcium homeostasis in neurons. Mitochondrial function is compromised by oxyradicals and calcium overload resulting in further oxyradical production, impaired calcium homeostasis, and activation of apoptotic caspases. Age-related DNA damage (nuclear and mitochondrial) may endanger neurons and render them vulnerable to excitotoxicity and apoptosis. Environmental factors that may predispose to AD include excessive caloric intake, folic-acid insufficiency, and disuse of neural circuits involved in learning and memory. Novel preventative approaches for AD based upon the mechanisms include dietary restriction, mental aerobics, and dietary supplementation with folic acid and certain anti-oxidants . Therapeutic strategies may include antioxidants, anti-inflammatory agents, and drugs that stabilize mitochondrial function.