Abstract. Consistent with the numerous Aβ-targeting clinical trials that failed to meet their primary endpoints, Aβ does not correlate spatiotemporally with oxidative stress (OS), oxygen/glucose hypometabolism, or other AD hallmarks in sporadic Alzheimer’s disease (AD) patients, suggesting it is a compensatory response and an amplifying signal in sporadic AD, not the distal or primary cause of sporadic AD as some still believe. Diverse bacteria, fungi, and DNA viruses accumulate in AD patients’ brains. OS occurs in the preclinical AD (PCAD) medial temporal lobe (MTL), but not the PCAD neocortex. However, oxidatively damaged DNA (oxoDNA) accumulates in the MTLs and neocortices of PCAD, mild cognitive impairment (MCI), and AD patients. DNA-oxidizing iron and aluminum accumulate in AD patients’ hippocampal neuron chromatin. OS, pathogens, and cytokines drive Aβ42 deposition. At the intersection of OS and poly-microbial infections in AD, we hypothesize oxoDNA drives multiple AD hallmarks at all stages of AD pathogenesis. OxoDNA appears to drive Aβ42 deposition via <cGAS/cGAMP/STING/IFN/AIM2>, <MYD88→NFκB→BACE1>, <MAP4K4→JNK→AP1>, and <CK2→pSer529-p65-NFκB→BACE1>. OxoDNA appears to spread OS via Nrf2 mislocalization. OxoDNA appears to drive tau hyperphosphorylation via mitochondrial OS induction. OxoDNA appears to drive oxygen hypo-metabolism, ATP depletion, and mitochondrial OS via <PARP1→PAR→PARG→ADPR→TPRM2→AMP→ANT→ADP→ATP synthase inhibition>. OxoDNA appears to drive neurotoxicity via <PARP1→PAR→mPTP→AIF→parthanatos>, <ROS,ADPR,Ca2+→TRPM2→Ca2+,Zn2+→(Zn2+/LKB1/pThr172-AMPKα2)→p-FOXO3→Bim→oxytosis/ferroptosis>, <CK2→pSer529-p65→Noxa+Bim>, <ATM→p53→caspase9+BAX+APAF1→apoptosis>, <AIM2→caspase1→gasderminD→pyroptosis>. OxoDNA appears to drive synaptoxicity via PARP1, <ADPR→TRPM2→Ca2+>, p53, NFκB, IL-6, <AIM2→caspase1→IL-1β>. OxoDNA appears to drive immunosuppression via IFNs+IL-6→SOCS1/3, and <AIM2+(Ca2+/CaMKKβ/pThr183-AMPKα1)+EB1+LC3→IL-1β>. Via <ROS,ADPR,Ca2+→TRPM2→Ca2+,Zn2+→ZnT6→S-SMase→ceramide> and possibly <AIM2+(Ca2+/CaMKKβ/pThr183-AMPKα1)+EB1→LC3>, oxygen-hypometabolic and partially immortalized medial temporal lobe pyramidal neurons excite each other, neocortical neurons with trans-synaptic extracellular vesicles bearing Aβ42, Zn2+, p-tau, ceramides, IL-1β, RNA, and oxoDNA, promoting synaptotoxicity. The multi-dsDNA repair factor depletion/suppression in AD neurons appears to have been selected for to evade viral integration, e.g. HHV-6A telomere integration. The ATM and BRCA1 loss in AD neurons appears to have been selected for to evade chromosomal fusions at telomeres deprotected by Ku80 downregulation and triaging to dsDNA breaks. BRCA1 and sporadic-AD-specific BMI1 loss derepress heterochromatin. Tau-associated derepressed endogenous retroviruses induce immunodeficiency. In the hippocampus, oxoDNA/IFN/IL-6-induced SOCS1 and oxoDNA/IFN- plus oxoDNA/IL-6-induced SOCS3 promote JAK/STAT suppression. oxoDNA/IFNs may drive IL-1 resistance. Hippocampal <LPS→TLR4→NFκB→pro-IL-1β> + <oxoDNA→cGAS→IFNs→AIM2> + <AIM2+(Ca2+/CaMKKβ/pThr183-AMPKα1)+EB1+LC3>-mediated IL-1β secretion suppresses neocortex IFN immunity, enabling opportunistic herpesvirus-6A and herpesvirus-7, and drives glucose hypo-metabolism, evading parthanatos and sepsis. Stress-associated glucocorticoids also drive immunodeficiency. AD is an inflammatory/autoimmune/immunosuppressive/pseudo-cancerous brain acquired immunodeficiency meta-syndrome (AIDS) driven by chronic oxidative DNA damage, dsDNA repair factor depletion/suppression, endogenous retrovirus derepression, cytokines, and poly-pathogen dysbiosis.