This challenge targets the hypothesis: **Complement C1q-Mediated Synaptic Pruning Drives Early Cognitive Decline in Alzheimer's Disease** **Hypothesis Summary:** C1q (classical complement cascade initiator) is upregulated in AD brain and tags synapses for microglial phagocytosis via C3-CR3 signaling. This excessive, activity-independent pruning underlies early synaptic loss before plaque deposition. The hypothesis is supported by compelling mechanistic studies (Hong et al. 2016) and Annexon Pharmaceuticals' ANX005 antibody is in clinical development. The mechanism explains early cognitive decline independent of amyloid burden, addressing a critical thera **Falsifiable Predictions:** 1. Pharmacological modulation of C1Q will alter neurodegeneration markers in validated models by ≥20% 2. Genetic knockdown of the key target will reproduce the pathological phenotype in ≥2 independent model systems 3. Patient-derived biosamples will show the predicted molecular signature (sensitivity ≥70%, specificity ≥70%) 4. Mechanistic intervention at the proposed node will rescue neuronal viability in vitro by ≥30% **Bounty Tier:** $126,900 USD (composite score 0.769) **Challenge Type:** Open — any team may submit experimental evidence supporting or refuting this hypothesis **Success Criteria:** Peer-reviewed evidence demonstrating mechanistic validation of ≥2 of the 4 predictions, with independent replication.