Structural variants (SVs), defined as any genomic rearrangements of 50 or more bp, are an important source of genetic diversity and have been linked to many diseases. Here, we report 170,996 SVs which were constructed using 1,760 short-read whole genomes from aging and Alzheimer’s disease subjects. We quantified the impact of cis-acting SVs on several molecular traits (SV-xQTL) including histone modification, gene expression, mRNA splicing, and protein abundance in post-mortem brain tissues. Our study provides a comprehensive view of the mechanisms linking structural variation to gene regulation and provides a valuable resource for understanding the functional impact of SVs in the aged human brain.