As important immune cells in innate immunity, natural killer (NK) cells are closely associated with the progression of Alzheimer's disease (AD). Hypoxia has been considered as a critical factor that influences AD development, but the regulating effects and underlying mechanisms of hypoxic NK cells in AD progression have not been studied. Herein, our study illustrated that hypoxic NK cells-derived exosomes ameliorated AD progression by delivering hypoxia-inducible factor 1α (HIF-1α). Specifically, AD models APP/PS1 mice and β-amyloid (Aβ)-treated HT22 cells were subjected to exosomes from NK cells cultured under normoxic (Nor-exo) or hypoxic (Hyp-exo) conditions. Compared to Nor-exo, Hyp-exo alleviated mice cognition damage, reduced the levels of p-Tau, P16, and P53, and senescence-associated β-galactosidase (SA-β-Gal) to suppress cellular senescence, downregulated Bax and upregulated Bcl-2 to suppress apoptotic cell death, and decreased MDA levels and increased GSH/GSSG ratio to initiate anti-oxidant effects in both APP/PS1 mice brain tissues and Aβ-treated HT22 cells. Moreover, antioxidant N-acetyl-L-cysteine (NAC) obviously mitigated Aβ-triggered senescence and apoptosis in HT22 cells. Interestingly, our mechanical experiments confirmed that HIF-1α was especially enriched in Hyp-exo compared to Nor-exo, and the following rescue experiments verified that Hyp-exo exerted its protective effects in AD models by delivering HIF-1α. In conclusion, Hyp-exo HIF-1α-dependently suppressed oxidative stress-related neuronal cell senescence and apoptosis to mitigate pathogenesis of AD, and our study might provide new theoretical basis for developing treatment methods for AD.