PMID- 17098333 OWN - NLM STAT- MEDLINE DCOM- 20080327 LR - 20220311 IS - 1558-1497 (Electronic) IS - 0197-4580 (Linking) VI - 29 IP - 3 DP - 2008 Mar TI - Role of 5HT 2A and 5HT 2C polymorphisms in behavioural and psychological symptoms of Alzheimer's disease. PG - 341-7 AB - OBJECTIVE: Alzheimer's disease (AD) patients suffer from behavioural and psychological symptoms of dementia (BPSD). A genetic component to BPSD development in AD has been demonstrated. Polymorphisms within serotonin receptors 5HT(2A) and 5HT(2C) have been previously investigated in a few interesting studies reviewed here, however, their role remains unclear. METHODS: Our large cohort of 394 patients had longitudinal information on the BPSD (Neuropsychiatric Inventory), which was used to dichotomise patients into whether they had ever suffered from a given symptom within the study period and give each patient a severity score. These measures were related to the 5HT(2A) T102C and 5HT(2C) cys23ser genotype and allele frequencies. RESULTS: Our data supports previous reports of an increased frequency of the C allele and CC genotype of the T102C variant of 5HT(2A) with hallucinations, delusions, psychosis and aberrant motor behaviour, however, we dispute previous associations with depression and aggression. We describe for the first time an increase in the C allele and CC genotype frequencies of the cys23ser variant of 5HT(2C) with anxiety and support previous associations with appetite disturbances in females. CONCLUSION: This review and extension of previous data presents support for the role of 5HT(2A) and 5HT(2C) in the development of certain symptoms, although the effect size may be small. FAU - Pritchard, Antonia L AU - Pritchard AL AD - Department of Human Genetics, G Floor CBCRC Building, Queensland Institute of Medical Research, 300 Herston Road, Herston, Brisbane 4006, Australia. Antonia.Pritchard@qimr.edu.au FAU - Harris, Judith AU - Harris J FAU - Pritchard, Colin W AU - Pritchard CW FAU - Coates, John AU - Coates J FAU - Haque, Sayeed AU - Haque S FAU - Holder, Roger AU - Holder R FAU - Bentham, Peter AU - Bentham P FAU - Lendon, Corinne L AU - Lendon CL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20061113 PL - United States TA - Neurobiol Aging JT - Neurobiology of aging JID - 8100437 RN - 0 (Receptor, Serotonin, 5-HT2A) RN - 0 (Receptor, Serotonin, 5-HT2C) SB - IM MH - Aged MH - Aged, 80 and over MH - Alzheimer Disease/complications MH - Behavioral Symptoms/etiology/*genetics MH - Cohort Studies MH - DNA Mutational Analysis MH - Female MH - Genotype MH - Humans MH - Logistic Models MH - Male MH - Neuropsychological Tests MH - *Polymorphism, Genetic MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/etiology/*genetics MH - Receptor, Serotonin, 5-HT2A/*genetics MH - Receptor, Serotonin, 5-HT2C/*genetics EDAT- 2006/11/14 09:00 MHDA- 2008/03/28 09:00 CRDT- 2006/11/14 09:00 PHST- 2006/03/17 00:00 [received] PHST- 2006/09/28 00:00 [revised] PHST- 2006/10/10 00:00 [accepted] PHST- 2006/11/14 09:00 [pubmed] PHST- 2008/03/28 09:00 [medline] PHST- 2006/11/14 09:00 [entrez] AID - S0197-4580(06)00388-5 [pii] AID - 10.1016/j.neurobiolaging.2006.10.011 [doi] PST - ppublish SO - Neurobiol Aging. 2008 Mar;29(3):341-7. doi: 10.1016/j.neurobiolaging.2006.10.011. Epub 2006 Nov 13.