PMID- 19715553 OWN - NLM STAT- MEDLINE DCOM- 20100621 LR - 20191027 IS - 1875-5828 (Electronic) IS - 1567-2050 (Linking) VI - 7 IP - 2 DP - 2010 Mar TI - Genetic susceptibility to behavioural and psychological symptoms in Alzheimer disease. PG - 158-64 AB - Alzheimer's disease (AD) is a neurodegenerative disorder characterized by progressive cognitive decline including loss of memory, orientation and reasoning. However, a relevant aspect of AD is the presence of a variety of behavioural and psychological symptoms in dementia (BPSD), beyond the well-known progressive cognitive impairment. Approximately 50% to 80% of patients diagnosed with AD present behavioural or psychiatric disturbances such as psychosis, depression, agitation, disinhibition, aggression, hyperactivity, and socially intrusive behaviours. These symptoms may be burdensome for physicians and caregivers and lead to earlier institutionalization and increased social and economic costs. In this view, recent literature has considered the likely genetic component of BPSD in AD, defining different clusters. Several studies have investigated whether the main recognised genetic risk factor for late-onset AD, namely the apolipoprotein E (APOE) gene, is associated with BPSD, with conflicting results. The involvement of dopamine- or serotonin-related pathways and associated genetic variabilities has been demonstrated as being interesting candidates for the neuropsychiatry manifestations of dementia. Moreover, genetic variations of neurotrophins, such as brain-derived neurotrophic factor (BDNF), have been related to depression susceptibility in AD. In the present review, we summarise the current literature on genetic risk factors to BPSD susceptibility in AD and discuss future possible treatment strategies. FAU - Borroni, Barbara AU - Borroni B AD - Centre for Brain Aging and Neurodegenerative Disorders, Department of Neurology, University of Brescia, Italy. bborroni@inwind.it FAU - Costanzi, Chiara AU - Costanzi C FAU - Padovani, Alessandro AU - Padovani A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United Arab Emirates TA - Curr Alzheimer Res JT - Current Alzheimer research JID - 101208441 RN - 0 (Apolipoproteins E) RN - 0 (Biogenic Monoamines) RN - 0 (Nerve Growth Factors) SB - IM MH - Alzheimer Disease/*genetics/physiopathology/*psychology MH - Animals MH - Apolipoproteins E/genetics MH - Biogenic Monoamines/metabolism MH - Brain Chemistry/genetics MH - Genetic Predisposition to Disease/*genetics MH - Mice MH - Nerve Growth Factors/genetics MH - Neural Pathways/metabolism/physiopathology MH - Neurocognitive Disorders/*genetics/physiopathology MH - Polymorphism, Genetic/genetics RF - 81 EDAT- 2009/09/01 06:00 MHDA- 2010/06/22 06:00 CRDT- 2009/09/01 09:00 PHST- 2008/12/05 00:00 [received] PHST- 2009/03/10 00:00 [accepted] PHST- 2009/09/01 09:00 [entrez] PHST- 2009/09/01 06:00 [pubmed] PHST- 2010/06/22 06:00 [medline] AID - CAR-10 [pii] AID - 10.2174/156720510790691173 [doi] PST - ppublish SO - Curr Alzheimer Res. 2010 Mar;7(2):158-64. doi: 10.2174/156720510790691173.