PMID- 20685009 OWN - NLM STAT- MEDLINE DCOM- 20120615 LR - 20211020 IS - 1558-1497 (Electronic) IS - 0197-4580 (Linking) VI - 33 IP - 4 DP - 2012 Apr TI - Association of serotonin and dopamine gene pathways with behavioral subphenotypes in dementia. PG - 791-803 LID - 10.1016/j.neurobiolaging.2010.06.011 [doi] AB - Genetic association studies investigating the association between genes of serotonergic and dopaminergic systems and behavioral and psychological symptoms in dementia (BPSD) are contradictory. We have utilized 1008 probable Alzheimer's disease (AD) patients from the UK and used the 12-item Neuropsychiatric Inventory. We applied a multiple indicators-multiple causes (MIMIC) approach to investigate the effect of 11 polymorphisms on the 4 behavioral subphenotypes "psychosis", "moods", "agitation", and "behavioural dyscontrol". Significant associations were observed between the serotonin transporter gene (SERT) polymorphism STin2 and "psychosis"; the dopamine transporter gene (DAT) 3' variable number tandem repeats (VNTR) and "agitation"; and the dopamine receptor 4 (DRD4) VNTR and "moods" factors. Direct associations were identified between the dopamine receptor 3 (DRD3) BalI polymorphism and depression; the dopamine receptor 1 (DRD1) and dopamine transporter gene 3' VNTR polymorphisms and aberrant motor behavior; the DRD4 VNTR and sleep disturbances; and the SERT gene VNTR 5HTTLPR and apathy items. Significant interactions observed between polymorphisms suggested epistatic effects and interactions between polymorphisms and medications highlighted potential treatment response. This multiple indicators multiple causes (MIMIC) model efficiently captured the complexity of the interrelations between genetic variation, behavioral symptoms, and clinical variables. CI - Copyright A(c) 2012 Elsevier Inc. All rights reserved. FAU - Proitsi, Petroula AU - Proitsi P AD - Institute of Psychiatry, King's College London, London, UK. petroula.proitsi@kcl.ac.uk FAU - Lupton, Michelle K AU - Lupton MK FAU - Reeves, Suzanne J AU - Reeves SJ FAU - Hamilton, Gillian AU - Hamilton G FAU - Archer, Nicola AU - Archer N FAU - Martin, Belinda M AU - Martin BM FAU - Iyegbe, Conrad AU - Iyegbe C FAU - Hollingworth, Paul AU - Hollingworth P FAU - Lawlor, Brian AU - Lawlor B FAU - Gill, Michael AU - Gill M FAU - Brayne, Carol AU - Brayne C FAU - Rubinsztein, David C AU - Rubinsztein DC FAU - Owen, Michael J AU - Owen MJ FAU - Williams, Julie AU - Williams J FAU - Lovestone, Simon AU - Lovestone S FAU - Powell, John F AU - Powell JF LA - eng GR - G0300429/MRC_/Medical Research Council/United Kingdom GR - G0902227/MRC_/Medical Research Council/United Kingdom GR - G9901400/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100803 PL - United States TA - Neurobiol Aging JT - Neurobiology of aging JID - 8100437 RN - 0 (Apolipoprotein E4) RN - 0 (Dopamine Plasma Membrane Transport Proteins) RN - 0 (Receptors, Dopamine) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 333DO1RDJY (Serotonin) RN - EC 1.4.3.4 (Monoamine Oxidase) RN - EC 2.1.1.6 (Catechol O-Methyltransferase) RN - VTD58H1Z2X (Dopamine) SB - IM MH - Aged MH - Aged, 80 and over MH - Apolipoprotein E4/genetics MH - Behavioral Symptoms/etiology/*genetics MH - Catechol O-Methyltransferase/genetics MH - Chi-Square Distribution MH - Cohort Studies MH - DNA Mutational Analysis MH - *Dementia/complications/genetics/psychology MH - Dopamine/*genetics MH - Dopamine Plasma Membrane Transport Proteins MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease/*genetics MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Minisatellite Repeats/genetics MH - Models, Biological MH - Monoamine Oxidase/genetics MH - Polymorphism, Genetic/*genetics MH - Psychiatric Status Rating Scales MH - Receptors, Dopamine MH - Risk Factors MH - Serotonin/*genetics MH - Serotonin Plasma Membrane Transport Proteins MH - Signal Transduction/*genetics MH - United Kingdom EDAT- 2010/08/06 06:00 MHDA- 2012/06/16 06:00 CRDT- 2010/08/06 06:00 PHST- 2010/03/09 00:00 [received] PHST- 2010/06/10 00:00 [revised] PHST- 2010/06/16 00:00 [accepted] PHST- 2010/08/06 06:00 [entrez] PHST- 2010/08/06 06:00 [pubmed] PHST- 2012/06/16 06:00 [medline] AID - S0197-4580(10)00276-9 [pii] AID - 10.1016/j.neurobiolaging.2010.06.011 [doi] PST - ppublish SO - Neurobiol Aging. 2012 Apr;33(4):791-803. doi: 10.1016/j.neurobiolaging.2010.06.011. Epub 2010 Aug 3.