Cognitive impairment in studies of 5HTTLPR and psychosis in Alzheimer's disease: a systematic review

Dement Geriatr Cogn Disord. 2013;35(3-4):155-64. doi: 10.1159/000346733. Epub 2013 Feb 5.

Abstract

Background/aims: Cognitive impairment is a well-established correlate of psychotic symptoms in Alzheimer's disease (AD-P). We review whether this relationship has confounded previous genetic association studies of 5HTTLPR and AD-P.

Methods: We reviewed all studies on 5HTTLPR and conducted a semi-quantitative analysis.

Results: Three out of 4 studies with low MMSE reported a significant association, while 1 out of 4 with high MMSE reported a significant association.

Conclusions: Variation in cognitive impairment in past studies has contributed to the inconsistency in findings. The findings presented here bring a greater clarity to our understanding of the role of 5HTTLPR in AD-P.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Alzheimer Disease / genetics*
  • Alzheimer Disease / psychology*
  • Delusions / genetics
  • Genetic Predisposition to Disease
  • Hallucinations / genetics
  • Humans
  • Polymorphism, Genetic*
  • Psychiatric Status Rating Scales
  • Psychotic Disorders / etiology*
  • Serotonin Plasma Membrane Transport Proteins / genetics*
  • Severity of Illness Index

Substances

  • Serotonin Plasma Membrane Transport Proteins