Skip to main content

Advertisement

Log in

Genetic Variation in the α7 Nicotinic Acetylcholine Receptor is Associated with Delusional Symptoms in Alzheimer’s Disease

  • Original Paper
  • Published:
NeuroMolecular Medicine Aims and scope Submit manuscript

Abstract

Psychotic symptoms are common in Alzheimer’s disease (AD) and have a negative impact on quality of life. It is suggested that psychotic symptoms may be attributed to genetic risk factors which are revealed during neurodegeneration. CHRNA7, the gene for the α7 nicotinic acetylcholine receptor, has been associated with schizophrenia in linkage and association studies. Hence we investigated single SNPs and haplotypes in CHRNA7 in relation to AD with psychosis in a large, well-characterised and previously described cohort within the Northern Ireland population. A significant association between delusions and the T allele of rs6494223 (P = 0.014, OR = 1.63, CI = 1.22–2.17) was found. This suggests that the α7 receptor may be a suitable target for the treatment of AD with psychosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Andersen, M. B., Werge, T., & Fink-Jensen, A. (2007). The acetylcholinesterase inhibitor galantamine inhibits d-amphetamine-induced psychotic-like behavior in Cebus monkeys. Journal of Pharmacology and Experimental Therapeutics, 3, 1179–1182. doi:10.1124/jpet.107.119677.

    Article  CAS  Google Scholar 

  • Barrett, J. C., Fry, B., Maller, J., & Daly, M. J. (2005). Haploview: Analysis and visualization of LD and haplotype maps. Bioinformatics, 2, 263–265.

    Google Scholar 

  • Borroni, B., Grassi, M., Costanzi, C., Zanetti, M., Archetti, S., Franzoni, S., et al. (2007). Haplotypes in cathechol-O-methyltransferase gene confer increased risk for psychosis in Alzheimer disease. Neurobiology of Aging, 8, 1231–1238. doi:10.1016/j.neurobiolaging.2006.05.027.

    Article  CAS  Google Scholar 

  • Bourin, M., Ripoll, N., & Dailly, E. (2003). Nicotinic receptors and Alzheimer’s disease. Current Medical Research and Opinion, 3, 169–177. doi:10.1185/030079903125001631.

    Article  CAS  Google Scholar 

  • Buchanan, R. W., Conley, R. R., Dickinson, D., Ball, M. P., Feldman, S., Gold, J. M., et al. (2008). Galantamine for the treatment of cognitive impairments in people with schizophrenia. American Journal of Psychiatry, 1, 82–89.

    Google Scholar 

  • Carson, R., Craig, D., McGuinness, B., Johnston, J. A., O’Neill, F. A., Passmore, A. P., et al. (2008). Alpha7 nicotinic acetylcholine receptor gene and reduced risk of Alzheimer’s disease. Journal of Medical Genetics, 4, 244–248.

    Google Scholar 

  • Cook, L. J., Ho, L. W., Wang, L., Terrenoire, E., Brayne, C., Evans, J. G., et al. (2005). Candidate gene association studies of genes involved in neuronal cholinergic transmission in Alzheimer’s disease suggests choline acetyltransferase as a candidate deserving further study. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 1, 5–8. doi:10.1002/ajmg.b.30068.

    Article  Google Scholar 

  • Craig, D., Donnelly, C., Hart, D., Carson, R., & Passmore, P. (2007). Analysis of the 5HT-2A T102C receptor polymorphism and psychotic symptoms in Alzheimer’s disease. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 1, 126–128. doi:10.1002/ajmg.b.30409.

    Article  CAS  Google Scholar 

  • Craig, D., Hart, D. J., Carson, R., McIlroy, S. P., & Passmore, A. P. (2004a). Psychotic symptoms in Alzheimer’s disease are not influenced by polymorphic variation at the dopamine receptor DRD3 gene. Neuroscience Letters, 1, 33–36. doi:10.1016/j.neulet.2004.06.052.

    Article  CAS  Google Scholar 

  • Craig, D., Hart, D. J., McCool, K., McIlroy, S. P., & Passmore, A. P. (2004b). The interleukin 1beta gene promoter polymorphism (−511) acts as a risk factor for psychosis in Alzheimer’s dementia. Annals of Neurology, 1, 121–124. doi:10.1002/ana.20120.

    Article  CAS  Google Scholar 

  • Craig, D., Mirakhur, A., Hart, D. J., McIlroy, S. P., & Passmore, A. P. (2005). A cross-sectional study of neuropsychiatric symptoms in 435 patients with Alzheimer’s disease. The American Journal of Geriatric Psychiatry, 6, 460–468. doi:10.1176/appi.ajgp.13.6.460.

    Google Scholar 

  • Cummings, J. L., & Back, C. (1998). The cholinergic hypothesis of neuropsychiatric symptoms in Alzheimer’s disease. The American Journal of Geriatric Psychiatry, 2(Suppl 1), S64–S78.

    Google Scholar 

  • Cummings, J. L., Mega, M., Gray, K., Rosenberg-Thompson, S., Carusi, D. A., & Gornbein, J. (1994). The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia. Neurology, 12, 2308–2314.

    Google Scholar 

  • Feldman, H., Gauthier, S., Hecker, J., Vellas, B., Subbiah, P., Whalen, E., and Donepezil MSAD Study Investigators Group. (2001). A 24-week, randomized, double-blind study of donepezil in moderate to severe Alzheimer’s disease. Neurology, 4, 613–620.

    Google Scholar 

  • Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 3, 189–198. doi:10.1016/0022-3956(75)90026-6.

    Article  Google Scholar 

  • Freedman, R., Coon, H., Myles-Worsley, M., Orr-Urtreger, A., Olincy, A., Davis, A., et al. (1997). Linkage of a neurophysiological deficit in schizophrenia to a chromosome 15 locus. Proceedings of the National Academy of Sciences of the United States of America, 2, 587–592. doi:10.1073/pnas.94.2.587.

    Article  Google Scholar 

  • Freedman, R., Hall, M., Adler, L. E., & Leonard, S. (1995). Evidence in postmortem brain tissue for decreased numbers of hippocampal nicotinic receptors in schizophrenia. Biological Psychiatry, 1, 22–33. doi:10.1016/0006-3223(94)00252-X.

    Article  Google Scholar 

  • Freedman, R., Leonard, S., Gault, J. M., Hopkins, J., Cloninger, C. R., Kaufmann, C. A., et al. (2001). Linkage disequilibrium for schizophrenia at the chromosome 15q13-14 locus of the alpha7-nicotinic acetylcholine receptor subunit gene (CHRNA7). American Journal of Medical Genetics, 1, 20–22. doi :10.1002/1096-8628(20010108)105:1<20::AID-AJMG1047>3.0.CO;2-C.

    Article  Google Scholar 

  • Garcia-Alloza, M., Gil-Bea, F. J., Diez-Ariza, M., Chen, C. P., Francis, P. T., Lasheras, B., et al. (2005). Cholinergic-serotonergic imbalance contributes to cognitive and behavioral symptoms in Alzheimer’s disease. Neuropsychologia, 3, 442–449. doi:10.1016/j.neuropsychologia.2004.06.007.

    Article  Google Scholar 

  • Gault, J., Robinson, M., Berger, R., Drebing, C., Logel, J., Hopkins, J., et al. (1998). Genomic organization and partial duplication of the human alpha7 neuronal nicotinic acetylcholine receptor gene (CHRNA7). Genomics, 2, 173–185. doi:10.1006/geno.1998.5363.

    Article  Google Scholar 

  • Go, R. C., Perry, R. T., Wiener, H., Bassett, S. S., Blacker, D., Devlin, B., et al. (2005). Neuregulin-1 polymorphism in late onset Alzheimer’s disease families with psychoses. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 1, 28–32. doi:10.1002/ajmg.b.30219.

    Article  CAS  Google Scholar 

  • Gotti, C., & Clementi, F. (2004). Neuronal nicotinic receptors: From structure to pathology. Progress in Neurobiology, 6, 363–396. doi:10.1016/j.pneurobio.2004.09.006.

    Article  CAS  Google Scholar 

  • Guan, Z. Z., Zhang, X., Blennow, K., & Nordberg, A. (1999). Decreased protein level of nicotinic receptor alpha7 subunit in the frontal cortex from schizophrenic brain. Neuroreport, 8, 1779–1782.

    Article  Google Scholar 

  • Hansen, H. H., Timmermann, D. B., Peters, D., Walters, C., Damaj, M. I., & Mikkelsen, J. D. (2007). Alpha-7 nicotinic acetylcholine receptor agonists selectively activate limbic regions of the rat forebrain: An effect similar to antipsychotics. Journal of Neuroscience Research, 8, 1810–1818. doi:10.1002/jnr.21293.

    Article  CAS  Google Scholar 

  • Hirono, N., Mori, E., Yasuda, M., Ikejiri, Y., Imamura, T., Shimomura, T., et al. (1998). Factors associated with psychotic symptoms in Alzheimer’s disease. Journal of Neurology, Neurosurgery and Psychiatry, 5, 648–652.

    Article  Google Scholar 

  • Hollingworth, P., Hamshere, M. L., Holmans, P. A., O’Donovan, M. C., Sims, R., Powell, J., et al. (2007). Increased familial risk and genomewide significant linkage for Alzheimer’s disease with psychosis. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 7, 841–848. doi:10.1002/ajmg.b.30515.

    Article  Google Scholar 

  • Holmes, C., Arranz, M. J., Powell, J. F., Collier, D. A., & Lovestone, S. (1998). 5-HT2A and 5-HT2C receptor polymorphisms and psychopathology in late onset Alzheimer’s disease. Human Molecular Genetics, 9, 1507–1509. doi:10.1093/hmg/7.9.1507.

    Article  Google Scholar 

  • Jeste, D. V., Wragg, R. E., Salmon, D. P., Harris, M. J., & Thal, L. J. (1992). Cognitive deficits of patients with Alzheimer’s disease with and without delusions. American Journal of Psychiatry, 2, 184–189.

    Google Scholar 

  • Kaufer, D. (1998). Beyond the cholinergic hypothesis: The effect of metrifonate and other cholinesterase inhibitors on neuropsychiatric symptoms in Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 8–14. doi:10.1159/000051193.

  • Kawamata, J., & Shimohama, S. (2002). Association of novel and established polymorphisms in neuronal nicotinic acetylcholine receptors with sporadic Alzheimer’s disease. Journal of Alzheimer’s Disease, 2, 71–76.

    Google Scholar 

  • Lanari, A., Amenta, F., Silvestrelli, G., Tomassoni, D., & Parnetti, L. (2006). Neurotransmitter deficits in behavioural and psychological symptoms of Alzheimer’s disease. Mechanisms of Ageing and Development, 2, 158–165. doi:10.1016/j.mad.2005.09.016.

    Article  CAS  Google Scholar 

  • Leonard, S., & Freedman, R. (2006). Genetics of chromosome 15q13-q14 in schizophrenia. Biological Psychiatry, 2, 115–122. doi:10.1016/j.biopsych.2006.03.054.

    Article  CAS  Google Scholar 

  • Leonard, S., Gault, J., Hopkins, J., Logel, J., Vianzon, R., Short, M., et al. (2002). Association of promoter variants in the alpha7 nicotinic acetylcholine receptor subunit gene with an inhibitory deficit found in schizophrenia. Archives of General Psychiatry, 12, 1085–1096. doi:10.1001/archpsyc.59.12.1085.

    Article  Google Scholar 

  • McIlroy, S., & Craig, D. (2004). Neurobiology and genetics of behavioural syndromes of Alzheimer’s disease. Current Alzheimer Research, 2, 135–142. doi:10.2174/1567205043332180.

    Article  Google Scholar 

  • McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., & Stadlan, E. M. (1984). Clinical diagnosis of Alzheimer’s disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology, 7, 939–944.

    Google Scholar 

  • Miller, S. A., Dykes, D. D., & Polesky, H. F. (1988). A simple salting out procedure for extracting DNA from human nucleated cells. Nucleic Acids Research, 3, 1215. doi:10.1093/nar/16.3.1215.

    Article  Google Scholar 

  • Mirakhur, A., Craig, D., Hart, D. J., McLlroy, S. P., & Passmore, A. P. (2004). Behavioural and psychological syndromes in Alzheimer’s disease. International Journal of Geriatric Psychiatry, 11, 1035–1039. doi:10.1002/gps.1203.

    Article  Google Scholar 

  • Olincy, A., Harris, J. G., Johnson, L. L., Pender, V., Kongs, S., Allensworth, D., et al. (2006). Proof-of-concept trial of an alpha7 nicotinic agonist in schizophrenia. Archives of General Psychiatry, 6, 630–638. doi:10.1001/archpsyc.63.6.630.

    Article  Google Scholar 

  • Paulsen, J. S., Salmon, D. P., Thal, L. J., Romero, R., Weisstein-Jenkins, C., Galasko, D., et al. (2000). Incidence of and risk factors for hallucinations and delusions in patients with probable AD. Neurology, 10, 1965–1971.

    Google Scholar 

  • Pritchard, A. L., Harris, J., Pritchard, C. W., Coates, J., Haque, S., Holder, R., et al. (2008). Role of 5HT(2A) and 5HT(2C) polymorphisms in behavioural and psychological symptoms of Alzheimer’s disease. Neurobiology of Aging, 29, 341–347.

    Article  PubMed  CAS  Google Scholar 

  • Raux, G., Bonnet-Brilhault, F., Louchart, S., Houy, E., Gantier, R., Levillain, D., et al. (2002). The −2 bp deletion in exon 6 of the ‘alpha 7-like’ nicotinic receptor subunit gene is a risk factor for the P50 sensory gating deficit. Molecular Psychiatry, 9, 1006–1011. doi:10.1038/sj.mp.4001140.

    Article  CAS  Google Scholar 

  • Riley, B. P., Makoff, A., Mogudi-Carter, M., Jenkins, T., Williamson, R., Collier, D., et al. (2000). Haplotype transmission disequilibrium and evidence for linkage of the CHRNA7 gene region to schizophrenia in Southern African Bantu families. American Journal of Medical Genetics, 2, 196–201. doi :10.1002/(SICI)1096-8628(20000403)96:2<196::AID-AJMG15>3.0.CO;2-4.

    Article  Google Scholar 

  • Rocchi, A., Pellegrini, S., Siciliano, G., & Murri, L. (2003). Causative and susceptibility genes for Alzheimer’s disease: A review. Brain Research Bulletin, 1, 1–24. doi:10.1016/S0361-9230(03)00067-4.

    Article  CAS  Google Scholar 

  • Ropacki, S. A., & Jeste, D. V. (2005). Epidemiology of and risk factors for psychosis of Alzheimer’s disease: A review of 55 studies published from 1990 to 2003. American Journal of Psychiatry, 11, 2022–2030. doi:10.1176/appi.ajp.162.11.2022.

    Article  Google Scholar 

  • Shimohama, S., & Kihara, T. (2001). Nicotinic receptor-mediated protection against beta-amyloid neurotoxicity. Biological Psychiatry, 3, 233–239. doi:10.1016/S0006-3223(00)01100-8.

    Article  Google Scholar 

  • Sweet, R. A., Devlin, B., Pollock, B. G., Sukonick, D. L., Kastango, K. B., Bacanu, S. A., et al. (2005). Catechol-O-methyltransferase haplotypes are associated with psychosis in Alzheimer disease. Molecular Psychiatry, 11, 1026–1036. doi:10.1038/sj.mp.4001709.

    Article  CAS  Google Scholar 

  • Sweet, R. A., Nimgaonkar, V. L., Devlin, B., & Jeste, D. V. (2003). Psychotic symptoms in Alzheimer disease: Evidence for a distinct phenotype. Molecular Psychiatry, 4, 383–392. doi:10.1038/sj.mp.4001262.

    Article  Google Scholar 

  • Sweet, R. A., Nimgaonkar, V. L., Kamboh, M. I., Lopez, O. L., Zhang, F., & DeKosky, S. T. (1998). Dopamine receptor genetic variation, psychosis, and aggression in Alzheimer disease. Archives of Neurology, 10, 1335–1340. doi:10.1001/archneur.55.10.1335.

    Article  Google Scholar 

  • Treiber, K. A., Lyketsos, C. G., Corcoran, C., Steinberg, M., Norton, M., Green, R. C., et al. (2008). Vascular factors and risk for neuropsychiatric symptoms in Alzheimer’s disease: The Cache County Study. International Psychogeriatrics, 3, 538–553.

    Google Scholar 

  • van den Oord, E. J., & Neale, B. M. (2004). Will haplotype maps be useful for finding genes? Molecular Psychiatry, 3, 227–236. doi:10.1038/sj.mp.4001449.

    Article  CAS  Google Scholar 

  • Zhang, L., Zhou, F. M., & Dani, J. A. (2004). Cholinergic drugs for Alzheimer’s disease enhance in vitro dopamine release. Molecular Pharmacology, 3, 538–544. doi:10.1124/mol.104.000299.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Competing interests: The authors (DC, APP and CWR) have received honoraria from companies with likely interests in drug effects involving cholinergic pathways. Funding: Research and Development Office, Health and Personal Social Services, Northern Ireland; Alzheimer’s Research Trust (ART); Alzheimer’s Society (UK); Shire Pharmaceuticals; Ulster Garden Villages; Pfizer/Eisai.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Robyn Carson.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carson, R., Craig, D., Hart, D. et al. Genetic Variation in the α7 Nicotinic Acetylcholine Receptor is Associated with Delusional Symptoms in Alzheimer’s Disease. Neuromol Med 10, 377–384 (2008). https://doi.org/10.1007/s12017-008-8048-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12017-008-8048-8

Keywords

Navigation