Evidence map›Paper›PMID 41761178›Full record

ArticleBMC medical genomics2026

The functional minisatellite at the 3'-UTR of SLC6A3/DAT1 and dementia spectrum disorders: an association study in a population of Central Italy.

Benedetta Torbidoni-Baldassari, Anna Giulia Guazzarini, Gabriele Rezza, Patrizia Bastiani, Roberta Cecchetti, Patrizia Mecocci, Valerio Napolioni

Abstract read
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Article in BMC medical genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Benedetta Torbidoni-BaldassariGenomic And Molecular Epidemiology (GAME) Lab, School of Biosciences and Veterinary Medicine, University of Camerino, Via Gentile III da Varano, Camerino, 62032, Italy.
Anna Giulia GuazzariniDivision of Gerontology and Geriatrics, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Gabriele RezzaGenomic And Molecular Epidemiology (GAME) Lab, School of Biosciences and Veterinary Medicine, University of Camerino, Via Gentile III da Varano, Camerino, 62032, Italy.
Patrizia BastianiDivision of Gerontology and Geriatrics, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Roberta CecchettiDivision of Gerontology and Geriatrics, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Patrizia MecocciDivision of Gerontology and Geriatrics, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Valerio NapolioniGenomic And Molecular Epidemiology (GAME) Lab, School of Biosciences and Veterinary Medicine, University of Camerino, Via Gentile III da Varano, Camerino, 62032, Italy. valerio.napolioni@unicam.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia comprises a spectrum of neurodegenerative disorders marked by progressive cognitive and behavioural decline, with Alzheimer’s disease (AD) being the most prevalent form. While several genetic factors have been implicated in AD pathogenesis, a significant portion of heritability remains unexplained. One potential contributor to this “missing heritability” is structural variation within non-coding regions, such as variable-number tandem repeats (VNTRs). This study investigated the 40-bp VNTR located in the 3’ untranslated region of the SLC6A3/DAT1 (henceforth referred to as DAT1) gene, a polymorphism previously associated with dopamine regulation and psychiatric conditions, for potential associations with dementia spectrum disorders and related neuropsychiatric phenotypes.

methodsA cohort of 799 elderly individuals from Central Italy, including AD, mild cognitive impairment (MCI), mixed dementia, and control subjects, was genotyped for the DAT1 VNTR and the APOE alleles. Neuropsychiatric evaluation was performed using the Neuropsychiatric Inventory (NPI).

resultsNo significant association was observed between DAT1-VNTR genotypes and any dementia diagnosis. However, neuropsychiatric analysis revealed significant associations between DAT1-VNTR genotypes and behavioural symptoms. Carriers of the short (*S) allele showed association with apathy (especially in the presence of APOE*4), irritability, and disinhibition. The *S/*S genotype was notably linked to elevated NPI scores for irritability and disinhibition.

conclusionsThese findings suggest that while the DAT1 VNTR is not directly associated with dementia diagnoses, it may contribute to modulating neuropsychiatric symptoms across dementia types. The results emphasize the importance of investigating non-coding genetic variants and their interactions with established risk alleles, such as APOE*4. Larger studies are needed to validate these findings and explore the functional consequences of DAT1 variation in neurodegeneration. This work contributes to our understanding of the dopaminergic system’s influence on behavioural phenotypes in dementia. It warrants the VNTR as a candidate contributing to neuropsychiatric symptom variability in aging populations.

Indexed as

3' Untranslated RegionsDementiaDopamine Plasma Membrane Transport ProteinsGenetic Association StudiesMinisatellite RepeatsAgedAged, 80 and overAlzheimer DiseaseFemaleGenetic Predisposition to DiseaseGenotypeHumansItalyMale3' Untranslated RegionsDopamine Plasma Membrane Transport ProteinsSLC6A3 protein, humanAlzheimer’s diseaseAssociation StudyDementiaDopaminePolymorphismVNTR

Identifiers

PMID41761178
PMCPMC13064044

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.