Among many candidate genes for the genetically heterogeneous Alzheimer's di
sease (AD), only apolipoprotein E (ApoE) has been confirmed. Another candid
ate is the dihydrolipoyl succinyltransferase (DLST) gene, one of three comp
onents of thiamine-dependent mitochondrial a-ketoglutarate dehydrogenase co
mplex (KGDHC). because KGDHC activity is reported reduced in AD patients. A
lso characterized by reduced KGDHC activity is another neuropsychiatric dis
ease. Wernicke-Korsakoff syndrome (WKS). which results from thiamine defici
ency. Examination of specific DLST gene polymorphism in 247 Japanese AD pat
ients. 53 alcoholic WKS patients, and 368 nondemented Japanese control subj
ects revealed no significant differences in DLST genotypes and failed to re
plicate the findings of earlier studies indicating an association between D
LST gene polymorphism and AD.