<b><i>Background:</i></b> Alzheimer’s disease (AD) is a neurodegenerative disorder accounting for 60–70% of dementia cases. Genetic origin accounts for 49–79% of disease risk. This paper aims to investigate the association of 17 polymorphisms within 7 genes involved in neurotransmission (<i>COMT</i>, <i>HTR2A</i>, <i>PPP3CC</i>, <i>RORA</i>, <i>SIGMAR1</i>, <i>SIRT1</i>, and <i>SORBS3</i>) and AD. <b><i>Methods:</i></b> A Greek and an Italian sample were investigated, for a total of 156 AD subjects and 301 healthy controls. Exploratory analyses on psychosis and depression comorbidities were performed, as well as on other available clinical and serological parameters. <b><i>Results:</i></b> AD was associated with rs4680 within the <i>COMT</i> gene in the total sample. Trends of association were found in the 2 subsamples. Some nominal associations were found for the depressive phenotype. rs10997871 and rs10997875 within <i>SIRT1</i> were nominally associated with depression in the total sample and in the Greek subsample. rs174696 within <i>COMT</i> was associated with depression comorbidity in the Italian subsample. <b><i>Discussion:</i></b> Our data support the role of <i>COMT</i>, and particularly of rs4680, in the pathogenesis of AD. Furthermore, the <i>SIRT1</i> gene seems to modulate depressive symptomatology in the AD population.