Opioid receptors and their endogenous peptide ligands play important roles in neurotransmission and neuromodulation in response to addictive drugs such as heroin, cocaine, and alcohol. In an earlier study, we reported that variation in the genes encoding the kappa-opioid receptor (OPRK1) and its peptide ligand (PDYN) were associated with the risk for alcoholism. We continued our investigation of the role of the opioid system in alcohol dependence by analyzing the genes encoding the micro- and delta-opioid receptors and their peptide ligands. We analyzed 18 OPRM1 SNPs, 18 OPRD1 SNPs, 7 PENK SNPs, and 7 POMC SNPs in a sample of 1923 European Americans from 219 multiplex alcohol dependent families. Employing a family-based test of association, we found no evidence that these four genes were significantly associated with alcohol dependence. We also did not find association between these genes and illicit drug dependence. Secondary analyses employing the narrower phenotype of opioid dependence (83 affected individuals) demonstrated association with SNPs in PENK and POMC, but not in OPRM1 or OPRD1. Haplotype analyses provided further support for the association of PENK and POMC with opioid dependence. Therefore, our data provide no support for the idea that variations in OPRM1, OPRD1, PENK and POMC are associated with alcohol dependence or general illicit drug dependence, but variations in PENK and POMC appear to be associated with the narrower phenotype of opioid dependence in these families.

译文

阿片受体及其内源肽配体在对海洛因,可卡因和酒精等成瘾药物的反应中,在神经传递和神经调节中起重要作用。在较早的研究中,我们报道了编码κ阿片受体(OPRK1)及其肽配体(PDYN)的基因变异与酗酒风险有关。我们通过分析编码微阿片受体和δ阿片受体及其肽配体的基因,继续研究阿片样物质系统在酒精依赖中的作用。我们在来自219个多重酒精依赖家庭的1923个欧洲美国人的样本中分析了18个OPRM1 SNP,18个OPRD1 SNP,7个PENK SNP和7个POMC SNP。使用基于家庭的关联测试,我们没有发现这四个基因与酒精依赖显着相关的证据。我们还没有发现这些基因与非法药物依赖性之间的关联。使用较窄的阿片类药物依赖表型(83个受影响的个体)进行的次要分析表明,PENK和POMC中与SNP相关,而OPRM1或OPRD1中与SNP不相关。单倍型分析为将PENK和POMC与阿片类药物依赖性相关提供了进一步的支持。因此,我们的数据不支持以下观点:OPRM1,OPRD1,PENK和POMC的变异与酒精依赖或一般非法药物依赖有关,但PENK和POMC的变异似乎与这些患者中阿片样物质依赖的较窄表型有关。家庭。

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