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在患有严重物质使用和行为问题的青少年患者样本中,检测TaqIA A1等位基因与酒精使用障碍表型之间的关联。

Test of association between TaqIA A1 allele and alcohol use disorder phenotypes in a sample of adolescent patients with serious substance and behavioral problems.

作者信息

Sakai Joseph T, Hopfer Christian J, Hartman Christie, Haberstick Brett C, Smolen Andrew, Corley Robin P, Stallings Michael C, Young Susan E, Timberlake David, Hewitt John K, Crowley Thomas J

机构信息

Department of Psychiatry, Division of Substance Dependence, University of Colorado School of Medicine, Denver, CO 80262, USA.

出版信息

Drug Alcohol Depend. 2007 May 11;88(2-3):130-7. doi: 10.1016/j.drugalcdep.2006.10.002. Epub 2006 Oct 27.

Abstract

UNLABELLED

Several studies have demonstrated a significant association between the A1 allele of the TaqIA polymorphism and various phenotypes of alcoholism, others have not, and two studies have shown the reversed association, where the A2 allele was associated with higher levels of alcohol consumption. We sought to test for an association between early onset (in childhood or adolescence) alcohol use disorders and the DRD2 TaqIA polymorphism and to resolve some of the hypothesized explanations for previous negative results, utilizing a larger sample than many previous studies.

METHODS

We selected individuals with a lifetime alcohol abuse or dependence (n=239) diagnosis from a clinically ascertained sample of youth (ages 13-19) with serious conduct and substance problems (about 90% also met criteria for conduct disorder and a cannabis use disorder) and compared them with individuals without a lifetime alcohol use disorder diagnosis ascertained from (1) community adolescent controls (n=151), (2) siblings of patients (n=87) and (3) other adolescent patients (n=92). Cases were compared with each control group, separately, by genotype using the chi(2)-test. Using 78 adolescent patients with an alcohol use disorder where genotypic information was available for both parents, we conducted the transmission disequilibrium test (TDT).

RESULTS

Case-control results were non-significant using the entire community control sample (chi(2)(2)=1.92; p=0.38) and when restricting the sample to Caucasians (chi(2)(2)=3.81; p=0.15) or Hispanics (chi(2)(2)=1.70; p=0.43). Case-control results using the other comparison groups and TDT results were also non-significant.

DISCUSSION

We did not find support for an association between the TaqIA polymorphism and early onset alcohol use disorders.

摘要

未标注

多项研究表明,TaqIA多态性的A1等位基因与酒精中毒的多种表型之间存在显著关联,而其他研究则未发现这种关联,还有两项研究显示出相反的关联,即A2等位基因与更高水平的酒精消费相关。我们试图测试早发性(儿童期或青春期)酒精使用障碍与DRD2 TaqIA多态性之间的关联,并利用比以往许多研究更大的样本,解决先前阴性结果的一些假设性解释。

方法

我们从一个临床确诊的青少年样本(13 - 19岁)中选取了有终生酒精滥用或依赖诊断的个体(n = 239),这些青少年存在严重的行为和物质问题(约90%也符合品行障碍和大麻使用障碍的标准),并将他们与从以下三组中确定的无终生酒精使用障碍诊断的个体进行比较:(1)社区青少年对照组(n = 151),(2)患者的兄弟姐妹(n = 87),以及(3)其他青少年患者(n = 92)。使用卡方检验,按基因型将病例分别与每个对照组进行比较。我们对78名有酒精使用障碍且父母双方基因型信息均可用的青少年患者进行了传递不平衡检验(TDT)。

结果

使用整个社区对照样本时,病例对照结果无统计学意义(卡方(2)(2)=1.92;p = 0.38),将样本限制为白种人时(卡方(2)(2)=3.81;p = 0.15)或西班牙裔时(卡方(2)(2)=1.70;p = 0.43)也是如此。使用其他比较组的病例对照结果和TDT结果也无统计学意义。

讨论

我们没有找到支持TaqIA多态性与早发性酒精使用障碍之间存在关联的证据。

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