Philibert Robert A, Gunter Tracy D, Beach Steven R H, Brody Gene H, Hollenbeck Nancy, Andersen Allan, Adams William
Department of Psychiatry, The University of Iowa, Iowa City,IA 52242-1000, USA.
Psychiatr Genet. 2009 Apr;19(2):91-8. doi: 10.1097/YPG.0b013e3283208026.
A number of studies have shown that genetic variation at GABRA2 alters vulnerability to alcohol dependence. The exact identity of the causal variant(s), and the relationship of these variants to other forms of substance use and behavioral illness is, however, uncertain.
Therefore, we genotyped 516 individuals from the Iowa Adoption Studies, a large longitudinal case and control adoption study of substance use, at 39 single nucleotide polymorphisms encompassing the GABRA2 locus and analyzed them with respect to their lifetime history of three common forms of substance use dependence [alcohol dependence (AD), nicotine dependence (ND), and cannabis dependence (CD)] in the Iowa Adoption Studies and relevant exposure variables.
Using regression analysis, we found substantial evidence that both GABRA2 genotype and haplotype are significantly related to vulnerability to AD, ND, and CD, with the strongest relationships noted with respect to ND. Consistent with earlier studies suggesting exposure is an important step in the development of substance use, we found the inclusion of substance exposure data in our analytic models markedly increased the strength of the genetic associations of GABRA2 haplotype with substance use. Finally, we report that the genetic effects were markedly more pronounced in females than in males.
We conclude that genetic variation at or near the GABRA2 locus significantly affects vulnerability not only to AD, but to other forms of substance use including ND and CD, and that the effects may be sex dependent.
多项研究表明,GABRA2基因的遗传变异会改变酒精依赖易感性。然而,致病变异的确切身份以及这些变异与其他形式物质使用和行为疾病的关系尚不确定。
因此,我们对来自爱荷华收养研究的516名个体进行了基因分型,该研究是一项关于物质使用的大型纵向病例对照收养研究,针对涵盖GABRA2基因座的39个单核苷酸多态性进行检测,并结合爱荷华收养研究中三种常见物质使用依赖形式(酒精依赖(AD)、尼古丁依赖(ND)和大麻依赖(CD))的终生病史以及相关暴露变量对其进行分析。
通过回归分析,我们发现大量证据表明,GABRA2基因型和单倍型均与AD、ND和CD易感性显著相关,其中与ND的关系最为密切。与早期研究一致,早期研究表明暴露是物质使用发展的重要一步,我们发现在分析模型中纳入物质暴露数据显著增强了GABRA2单倍型与物质使用之间的遗传关联强度。最后,我们报告基因效应在女性中比在男性中更为明显。
我们得出结论,GABRA2基因座或其附近的遗传变异不仅显著影响AD易感性,还影响包括ND和CD在内的其他形式物质使用易感性,且这些效应可能存在性别差异。