Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Pharmacogenet Genomics. 2011 Apr;21(4):197-205. doi: 10.1097/FPC.0b013e32833ef418.
Noradrenergic pathways have been suggested to play a crucial role in the motivation-reward system of heroin dependence (HD), but so far, the role of the human norepinephrine transporter (NET; SLC6A2) gene in the pathogenesis of HD has never been investigated. The purpose of this study was to examine whether the NET gene is associated with the development of HD, and whether the NET gene influences specific personality traits.
Twelve single-nucleotide polymorphisms of the NET gene were analyzed in a case-control study of 965 Han Chinese participants (603 patients and 362 controls). All participants were screened using a Chinese version of the modified Schedule of Affective Disorder and Schizophrenia-Lifetime and all patients met the criteria for HD. A Chinese version of the Tridimensional Personality Questionnaire was used to assess personality traits and examine the association between specific personality traits and NET polymorphisms.
No statistically significant differences in allele or genotype frequencies were observed in any of the investigated NET variants between HD patients and controls. After logistic regression analyses, no statistically significant effect of NET variants in the development of HD was found. In haplotype analysis, the frequency of AATA haplotype in rs1532701-rs40434-rs13333066-rs187714 was significantly different between HD patients and controls. These NET polymorphisms did not influence novelty seeking and harm avoidance scores.
This study suggests that the NET gene may be associated with the development of HD, but not associated with specific personality traits among Han Chinese.
去甲肾上腺素能通路被认为在海洛因依赖(HD)的动机-奖励系统中发挥着关键作用,但到目前为止,人类去甲肾上腺素转运体(NET;SLC6A2)基因在 HD 发病机制中的作用从未被研究过。本研究旨在探讨 NET 基因是否与 HD 的发生有关,以及 NET 基因是否影响特定的人格特征。
在一项针对 965 名汉族参与者(603 名患者和 362 名对照)的病例对照研究中,分析了 NET 基因的 12 个单核苷酸多态性。所有参与者均使用中文版的修改后的情感障碍和精神分裂症终身量表进行筛查,所有患者均符合 HD 的标准。使用中文版三维人格问卷评估人格特征,并检查特定人格特征与 NET 多态性之间的关联。
在 HD 患者和对照组之间,任何调查的 NET 变体的等位基因或基因型频率均无统计学差异。经过逻辑回归分析,未发现 NET 变体在 HD 发生中的统计学显著影响。在单倍型分析中,rs1532701-rs40434-rs13333066-rs187714 中的 AATA 单倍型在 HD 患者和对照组之间的频率存在显著差异。这些 NET 多态性不影响新颖寻求和回避伤害评分。
本研究表明,NET 基因可能与 HD 的发生有关,但与汉族人群的特定人格特征无关。