Alcoholism Unit, Department of Internal Medicine, University Hospital of Salamanca, Salamanca, Spain.
Alcohol Clin Exp Res. 2012 Feb;36(2):267-71. doi: 10.1111/j.1530-0277.2011.01623.x. Epub 2011 Nov 15.
Alcohol dependence (AD) vulnerability is determined by a complex array of genetic factors. Given the potential role of endocannabinoid system in AD, polymorphisms within cannabinoid receptor 1 gene (CNR1) have been potentially associated with susceptibility to this disease. We thus aimed to examine the relationship between 3 allelic variants of CNR1 (rs6454674, rs1049353, and rs806368) and AD.
Genotyping of the aforementioned polymorphisms was carried out by PCR in 298 male alcoholics (187 of them with AD) and 155 healthy controls. Single-marker, haplotype, and interaction analysis were performed to analyze the influence of CNR1 gene on AD susceptibility.
We found an association between CNR1 gene and AD after haplotype analysis. Alcoholic patients with TGT haplotype (corresponding to rs6454674-rs1049353-rs806368 polymorphisms in this order) were less prone to have AD (p = 0.017). Besides, alcoholics with a G/T substitution of the first marker (GGT haplotype) or a C/T substitution of the third marker (TGC haplotype) were more likely to develop AD (p = 0.006 and 0.004, respectively) and an interaction was found between the G allele of rs6454674 single nucleotide polymorphism (SNP) and the C allele of rs806368 SNP (p = 0.009).
Our findings support previously reported associations of CNR1 with dependence to alcohol and other substances and emphasizes the relevance of endocannabinoid system in AD.
酒精依赖(AD)易感性由一系列复杂的遗传因素决定。鉴于内源性大麻素系统在 AD 中的潜在作用,大麻素受体 1 基因(CNR1)中的多态性与该疾病的易感性可能相关。因此,我们旨在研究 CNR1 的 3 个等位基因变异(rs6454674、rs1049353 和 rs806368)与 AD 之间的关系。
采用 PCR 方法对 298 名男性酒精依赖者(其中 187 名患有 AD)和 155 名健康对照者进行上述多态性基因分型。进行单标记、单倍型和相互作用分析,以分析 CNR1 基因对 AD 易感性的影响。
我们在单倍型分析后发现 CNR1 基因与 AD 之间存在关联。按照 rs6454674-rs1049353-rs806368 的顺序,携带 TGT 单倍型(对应于 rs6454674-rs1049353-rs806368 多态性)的酒精依赖患者不易发生 AD(p = 0.017)。此外,携带第一个标记物(GGT 单倍型)G/T 取代或第三个标记物(TGC 单倍型)C/T 取代的酒精依赖患者更有可能发生 AD(p = 0.006 和 0.004),并且 rs6454674 单核苷酸多态性(SNP)的 G 等位基因与 rs806368 SNP 的 C 等位基因之间存在相互作用(p = 0.009)。
我们的研究结果支持先前报道的 CNR1 与对酒精和其他物质的依赖的关联,并强调了内源性大麻素系统在 AD 中的相关性。