Kuo Shin-Chang, Yeh Yi-Wei, Chen Chun-Yen, Huang Chang-Chih, Chang Hsin-An, Yen Che-Hung, Ho Pei-Shen, Liang Chih-Sung, Chou Han-Wei, Lu Ru-Band, Huang San-Yuan
Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC; Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.
Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC; Department of Psychiatry, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan, ROC.
Prog Neuropsychopharmacol Biol Psychiatry. 2014 Jun 3;51:1-8. doi: 10.1016/j.pnpbp.2013.12.018. Epub 2014 Jan 5.
Dopamine D3 receptor-mediated pathways are involved in the mechanism of addiction, and genetic factors play a role in the vulnerability to heroin dependence. The aim of this study was to examine whether the corresponding gene, DRD3, is associated with the development of heroin dependence and specific personality traits in HD patients. Eight polymorphisms in DRD3 were analyzed in 1067 unrelated Han Chinese subjects (566 heroin dependence patients and 501 controls). All participants were screened using the same assessment tool and all patients met the criteria for heroin dependence. A Tridimensional Personality Questionnaire was used to assess personality traits in 276 heroin dependence patients. In addition, heroin dependence patients were divided into 4 clinical subgroups based on age-of-onset and family history of substance abuse, to reduce the clinical heterogeneity. The rs6280 and rs9825563 variants showed association with the development of early-onset heroin dependence. The GTA haplotype frequency in the block (rs324029, rs6280, rs9825563) was significantly associated with early-onset heroin dependence (p=0.003). However, these significant associations were weaker after Bonferroni's correction. In addition, these DRD3 polymorphisms did not influence novelty seeking and harm avoidance scores in HD patients. DRD3 is possibly a genetic factor in the development of early-onset heroin dependence, but is not associated with specific personality traits in these patients among the Han Chinese population.
多巴胺D3受体介导的通路参与成瘾机制,遗传因素在海洛因依赖易感性中起作用。本研究的目的是检验相应基因DRD3是否与海洛因依赖患者中海洛因依赖的发生及特定人格特质相关。对1067名无亲缘关系的汉族受试者(566名海洛因依赖患者和501名对照)分析了DRD3中的8个多态性。所有参与者均使用相同的评估工具进行筛查,所有患者均符合海洛因依赖标准。使用三维人格问卷对276名海洛因依赖患者的人格特质进行评估。此外,根据发病年龄和药物滥用家族史将海洛因依赖患者分为4个临床亚组,以减少临床异质性。rs6280和rs9825563变异与早发性海洛因依赖的发生相关。该区域(rs324029、rs6280、rs9825563)的GTA单倍型频率与早发性海洛因依赖显著相关(p = 0.003)。然而,经Bonferroni校正后,这些显著关联变弱。此外,这些DRD3多态性不影响海洛因依赖患者的新奇寻求和伤害回避得分。DRD3可能是早发性海洛因依赖发生的一个遗传因素,但在汉族人群的这些患者中与特定人格特质无关。