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醒来的时间:儿茶酚-O-甲基转移酶(COMT)Val158Met基因变异对昼夜偏好、唤醒调节和睡眠无影响。

Time to wake up: No impact of COMT Val158Met gene variation on circadian preferences, arousal regulation and sleep.

作者信息

Jawinski Philippe, Tegelkamp Sophie, Sander Christian, Häntzsch Madlen, Huang Jue, Mauche Nicole, Scholz Markus, Spada Janek, Ulke Christine, Burkhardt Ralph, Reif Andreas, Hegerl Ulrich, Hensch Tilman

机构信息

a LIFE - Leipzig Research Center for Civilization Diseases , University of Leipzig , Leipzig , Germany.

b Department of Psychiatry and Psychotherapy , University of Leipzig , Leipzig , Germany.

出版信息

Chronobiol Int. 2016;33(7):893-905. doi: 10.1080/07420528.2016.1178275. Epub 2016 May 5.

Abstract

Dopamine has been implicated in the regulation of sleep-wake states and the circadian rhythm. However, there is no consensus on the impact of two established dopaminergic gene variants: the catechol-O-methyltransferase Val158Met (COMT Val158Met; rs4680) and the dopamine D4 receptor Exon III variable-number-of-tandem-repeat polymorphism (DRD4 VNTR). Pursuing a multi-method approach, we examined their potential effects on circadian preferences, arousal regulation and sleep. Subjects underwent a 7-day actigraphy assessment (SenseWear Pro3), a 20-minute resting EEG (analyzed using VIGALL 2.0) and a body mass index (BMI) assessment. Further, they completed the Morningness-Eveningness Questionnaire (MEQ), the Epworth Sleepiness Scale (ESS) and the Pittsburgh Sleep Quality Index (PSQI). The sample comprised 4625 subjects (19-82 years) genotyped for COMT Val158Met, and 689 elderly subjects (64-82 years) genotyped for DRD4 VNTR. The number of subjects varied across phenotypes. Power calculations revealed a minimum required phenotypic variance explained by genotype ranging between 0.5% and 1.5% for COMT Val158Met and between 3.3% and 6.0% for DRD4 VNTR. Analyses did not reveal significant genotype effects on MEQ, ESS, PSQI, BMI, actigraphy and EEG variables. Additionally, we found no compelling evidence in sex- and age-stratified subsamples. Few associations surpassed the threshold of nominal significance (p < .05), providing some indication for a link between DRD4 VNTR and daytime sleepiness. Taken together, in light of the statistical power obtained in the present study, our data particularly suggest no impact of the COMT Val158Met polymorphism on circadian preferences, arousal regulation and sleep. The suggestive link between DRD4 VNTR and daytime sleepiness, on the other hand, might be worth investigation in a sample enriched with younger adults.

摘要

多巴胺与睡眠-觉醒状态及昼夜节律的调节有关。然而,对于两种已确定的多巴胺能基因变异体的影响尚无定论:儿茶酚-O-甲基转移酶Val158Met(COMT Val158Met;rs4680)和多巴胺D4受体外显子III串联重复序列可变数目多态性(DRD4 VNTR)。我们采用多种方法,研究了它们对昼夜偏好、觉醒调节和睡眠的潜在影响。受试者接受了为期7天的活动记录仪评估(SenseWear Pro3)、20分钟的静息脑电图检查(使用VIGALL 2.0进行分析)以及体重指数(BMI)评估。此外,他们还完成了晨型-夜型问卷(MEQ)、爱泼华嗜睡量表(ESS)和匹兹堡睡眠质量指数(PSQI)。样本包括4625名针对COMT Val158Met进行基因分型的受试者(19 - 82岁),以及689名针对DRD4 VNTR进行基因分型的老年受试者(64 - 82岁)。各表型的受试者数量有所不同。功效计算表明,对于COMT Val158Met,基因型解释的最小所需表型方差在0.5%至1.5%之间,对于DRD4 VNTR在3.3%至6.0%之间。分析未发现基因型对MEQ、ESS、PSQI、BMI、活动记录仪和脑电图变量有显著影响。此外,我们在按性别和年龄分层的子样本中也未发现令人信服的证据。很少有相关性超过名义显著性阈值(p < .05),这为DRD4 VNTR与白天嗜睡之间的联系提供了一些迹象。综上所述,鉴于本研究获得的统计功效,我们的数据特别表明COMT Val158Met多态性对昼夜偏好、觉醒调节和睡眠没有影响。另一方面,DRD4 VNTR与白天嗜睡之间的暗示性联系可能值得在一个以年轻成年人为主的样本中进行研究。

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