Mental Health Research and Treatment Center, Ruhr-University Bochum, Bochumer Fenster, Massenbergstraße 9-13, 44787, Bochum, Germany.
Institute of Psychiatry, Psychology and Neuroscience, MRC Social Genetic and Developmental Psychiatry Centre, King's College London, London, UK.
Eur Arch Psychiatry Clin Neurosci. 2018 Apr;268(3):261-268. doi: 10.1007/s00406-017-0793-y. Epub 2017 Mar 31.
Dopamine D2 receptors (DRD2) have been strongly implicated in reward processing of natural stimuli and drugs. Using the approach-avoidance task (AAT), we recently demonstrated that smokers show an increased approach-bias toward smoking-related cues but not toward naturally rewarding stimuli. Here, we examined the contribution of the DRD2 Taq1B polymorphism to smokers' and non-smokers' responsivity toward smoking versus naturally rewarding stimuli in the AAT. Smokers carrying the minor B1 allele of the DRD2 Taq1B polymorphism showed reduced approach behavior for food-related pictures compared to non-smokers with the same allele. In the group of smokers, a higher approach-bias toward smoking-related compared to food-related pictures was found in carriers of the B1 allele. This pattern was not evident in smokers homozygous for the B2 allele. In addition, smokers with the B1 allele reported fewer attempts to quit smoking relative to smokers homozygous for the B2 allele. This is the first study demonstrating that behavioral shifts in response to smoking relative to natural rewards in smokers are mediated by the DRD2 Taq1B polymorphism. Our results indicate a reduced natural-reward brain reactivity in smokers with a genetically determined decrease in dopaminergic activity (i.e., reduction of DRD2 availability). It remains to be determined whether this pattern might be related to a different outcome after psychological cessation interventions, i.e., AAT modification paradigms, in smokers.
多巴胺 D2 受体(DRD2)强烈参与自然刺激和药物的奖励处理。我们最近使用接近回避任务(AAT)表明,吸烟者对吸烟相关线索表现出增加的接近偏见,但对自然奖励刺激没有。在这里,我们研究了 DRD2 Taq1B 多态性对吸烟者和非吸烟者对 AAT 中吸烟与自然奖励刺激反应的贡献。携带 DRD2 Taq1B 多态性的 B1 等位基因的吸烟者与具有相同等位基因的非吸烟者相比,对食物相关图片的接近行为减少。在吸烟者组中,携带 B1 等位基因的吸烟者对吸烟相关图片的接近偏见高于对食物相关图片的接近偏见。在 B2 等位基因纯合的吸烟者中,这种模式并不明显。此外,携带 B1 等位基因的吸烟者报告的戒烟尝试次数少于 B2 等位基因纯合的吸烟者。这是第一项表明对吸烟的行为反应相对于吸烟者的自然奖励的转变由 DRD2 Taq1B 多态性介导的研究。我们的结果表明,具有遗传决定的多巴胺能活动降低(即 DRD2 可用性降低)的吸烟者的自然奖励大脑反应降低。尚不确定这种模式是否与吸烟者心理戒烟干预后的不同结果(即 AAT 修正范式)有关。