Bozok University, Department of Anesthesiology and Reanimation, Yozgat, Turkey.
Gazi University, Faculty of Pharmacy Department of Toxicology, Ankara, Turkey.
Arh Hig Rada Toksikol. 2019 Jun 1;70(2):97-103. doi: 10.2478/aiht-2019-70-3153.
Susceptibility to addiction has a complex genetic basis that includes genes associated with the action and metabolism of drugs of abuse. One important gene in that respect is OPRM1, which codes for the μ-opioid receptor and has an important role in mediating the rewarding effects of addiction substances. The aim of our study was to assess the prevalence of the OPRM1 A118G polymorphism (rs1799971) in Turkish population and to investigate its association with opioid and other substance addiction. In addition, we examined the association of rs1799971 in addicted patients who were also diagnosed with psychiatric disorders. The study included 103 patients addicted to opioids, cocaine, ecstasy, alcohol, lysergic acid diethylamide (LSD), cannabis, and sedative/hypnotic substances and 83 healthy volunteers with similar demographic features as controls. rs1799971 polymorphisms were identified with the polymerase chain reaction restriction fragment length polymorphism method (PCR-RFLP). The genotype frequencies were significantly higher in the addicted patients than controls (32.0 % vs 16.9 %, respectively; p=0.027). The prevalence of the G allele was 16.1 % in the addicted group and 8.4 % in the control group (p=0.031). Our study confirmed the association between the rs1799971(G) allele frequency and opioid and other substance addiction, but not with psychiatric disorders.
成瘾易感性具有复杂的遗传基础,其中包括与滥用药物的作用和代谢相关的基因。在这方面,一个重要的基因是 OPRM1,它编码μ-阿片受体,在介导成瘾物质的奖赏效应方面起着重要作用。我们的研究目的是评估土耳其人群中 OPRM1 A118G 多态性(rs1799971)的流行率,并研究其与阿片类药物和其他物质成瘾的关系。此外,我们还研究了 rs1799971 在同时患有精神疾病的成瘾患者中的相关性。该研究纳入了 103 名阿片类药物、可卡因、摇头丸、酒精、麦角酸二乙酰胺(LSD)、大麻和镇静/催眠药物成瘾患者和 83 名具有相似人口统计学特征的健康志愿者作为对照组。使用聚合酶链反应限制片段长度多态性(PCR-RFLP)方法鉴定 rs1799971 多态性。与对照组相比,成瘾患者的基因型频率明显更高(分别为 32.0%和 16.9%;p=0.027)。在成瘾组中,G 等位基因的频率为 16.1%,在对照组中为 8.4%(p=0.031)。我们的研究证实了 rs1799971(G)等位基因频率与阿片类药物和其他物质成瘾之间的关联,但与精神疾病无关。