Kuo Shin-Chang, Lin Chun-Long, Tsou Chang-Chih, Yeh Yi-Wei, Yang Bao-Zhu, Chen Chun-Yen, Huang Chih-Yun, Huang San-Yuan
Department of Psychiatry, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan.
Eur Arch Psychiatry Clin Neurosci. 2025 Mar;275(2):487-498. doi: 10.1007/s00406-024-01906-9. Epub 2024 Sep 23.
Heroin dependence (HD) is a complex disease with a substantial genetic contribution and is associated with traits of impulsivity and specific personality traits. The neurotrophic factor nerve growth factor (NGF) may mediate the reward processes in HD. This study aims to investigate whether NGF gene polymorphisms are associated with the co-occurrence of HD and impulsivity/specific personality traits in HD patients. To minimize the potential confounding effects of population stratification, we selected a homogeneous Han Chinese population and recruited 1364 participants (831 HD patients and 533 healthy controls). In addition, 163 female HD patients completed the Chinese version of the Barratt Impulsiveness Scale Version 11 (BIS-11), and 440 HD patients completed the Chinese version of the Tridimensional Personality Questionnaire (TPQ) for subsequent analysis. We identified three polymorphisms with altered allele and genotype frequency in HD patients versus controls (p = 0.035 for rs2254527; p = 0.005 for rs6678788; p = 0.006 for rs7523654), especially in the female subgroup. Four associations identified via haplotype analysis were significant in the female subgroup (p = 0.003 for T-T-A haplotype and p = 0.002 for C-C-A haplotype in block 1; p = 0.011 for T-T haplotype and p = 0.009 for C-T haplotypes in block 2), but not in the male subgroup. Male HD patients had higher novelty-seeking (NS) scores, and female HD patients had higher harm avoidance (HA) scores. However, there was no significant association between the selected NGF polymorphisms and BIS or TPQ scores in HD patients. NGF variants may contribute to the risk of HD development in females but do not mediate the relationship between impulsivity and specific personality traits in the female population.
海洛因依赖(HD)是一种具有显著遗传因素的复杂疾病,与冲动性特质和特定人格特质相关。神经营养因子神经生长因子(NGF)可能介导HD中的奖赏过程。本研究旨在调查NGF基因多态性是否与HD患者中HD与冲动性/特定人格特质的共现相关。为了尽量减少群体分层的潜在混杂效应,我们选择了一个同质化的汉族人群,并招募了1364名参与者(831名HD患者和533名健康对照)。此外,163名女性HD患者完成了中文版的巴雷特冲动性量表第11版(BIS-11),440名HD患者完成了中文版的三维人格问卷(TPQ)以供后续分析。我们在HD患者与对照中鉴定出三个等位基因和基因型频率改变的多态性(rs2254527的p = 0.035;rs6678788的p = 0.005;rs7523654的p = 0.006),尤其是在女性亚组中。通过单倍型分析鉴定出的四个关联在女性亚组中显著(第1组中T-T-A单倍型的p = 0.003,C-C-A单倍型的p = 0.002;第2组中T-T单倍型的p = 0.011,C-T单倍型的p = 0.009),但在男性亚组中不显著。男性HD患者的寻求新奇(NS)得分较高,女性HD患者的回避伤害(HA)得分较高。然而,在HD患者中,所选的NGF多态性与BIS或TPQ得分之间没有显著关联。NGF变异可能导致女性患HD的风险增加,但不介导女性人群中冲动性与特定人格特质之间的关系。