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酒精使用障碍的预测因素:单胺氧化酶A基因可变数目串联重复多态性、冲动性及人格特质

Predictors of Alcohol Use Disorder: MAOA Gene VNTR Polymorphism, Impulsivity, and Personality Traits.

作者信息

Kaya Hasan, Kaya Ozlem Bolat, Darcin Asli Enez, Cavus Raziye Sercin Yalcin, Kahve Aybeniz Civan, Dilbaz Nesrin

机构信息

Department of Psychiatry, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.

Department of Psychiatry, Yenimahalle Training and Research Hospital, Ankara, Turkey.

出版信息

Psychiatry Clin Psychopharmacol. 2021 Mar 1;31(1):9-18. doi: 10.5152/pcp.2021.20131. eCollection 2021 Mar.

Abstract

OBJECTIVE

Risk factors for alcohol use disorder have been investigated for a long time. The MAOA gene presents several polymorphisms, including 30-bp variable number tandem repeat sequences (VNTR) in the promoter region. In this study, temperament characteristics, impulsivity, and frequency of MAOA-u VNTR polymorphism were investigated as risk factors for alcohol use disorder.

MATERIALS AND METHODS

Sociodemographic data form, Michigan Alcoholism Screening Test, Barratt Impulsivity Scale-11, Temperament, and Character Inventory were applied to 188 patients with alcohol use disorder and 101 healthy controls.

RESULTS

High-activity alleles of MAOA-u VNTR were found more prevalent in the control group. Novelty seeking was found higher and harm avoidance was found lower in patients with alcohol use disorder. There was an indirect relationship between MAOA-u VNTR low-activity allele and alcohol use disorder. According to the logistic regression model, motor impulsivity and novelty seeking may be important determinants of alcohol use disorder.

CONCLUSION

Some personality traits and impulsivity may be predictors of individuals' risk for developing alcohol dependence. The MAOA gene may play an indirect role in the etiology of alcohol use disorders, and this polymorphism may be a partial marker for impulsivity. Other mechanisms that regulate neurotransmitters may also be involved in compensating for modified MAOA activity. Further research on the effects of genes associated with other neurotransmitters is needed to demonstrate any potential role of MAOA polymorphism in the formation of temperament characteristics and impulsivity.

摘要

目的

长期以来一直在研究酒精使用障碍的风险因素。单胺氧化酶A(MAOA)基因存在多种多态性,包括启动子区域的30碱基可变数目串联重复序列(VNTR)。在本研究中,对气质特征、冲动性以及MAOA-u VNTR多态性的频率进行了调查,以确定其作为酒精使用障碍的风险因素。

材料与方法

对188例酒精使用障碍患者和101名健康对照者应用社会人口统计学数据表格、密歇根酒精ism筛查测试、巴拉特冲动性量表-11、气质和性格量表。

结果

发现MAOA-u VNTR的高活性等位基因在对照组中更为普遍。在酒精使用障碍患者中,发现寻求新奇的程度更高,而避免伤害的程度更低。MAOA-u VNTR低活性等位基因与酒精使用障碍之间存在间接关系。根据逻辑回归模型,运动冲动性和寻求新奇可能是酒精使用障碍的重要决定因素。

结论

某些人格特质和冲动性可能是个体发生酒精依赖风险的预测指标。MAOA基因可能在酒精使用障碍的病因学中起间接作用,这种多态性可能是冲动性的部分标志物。调节神经递质的其他机制也可能参与补偿MAOA活性的改变。需要进一步研究与其他神经递质相关的基因的作用,以证明MAOA多态性在气质特征和冲动性形成中的任何潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bafc/11605320/3df804e47c7c/pcp-31-1-9_f001.jpg

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