Suppression of alcohol preference by naltrexone in the rhesus macaque: a critical role of genetic variation at the micro-opioid receptor gene locus.

Suppression of alcohol preference by naltrexone in the rhesus macaque: a critical role of genetic variation at the micro-opioid receptor gene locus.
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DOI:
10.1016/j.biopsych.2009.07.026
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发表时间:
2010-01-01
影响因子:
10.6
通讯作者:
Heilig M
Heilig M
中科院分区:
医学1区
文献类型:
--
作者:
Barr CS;Chen SA;Schwandt ML;Lindell SG;Sun H;Suomi SJ;Heilig M

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人类μ阿片受体基因(OPRM 1)的非同义A118 G多态性对酒精奖励和纳洛酮治疗效果的作用仍有争议。恒河猴中功能等同的OPRM 1 C77 G多态性允许在受控实验条件下解决这一问题。对21只恒河猴(13只雌性,8只雄性)进行OPRM 1 C77 G基因分型,并在1小时的时间段内研究了在基线时间段中对加糖的酒精溶液(8.4%v/v)和非酒精对照液的偏好,然后在受试者内设计中进行了平衡的纳洛酮(1 mg/kg)和溶媒治疗。控制基线和性别的混合模型ANOVA显示基因型和治疗之间的相互作用非常显著(p=0.003)。事后分析显示,载体治疗的77 G携带者比77 C纯合子受试者具有显著更高的酒精偏好(p=0.001)。纳洛酮给药后,77 G携带者的偏好降低(p=0.002),与77 C纯合子受试者不再不同。相比之下,后一组不受治疗影响,事实上,在纳洛酮治疗后显示出偏好的趋势水平增加。这些结果支持OPRM 1变异对纳洛酮疗效的关键药物遗传学作用。
The role of a non-synonymous A118G polymorphism of the human mu-opioid receptor gene (OPRM1) for alcohol reward and therapeutic efficacy of naltrexone remains controversial. A functionally equivalent OPRM1 C77G polymorphism in rhesus macaques allows this to be addressed under controlled experimental conditions. Twenty one rhesus macaques (13 females, 8 males) were genotyped for OPRM1 C77G, and studied during 1h sessions for preference between an aspartame sweetened alcohol solution (8.4% v/v) and a non-alcoholic control fluid, in a baseline session followed by naltrexone (1 mg/kg) and vehicle treatment in a counterbalanced within-subject design. Mixed-model ANOVA controlling for baseline and sex showed a highly significant (p=0.003) interaction between genotype and treatment. Post-hoc analysis showed that vehicle treated 77G carriers had markedly higher alcohol preference than 77C homozygous subjects (p=0.001). Following naltrexone administration, 77G carriers decreased their preference (p=0.002), and no longer differed from 77C homozygous subjects. In contrast, the latter group was unaffected by treatment, and in fact showed a trend-level increase of preference following naltrexone. These results support a critical pharmacogenetic role of OPRM1 variation for therapeutic efficacy of naltrexone.
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