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Chunk #26 — Discussion

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Association between single nucleotide polymorphisms in the mu opioid receptor gene (OPRM1) and self-reported responses to alcohol in American Indians.
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In the present study, evidence was obtained for an association between expectations of the effects of a standard dose of alcohol and polymorphisms in the OPRM1 receptor gene. Participants with at least one 118G allele for the Asp40Asn polymorphism reported that they expected to feel a less intense response to alcohol for the items: dizzy (p < 0.02) and sleepy (p < 0.02) when compared to individuals without any 118G alleles, findings that were not significant in these analyses when multiple comparisons were taken into account. These data are, however, consistent with data from Kim and colleagues [93], who found that alcoholics with two copies of the 118G allele spent more days drinking than those who were heterozygous or homozygous for the 118A allele, perhaps suggesting a less intense response to alcohol. Assuming that alcohol may act as a partial agonist at the mu opioid receptor, the findings in the present study of a trend for reduced effect of alcohol in participants with the 118G allele, are also consistent with studies that evaluated response to opioid agonists where a reduced