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Chunk #17 — Discussion

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Multivariate genome-wide association meta-analysis of over 1 million subjects identifies loci underlying multiple substance use disorders.
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Our analyses suggest that the regulation/modulation of dopaminergic genes, rather than variation in dopaminergic genes themselves, is central to general addiction liability. DRD2 was the top gene signal, which was mapped via chromatin refolding, suggesting a regulatory mechanism. The role of striatal dopamine in positive drug reinforcement is well established32. DRD2 plays a role in reward sensitivity and may also be central to executive functioning33 – the interplay of reward and cognition is likely relevant throughout the course of addiction. These complementary observations reinforce the role of dopamine signaling in addiction32.