A genetic determinant of the striatal dopamine response to alcohol in men.
- Authors
- Ramchandani, V A; Umhau, J; Pavon, F J; Ruiz-Velasco, V; Margas, W; Sun, H; Damadzic, R; Eskay, R; Schoor, M; Thorsell, A; Schwandt, M L; Sommer, W H; George, D T; Parsons, L H; Herscovitch, P; Hommer, D; Heilig, M
- Year
- 2011
- Journal
- Molecular psychiatry
- PMID
- 20479755
- DOI
- 10.1038/mp.2010.56
- PMCID
- PMC2925052
Excessive alcohol use, a major cause of morbidity and mortality, is less well understood than other addictive disorders. Dopamine release in ventral striatum is a common element of drug reward, but alcohol has an unusually complex pharmacology, and humans vary greatly in their alcohol responses. This variation is related to genetic susceptibility for alcoholism, which contributes more than half of alcoholism risk. Here, we report that a functional OPRM1 A118G polymorphism is a major determinant of striatal dopamine responses to alcohol. Social drinkers recruited based on OPRM1 genotype were challenged in separate sessions with alcohol and placebo under pharmacokinetically controlled conditions, and examined for striatal dopamine release using positron emission tomography and [(11)C]-raclopride displacement. A striatal dopamine response to alcohol was restricted to carriers of the minor 118G allele. To directly establish the causal role of OPRM1 A118G variation, we generated two humanized mouse lines, carrying the respective human sequence variant. Brain microdialysis showed a fourfold greater peak dopamine response to an alcohol challenge in h/mOPRM1-118GG than in h/mOPRM1-118AA mice. OPRM1 A118G variation is a genetic determinant of dopamine responses to alcohol, a mechanism by which it likely modulates alcohol reward.
Human PET study. Axial view of group maps showing change of [11C]-raclopride binding potential (ΞBP; nCi/cc) between placebo and alcohol sessions in (A) AA individuals and (B) AG individuals. Color bars indicate corresponding ΞBP values. Reduction in raclopride binding is attributed to competition with dopamine released by the alcohol challenge; thus, a negative ΞBP indicates an increase in endogenous dopamine release. (C) Relative change in binding potential (%ΞBP) for [11C]-raclopride between alcohol and placebo sessions in four striatal regions of interest. Data are least square means (Β±SEM). Main genotype effect: p=0.006; *p<0.05 on post hoc tests within individual regions. AVS = anterior ventral striatum, PVS = posterior ventral striatum. (D) Schematic of PET sessions, and blood alcohol concentration profiles over time during the alcohol session (meanΒ±SEM). There was no significant difference between genotypes (F[1,24]=0.51, p=0.48).
Targeting strategy and functional confirmation for humanized OPRM1 mouse lines. (A) Alignment of human (hOPRM1), mouse (mOPRM1) and humanized (h/mOPRM1) protein sequences. Black triangles indicate exon boundaries. Red triangle points to site of the N40D substitution, corresponding to A118G allelic variation. Color-coding of background indicates degree of conservation, with red indicating full human β mouse homology, and blue non-conservative substitution. As can be seen, replacement of mouse exon 1 with the corresponding human sequence yields a receptor that is highly homologous to the human protein. (B) Exon 1 of the murine OPRM1 locus including additional 400 bp of intron 1 was replaced by the corresponding human sequence, containing either A or G in position 118. Blue and red colors represent mouse and human sequences, respectively. Boxes: respective exons of the OPRM1 coding region. Hatched region: 5β-UTR. Triangle: frt site for flox recombinase. Neo: neomycin selection marker. Arrows point to position of the human and mouse specific PCR primers. (C) PCR based identification of the human (Hu), mouse (Mu) and heterozygote (Het) genotypes. M: Marker lane. (D) [3H]-DAMGO binding to respective humanized receptor transiently expressed in CHO cells. Data are means (Β±SEM) of triplicates, and mean (Β±SEM) IC50 values for the respective genotypes are indicated. Non-linear curve-fitting established that no significant genotypes differences were present (E β F) Concentration-response curves for DAMGO and Ξ²-endorphin (Ξ²-End) in trigeminal ganglion (TG) neurons isolated from h/mOPRM1 118AA or 118GG mice. Data points represent the mean (Β±SEM) of the agonist-mediated Ca2+ current inhibition. Mean EC50 values (Β±SEM) for the respective genotypes are indicated. Similar to the binding experiment, no genotype differences were found.
Striatal DA response to alcohol (2g/kg) in the humanized mouse lines, determined by brain microdialysis. (A) Individual probe placements in ventral striatum / Nucleus Accumbens. (B) Dialysate DA levels in h/mOPRM1-118AA and h/mOPRM1-118GG mice. After confirmation of no group differences in baseline concentrations, the data were converted to the percent change from the average baseline concentration obtained prior to pretreatment. Alcohol was given at time point 0. Differential response was indicated by a genotype x time interaction (p<0.005); differences at individual data points as determined by post hoc test are indicated by *p<0.05 (C) In contrast to the DA response, the 5-HT response to the alcohol dose did not differ between genotypes.
| Name | Type |
|---|---|
| 118AA genotype local | variant |
| 118AG genotype local | variant |
| 118GG genotype local | variant |
| [11C]-raclopride local | drug |
| 11C-raclopride local | drug |
| 15O-water local | drug |
| [3H]-DAMGO local | drug |
| [3H]DAMGO | drug |
| 5-HTTLPR | variant |
| A118G SNP | variant |
| AA genotype local | cohort |
| AA genotype | variant |
| A allele | cohort |
| acute tolerance development local | phenotype |
| addiction | phenotype |
| African American | cohort |
| AG genotype local | cohort |
| AG genotype local | variant |
| alcohol | phenotype |
| alcohol dependence | phenotype |
| Alcohol-induced DA release local | phenotype |
| Alcohol-induced psychomotor stimulation local | phenotype |
| Alcohol-induced striatal DA-release local | phenotype |
| Alcohol reward | phenotype |
| alcohol sensitivity | phenotype |
| Alcohol Use Disorder | phenotype |
| alcohol use disorders | phenotype |
| amphetamine | drug |
| anterior ventral striatum local | anatomy |
| anxiolytic effect | phenotype |
| artificial cerebrospinal fluid | drug |
| ataxia | phenotype |
| behavioral phenotypes | phenotype |
| beta-endorphin | drug |
| Biological endophenotype local | phenotype |
| biological intermediate phenotypes local | phenotype |
| blood alcohol concentration | phenotype |
| bold-exploratory traits local | phenotype |
| brain sections local | anatomy |
| brain tissue | anatomy |
| C57BL/6J | cohort |
| Ca2+ current local | phenotype |
| Caucasian populations local | cohort |
| Caucasian sample | cohort |
| caudate nucleus | anatomy |
| CHO-K1 cells local | cohort |
| conditioned place preference | phenotype |
| D2 receptor density | drug |
| DAMGO | drug |
| DA response local | phenotype |
| depression | phenotype |
| dopamine | drug |
| dopamine release | drug |
| dopamine response to alcohol local | phenotype |
| Dopamine transporter | drug |
| dorsal striatum | anatomy |
| drinking | phenotype |
| drug dependence | phenotype |
| endogenous opioids | drug |
| ethanol consumption | phenotype |
| euphoria | phenotype |
| excessive alcohol consumption | phenotype |
| Excessive running local | phenotype |
| First generation OPRM1-118AA mice local | cohort |
| First generation OPRM1-118GG mice local | cohort |
| GDP | drug |
| GTP[Ξ³-35S] local | drug |
| healthy male social drinkers local | cohort |
| h/mOPRM1β118GG local | cohort |
| h/mOPRM-118AA local | cohort |
| human | cohort |
| humanized mice local | cohort |
| Humanized OPRM1 mouse model local | cohort |
| humans | cohort |
| human subjects | cohort |
| Increased locomotion local | phenotype |
| intoxication | phenotype |
| isoflurane | drug |
| lower conscientiousness local | phenotype |
| Male mice 13-16 weeks local | cohort |
| Male mice 24-32 weeks local | cohort |
| mice | cohort |
| monkeys | cohort |
| morphine | drug |
| naloxone | drug |
| naltrexone | drug |
| nausea | phenotype |
| NβD substitution local | variant |
| negative affect | phenotype |
| non-smokers | phenotype |
| nucleus accumbens | anatomy |
| OPRM1 | cohort |
| OPRM1 118A local | variant |
| OPRM1-118AA local | variant |
| OPRM1-118GG local | variant |
| OPRM1 118G variant local | variant |
| OPRM1 77G variant local | variant |
| OPRM1 A118AA genotype local | variant |
| OPRM1 A118G | cohort |
| OPRM1 A118GG genotype local | variant |
| OPRM1 rhesus variant 13 local | variant |
| participants | cohort |
| percent change in binding potential local | phenotype |
| Polygenic risk score for alcohol dependence | phenotype |
| posterior ventral striatum local | anatomy |
| psychomotor responses to alcohol local | phenotype |
| Psychomotor stimulation local | phenotype |
| putamen | anatomy |
| raclopride local | drug |
| rapid acute tolerance local | phenotype |
| region of interest | anatomy |
| rhesus males local | cohort |
| rodents | cohort |
| rs1799971 | variant |
| sedatives | drug |
| serotonin | drug |
| social attachment bond disruption sensitivity local | phenotype |
| Striatal dopamine activation local | phenotype |
| striatal dopamine release local | phenotype |
| striatum | anatomy |
| subjects | cohort |
| substance use | phenotype |
| superior trigeminal ganglion neurons local | anatomy |
| trigeminal ganglion | anatomy |
| unlabeled GTP[Ξ³S] local | drug |
| ventral striatum | anatomy |
| ventral tegmental area | anatomy |
| voluntary alcohol consumption | phenotype |
| Ξ²-endorphin | drug |
| ΞBP local | phenotype |
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