Abstract

Opioid addiction is a complicated and highly heritable brain disease. Dysfunction in dopaminergic signaling is involved in the pathogenesis of addictive disorders. Encoding a dopamine synthetase, the tyrosine hydroxylase (TH) gene has long been an interesting candidate in genetic association studies for opioid addiction. However, the mechanisms underlying associations of risk gene variants and opioid addiction remain unknown. In the present study, we first analyzed the association between TH gene variants and susceptibility and traits of heroin addiction in 801 patients with heroin addiction and 930 healthy controls. Methylation levels in the promoter region of the TH gene were detected and compared between the heroin addiction and healthy control groups. To reveal the potential mechanism of the association of TH gene variants and heroin addiction, correlations between the risk TH single nucleotide polymorphism (SNPs) for heroin addiction and the methylation and expression levels of the TH gene were examined. Our results demonstrated that SNP rs6356 was associated with susceptibility to heroin addiction. CpG TH_15 was hypermethylated in the heroin addiction group compared with the healthy control group. Notably, SNP rs6356 was correlated in an allele-specific manner with expression of the TH gene in the hippocampus and nucleus accumbens but not with methylation levels of CpG TH_15. Our findings suggest that the eQTL rs6356 was associated with susceptibility to heroin addiction by potentially affecting the expression of the TH gene in brain regions in the mesocorticolimbic dopamine system, including the hippocampus and nucleus accumbens.

Highlights

  • Substance addiction is a complex brain disease, characterized as compulsive substance seeking, abstinence, and repeated relapse for substance use (Chisholm et al, 2021; Huang, Chen, Lane, Ho, & Chung, 2021)

  • We first determined the association between tyrosine hydroxylase (TH) gene variants and susceptibility of heroin addiction

  • Our results revealed that SNP rs6356 was associated with the susceptibility of heroin addiction

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Summary

Introduction

Substance addiction is a complex brain disease, characterized as compulsive substance seeking, abstinence, and repeated relapse for substance use (Chisholm et al, 2021; Huang, Chen, Lane, Ho, & Chung, 2021). One of the most abused prescription medicines for pain management and illicit drugs of addiction, causes the most harm in substance misuse-related deaths, killing tens of thousands people per year alone in America (Browne, Godino, Salery, & Nestler, 2020). In China, more than 730 thousand people have exposed to illicit opioid, mainly heroin in 2020. Mounting evidence has suggested that genetic underpinnings and environmental factors contribute to the development of substance addiction (Gerra et al, 2021). Twin studies reveal that the heritability of opioid addiction is about 70% (Goldman, Oroszi, & Ducci, 2005). Genome-wide association studies have proposed a large amount of risk gene variants for opioid addiction (Song et al, 2020; Zhou et al, 2020). The underlying mechanism of the association of risk gene variants and opioid addiction remains unknown

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