Abstract

Dopaminergic dysfunction has an important role in the pathoetiology of alcohol dependence (AD). The purpose of this study was to determine whether the solute carrier family 6 member 3 (SLC6A3) gene (also known as the dopamine transporter DAT gene) was associated with AD, and whether variants in the SLC6A3 locus were associated with specific personality traits in patients with AD. Sixteen polymorphisms in SLC6A3 were analyzed using 637 patients with AD and 523 healthy controls. To reduce clinical heterogeneity, patients were classified into two subgroups: early-onset AD (EOAD) and late-onset AD (LOAD). The Tridimensional Personality Questionnaire was used to assess the personality traits novelty seeking (NS) and harm avoidance (HA) in the patients with AD. Using allele frequency and genotype distribution comparisons and logistic regression analysis, we found evidence of association between rs6350 and AD (P < 0.05). Following subgroup analysis, we confirmed evidence of an association in patients with LOAD (P = 0.003), but not in patients with EOAD. Heterozygous carriers of the A allele have a nearly 3 times greater risk to develop LOAD compared to individuals who do not have an A allele. Although we found that patients with AD had higher NS and HA scores compared to controls (P < 0.001), we did not find evidence of association between SLC6A3 polymorphisms and either NS or HA in patients with AD using linear regression analysis. The findings from our study indicate that the SLC6A3 gene may have a role in susceptibility to late-onset AD in the Han Chinese population.

Highlights

  • Alcohol dependence (AD) is a complex disorder presenting a broad variability of clinical manifestations that involve multifactorial etiologies including genetic, behavioral, environmental, and personality factors [1]

  • There were no differences in age between the two groups; our alcohol dependence (AD) cohort had a higher proportion of males than females compared to the control group (88.2% vs. 69.2% respectively, P < 0.001)

  • 256 patients (40.19%) with AD were recruited from inpatient department and there was no difference in gender and age compared to those recruited from outpatient department (P > 0.05)

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Summary

Introduction

Alcohol dependence (AD) is a complex disorder presenting a broad variability of clinical manifestations that involve multifactorial etiologies including genetic, behavioral, environmental, and personality factors [1]. Evidence suggests that alcohol administration alters dopamine release [4,5,6,7]. In vitro studies found that alcohol increased dopamine release via inhibition of the dopamine transporter [8, 9], whereas a subsequent animal study reported an increase in efficiency of the dopamine transporter caused by alcohol administration [10]. These differences may be accounted for by site-specific dopamine transporter responses towards alcohol in different brain regions [11]. Dysfunction or altered function of the dopamine transporter may contribute towards the pathophysiology of AD

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