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Updated: Aug 24, 2026

Murine Drinking Models in the Development of Pharmacotherapies for Alcoholism: Drinking in the Dark and Two-bottle Choice
Published on: January 7, 2019
Pharmacogenetic insights to monoaminergic dysfunction in alcohol dependence
Andreas Heinz1, David Goldman, Jürgen Gallinat
1Department of Psychiatry, Campus Charité Mitte, Charité-University Medicine Berlin, Schumannstrasse 20/21, 10117 Berlin, Germany. andreas.heinz@charite.de
Rationale:
Alcohol dependence is characterized by the development of tolerance, withdrawal symptoms, and craving for alcohol. Chronic alcohol consumption causes neuroadaptive changes in the central dopaminergic and serotonergic system, which are partially reversible after detoxification. The severity and time-course of recovery of these neuroadaptive changes may depend on the genetic constitution of monoamine transporters and receptors and contribute to the relapse risk of alcoholics.
Objectives:
To assess the interaction between the genetic constitution and the in vivo availability of dopamine and serotonin transporters and receptors, chronic alcohol intake, alcohol craving and withdrawal.
Methods:
Review of brain imaging studies that assess the genotype and availability of dopamine and serotonin transporters in detoxified alcoholics and healthy control subjects.
Results:
Chronic alcohol intake induced neuroadaptive reductions in striatal dopamine transporter (DAT) availability, which were reversible during early abstinence. A polymorphism of the DAT gene (SLC6A3) was associated with the in vivo transporter availability and with the severity of alcohol withdrawal. Neurotoxic reductions in 5-HTT protein expression were limited to homozygous carriers of the long allele in the 5-HTT gene (SCL6A4) regulatory region and correlated with negative mood states.
Conclusion:
Genetic constitution interacts with the in vivo availability of central dopamine and serotonin transporters during alcohol detoxification and may affect the severity of alcohol withdrawal and clinical depression.
Insights
Genetic factors influence dopamine and serotonin transporter availability in alcohol dependence, affecting withdrawal severity and mood. Understanding these interactions aids in managing alcohol addiction and relapse risk.
Area of Science:
- Neuroscience
- Genetics
- Addiction Psychiatry
Background:
- Alcohol dependence involves neuroadaptive changes in dopamine and serotonin systems.
- These changes are partially reversible post-detoxification but may be influenced by genetic factors.
- Genetic variations in transporters and receptors can impact relapse risk in alcoholics.
Purpose of the Study:
- To investigate the interplay between genetic makeup and the in vivo availability of dopamine and serotonin transporters.
- To correlate these genetic and transporter findings with alcohol intake, craving, and withdrawal symptoms.
Main Methods:
- A review of brain imaging studies was conducted.
- Studies focused on assessing genotype and transporter/receptor availability in detoxified alcoholics and controls.
Main Results:
- Chronic alcohol use led to reversible reductions in striatal dopamine transporter (DAT) availability during early abstinence.
- A DAT gene (SLC6A3) polymorphism correlated with transporter availability and withdrawal severity.
- Reduced serotonin transporter (5-HTT) expression was observed in specific genetic carriers, linked to negative mood.
Conclusions:
- Genetic factors interact with central dopamine and serotonin transporter availability during alcohol detoxification.
- This interaction may influence the severity of alcohol withdrawal and clinical depression.
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