Association of OPRD1 polymorphisms with heroin dependence in a large case-control series
Elliot C Nelson1, Michael T Lynskey, Andrew C Heath
1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA Queensland Institute of Medical Research, Australia National Drug and Alcohol Research Centre, University of New South Wales, Australia Burnet Institute, Centre for Health Policy, Programs and Economics, School of Population Health, University of Melbourne, Australia.
Abstract:
Genes encoding the opioid receptors (OPRM1, OPRD1 and OPRK1) are obvious candidates for involvement in risk for heroin dependence. Prior association studies commonly had samples of modest size, included limited single nucleotide polymorphism (SNP) coverage of these genes and yielded inconsistent results. Participants for the current investigation included 1459 heroin-dependent cases ascertained from maintenance clinics in New South Wales, Australia, 1495 unrelated individuals selected from an Australian sample of twins and siblings as not meeting DSM-IV criteria for lifetime alcohol or illicit drug dependence (non-dependent controls) and 531 controls ascertained from economically disadvantaged neighborhoods in proximity to the maintenance clinics. A total of 136 OPRM1, OPRD1 and OPRK1 SNPs were genotyped in this sample. After controlling for admixture with principal components analysis, our comparison of cases to non-dependent controls found four OPRD1 SNPs in fairly high linkage disequilibrium for which adjusted P values remained significant (e.g. rs2236857; OR 1.25; P=2.95×10(-4) ) replicating a previously reported association. A post hoc analysis revealed that the two SNP (rs2236857 and rs581111) GA haplotype in OPRD1 is associated with greater risk (OR 1.68; P=1.41×10(-5) ). No OPRM1 or OPRK1 SNPs reached more than nominal significance. Comparisons of cases to neighborhood controls reached only nominal significance. Our results replicate a prior report providing strong evidence implicating OPRD1 SNPs and, in particular, the two SNP (rs2236857 and rs581111) GA haplotype in liability for heroin dependence. Support was not found for similar association involving either OPRM1 or OPRK1 SNPs.
Insights
Genetic variations in the OPRD1 gene are linked to an increased risk of heroin dependence. Specific OPRD1 single nucleotide polymorphisms (SNPs) and a GA haplotype show significant association with heroin use liability.
Area of Science:
- Neurogenetics
- Addiction Psychiatry
- Pharmacogenomics
Background:
- Opioid receptor genes (OPRM1, OPRD1, OPRK1) are implicated in heroin dependence risk.
- Previous genetic association studies had limitations in sample size, SNP coverage, and yielded inconsistent results.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in opioid receptor genes and heroin dependence.
- To replicate and extend previous findings on the genetic underpinnings of heroin dependence liability.
Main Methods:
- Genotyping of 136 SNPs across OPRM1, OPRD1, and OPRK1 genes in a large Australian cohort.
- Comparison of heroin-dependent cases (N=1459) with non-dependent controls (N=1495) and neighborhood controls (N=531).
- Statistical analysis including principal components analysis for admixture and haplotype analysis.
Main Results:
- Replication of a significant association between four OPRD1 SNPs and heroin dependence, notably rs2236857 (OR 1.25; P=2.95×10(-4)).
- Identification of a significant association between the OPRD1 GA haplotype (rs2236857 and rs581111) and increased heroin dependence risk (OR 1.68; P=1.41×10(-5)).
- No significant associations were found for OPRM1 or OPRK1 SNPs with heroin dependence.
Conclusions:
- Strong evidence supports the implication of OPRD1 SNPs, particularly the rs2236857-rs581111 GA haplotype, in the genetic liability for heroin dependence.
- The findings replicate prior research and highlight OPRD1 as a key gene in opioid addiction.
- No significant association was found for OPRM1 or OPRK1 gene variants in this study population.
Related Concept Videos
Opioid Receptors: Overview
Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
Drug Abuse and Addiction: Pharmacological Phenomena
Principles of Pharmacogenetics: Types of Genetic Variants
Pharmacogenetics of Drug Transporters: P-Glycoprotein and Solute Carrier Transporters
Single Nucleotide Polymorphisms-SNPs
