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Association analysis of a regulatory variation of the serotonin transporter gene with severe alcohol dependence

Item Type:Article
Title:Association analysis of a regulatory variation of the serotonin transporter gene with severe alcohol dependence
Creators Name:Sander, T. and Harms, H. and Lesch, K.P. and Dufeu, P. and Kuhn, S. and Hoehe, M.R. and Rommelspacher, H. and Schmidt, L.G.
Abstract:The present study tested the hypothesis that the short, low activity variant of a biallelic polymorphism in the 5' regulatory region of the human serotonin transporter (5-HTT) gene confers susceptibility to severe alcohol dependence marked by severe withdrawal symptoms. Applying a phenotype-genotype strategy, our population-based association analysis included 216 German controls and an extreme sample of 103 severely affected alcoholics who were selected from 315 German alcohol-dependent subjects by a history of alcohol withdrawal seizure or delirium. The frequency of the short allele (S) was significantly increased in the severely affected alcoholics, compared with that in the controls (X2 = 3.87, df = 1, nominal p = 0.049). The post-hoc exploration indicated that this allelic association resulted exclusively from a significant excess of the S/S genotype in the severely affected alcoholics (p = 0.035), suggesting a recessively acting effect. Consistently, we found a weak but significant correlation (p = 0.013) between the frequency of the S/S genotype and severity of withdrawal symptoms (WDS): no WDS [18.3%, odds ratio (OR) = 1.16], vegetative WDS only (21.8%, OR = 1.44), and severe WDS with either withdrawal seizure only or delirium only (25.0%, OR = 1.69), and both withdrawal seizure and delirium (30.8%, OR = 2.30). Further studies are required to test whether the tentative genotype-phenotype relationship occurred by chance or reflects a real genotypic association between a recessively modifying effect of the short variant of the functional 5-HTT promoter polymorphism and alcohol withdrawal vulnerability.
Keywords:Alcohol Dependence, Serotonin Transporter, Withdrawal Syndrome, Association, Genetics
Source:Alcoholism, Clinical and Experimental Research
ISSN:0145-6008
Publisher:Blackwell Publishing (U.K.)
Volume:21
Number:8
Page Range:1356-1359
Date:November 1997
Official Publication:https://doi.org/10.1111/j.1530-0277.1997.tb04462.x
PubMed:View item in PubMed

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