Genetic Markers Flashcards

1
Q

FAAH
enzyme
fatty acid amide hydrolase (FAAH)

A

higher use of THC leads to decreased concentrations of FAAH in individual
FAAH breaks down a cannabinoid called anandamide that is naturally found in the brain and is most closely related to THC, helping to remove it from circulation

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2
Q

COMT
Catechol-o-methyltransferase

A

can make schizophrenia or aggression more likely (especially in THC) because it codes for enzyme degradation of DA, NE, EPI

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3
Q

OPRM

A

related to OUD vulnerability (and also AUD, cocaine, and nicotine)
OPRM1 gene encodes the mu opioid receptor, which is a protein that plays a role in regulating pain, reward, and addictive behaviors

subtype OPRM1 A118G polymorphism may be a biomarker for vulnerability to certain conditions and variations in responses to treatments. Studies suggest that people with the OPRM1 A118G polymorphism respond well to naltrexone treatment

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4
Q

PER1

A

sleep wake cycle gene
some possible implication in vulnerability to cocaine and alcohol

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5
Q

VNTR

A

VNTR allele in SLC6A3 implicated in COCAINE DEPENDENCE

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6
Q

DRD2

A

dopamine receptor with wide implications in SUD VULNERABILITY but mainly with STIMULANT USE DISORDER

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7
Q

CAMK4

A

single nucleotide polymorphism in the CAMK4 promoter was significantly associated with COCAINE DEPENDENCE

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8
Q

SLC6A4

A

associated with DEPRESSION and ANXIETY

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9
Q

ALDH1B

A

associated with accelerate rate of ethanol to acetaldehyde which may be protective against AUD

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10
Q

explain the known example of PROTECTIVE mechanism in enzyme rate changes for individuals who are UNLIKELY to develop AUD

A

fast (ALDH1b)/normal ADH action to convert EtOH to acetaldehyde
AND/OR
slow ALDH (ALDH2) action to convert acetaldehyde to acetate
=
leads to protection as the more time EtOH is in acetaldehye form, the more there is an associated unpleasant feeling since acetaldehyde has unpleasant effects on the body

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11
Q

Which gene can help to predict the efficacy of methadone as treatment for OUD?

A

Mu opioid receptor gene

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12
Q

Which gene can help to predict the efficacy of bupropion and nortriptyline as treatment for nicotine dependence?

A

serotonin transporter gene

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13
Q

Which gene can help to predict the efficacy of disulfiram as treatment for Cocaine UD?

A

dopamine beta-hydroxylase

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14
Q

CNR1

A

associated with increased risk of THC DEPENDENCE

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15
Q

GABRA2

A

associated with increased risk of ALCOHOL DEPENDENCE

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16
Q

CHRNA5, CHRNA3, CHRNB4

A

associated with increased risk of NICOTINE DEPENDENCE

17
Q

CYP2A6

A

higher metabolic rate = associated with increased risk of NICOTINE DEPENDENCE
lower metabolic rate = associated with increased SUCCESS for NICOTINE CESSATION

18
Q

Changes in CYP450 & CYP2D6 can lead to what experience for a patient?

A

associated with increased risk of OPIOID DEPENDENCE via mechanism of less analgesia effect, more drug available, but for shorter interval

19
Q

Drugs that inhibit CYP2C19, CYP3A4, and CYP2C9 have what effect with cannabis?
give some drug examples.

A

Drugs that inhibit CYP2C19, CYP3A4, and CYP2C9 will increased the effects of cannabis

Most widely known examples are fluoxetine and ketoconazole

20
Q

ALDH2 deficiency

A

leaves more EtOH in form of acetaldehyde, which leads to poor effect (flushing, nausea, etc) more common in East Asian populations

21
Q

5-HHTLPR

A

corticosteroid mediated allele on serotonin gene with link to development of SUD