Genetic Markers Flashcards
FAAH
enzyme
fatty acid amide hydrolase (FAAH)
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
COMT
Catechol-o-methyltransferase
can make schizophrenia or aggression more likely (especially in THC) because it codes for enzyme degradation of DA, NE, EPI
OPRM
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
PER1
sleep wake cycle gene
some possible implication in vulnerability to cocaine and alcohol
VNTR
VNTR allele in SLC6A3 implicated in COCAINE DEPENDENCE
DRD2
dopamine receptor with wide implications in SUD VULNERABILITY but mainly with STIMULANT USE DISORDER
CAMK4
single nucleotide polymorphism in the CAMK4 promoter was significantly associated with COCAINE DEPENDENCE
SLC6A4
associated with DEPRESSION and ANXIETY
ALDH1B
associated with accelerate rate of ethanol to acetaldehyde which may be protective against AUD
explain the known example of PROTECTIVE mechanism in enzyme rate changes for individuals who are UNLIKELY to develop AUD
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
Which gene can help to predict the efficacy of methadone as treatment for OUD?
Mu opioid receptor gene
Which gene can help to predict the efficacy of bupropion and nortriptyline as treatment for nicotine dependence?
serotonin transporter gene
Which gene can help to predict the efficacy of disulfiram as treatment for Cocaine UD?
dopamine beta-hydroxylase
CNR1
associated with increased risk of THC DEPENDENCE
GABRA2
associated with increased risk of ALCOHOL DEPENDENCE