Abstract
Rationale
Subjective craving, which contributes to the continuation of drug use in active abuser and the occurrence of relapse in detoxified abusers, is considered to be a central phenomenon in addiction. Dopamine pathway has been implicated in the mechanism underlying the cue-elicited craving for a variety of addictive substances.
Objectives
The objective of this study was to test the hypothesis that heroin addicts carrying D4 dopamine receptor gene (DRD4) variable number tandem repeat (VNTR) long type allele would have higher craving after exposure to a heroin-related cue.
Materials and methods
Craving was induced by a series of exposure to neutral and heroin-related cue and were assessed in a cohort of Chinese heroin abusers (n=420) recruited from the Voluntary Drug Dependence Treatment Center at Shanghai.
Results
Significantly stronger cue-elicited heroin craving was found in individuals carrying DRD4 VNTR long type allele than the non-carriers (F=31.040, p<0.001). As for baseline craving and mean change in craving responding to neutral stimuli, no significance was found (1.06±0.34 vs 1.07±0.36, F=0.067, p =0.797 and 0.42±0.34 vs 0.45±0.37, F=0.277, p=0.599, respectively).
Conclusions
The results of our study suggest that DRD4 VNTR polymorphism contributes to cue-elicited craving in heroin dependence, indicating DRD4 VNTR represents one of potential genetic risk factors for cue-induced craving.
Similar content being viewed by others
References
Asghari V, Sanyal S, Buchwaldt S, Paterson A, Jovanovic V, Van Tol HH (1995) Modulation of intracellular cyclic AMP levels by different human dopamine D4 receptor variants. J Neurochem 65:1157–1165
Bhaduri N, Das M, Sinha S, Chattopadhyay A, Gangopadhyay PK, Chaudhuri K, Singh M, Mukhopadhyay K (2006) Association of dopamine D4 receptor (DRD4) polymorphisms with attention deficit hyperactivity disorder in Indian population. Am J Med Genet 141:61–66
Dackis CA, O’Brien CP (2001) Cocaine dependence: a disease of the brain’s reward centers. J Subst Abuse Treat 21:111–117
Di Chiara G, North RA (1992) Neurobiology of opiate abuse. Trends Pharmacol Sci 13:185–193
Duaux E, Krebs MO, Loo H, Poirier MF (2000) Genetic vulnerability to drug abuse. Eur Psychiatr 15:109–114
Erblich J, Lerman C, Self DW et al (2004) Stress-induced cigarette craving: effects of the DRD2 TaqIRFLP and SLC6A3 VNTR polymorphism. T Pharmacogenomics J 4:102–109
Erblich J, Lerman C, Self DW, Diaz GA, Bovbjerg DH (2005) Effects of dopamine D2 receptor (DRD2) and transporter (SLC6A3) polymorphisms on smoking cue-induced cigarette craving among African-American smokers. Mol Psychiatry 10:407–414
Faraone SV, Doyle AE, Mick E, Biederman J (2001) Meta-analysis of the association between the 7-repeat allele of the dopamine D4 receptor gene and attention deficit hyperactivity disorder. Am J Psychiatry 158:1052–1057
Feldpausch DL, Needham LM, Stone MP, Althaus JS, Yamamoto BK, Svensson KA, Merchant KM (1998) The role of dopamine D4 receptor in the induction of behavioral sensitization to amphetamine and accompanying biochemical and molecular adaptions. J Pharmacol Exp Ther 286:497–508
Franke P, Nothen MM, Wang T, Knapp M, Lichtermann D, Neidt H, Sander T, Propping P, Maier W (2000) DRD4 exon III VNTR polymorphism-susceptibility factor for heroin dependence? Results of a case-control and a family-based association approach. Mol Psychiatry 5:101–104
Gelernter J, Kennedy JL, van Tol HH, Civelli O, Kidd KK, Genomics. (1992) The D4 dopamine receptor (DRD4) maps to distal 11p close to HRAS. Genomics 13:208–210
Gelernter J, Kranzler H, Coccaro E, Siever L, New A, Mulgrew CL (1997) D4 dopamine receptor. DRD4 alleles and novelty seeking in substance-dependence, personality-disorder, and control subjects. Am J Hum Genet 61:1144–1152
Grady DL, Chi HC, Ding YC, Smith M, Wang E, Schuck S, Flodman P, Spence MA, Swanson JM, Moyzis PK (2003) High prevalence of rare dopamine receptor D4 alleles in children diagnosed with attention-deficit hyperactivity disorder. Mol Psychiatry 8:536–545
Grove WM, Eckert ED, Heston L, Bouchard TJ Jr, Segal N, Lykken DT (1990) Heritability of substance abuse and antisocial behavior: a study of monozygotic twins reared apart. Biol Psychiatry 27:1293–1304
Hawi Z, Segurado R, Conroy J, Sheehan K, Lowe N, Kirley A, Shields D, Fitzgerald M, Gallagher L, Gill M (2005) Preferential transmission of paternal alleles at risk genes in attention-deficit/hyperactivity disorder. Am J Hum Genet 77:958–965
Hutchison KE, McGeary J, Smolen A, Bryan A, Swift RM (2002a) The DRD4 VNTR polymorphism moderates craving after alcohol consumption. Health Psychol 21:139–146
Hutchison KE, LaChance H, Niaura R et al (2002b) The DRD4 VNTR polymorphism influences reactivity to smoking cues. J Abnorm Psychology 111:134–143
Imlah N (1989) Addiction: substance abuse and dependency. Sigma, Cheshire, pp 120–124
Kotler M, Cohen H, Segman R, Gritsenko I, Nemanov LM, Lerer B, Kramer L, Zer-Zion M, Kletz I, Ebstein RP (1997) Excess dopamine D4 (DRD4) exon seven repeat alletles in opioid-dependent subjects. Mol Psychiatry 2:251–254
Koob GF, Nestler EJ (1997) The neurobiology of drug addiction. J Neuropsychiatry Clin Neurosci 9:482–497
Lerman C, Swan GE (2002) Non-replication of genetic association studies: is DAT all, folks? Nicotine Tob Res 4:247–249
Lichter JB, Barr CL, Kennedy JL et al (1993) A hypervariable segment in the human dopamine receptor D4 (DRD 4 ) gene. Hum Mol Genet 2:767–773
Li TK (2000) Pharmacogenetics of responses to alcohol and genes that influence alcohol drinking. J Stud Alcohol 61:5–12
Li T, Xu K, Deng H, Gai G, Liu J, Liu X, Wang R, Xiang X, Zhao JM, Murray RM, Sham PC, Collier DA (1997) Association analysis of the dopamine D4 gene exon VNTR and heroin abuse in Chinese subjects. Mol Psychiatry 2:413–416
Li T, Zhu ZH, Liu X, Hu X, Zhao J, Sham PC, Collier DA (2000) Association analysis of polymorphisms in the DRD4 gene and heroin abuse in Chinese subjects. Am J Med Genet 96:616–621
Lu L, Xu NJ, Ge X, Yue W, Su WJ, Pei G, Ma L (2002) Reactivation of morphine conditioned place preference by drug priming: role of environmental cues and sensitization. Psychopharmacology 159:125–132
Nestler EJ, Aghajanian GK (1997) Molecular and cellular basis of addiction. Science 278:58–63
Rees VW, Heather N (1995) Individual differences and cue reactivity. In: Drummold DC, Tiffany ST, Glautier S, Remington B (eds). Addictive behavior: cue exposure theory and practice. Wiley, Chichester, pp 99–118
Robin TW, Everitt BJ (1999) Drug addiction: bad habits add up. Nature 398:567–570
Robinson TE, Berridge KC (1993) The neural basis of drug craving: an incentive-sensitization theory of addiction. Brain Res Brain Res Rev 18:247–291
Robinson TE, Berridge KC (2000) The psychology and neurobiology of addiction: an attention-sensitization view. Addiction 95:S91–S117
Sayette MA, Shiffman S, Tiffany ST, Niaura RS, Martin CS, Shadel WG (2000) The measurement of drug craving. Addiction 95:S189–S210
Shiffman S, Shadel WG, Niaura R, Moise KA, Jorenby DE, Ryan CF, Ferguson CL (2003) Efficacy of acute administration of nicotine gum in relief of cue-provoked cigarette craving. Psychopharmacology 166:343–350
Schuckit MA (1998) Biological, psychological and environmental predictors of the alcoholism risk: a longitudinal study. J Stud Alcohol 59:485–494
Self DW (1998) Neural substrates of drug craving and relapse in drug addiction. Ann Med 30:379–389
Self DW, Barnhart WJ, Lehman DA, Nestler EJ (1996) Opposite modulation of cocaine-seeking behavior by D1- and D2-like dopamine receptor agonists. Science 271:1586–1589
Swanson J, Deutsch C, Cantwell D, Posner M, Kennedy J, Barr C, Moyzis R, Schuck S, Foldman P, Spence MA (2001) Genes and attention-deficit hyperactivity disorder. Clinical Neuroscience Research 1:207–216
Van Tol HH, Bunzow JR, Guan HC, Sunahara RK, Seeman P, Niznik HB, Civelli O (1991) Cloning of the gene for a human dopamine D4 receptor with high affinity for the antipsychotic clozapine. Nature 350:610–614
Van Tol HH, Wu CM, Guan HC, Ohara K, Bunzow JR, Civelli O, Kennedy J, Seeman P, Niznik HB, Jovanovic V (1992) Multiple dopamine D4 receptor variants in the human population. Nature 358:149–152
Wang E, Ding YC, Flodman P, Kidd JR, Kidd KK, Grady DL, Ryder OA, Spence MA, Swanson JM, Moyzis RK (2004) The genetic architecture of selection at the human dopamine receptor D4 (DRD4) gene locus. Am J Hum Genet 74:931–944
Wise RA (1988) The neurobiological of craving: implications for the understanding and treatment of addiction. J Abnorm Psychology 97:118–132
Author information
Authors and Affiliations
Corresponding authors
Additional information
Li Jin and Min Zhao contributed to the work equally. Chunhong Shao and Yifeng Li contributed to the work equally.
Rights and permissions
About this article
Cite this article
Shao, C., Li, Y., Jiang, K. et al. Dopamine D4 receptor polymorphism modulates cue-elicited heroin craving in Chinese. Psychopharmacology 186, 185–190 (2006). https://doi.org/10.1007/s00213-006-0375-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00213-006-0375-6