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Association between the functional variant of the catechol-O-methyltransferase (COMT) gene and type 1 alcoholism
Abstract
Catechol-O-methyltransferase (COMT) is an enzyme which has a crucial role in the metabolism of dopamine. It has been suggested that a common functional genetic polymorphism in the COMT gene, which results in 3 to 4-fold difference in COMT enzyme activity, may contribute to the etiology of mental disorders such as bipolar disorder and alcoholism. Since ethanol-induced euphoria is associated with the rapid release of dopamine in limbic areas, it is conceivable that subjects who inherit the allele encoding the low activity COMT variant would have a relatively low dopamine inactivation rate, and therefore would be more vulnerable to the development of ethanol dependence. The aim of this study was to test this hypothesis among type 1 (late-onset) alcoholics. The COMT polymorphism was determined in two independent male late onset (type 1) alcoholic populations in Turku (n = 67) and Kuopio (n = 56). The high (H) and low (L) activity COMT genotype and allele frequencies were compared with previously published data from 3140 Finnish blood donors (general population) and 267 race- and gender-matched controls. The frequency of low activity allele (L) was markedly higher among the patients both in Turku (P = 0.023) and in Kuopio (P = 0.005) when compared with the general population. When all patients were compared with the general population (blood donors), the difference was even more significant (P = 0.0004). When genotypes of all alcoholics (n = 123) were compared with genotypes of matched controls, the odds ratio (OR) for alcoholism for those subjects having the LL genotype vs those with HH genotype was 2.51, 95% CI 1.22-5.19, P = 0.006. Also, L allele frequency was significantly higher among alcoholics when compared with controls (P = 0.009). The estimate for population etiological (attributable) fraction for the LL genotype in alcoholism was 13.3% (95% CI 2.3-25.7%). The results indicate that the COMT polymorphism contributes significantly to the development of late-onset alcoholism.
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“some data suggest that alcoholic sub-phenotypes may associate with specific COMT diplotypes (Enoch et al., 2006; Kweon et al., 2005; Tiihonen et al., 1999; Wang et al., 2001).”
From Impulsivity, frontal lobes and risk for addiction (2009) · cites this paper as Tiihonen et al., 1999
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Metadata
- Authors
- Tiihonen, J., Hallikainen, T., Lachman, H., Saito, T., Volavka, J., Kauhanen, J., Salonen, J. T., Ryynänen, O.-P., Koulu, M., Karvonen, M. K., Pohjalainen, T., Syvälahti, E., & Hietala, J.
- Affiliations
- Niuvanniemi Hospital (FI)
- Albert Einstein College of Medicine (US)
- Nathan Kline Institute for Psychiatric Research (US)
- University of Eastern Finland (FI)
- University of Turku (FI)
- Turku University Hospital (FI)
- Corresponding author
- Tiihonen, J
- Venue
- Molecular Psychiatry
- Published
- 1999-05-01
- Volume
- 4
- Issue
- 3
- Pages
- 286-289
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- OpenAlex
- W2034763673
- Cited by
- 189
- References
- 0
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 2 · 2017: 7 · 2016: 3 · 2015: 9 · 2014: 6 · 2013: 3 · 2012: 13
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- catechol-O-methyltransferase, COMT gene, genetic polymorphism, late-onset alcoholism, alcoholism, dopamine metabolism, genetic susceptibility, Finnish population
- MeSH terms
- Adult, Alcoholism, Alleles, Catechol O-Methyltransferase, Finland, Gene Frequency, Genotype, Humans, Male, Middle Aged, Risk Factors, Genetic Variation, Myocardial Ischemia
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