Cited by 1Alcoholism and Thiamine DeficiencyGenetic Associations and EpidemiologyNeurotransmitter Receptor Influence on Behavior

ANK3 rs10994336 and ZNF804A rs7597593 polymorphisms: genetic interaction for emotional and behavioral symptoms of alcohol withdrawal syndrome

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Shen, Guanghui, Chen, Li, Liu, Yanlong, Zhu, Qi, Kang, Yimin, Luo, Xinguang, Wang, Fan, Wang, Wei·2024·BMC Psychiatry

Abstract

Objective: Alcohol withdrawal syndrome (AWS) is a complex condition associated with alcohol use disorder (AUD), characterized by significant variations in symptom severity among patients. The psychological and emotional symptoms accompanying AWS significantly contribute to withdrawal distress and relapse risk. Despite the importance of neural adaptation processes in AWS, limited genetic investigations have been conducted. This study primarily focuses on exploring the single and interaction effects of single-nucleotide polymorphisms in the ANK3 and ZNF804A genes on anxiety and aggression severity manifested in AWS. By examining genetic associations with withdrawal-related psychopathology, we ultimately aim to advance understanding the genetic underpinnings that modulate AWS severity. Methods: The study involved 449 male patients diagnosed with alcohol use disorder. The Self-Rating Anxiety Scale (SAS) and Buss-Perry Aggression Questionnaire (BPAQ) were used to assess emotional and behavioral symptoms related to AWS. Genomic DNA was extracted from peripheral blood, and genotyping was performed using PCR. Results: Single-gene analysis revealed that naturally occurring allelic variants in ANK3 rs10994336 (CC homozygous vs. T allele carriers) were associated with mood and behavioral symptoms related to AWS. Furthermore, the interaction between ANK3 and ZNF804A was significantly associated with the severity of psychiatric symptoms related to AWS, as indicated by MANOVA. Two-way ANOVA further demonstrated a significant interaction effect between ANK3 rs10994336 and ZNF804A rs7597593 on anxiety, physical aggression, verbal aggression, anger, and hostility. Hierarchical regression analyses confirmed these findings. Additionally, simple effects analysis and multiple comparisons revealed that carriers of the ANK3 rs10994336 T allele experienced more severe AWS, while the ZNF804A rs7597593 T allele appeared to provide protection against the risk associated with the ANK3 rs10994336 mutation. Conclusion: This study highlights the gene-gene interaction between ANK3 and ZNF804A, which plays a crucial role in modulating emotional and behavioral symptoms related to AWS. The ANK3 rs10994336 T allele is identified as a risk allele, while the ZNF804A rs7597593 T allele offers protection against the risk associated with the ANK3 rs10994336 mutation. These findings provide initial support for gene-gene interactions as an explanation for psychiatric risk, offering valuable insights into the pathophysiological mechanisms involved in AWS.

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Authors
Shen, G., Chen, L., Liu, Y., Zhu, Q., Kang, Y., Luo, X., Wang, F., & Wang, W.
Affiliations
  • Wenzhou Medical University (CN)
  • Inner Mongolia Medical University (CN)
  • Yale University (US)
  • Peking University (CN)
Corresponding author
  • Luo, Xinguang
  • Wang, Fan
  • Wang, Wei
Venue
BMC Psychiatry
Published
2024-05-03
Volume
24
Issue
1
Pages
335-335
ISSN
1471-244X (ISSN-L)
OpenAlex
W4396614427
Cited by
1
References
2
Citations by year
2025: 1
FWCI
0.27
Type
journal article
Language
en
Open access
Locations
  • BMC Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Technology Support Project of Xinjiang (2017E0267)
  • Natural Science Foundation of Xinjiang Uyghur Autonomous Region (2018D01C228)
  • Tianshan Youth Project–Outstanding Youth Science and Technology Talents of Xinjiang (2017Q007)
  • Beijing Municipal Natural Science Foundation (7152074)
  • Science and Technology Program of Wenzhou (Y20190098)
Topics
  • Health Sciences › Medicine › Neurology › Alcoholism and Thiamine Deficiency
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
Keywords
alcohol withdrawal, gene-gene interaction, single nucleotide polymorphisms, alcoholism, anxiety, aggression, emotional and behavioral problems, genetic susceptibility, protective alleles, male patients, withdrawal severity, anger-hostility, verbal and physical aggression
MeSH terms
Adult, Aggression, Alcoholism, Alleles, Anxiety, Behavioral Symptoms, Epistasis, Genetic, Humans, Male, Middle Aged, Substance Withdrawal Syndrome, Ankyrins, Genetic Predisposition to Disease, Polymorphism, Single Nucleotide, Kruppel-Like Transcription Factors

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