Identification of stress-induced epigenetic methylation onto dopamine D2 gene and neurological and behavioral consequences
Open accessAbstract
The D2 dopamine receptor (DRD2) gene has garnered substantial attention as one of the most extensively studied genes across various neuropsychiatric disorders. Since its initial association with severe alcoholism in 1990, particularly through the identification of the DRD2 Taq A1 allele, numerous international investigations have been conducted to elucidate its role in different conditions. As of February 22, 2024, there are 5485 articles focusing on the DRD2 gene listed in PUBMED. There have been 120 meta-analyses with mixed results. In our opinion, the primary cause of negative reports regarding the association of various DRD2 gene polymorphisms is the inadequate screening of controls, not adequately eliminating many hidden reward deficiency syndrome behaviors. Moreover, pleiotropic effects of DRD2 variants have been identified in neuropsychologic, neurophysiologic, stress response, social stress defeat, maternal deprivation, and gambling disorder, with epigenetic DNA methylation and histone post-translational negative methylation identified as discussed in this article. There are 70 articles listed in PUBMED for DNA methylation and 20 articles listed for histone methylation as of October 19, 2022. For this commentary, we did not denote DNA and/or histone methylation; instead, we provided a brief summary based on behavioral effects. Based on the fact that Blum and Noble characterized the DRD2 Taq A1 allele as a generalized reward gene and not necessarily specific alcoholism, it now behooves the field to find ways to either use effector moieties to edit the neuroepigenetic insults or possibly harness the idea of potentially removing negative mRNA-reduced expression by inducing “dopamine homeostasis.”
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Epigenetic mechanisms such as DNA methylation and histone modifications can suppress DRD2 expression, compounding genetic vulnerability.
“Epigenetic mechanisms, such as DNA methylation and histone modifications, can suppress DRD2 expression, compounding genetic vulnerability.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [76]
In “Epigenetic modifications and DRD2 gene > SUD” (page unavailable), the paper reports that a histone modification following cocaine exposure inhibits DRD2 expression. It discusses DRD2 DNA methylation and genetic susceptibility, but the cited passages do not establish that DNA methylation suppresses DRD2 expression or that these epigenetic effects compound genetic vulnerability. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDRD2 variants exhibit pleiotropic effects on cognition, stress response, social behaviors, and reward learning.
“DRD2 variants exhibit pleiotropic effects on cognition, stress response, social behaviors, and reward learning.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [76]
The Conclusion (page unavailable) explicitly describes pleiotropic effects of DRD2 variants in neuropsychological, stress-response, and social-stress-defeat contexts, supporting much of the paraphrase. The Introduction links DRD2 to reward pathways, but the copy does not establish an effect of DRD2 variants specifically on reward learning. (LLM, conf=0.86)
Experimental — accuracy not yet measuredFindings on DRD2 support interventions aimed at restoring dopamine homeostasis by correcting epigenetic insults or enhancing receptor expression.
“These findings support the use of interventions aimed at restoring dopamine homeostasis, either by correcting epigenetic insults or enhancing receptor expression.”
From Beyond Stigma–Integrating Neurobiology, Genetics, and Awareness Integration Theory in Addiction Recovery (2026) · cites this paper as [76]
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References 170 · Cited by 14
Research works printed but not linked: 1
- [6]6. Blum K, Giordano J, Morse S, et al. Understanding the hugh mind: Humans are still evolving genetically. Tne IIOAB. 2010;1:1–14.
- Authors
- Blum, K., Bowirrat, A., Baron, D., Elman, I., Makale, M. T., Cadet, J. L., Thanos, P. K., Hanna, C., Ahmed, R., Gondre-Lewis, M. C., Dennen, C. A., Braverman, E. R., Soni, D., Carney, P., Khalsa, J., Modestino, E. J., Barh, D., Bagchi, D., Badgaiyan, R. D., McLaughlin, T., Cortese, R., Ceccanti, M., Murphy, K. T., Gupta, A., Makale, M. T., Sunder, K., & Gold, M. S.
- Affiliations
- Eötvös Loránd University (HU)
- Ariel University (IL)
- Western University of Health Sciences (US)
- Cambridge Health Alliance (US)
- UC San Diego Health System (US)
- National Institutes of Health (US)
- University at Buffalo, State University of New York (US)
- Thomas Jefferson University Hospital (US)
- University of Missouri (US)
- George Washington University (US)
- Curry College (US)
- Universidade Federal de Minas Gerais (BR)
- Texas Southern University (US)
- Case Western Reserve University (US)
- Regione Lazio (IT)
- University of California, Riverside (US)
- Washington University in St. Louis (US)
- Corresponding author
- Blum, Kenneth
- ORCID
- Blum, Kenneth
- Bowirrat, Abdalla
- Baron, David
- Elman, Igor
- Makale, Milan T.
- Cadet, Jean Lud
- Thanos, Panayotis K.
- Ahmed, Rania
- Braverman, Eric R.
- Carney, Paul
- Khalsa, Jag
- Modestino, Edward J.
- Barh, Debmalya
- Bagchi, Debasis
- Badgaiyan, Rajendra D.
- McLaughlin, Thomas
- Cortese, Rene
- Ceccanti, Mauro
- Gupta, Ashim
- Sunder, Keerthy
- Gold, Mark S.
- Venue
- Gene & Protein in Disease
- Publisher
- AccScience Publishing
- Published
- 2024-03-29
- Volume
- 3
- Issue
- 1
- Pages
- 1966
- ISSN
- 2811-003X (ISSN-L)
- PMC
- PMC11100097
- OpenAlex
- W4393471847
- Cited by
- 14
- References
- 170
- Citations by year
- 2026: 10 · 2025: 4
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Gene & Protein in Disease (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by)
- Funders
- U.S. Department of Veterans Affairs (I01 CX000479)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- dopamine D2 receptor, DRD2 gene, DNA methylation, histone methylation, epigenetics, stress response, reward deficiency syndrome, alcoholism, gambling addiction, maternal deprivation, neuropsychiatric disorders, dopamine homeostasis, genetic polymorphism
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