prodynorphin

Prodynorphin
  • 文章类型: Journal Article
    喂养的适应性调节取决于内部状态和食物结果与上下文线索的联系。人脑成像已经确定了暴饮暴食中海马-下丘脑外侧区(LHA)网络的失调,但是缺乏基本细胞类型和电路的机械实例化。这里,我们确定了在背外侧隔(DLS)中表达生长抑素(Sst)的抑制性神经元的进化保守和离散的Prodynorphin(Pdyn)表达亚群,主要接受背侧,但不是腹侧,海马输入。DLS(Pdyn)神经元抑制LHAGABA能神经元,并赋予喂食的上下文和内部状态依赖性校准。DLS中Pdyn的病毒缺失模拟了DLSPdynINs的光遗传学沉默,提示强啡肽-卡帕阿片类受体信号在食物寻找的上下文调节中的潜在作用。一起,我们的研究结果说明了背侧海马如何进化,通过PdynDLS抑制性神经元招募了一个古老的LHA喂养回路模块,以将上下文信息与食物消耗的调节联系起来。
    结论:DLS(Pdyn)神经元从背侧而不是腹侧海马接受密集输入DLS(Pdyn)神经元抑制LHA中的GABA能神经元沉默背侧海马DLS(Pdyn)-LHA回路节点消除了上下文条件喂养DLS中的Pdyn是上下文条件喂养所必需的。
    Adaptive regulation of feeding depends on linkage of internal states and food outcomes with contextual cues. Human brain imaging has identified dysregulation of a hippocampal-lateral hypothalamic area (LHA) network in binge eating, but mechanistic instantiation of underlying cell-types and circuitry is lacking. Here, we identify an evolutionary conserved and discrete Prodynorphin (Pdyn)-expressing subpopulation of Somatostatin (Sst)-expressing inhibitory neurons in the dorsolateral septum (DLS) that receives primarily dorsal, but not ventral, hippocampal inputs. DLS(Pdyn) neurons inhibit LHA GABAergic neurons and confer context- and internal state-dependent calibration of feeding. Viral deletion of Pdyn in the DLS mimicked effects seen with optogenetic silencing of DLS Pdyn INs, suggesting a potential role for DYNORPHIN-KAPPA OPIOID RECEPTOR signaling in contextual regulation of food-seeking. Together, our findings illustrate how the dorsal hippocampus has evolved to recruit an ancient LHA feeding circuit module through Pdyn DLS inhibitory neurons to link contextual information with regulation of food consumption.
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  • 文章类型: Journal Article
    嗅觉障碍降低了日常生活质量(QOL),部分原因是降低了进食的乐趣。嗅觉在风味感觉和适口性中起着至关重要的作用。推测嗅觉功能障碍导致的QOL下降是由于大脑嗅觉和边缘区域的神经活动异常所致,以及周围气味受体功能障碍。然而,具体的潜在神经生物学机制尚不清楚.由于嗅结节(OT)是内源性阿片类药物高表达的脑区之一,我们假设嗅觉功能障碍导致QOL下降的潜在机制涉及OT中神经活动的减少以及随后在特定亚区的内源性阿片样物质释放.在这次审查中,我们提供了关于OT的概述和最近的更新,内源性阿片系统,和大脑中的快乐系统,然后讨论我们的假设。为了促进有效治疗嗅觉障碍和生活质量下降,阐明通过风味感觉进食的乐趣的神经生物学机制至关重要。
    Olfactory dysfunctions decrease daily quality of life (QOL) in part by reducing the pleasure of eating. Olfaction plays an essential role in flavor sensation and palatability. The decreased QOL due to olfactory dysfunction is speculated to result from abnormal neural activities in the olfactory and limbic areas of the brain, as well as peripheral odorant receptor dysfunctions. However, the specific underlying neurobiological mechanisms remain unclear. As the olfactory tubercle (OT) is one of the brain\'s regions with high expression of endogenous opioids, we hypothesize that the mechanism underlying the decrease in QOL due to olfactory dysfunction involves the reduction of neural activity in the OT and subsequent endogenous opioid release in specialized subregions. In this review, we provide an overview and recent updates on the OT, the endogenous opioid system, and the pleasure systems in the brain and then discuss our hypothesis. To facilitate the effective treatment of olfactory dysfunctions and decreased QOL, elucidation of the neurobiological mechanisms underlying the pleasure of eating through flavor sensation is crucial.
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  • 文章类型: Journal Article
    已知位于哺乳动物下丘脑弓状核(ARC)中的“KNDy神经元”共表达kisspeptin,神经激肽B(NKB),和强啡肽(DYN),并已被确定为类固醇激素对促性腺激素释放激素(GnRH)的反馈调节的关键介质。然而,在鸟类中,编码kisspeptin及其受体GPR54的基因是基因组丢失的,类固醇激素对GnRH的反馈调节机制尚不清楚。这里,成功克隆了编码鸡NKB和DYN神经肽的基因速激肽3(TAC3)和强啡肽(PDYN)。时间表达谱显示TAC3、PDYN及其受体基因(TACR3、OPRK1)主要表达于下丘脑,30W时的表达明显高于15W时。此外,TAC3和PDYN的过表达或干扰可以调节GnRHmRNA的表达。此外,体内和体外实验表明,雌激素(E2)可以促进TAC3,PDYN,和GnRH,以及GnRH/LH的分泌。机械上,E2可以二聚化核雌激素受体1(ESR1)调节TAC3和PDYN的表达,促进GnRH基因的mRNA和蛋白表达以及GnRH的分泌。总之,这些结果表明,E2可以通过TAC3和PDYN系统调节GnRH的表达,为鸡的生殖调节提供新的见解。
    The \"KNDy neurons\" located in the hypothalamic arcuate nucleus (ARC) of mammals are known to co-express kisspeptin, neurokinin B (NKB), and dynorphin (DYN), and have been identified as key mediators of the feedback regulation of steroid hormones on gonadotropin-releasing hormone (GnRH). However, in birds, the genes encoding kisspeptin and its receptor GPR54 are genomic lost, leaving unclear mechanisms for feedback regulation of GnRH by steroid hormones. Here, the genes tachykinin 3 (TAC3) and prodynorphin (PDYN) encoding chicken NKB and DYN neuropeptides were successfully cloned. Temporal expression profiling indicated that TAC3, PDYN and their receptor genes (TACR3, OPRK1) were mainly expressed in the hypothalamus, with significantly higher expression at 30W than at 15W. Furthermore, overexpression or interference of TAC3 and PDYN can regulate the GnRH mRNA expression. In addition, in vivo and in vitro assays showed that estrogen (E2) could promote the mRNA expression of TAC3, PDYN, and GnRH, as well as the secretion of GnRH/LH. Mechanistically, E2 could dimerize the nuclear estrogen receptor 1 (ESR1) to regulate the expression of TAC3 and PDYN, which promoted the mRNA and protein expression of GnRH gene as well as the secretion of GnRH. In conclusion, these results revealed that E2 could regulate the GnRH expression through TAC3 and PDYN systems, providing novel insights for reproductive regulation in chickens.
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  • 文章类型: Journal Article
    在腹内侧下丘脑(VMHvl)的腹外侧区域中表达雌激素受体(ER)α的神经元与许多行为和生理过程的控制有关,其中一些是性别特异性的。最近,在VMHvl中发现了三个性别分化的ERα亚群,它们与tachikinin1(Tac1)共表达,reprimo(Rprm),或强啡肽(Pdyn),这可能是特定的职能。这些标记显示了成年期的性别差异:女性有更多的Tac1/Esr1和Rprm/Esr1共表达细胞,而男性有更多的Pdyn/Esr1细胞。在这项研究中,我们试图了解这些性别差异的发展,并确定性别差异信号。我们使用单分子原位杂交检查了共表达Tac1,Rprm或Pdyn的Esr1细胞数量的发育变化。我们发现两种性别在出生时都有类似高数量的Tac1/Esr1和Rprm/Esr1细胞,但是新生男性的Pdyn/Esr1细胞比女性多。然而,Tac1/Esr1和Rprm/Esr1共表达的细胞数量在男性断奶后显著减少,但不是女性,导致神经化学表达的性别差异。在出生时给予睾酮的雌性小鼠具有类似于雄性小鼠的表达模式。因此,在出生和断奶之间的男性中发生了大量的VMHvl神经化学重组,这可能是先前报道的成年期对雌激素的行为和生理反应的性别差异的基础。
    Estrogen receptor (ER) α-expressing neurons in the ventrolateral area of the ventromedial hypothalamus (VMHvl) are implicated in the control of many behaviors and physiological processes, some of which are sex-specific. Recently, three sex-differentiated ERα subpopulations have been discovered in the VMHvl marked by co-expression with tachikinin1 (Tac1), reprimo (Rprm), or prodynorphin (Pdyn), that may subserve specific functions. These markers show sex differences in adulthood: females have many more Tac1/Esr1 and Rprm/Esr1 co-expressing cells, while males have more Pdyn/Esr1 cells. In this study, we sought to understand the development of these sex differences and pinpoint the sex-differentiating signal. We examined developmental changes in the number of Esr1 cells co-expressing Tac1, Rprm or Pdyn using single-molecule in situ hybridization. We found that both sexes have similarly high numbers of Tac1/Esr1 and Rprm/Esr1 cells at birth, but newborn males have many more Pdyn/Esr1 cells than females. However, the number of cells with Tac1/Esr1 and Rprm/Esr1 co-expression markedly decreases by weaning in males, but not females, leading to sex differences in neurochemical expression. Female mice administered testosterone at birth have expression patterns akin to male mice. Thus, a substantial neurochemical reorganization of the VMHvl occurs in males between birth and weaning that likely underlies the previously reported sex differences in behavioral and physiological responses to estrogens in adulthood.
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  • 文章类型: Journal Article
    内侧前额叶皮层(mPFC)由一组对疼痛刺激有反应的异质神经元组成,我们对不同的疼痛模型如何改变这些特定的mPFC细胞类型的理解仍然不完整。不同的mPFC神经元亚群表达前强啡肽(Pdyn+),κ阿片受体(KORs)的内源性肽激动剂。这里,我们使用全细胞膜片钳研究手术和神经性疼痛小鼠模型中mPFC前边缘区Pdyn表达神经元(PLPdyn+神经元)的兴奋性变化.我们的记录显示PLPdyn神经元由锥体和抑制性细胞类型组成。我们发现,手术疼痛的足底切口模型(PIM)仅在切口后一天的锥体PLPdyn神经元中增加了内在兴奋性。从切口恢复后,锥体PLPdyn+神经元的兴奋性在雄性PIM和假小鼠之间没有差异,但在PIM雌性小鼠中降低。此外,在雄性PIM小鼠中,抑制性PLPdyn+神经元的兴奋性增加,但雌性假小鼠和PIM小鼠之间没有差异。在备用神经损伤模型(SNI)中,SNI后第3天和第14天,锥体PLPdyn神经元均过度兴奋。然而,抑制性PLPdyn+神经元在SNI后第3天兴奋过度,但在第14天过度兴奋。我们的发现表明,PLPdyn神经元的不同亚型在不同疼痛方式的发展中表现出明显的变化,并且受手术疼痛以性别特异性方式调节。我们的研究提供了受手术和神经性疼痛影响的特定神经元群体的信息。
    The medial prefrontal cortex (mPFC) consists of a heterogeneous population of neurons that respond to painful stimuli, and our understanding of how different pain models alter these specific mPFC cell types remains incomplete. A distinct subpopulation of mPFC neurons express prodynorphin (Pdyn+), the endogenous peptide agonist for kappa opioid receptors (KORs). Here, we used whole cell patch clamp for studying excitability changes to Pdyn expressing neurons in the prelimbic region of the mPFC (PLPdyn+ neurons) in mouse models of surgical and neuropathic pain. Our recordings revealed that PLPdyn+ neurons consist of both pyramidal and inhibitory cell types. We find that the plantar incision model (PIM) of surgical pain increases intrinsic excitability only in pyramidal PLPdyn+ neurons one day after incision. Following recovery from incision, excitability of pyramidal PLPdyn+ neurons did not differ between male PIM and sham mice, but was decreased in PIM female mice. Moreover, the excitability of inhibitory PLPdyn+ neurons was increased in male PIM mice, but was with no difference between female sham and PIM mice. In the spared nerve injury model (SNI), pyramidal PLPdyn+ neurons were hyperexcitable at both 3 days and 14 days after SNI. However, inhibitory PLPdyn+ neurons were hypoexcitable at 3 days but hyperexcitable at 14 days after SNI. Our findings suggest different subtypes of PLPdyn+ neurons manifest distinct alterations in the development of different pain modalities and are regulated by surgical pain in a sex-specific manner. Our study provides information on a specific neuronal population that is affected by surgical and neuropathic pain.
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  • 文章类型: Journal Article
    opioder能能系统与丝裂原激活的蛋白激酶(MAPKs)之间的串扰在介导与焦虑病理生理学相关的应激诱导行为中具有关键作用。本研究评估了基础状态和应激诱导的皮质丘脑MAPKs和其他与细胞命运相关的信号通路的改变,这些信号通路可能是PDYN基因缺陷小鼠的抗焦虑内表型的潜在基础。与同窝人相比,PDYN敲除(KO)小鼠具有较低的皮质和或丘脑量的磷酸化激活的MAPKsc-JunN末端激酶(JNK1/2)和细胞外信号调节激酶(ERK1/2)。同样,PDYN-KO动物显示具有死亡结构域(FADD)的细胞命运调节因子Fas相关蛋白的总和磷酸化(在Ser191)物种的皮质丘脑密度降低,而Fas受体没有改变。暴露于急性束缚和慢性轻度应激刺激引起JNK1/2和ERK1/2MAPK的强烈刺激,FADD,和Akt-mTOR通路,凋亡率没有明显增加。有趣的是,PDYN缺乏可防止应激诱导的JNK1/2和FADD,但不能防止ERK1/2或Akt-mTOR过度激活。这些发现表明PDYN-KO小鼠皮质丘脑MAPK和FADD依赖性神经可塑性可能发生改变。此外,结果还表明,在环境胁迫条件下,可能需要PDYN基因(以及强啡肽释放)来刺激JNK1/2和FADD(而不是ERK1/2或Akt/mTOR)途径.
    The crosstalk between the opioidergic system and mitogen-activated protein kinases (MAPKs) has a critical role in mediating stress-induced behaviors related to the pathophysiology of anxiety. The present study evaluated the basal status and stress-induced alterations of cortico-thalamic MAPKs and other cell fate-related signaling pathways potentially underlying the anxiogenic endophenotype of PDYN gene-deficient mice. Compared to littermates, PDYN knockout (KO) mice had lower cortical and or thalamic amounts of the phospho-activated MAPKs c-Jun N-terminal kinase (JNK1/2) and extracellular signal-regulated kinase (ERK1/2). Similarly, PDYN-KO animals displayed reduced cortico-thalamic densities of total and phosphorylated (at Ser191) species of the cell fate regulator Fas-associated protein with death domain (FADD) without alterations in the Fas receptor. Exposure to acute restraint and chronic mild stress stimuli induced the robust stimulation of JNK1/2 and ERK1/2 MAPKs, FADD, and Akt-mTOR pathways, without apparent increases in apoptotic rates. Interestingly, PDYN deficiency prevented stress-induced JNK1/2 and FADD but not ERK1/2 or Akt-mTOR hyperactivations. These findings suggest that cortico-thalamic MAPK- and FADD-dependent neuroplasticity might be altered in PDYN-KO mice. In addition, the results also indicate that the PDYN gene (and hence dynorphin release) may be required to stimulate JNK1/2 and FADD (but not ERK1/2 or Akt/mTOR) pathways under environmental stress conditions.
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  • 文章类型: Journal Article
    自我伤害行为(SIB)可导致严重伤害,并发生在大约1%-4%的成年人口中,青少年和制度化人群的发病率较高,以及患有自闭症等发育障碍的儿童。SIB也自发地发生在低百分比的圈养猴子中。恒河猴(Macacamulatta)在进化和生理上与人类相似,与人类有93%的遗传序列相似性,长期以来一直被用作疫苗和临床试验的测试对象。先前的研究假设内源性阿片类药物表达的改变发生在自我伤害的个体和动物的大脑中。我们检查了16只表现出SIB的恒河猴和8只性别和年龄匹配的对照中阿片类信号基因的区域mRNA表达。检查的大脑区域与奖赏强化和压力适应有关,包括下丘脑,眶额叶皮质,伏隔核,海马体,尾状,还有杏仁核.我们发现患有SIB的猴子的杏仁核中的μ阿片受体(OPRM1)减少,下丘脑中的强啡肽(PDYN)减少。我们的数据表明阿片类肽前体的调节功能障碍,并需要进一步研究SIB中的内源性阿片系统。
    Self-injurious behavior (SIB) can lead to serious injury and occurs in approximately 1%-4% of the adult population, with higher incidences in adolescent and institutionalized populations, as well as in children with developmental disorders such as Autism. SIB also spontaneously occurs in a low percentage of captive monkeys. Rhesus macaque (Macaca mulatta) monkeys are evolutionarily and physiologically similar to humans, share 93% genetic sequence similarity to humans, and have long been used as testing subjects for vaccine and clinical trials. Previous studies hypothesized that altered endogenous opioid expression occurs in the brains of individuals and animals that self-injure. We examined the regional mRNA expression of opioid signaling genes in sixteen rhesus macaques that exhibited SIB and eight sex- and age- matched controls. The brain regions examined are linked to reward reinforcement and stress adaptation including the hypothalamus, orbital frontal cortex, nucleus accumbens, hippocampus, caudate, and the amygdala. We found decreased μ-opioid receptor (OPRM1) in the amygdala of monkeys with SIB, and reduced prodynorphin (PDYN) in the hypothalamus. Our data suggest dysfunction in the regulation of opioid peptide precursors and calls for further investigation of the endogenous opioid system in SIB.
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  • 文章类型: Journal Article
    嗅觉结节(OT)是接收嗅觉输入的纹状体区域。前脑啡肽(Pdyn)和前脑啡肽(Penk)的mRNA,强啡肽和脑啡肽的前体,分别,在纹状体中强烈表达。两者都产生具有各种生理效应的阿片样肽,例如疼痛缓解和欣快感。最近的研究表明,OT具有解剖和细胞结构结构域,在气味诱导的动机行为中起不同的作用。OT的神经元亚型可以通过其多巴胺受体D1(Drd1)和D2(Drd2)的表达来区分。这里,我们讨论了OT中表达D1和D2的神经元是否以及哪种类型的阿片类肽前体表达。我们对阿片前体和多巴胺受体的mRNA使用了多种荧光原位杂交来表征小鼠OT神经元。在OT的致密细胞层(DCL)中,Pdyn主要由Drd1表达细胞表达,而Penk主要由DCL中的Drd2表达细胞表达。我们还证实,与前外侧OT相比,前内侧OT的DCL中存在大量Pdyn-Penk-Drd1共表达细胞。这些观察结果将有助于了解OT中的强啡肽和脑啡肽是否以及如何参与各种气味诱导的动机行为。
    The olfactory tubercle (OT) is a striatal region that receives olfactory inputs. mRNAs of prodynorphin (Pdyn) and preproenkephalin (Penk), precursors of dynorphins and enkephalins, respectively, are strongly expressed in the striatum. Both produce opioid peptides with various physiological effects such as pain relief and euphoria. Recent studies have revealed that OT has anatomical and cytoarchitectonic domains that play different roles in odor-induced motivated behavior. Neuronal subtypes of the OT can be distinguished by their expression of the dopamine receptors D1 (Drd1) and D2 (Drd2). Here, we addressed whether and which type of opioid peptide precursors the D1- and D2-expressing neurons in the OT express. We used multiple fluorescence in situ hybridization for mRNAs of the opioid precursors and dopamine receptors to characterize mouse OT neurons. Pdyn was mainly expressed by Drd1-expressing cells in the dense cell layer (DCL) of the OT, whereas Penk was expressed primarily by Drd2-expressing cells in the DCL. We also confirmed the presence of a larger population of Pdyn-Penk-Drd1 co-expressing cells in the DCL of the anteromedial OT compared with the anterolateral OT. These observations will help understand whether and how dynorphins and enkephalins in the OT are involved in diverse odor-induced motivated behaviors.
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  • 文章类型: Journal Article
    短串联重复序列(STRs)和可变数量的串联重复序列(VNTRs)已在人类基因组中大约0.7和0.5万个基因座中被鉴定,分别,是高度多等位基因变异,而不是单核苷酸多态性。超过几千个STR的重复次数与附近基因的表达有关,这表明STR是影响人类性状的遗传变异。镇痛药通过其固有受体作用于中枢神经系统以产生镇痛作用。在本研究中,我们专注于CNR1、GRIN2A、PENK,和PDYN基因,并分析了术后疼痛管理中两个外周痛觉相关性状和七个镇痛相关性状。共有192名志愿者接受了外周疼痛感觉测试,139名和252名患者接受了开腹和正颌美容手术,分别,包括在研究中。四种STRs或VNTRs均不与周围疼痛有关。CNR1、GRIN2A、PENK基因与芬太尼的使用频率有关,芬太尼剂量,正颌整容手术后3小时疼痛评分和视觉模拟量表评分(分别为Spearman等级相关系数ρ=0.199,p=0.002,ρ=0.174,p=0.006和ρ=0.135,p=0.033),镇痛剂量,包括开腹手术后的硬膜外镇痛药(ρ=-0.200,p=0.018),正颌整容手术后24小时的视觉模拟疼痛评分(ρ=0.143,p=0.023),分别。CNR1基因中的STRs与正颌整容手术后芬太尼使用频率和芬太尼剂量之间的关联通过Holm的多重测试校正得到证实。这些发现表明,CNR1基因中的STR会影响口面区域的镇痛作用。
    Short tandem repeats (STRs) and variable number of tandem repeats (VNTRs) that have been identified at approximately 0.7 and 0.5 million loci in the human genome, respectively, are highly multi-allelic variations rather than single-nucleotide polymorphisms. The number of repeats of more than a few thousand STRs was associated with the expression of nearby genes, indicating that STRs are influential genetic variations in human traits. Analgesics act on the central nervous system via their intrinsic receptors to produce analgesic effects. In the present study, we focused on STRs and VNTRs in the CNR1, GRIN2A, PENK, and PDYN genes and analyzed two peripheral pain sensation-related traits and seven analgesia-related traits in postoperative pain management. A total of 192 volunteers who underwent the peripheral pain sensation tests and 139 and 252 patients who underwent open abdominal and orthognathic cosmetic surgeries, respectively, were included in the study. None of the four STRs or VNTRs were associated with peripheral pain sensation. Short tandem repeats in the CNR1, GRIN2A, and PENK genes were associated with the frequency of fentanyl use, fentanyl dose, and visual analog scale pain scores 3 h after orthognathic cosmetic surgery (Spearman\'s rank correlation coefficient ρ = 0.199, p = 0.002, ρ = 0.174, p = 0.006, and ρ = 0.135, p = 0.033, respectively), analgesic dose, including epidural analgesics after open abdominal surgery (ρ = -0.200, p = 0.018), and visual analog scale pain scores 24 h after orthognathic cosmetic surgery (ρ = 0.143, p = 0.023), respectively. The associations between STRs in the CNR1 gene and the frequency of fentanyl use and fentanyl dose after orthognathic cosmetic surgery were confirmed by Holm\'s multiple-testing correction. These findings indicate that STRs in the CNR1 gene influence analgesia in the orofacial region.
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  • 文章类型: Journal Article
    目的:此二次分析的目的是确定调节丁丙诺啡/纳洛酮(Suboxone®;BUP)治疗可卡因依赖的治疗反应的前强啡肽(PDYN)遗传标记。
    方法:可卡因依赖的参与者(N=302)被随机分配到可注射的平台,延长释放纳曲酮(XR-NTX)和三个每日药物之一:4mgBUP4,16毫克BUP(BUP16),或安慰剂(PLB)8周(父母试验注册:方案ID:NIDA-CTN-0048,临床试验ID:NCT01402492)。从277名参与者获得DNA。在每1周的时间内,从第3到第7周,通过每可能的尿液总量中可卡因阳性尿液的数量来确定治疗反应。
    结果:在跨祖先组中,PLB组比BUP16组有更多的可卡因阳性尿液(P=0.0021).在rs1022563A等位基因携带者组中观察到了遗传变异×治疗的相互作用,其中BUP16组(N=35)的可卡因阳性尿液(P=0.0006)少于PLB组(N=26)和在rs1997794A等位基因携带者组中,BUP16组(N=49)的可卡因阳性尿液(P=0.0003)少于PLB组(N=58)。在BUP16组和PLB组之间的rs1022563GG或rs1997794GG基因型组中没有观察到差异。在非裔美国人祖先亚组中,只有rs1022563A等位基因携带者组与治疗反应相关.
    结论:这些结果表明,PDYN变异体可以确定最适合使用XR-NTX加丁丙诺啡治疗可卡因使用障碍药物治疗的患者。
    OBJECTIVE: The aim of this secondary analysis was to identify prodynorphin (PDYN) genetic markers moderating the therapeutic response to treatment of cocaine dependence with buprenorphine/naloxone (Suboxone®; BUP).
    METHODS: Cocaine-dependent participants (N = 302) were randomly assigned to a platform of injectable, extended-release naltrexone (XR-NTX) and one of three daily medication arms: 4 mg BUP (BUP4), 16 mg BUP (BUP16), or placebo (PLB) for 8 weeks (Parent Trial Registration: Protocol ID: NIDA-CTN-0048, Clinical Trials.gov ID: NCT01402492). DNA was obtained from 277 participants. Treatment response was determined from weeks 3 to 7 over each 1-week period by the number of cocaine-positive urines per total possible urines.
    RESULTS: In the cross-ancestry group, the PLB group had more cocaine-positive urines than the BUP16 group (P = 0.0021). The interactions of genetic variant × treatment were observed in the rs1022563 A-allele carrier group where the BUP16 group (N = 35) had fewer cocaine-positive urines (P = 0.0006) than did the PLB group (N = 26) and in the rs1997794 A-allele carrier group where the BUP16 group (N = 49) had fewer cocaine-positive urines (P = 0.0003) than did the PLB group (N = 58). No difference was observed in the rs1022563 GG or rs1997794 GG genotype groups between the BUP16 and PLB groups. In the African American-ancestry subgroup, only the rs1022563 A-allele carrier group was associated with treatment response.
    CONCLUSIONS: These results suggest that PDYN variants may identify patients who are best suited to treatment with XR-NTX plus buprenorphine for cocaine use disorder pharmacotherapy.
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