Brief report 295
A functional prodynorphin promoter polymorphism and
opioid dependence
Riju Ray
a
, Glenn A. Doyle
b
, James J. Crowley
a
, Russell J. Buono
b
,
David W. Oslin
b,c
, Ashwin A. Patkar
d
, Paolo Mannelli
d
, Peter A. DeMaria Jr
d
,
Charles P. O’Brien
b,c
and Wade H. Berrettini
b
Objectives The prodynorphin gene (PDYN) promoter has a
repeat polymorphism that is functionally important in
association with substance abuse. We examined this
polymorphism for association in our sample of 168 opioid-
dependent patients and 122 ethnically and geographically
matched controls.
Methods Patients were selected from university-affiliated
residential and non-residential addiction treatment pro-
grams in the Philadelphia area. A sample of blood was
drawn from consenting individuals and genomic DNA was
isolated. Polymerase chain reaction amplification of the
PDYN promoter was performed and various genotypes
were determined on the basis of differing sizes of the
polymerase chain reaction products. The genotype and
allele data were analyzed by Fisher’s exact test.
Result A significant difference in genotype (P < 0.0006) and
allele (P < 10
–5
) frequencies was found between the
African American and European American populations. We
did not detect any significant difference in genotype or
allele frequencies between the patients and controls within
the European American ethnic group. However, we de-
tected a weak association (P = 0.013) when we compared
allele frequencies of patients and controls in the African
American population.
Conclusions These data suggest that the PDYN repeat
polymorphism should be studied in additional opioid-
dependent populations. Psychiatr Genet 15:295–298
c
2005 Lippincott Williams & Wilkins.
Psychiatric Genetics 2005, 15:295–298
Keywords: addiction and genetics, dynorphin, opioid, polymorphism
a
Department of Pharmacology, University of Pennsylvania, Philadelphia,
b
Department of Psychiatry, University of Pennsylvania, Philadelphia,
c
Philadelphia
Veterans Affairs Medical Center, Philadelphia and
d
Department of Psychiatry and
Human Behavior, Jefferson Medical College, Philadelphia, Pennsylvania, USA.
Correspondence to Riju Ray, Center for Neurobiology and Behavior, Department
of Psychiatry, University of Pennsylvania School of Medicine, 415 Curie
Boulevard, Clinical Research Building, Room 130, Philadelphia, PA 19104, USA.
Tel: +1 215 898 0092; fax: +1 215 573 2041;
e-mail: rijuray@mail.med.upenn.edu
Requests for reprints to Dr Wade Berrettini, Karl E. Rickels, Professor of
Psychiatry, Director, Center for Neurobiology and Behavior, University of
Pennsylvania School of Medicine, Room 111, 415 Curie Blvd., Philadelphia,
PA 19104, USA.
Tel: +1 215 898 0092; fax: +1 215 573 2041;
e-mail: wadeb@mail.med.upenn.edu
Sponsorships: This work was supported by a Mental Illness Research, Education
and Clinical Center grant at the Philadelphia Veterans Affairs Medical Center
(C.P.O’B. D.W.O., W.H.B. O’Brien, Oslin and Berrettini) and NIDA Grant
P60-05186 (C.P.O’B., D.W.O., W.H.B.).
Accepted 12 April 2005
Introduction
Prodynorphin is the precursor for the opioid peptides
dynorphin A, dynorphin B and a-neoendorphin. It is
expressed in the central and peripheral nervous systems
and has been shown to inhibit neurotransmission by
acting through kappa opioid receptors. Dynorphin re-
duces dopaminergic tone in the mesocortical–limbic
projections. In human studies, evidence suggests that
dynorphin administered intravenously produces de-
creased withdrawal symptoms in heroin addicts (Wen
and Ho, 1982). Furthermore, dynorphin A suppresses
naloxone-induced opiate withdrawal and development of
morphine tolerance in morphine-dependent mice (Take-
mori et al., 1993). Studies in animal models also show that
dynorphin attenuates synaptic dopamine increases
caused by the administration of cocaine (Kreek, 1996).
Horikawa et al. (1983) cloned and sequenced the 5
0
region
of the prodynorphin gene (PDYN) located on the short arm
of chromosome 20. Zimprich et al. (2000) later described a
68-basepair (bp) repeat polymorphism within the PDYN
promoter that altered response to external stimuli. This
68-bp repeat polymorphism can be present in 1–4 copies.
The polymorphism is functionally important as each of the
repeats contains an active activating protein-1 (AP1) site
and transcription of PDYN is dependent on these AP1 sites
(Messersmith et al., 1998). Thus, the presence of 3 or 4
repeats increases transcriptional efficiency of the promoter
in response to phorbol esters which may mimic, partially, a
pain stimulus (Zimprich et al., 2000).
Zimprich et al. (2000) found no significant associa-
tion between German heroin abusers and this repeat
polymorphism. Chen et al. (2002) demonstrated that
cocaine-dependent individuals had more alleles of low
number of repeats whereas controls had more alleles of
high number of repeats; thus, a higher number of repeats
may reduce risk for cocaine dependence. Given the
0955-8829 c 2005 Lippincott Williams & Wilkins
Copyright © Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.