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Gene & Protein in Disease                                        Stress-induced epigenetics of the DRD2 gene



            the DRD1 and DRD2 genes are linked to reward pathways   induced by drugs can lead to epigenetic alterations, which
            and mechanisms.  The culmination of biochemical processes   may contribute to aberrant cellular functions that facilitate
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            in  mesolimbic  regions leads  to  rewarding phenomena,   the pathogenesis of psychoactive substance dependence.
            particularly in the nucleus accumbens (NAc), where increased   Nestler’s group has previously proposed that gaining
            dopamine levels in synaptic spaces interact with  DRD1,   insights into epigenetic processes holds therapeutic
            DRD2, and other receptor subtypes. 21,22  Positron emission   promise.  Targeting significant drug-induced epigenetic
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            tomography  studies  have  provided  further  insights,   alterations within the brain could potentially disrupt the
            demonstrating lower  DRD2 availability in individuals   cycle of drug dependence, thereby preventing individuals
            with dependence on cannabis, psychostimulants, opioids,   from succumbing to a relentless cycle of addiction. 35
            or alcohol, as well as those who are obese, compared to   Comprehending the intricacies of the neuroepigenetic
            control subjects. 23-28                            landscape  necessitates  acknowledging  the  array  of

              Furthermore,  studies  have  revealed  an  association   epigenetic modifications.  Among these, a significant
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            between the A1 and B1 minor alleles of the DRD2 gene   epigenetic change occurring in adverse environments
            and cocaine use disorder (CUD).  These findings suggest   involves histone post-translational modifications (PTMs),
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            that  genetic  variations in  the  DRD2  gene,  located  on   such as  methylation  and  even dopaminylation. 36,37
            chromosome 11 at the q22-q23 region, contribute to an   Essentially, chromatin consists of DNA that is intricately
            increased susceptibility to psychostimulant use disorder   wound around histone protein octamers and forms
            (PUD). Interestingly, these observations align with early   nucleosomes, which subsequently allows for compact
            research  by  Gold’s  group, which hinted at  the  potential   packaging within the cell nucleus. This structural
            therapeutic  efficacy  of  bromocriptine,  a  D2  agonist,  in   arrangement serves as an adaptable scaffold that responds to
            combating cocaine abuse and dependence.  Unlike the   external stimuli. Notably, histones are rich in arginine and
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            DRD2 Taq A1 allele, which is associated with decreased   lysine residues, contributing to their highly basic nature.
            D2 receptor levels, the main variant, DRD2 Taq A2 allele,   PTMs of these residues and others on histone N-terminal
            is  characterized  by  normal  D2  receptor  levels,  possibly   tails, extending from the nucleosome core, modulate the
            offering  protection  against  psychostimulant  misuse  and   physical properties and charge distribution of chromatin,
            abuse. 30                                          thereby regulating DNA-associated processes.
              Historically, Dackis and Gold were among the first to   Histone subunits undergo a multitude of PTMs, including
            propose the use of the potent D2 agonist bromocriptine   but not limited to acetylation, methylation, phosphorylation,
            as an epigenetic therapy for severe cocaine dependence.    adenosine diphosphate ribosylation, ubiquitylation, and
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            However, clinical trials revealed that bromocriptine led to   sumoylation, with an expanding array of newly identified
            the down-regulation of DRD2 receptors and did not prove   modifications. 38,39  These modifications occur on over 50
            to  be  effective  for  this  purpose,  resulting  in  its  limited   distinct sites across histone proteins. 38,39
            clinical utilization. 31                             According to Allis et al., “histone PTMs are reversible;
              This commentary has uncovered a plethora of studies   they are dynamically deposited by “writer” enzymes,
            delineating epigenetic alterations occurring within the   recognized by “reader” proteins which mediate the cellular
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            DRD2 gene across both substance-related and non-   response, and removed by “eraser’ enzymes.”  Studies have
            substance-related RDS behaviors.                   demonstrated that the expression and activity of numerous
                                                               writer, eraser, and reader proteins are dysregulated in both
            2. Epigenetics and addictive behaviors             addicted individuals and animal models of addiction. 40-42
                                                               This dysregulation has spurred interest in the development
            Epigenetics refers to the molecular modifications imposed   of novel epigenetic therapies for addiction. The restoration
            on chromatin within the nucleus of a cell, playing a   of normal function to these proteins, either through small
            crucial role in regulating various DNA-related processes,   molecule interventions or functional food complexes that
            including chromatin organization, DNA repair, RNA   help rebalance neurotransmitter levels, such as dopamine,
            transcription, and splicing, among other essential cellular   represents a promising avenue for anti-addiction epigenetic
            functions.   Substance  use  disorder  (SUD)  serves  as  a   treatments. 43-52
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            prime example of how environmental factors can influence
            gene expression.  In this regard, a person’s experiences,   3. Epigenetic biomarkers
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            particularly volitional repetitive drug use, can modify the
            epigenome in the brain in a way that is specific to certain   3.1. DNA methylation
            brain regions and cell types.  It is hypothesized that   A biomarker is a quantitative, measurable indicator of a
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            dysregulation and modification of DNA-related processes   biological molecule, state, or condition.  DNA methylation
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            Volume 3 Issue 1 (2024)                         3                        https://doi.org/10.36922/gpd.1966
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