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




            Table 1. Epigenetics of substance use disorder
            Type of substance                           Findings                              References
            Cannabis      Higher histone methylation onto DRD2 gene with family history       Oyaci et al.  105
                          DNA methylation on DRD2 promotor                                    Gerra et al.  106
                          Prenatal Δ-9- tetrahydrocannabinol (THC) exposure with an increase in histone methylation DRD2 gene  DiNieri et al.  107
            Tobacco       DNA methylation on NCAM1-TTC12-ANKK1-DRD2 gene cluster associated with risk for cigarettes per day Liu et al.  109
            Alcohol       Enhanced global histone methylation                                 Pandey et al.  111
                          DRD2 promoter DNA methylation was positively associated with responses to alcohol severity  Bidwell et al.  112
                          DRD2 DNA methylation was significantly associated with alcohol problem severity  Hagerty et al.  114
                          DNA methylation at the DRD2 gene was significantly increased in association with familial high-risk status  Hill and Sharma 116
                          Craving was significantly associated with DRD2-gene methylation     Hillemacher et al.  117
            Psychostimulants  METH-treated mice also showed (i) decreased global levels of total H3ac and H4ac and increased global  González et al.  121
                          levels of 5-methylcytosine (5-mC) and (ii) decreased H3ac enrichment at promoters of DRD2
                          In both human and animal self-administration experiments, the histone mark   Damez-Werno et al.  122
                          protein-R- methyltransferase-6 (PRMT6) and asymmetric demethylation of R2 on histone
                          H3 (H3R2me2a) decreased in the rodent and cocaine-dependent human NAc.
                          METH induced a decrease in DNA methylation of a number of dopamine-related genes (i.e., DRD3,   Nohesara et al.  124
                          DRD4, and COMT) in patients with METH psychosis but not in non-METH psychosis patients.
            Opioids       Specifically, rs4867798-CpG_174872884 and rs5326-CpG_174872884 in the DRD1 gene showed   Zhang et al.  125
                          hypermethylation

            potential biomarkers or targets for the development of   ANKK1-DRD2  gene  cluster  in  addiction  susceptibility
            pharmacological therapeutic agents.                among individuals of European and African descent.
              In a study by DiNieri et al.,  utilizing an animal model   Building on this foundation, Liu and colleagues conducted
                                    107
            of prenatal exposure to delta-9-tetrahydrocannabinol   next-generation bisulfite sequencing to uncover smoking-
            (THC), it was observed that prenatal cannabis exposure led   associated DMRs. Through haplotype-based association
            to a reduction in DRD2 messenger RNA expression in the   analysis, they identified a significant association between
            NAc, a crucial brain reward region. Furthermore, Hurd’s   cigarettes per day and the C-T-A-G haplotype in  DRD2,
            group   identified histone  methylation  differences  in the   formed by rs4245148, rs4581480, rs4648317, and rs11214613.
                107
            offspring of pregnant rats exposed to THC. Chromatin   Furthermore, the study identified four significant smoking-
            immunoprecipitation of the adult NAc revealed an increase   associated DMRs, with three residing in the DRD2/ANKK1
            in the 2meH3K9 repressive mark and a decrease in 3meH3K4   region. These findings elucidate a notable association of
            and RNA polymerase II at the  DRD2 gene locus in the   variants and haplotypes within the  ANKK1/DRD2 region
            THC-exposed offspring. This diminished DRD2 expression   with nicotine dependence among Chinese male smokers.
            correlates with reduced DRD2 binding sites and heightened   Importantly, the results also underscore the pivotal role of
            sensitivity to opiate reward in adulthood. Moreover, the study   DNA methylation in facilitating such associations.
            suggested that maternal cannabis use alters the epigenetic   5.1.3. Alcohol
            mechanisms governing histone lysine methylation, thereby
            influencing the developmental regulation of mesolimbic   Strong correlations have been observed between DRD2
            DRD2 in offspring. This subsequent reduction in DRD2 may   binding potential and neural responses to rewarding
            increase the susceptibility of the offspring to addiction in the   stimuli and substance use. 89-104  Consequently, disruptions
            future. Of interest, earlier work from Blum’s laboratory    in DRD2 function constitute a critical component of
                                                         108
            demonstrated significant alteration of the vas deferens from   theoretical models elucidating the pathophysiology of
                                                                                 110
            prenatal exposure to THC in that there was an increased   substance dependence.  Moreover, as proposed by Pandey
                                                                   111
            sensitivity to enkephalins, in agreement with the findings of   et al.,  epigenetic modifications may serve as fundamental
            DiNieri et al. 107                                 molecular mechanisms influencing how alcohol exposure
                                                               impacts the brain.
            5.1.2. Tobacco                                       This  idea  has  been  investigated  by  Bidwell  et al.,
            As highlighted by Liu  et al.,  previous research has   who demonstrated that, after controlling for age,  DRD2
                                     109
            underscored the importance of the  NCAM1-TTC12-    promoter DNA methylation was positively associated

            Volume 3 Issue 1 (2024)                         7                        https://doi.org/10.36922/gpd.1966
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