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



            were observed inductions in histone acetylation and DNA   Another  important  facet  related  to  METH-induced
            methylation profiles. Mice subjected to repeated METH   psychosis may involve both genetic DNA antecedents and
            exposure, but not modafinil, exhibited impaired cognitive   epigenetic post-translational changes in mRNA expression,
            memory, as revealed by the novel object recognition test,   for example, on the DRD2 gene. Nohesara et al.  found
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            with a notable decrease in memory recognition. In addition,   that METH induces a decrease in DNA methylation of a
            METH-treated  mice  demonstrated  (i)  decreased  levels   number of dopamine-related genes (i.e.,  DRD3,  DRD4,
            of histone H3 and H4 acetylation and increased levels of   and  COMT) in patients with METH psychosis but not
            5-mC and (ii) reduced histone H3 acetylation enrichment   in non-METH psychosis patients. The suggestion here
            at promoters of the DRD2 gene. These findings suggest that   is that, in general, METH dependency is linked with a
            epigenetic dysregulation, particularly at the DRD2 gene, is   reduction in DNA methylation and an open chromatin
            associated with the long-term cognitive decline effects of   conformation, leading to increased expression of several
            METH and its adverse impacts on medial prefrontal cortex   important genes involved in the pathogenesis of psychotic
            function. Further studies are warranted to elucidate the   disorders.  Nohesara  et al.  suggested that  these
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            specific  mechanisms of  epigenetic  regulation affected by   epigenetic modifications may serve as valuable diagnostic
            psychostimulant abuse.                             biomarkers for diagnosing psychosis in METH abusers. In
              Changes in histone methylation and acetylation on   addition, they support the use of a methyl-rich diet for the
            DNA within the NAc and lysine residues have been   suppression or prevention of psychosis in these patients,
            observed with repeated cocaine administration. Nestler’s   thus encouraging further association and interventional
            group  investigated  histone  arginine  (R)  methylation   studies involving larger populations.
            in models related to  reward processing. Specifically,   5.1.5. Opioid abuse
            Damez-Werno  et al.  found that in both animal and
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            human self-administration experiments, the histone mark   Opioid use disorder (OUD) and other reward-dysregulated
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            protein-R-  methyltransferase-6 (PRMT6) and asymmetric   disorders have a high degree of heritability. Zhang et al.
            demethylation  of  R2  on  histone  H3  (H3R2me2a)  were   demonstrated that various methylation quantitative trait
            reduced in the rodent and cocaine-dependent human NAc.   loci (mQTLs) in the DRD1 and DRD2 genes were identified
            In fact, while PRMT6 overexpression in medium spiny   in both the healthy control and heroin use disorder groups.
            neurons (MSNs) expressing DRD1 (D1-MSNs) is protective   Specifically, rs4867798-CpG_174872884 and rs5326-
            against cocaine-seeking behaviors, PRMT6 overexpression   CpG_174872884 in the DRD1 gene were the unique single-
            in D2-MSNs in all NAc neurons has been associated with   nucleotide polymorphism-CpG pairs observed in patients
            increased cocaine-seeking behaviors. Along these lines,   suffering from heroin use disorder. This groundbreaking
            Blum et al. hypothesized that dopaminylation (H3R2me2a   research suggests that certain dopaminergic mQTLs may
            binding) occurs in PUD, and the binding inhibitor Srcin1,   be linked with characteristics of OUD by implicating DNA
            like the major  DRD2 A2 allelic polymorphism, protects   methylation and gene expression. However, it underscores
            against psychostimulant-seeking behavior by normalizing   the necessity for improved screening of controls to reassess
            NAc dopamine expression. Moreover, numerous studies   the findings regarding DRD2. 120
            have verified the association between the  DRD2 Taq A1   5.1.6. Eating disorders
            allele (30 – 40 lower DRD2 numbers) and severe cocaine
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            dependence. According to  Lepack  et al.,  acute cocaine   Similar to SUD, anorexia nervosa is a multifaceted and
            increases dopamine in NAc synapses and causes histone   highly heritable disease. 126-128  Rask-Andersen  et al.
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            H3 glutamine 5 dopaminylation and subsequent inhibition   reviewed the relevant literature and discovered that
            of  DRD2 expression. With prolonged cocaine use, the   175 association studies had been conducted on an anorexia
            inhibition of DRD2 expression increases and accompanies   nervosa cohort, examining 128 different polymorphisms
            cocaine withdrawal. Furthermore, they have reported that   related to 43 genes. The strongest correlations indicate that
            during cocaine withdrawal, the Src kinase signaling inhibitor   certain dopaminergic genes play a key role in regulating
            1 (Srcin1 or p140CAP) decreased H3R2me2a binding. Thus,   body mass index.  Moreover, findings by Frieling et al.
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            this inhibited dopaminylation induced a “homeostatic brake.”   revealed an increase in the expression of dopamine
            Blum’s group  suggested that the reduction in Src signaling   transporter (DAT) mRNA and a decrease in  DRD2
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            in NAc D2-MSNs, like the DRD2 Taq A2 allele, a well-known   expression. Frieling et al. suggested that the upregulation
            genetic mechanism protective against SUD, normalizes the   of the DAT gene was accompanied by a hypermethylation
            NAc dopamine expression and decreases cocaine cravings   of the gene’s promoter in the anorexia nervosa and bulimia
            and cocaine-seeking behaviors. Therefore, Srcin1 could be   nervosa group, while significant hypermethylation of the
            an important target for therapeutic interventions.  DRD2 promoter was only present in the anorexia nervosa


            Volume 3 Issue 1 (2024)                         9                        https://doi.org/10.36922/gpd.1966
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