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Gene & Protein in Disease                                          Dopaminergic dysfunction as pre-addiction




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            Figure 3. Results of primary in silico analysis on genes analyzed from 88.8 million GWAS-based samples and GARS genes using a STRING model:
            (A) protein-protein interactions and (B) gene-miRNA interactions
            Abbreviations: GARS: Genetic Addiction Risk Severity; GWAS: Genome-wide association study; miRNA: MicroRNAs


            identify the top-ranked genes, phenotypes, pathways, and   DPP4,  CHRNA4,  SERPINC1,  C5,  BCL2,  DRD1,  DRD2,
            transcription factors (TFs) (Figure 4 and Table S6).  DRD3,  DRD4,  COMT,  MAOA,  SLC6A3,  SLC6A4, and
                                                               GABRA3. This refined gene set was subjected to clustering-
            3.11. Clustering-enriched ontology across studies  enriched ontology analysis using Metascape. 54
            To extend the depth of our enrichment analyses, we   Metascape  first  recognized  all  statistically  enriched
            utilized the systems biology-based meta-analysis and PGx   terms,  accumulative hypergeometric  p-values, and
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            filtering. Variant Annotation Assessments were performed   enrichment factors, which were computed and utilized
            on each of the 27 candidate genes, revealing a total of 1,173   for filtering. Next, using a method akin to the NCI
            PGx variants. Of these, 18 out of 27 genes had at least   DAVID site (database for annotation, visualization and
            one PGx variant and were included in the PGx-refined   integrated discovery), the remaining relevant terms were
            list. The goal of PGx filtering was to refine the gene list to   hierarchically grouped into a tree according to Kappa-
            pharmacogenes with established relevance to personalized   statistical similarities based on gene memberships. A Kappa
            medicine and potential therapeutic implications. The 18   similarity threshold of 0.3 was used to group the terms into
            pharmacogenes include: APOE, TGFB1, OPRM1, ADH1B,   clusters. Figure 5 displays a bar chart heatmap of the top


            Volume 4 Issue 3 (2025)                         5                               doi: 10.36922/gpd.8090
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