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Gene & Protein in Disease                                          Dopaminergic dysfunction as pre-addiction



            personalized, preventative treatment strategies—ultimately   Availability of data
            reducing the risk of early mortality and promoting healthier
            aging through precision medicine.                  Data is available from the author Alireza Sharafshah
                                                               (alirezasharafshah@yahoo.com) upon reasonable request.
            Acknowledgments                                    References

            The authors acknowledge the assistance of Margaret A.   1.   Blum K, Elman I, Dennen CA,  et al. “Preaddiction”
            Madigan for her professional editing and formatting of the   construct and reward deficiency syndrome: Genetic link via
            figures and tables in this article.                   dopaminergic dysregulation. Ann Transl Med. 2022;10:1181.

            Funding                                            2.   United  Nations Publication. World Drug Report. Sales
                                                                  No. E. 21. XI. 8; 2021.
            This study was funded by the grant (R41 MD012318/MD/  3.   Blum K, Thanos PK, Hanna C, et al. “To be or not to be”
            NIMHD NIH HHS/United States; K.B. and M.G.L.).        GWAS ends the controversy about the  DRD2 gene as a
                                                                  determinant of reward deficiency syndrome (RDS). Psychol
            Conflict of interest                                  Res Behav Manag. 2023;16:4287-4291.
            Dr.  Kenneth Blum, the senior author, is credited with      doi: 10.2147/PRBM.S428841
            more than 100 worldwide patents on the GARS test and   4.   McGrath JJ, Al-Hamzawi A, Alonso J,  et al. Age of onset
            KB220 and patents pending for gene editing. Dr. Blum   and cumulative risk of mental disorders: A cross-national
            has licensed one of his patents (10,894,024) to Victory   analysis of population surveys from 29 countries.  Lancet
            Nutrition International (VNI). He is a paid scientific   Psychiatry. 2023;10:668-681.
            advisor to some companies, including Electronic       doi: 10.1016/S2215-0366(23)00193-1
            Waveform Labs (Huntington Beach, CA); PEAK LOGIC
            (Del Mar, CA); Center for Advanced Spine Care of   5.   Kenny PJ. Epigenetics, microRNA, and addiction. Dialogues
            Southern Arizona (Tucson); and Sunder Foundation      Clin Neurosci. 2014;16:335-344.
            (Palm Springs, CA). Dr.  Kenneth Blum is also the      doi: 10.31887/DCNS.2014.16.3/pkenny
            Associate Editor and Kai Uwe Lewandowski and Rajendra   6.   Sillivan SE, Gillespie A. Circular RNA regulation and
            D Badgaiyan are the Editorial Board Members of this   function in drug seeking phenotypes.  Mol Cell Neurosci.
            journal but was not in any way involved in the editorial   2023;125:103841.
            and peer-review process conducted for this paper,      doi: 10.1016/j.mcn.2023.103841
            directly or indirectly. Separately, other authors declared
            that they have no known competing financial interests   7.   Blum K, Noble EP, Sheridan PJ, et al. Allelic association of
                                                                  human dopamine D2 receptor gene in alcoholism. JAMA.
            or personal relationships that could have influenced the   1990;263:2055-2060.
            work reported in this paper.
                                                               8.   McLellan AT, Koob GF, Volkow ND. Preaddiction-a
            Author contributions                                  missing concept for treating substance use disorders. JAMA
                                                                  Psychiatry. 2022;79:749-751.
            Conceptualization: Kenneth Blum, Kai Uwe Lewandrowski,      doi: 10.1001/jamapsychiatry.2022.1652
               Alireza Sharafshah
            Formal analysis: Alireza Sharafshah, Kenneth Blum   9.   Ekhtiari H, Zare-Bidoky M, Sangchooli A,  et al.
            Investigation:  Kenneth Blum, Kai Uwe Lewandrowski,   A  methodological checklist for fMRI drug cue reactivity
               Alireza Sharafshah                                 studies: Development and expert consensus.  Nat Protoc.
            Methodology: Alireza Sharafshah, Kenneth Blum         2022;17:567-595.
            Writing–original draft: Alireza Sharafshah, Kenneth Blum,      doi: 10.1038/s41596-021-00649-4
               Kai-Uwe Lewandrowski, Igor Elman, Mark S. Gold,   10.  Blum K, Wood RC, Braverman E, Chen T, Sheridan P. The
               Jean Lud Cadet                                     D2  dopamine  receptor  gene  as a  predictor of  compulsive
            Writing–review & editing: All authors                 disease: Bayes’ theorem. Funct Neurol. 1995;10:37-44.
                                                               11.  Blum K, Sheridan PJ, Wood RC, et al. The D2 dopamine
            Ethics approval and consent to participate            receptor gene as a determinant of reward deficiency
            Not applicable.                                       syndrome. J R Soc Med. 1996;89:396-400.
                                                                  doi: 10.1177/014107689608900711
            Consent for publication
                                                               12.  Blum KG, Cull JR, Braverman ER, Comings DE. Reward
            Not applicable.                                       deficiency syndrome. Am Sci. 1996;84:132-145.


            Volume 4 Issue 3 (2025)                         9                               doi: 10.36922/gpd.8090
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