The DRD2 TaqI-B polymorphism and its relationship to smoking abstinence and withdrawal symptoms

Pharmacogenomics J. 2007 Aug;7(4):266-74. doi: 10.1038/sj.tpj.6500427. Epub 2006 Dec 26.

Abstract

The dopamine receptor D2 (DRD2) gene has polymorphisms that have been linked to regulation of the dopamine system and to an increased prevalence of smoking. The present study examined the relationship of the DRD2 TaqI-A and -B polymorphisms with short-term clinical outcome (abstinence and withdrawal symptoms), collected from daily (14 pre-quit and 42 post-quit) diary data among smokers (n=116) treated with the nicotine patch plus either venlafaxine or placebo. The results showed that B1/B1 or B1/B2 smokers were slightly less likely to be abstinent on a given day than those homozygous for the TaqI-B2 allele. Significant DRD2 TaqI-B x time interactions were found for several of the withdrawal scales, indicating that those smokers with the B1/B1 or B1/B2 genotypes tended to report more symptoms over time compared to those with the B2/B2 genotype. No interactions or main effects were found for the DRD2 TaqI-A polymorphism. The findings demonstrate that smokers homozygous for the TaqI-B2 allele experience progressive improvement in self-reported withdrawal symptoms while smokers with the TaqI-B1 allele showing little change.

Publication types

  • Controlled Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Cutaneous
  • Adult
  • Antidepressive Agents, Second-Generation / therapeutic use
  • Cyclohexanols / therapeutic use
  • Double-Blind Method
  • Female
  • Gene Frequency
  • Genotype
  • Homozygote
  • Humans
  • Linkage Disequilibrium
  • Male
  • Middle Aged
  • Nicotine / administration & dosage
  • Nicotinic Agonists / administration & dosage
  • Phenotype
  • Polymorphism, Genetic*
  • Receptors, Dopamine D2 / genetics*
  • Receptors, Dopamine D2 / metabolism
  • Severity of Illness Index
  • Smoking / genetics*
  • Smoking / metabolism
  • Smoking Cessation / methods*
  • Substance Withdrawal Syndrome / drug therapy*
  • Substance Withdrawal Syndrome / genetics
  • Substance Withdrawal Syndrome / metabolism
  • Time Factors
  • Venlafaxine Hydrochloride

Substances

  • Antidepressive Agents, Second-Generation
  • Cyclohexanols
  • Nicotinic Agonists
  • Receptors, Dopamine D2
  • Nicotine
  • Venlafaxine Hydrochloride