Molecular Genetic Testing in Reward Deficiency Syndrome (RDS): Facts and Fiction.

Kenneth Blum, Rajendra D Badgaiyan, Gozde Agan, James Fratantonio, Thomas Simpatico, Marcelo Febo, Brett C Haberstick, Andrew Smolen, Mark S Gold
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引用次数: 17

Abstract

Background: The Brain Reward Cascade (BRC) is an interaction of neurotransmitters and their respective genes to control the amount of dopamine released within the brain. Any variations within this pathway, whether genetic or environmental (epigenetic), may result in addictive behaviors or RDS, which was coined to define addictive behaviors and their genetic components.

Methods: To carry out this review we searched a number of important databases including: Filtered: Cochrane Systematic reviews; DARE; Pubmed Central Clinical Quaries; National Guideline Clearinghouse and unfiltered resources: PsychINFO; ACP PIER; PsychSage; Pubmed/Medline. The major search terms included: dopamine agonist therapy for Addiction; dopamine agonist therapy for Reward dependence; dopamine antagonistic therapy for addiction; dopamine antagonistic therapy for reward dependence and neurogenetics of RDS.

Results: While there are many studies claiming a genetic association with RDS behavior, not all are scientifically accurate.

Conclusion: Albeit our bias, this Clinical Pearl discusses the facts and fictions behind molecular genetic testing in RDS and the significance behind the development of the Genetic Addiction Risk Score (GARSPREDX™), the first test to accurately predict one's genetic risk for RDS.

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奖励缺乏综合征(RDS)的分子基因检测:事实与虚构。
背景:脑奖励级联(BRC)是神经递质及其各自基因的相互作用,以控制大脑内多巴胺的释放量。这一途径中的任何变异,无论是遗传的还是环境的(表观遗传的),都可能导致成瘾行为或RDS, RDS是用来定义成瘾行为及其遗传成分的。方法:为了进行本综述,我们检索了一些重要的数据库,包括:筛选:Cochrane系统综述;敢;公共医学中心临床诊所;国家指南信息中心和未经过滤的资源:PsychINFO;ACP码头;PsychSage;Pubmed / Medline。主要搜索词包括:成瘾的多巴胺激动剂治疗;多巴胺激动剂治疗奖励依赖;多巴胺拮抗剂治疗成瘾;多巴胺拮抗剂治疗RDS的奖励依赖和神经遗传学。结果:虽然有许多研究声称RDS行为与遗传有关,但并非所有研究都是科学准确的。结论:尽管我们存在偏见,但本文讨论了RDS分子基因检测背后的事实和虚构,以及遗传成瘾风险评分(GARSPREDX™)开发背后的意义,这是第一个准确预测RDS遗传风险的测试。
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