一氧化氮合酶-1外显子1f-VNTR基因多态性对酒精依赖、冲动及共病性注意缺陷多动障碍临床症状的影响

I. Karakaya, Ş. Gürel, Y. Ayhan, M. Kaşifoǧlu, S. Karahan, M. Babaoğlu, E. Göka, Hilmiye Nesrin Dilbaz, B. Uluğ, B. Demir
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All participants were evaluated with Structured Clinical Interview for DSM-IV Axis 1 disorders (SCID-I) and Michigan Alcohol Screening Test (MAST), Barratt Impulsiveness Scale (BIS-11), UPPS Impulsive Behavior Scale, Adult Attention Deficit and Hyperactivity Diagnosis Scale (ADHDS), Family History Research Diagnostic Criteria (FHDRC). The QF-PCR fragment protocols were used for genetic analyses. Allele fragments of ≤176 bp and >176 bp sizes were separated and 3 different genotypes were determined as the SS, SL and LL. Associations of these genotypes with symptoms of AD severity, impulsiveness and comorbid ADHD were investigated. RESULTS The AD and control groups did not differ significantly on the basis of NOS1 exon 1f-VNTR gene polymorphism. Also, significant correlations between this polymorphism and symptoms of AD severity, impulsiveness and ADHD were not determined. 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摘要

目的比较酒精依赖(AD)个体与健康对照者NOS1外显子1f-VNTR基因多态性的频率,探讨该多态性对酒精依赖、冲动及共病性注意缺陷多动障碍(ADHD)症状的影响。方法:本研究共纳入282名参与者,包括153名患者和129名年龄和性别匹配的健康个体。采用DSM-IV第1轴障碍(SCID-I)和密歇根酒精筛查试验(MAST)、Barratt冲动量表(BIS-11)、UPPS冲动行为量表、成人注意缺陷和多动诊断量表(adhd)、家族史研究诊断标准(FHDRC)对所有参与者进行评估。采用QF-PCR片段方案进行遗传分析。分离出≤176 bp和>176 bp大小的等位基因片段,确定为SS、SL和LL 3种不同的基因型。研究了这些基因型与AD严重程度、冲动和共病ADHD症状的关系。结果AD组与对照组NOS1外显子1f-VNTR基因多态性差异无统计学意义。此外,这种多态性与AD严重程度、冲动和ADHD症状之间的显著相关性尚未确定。结论本研究结果未显示NOS1外显子1f-VNTR基因型与AD、AD亚组、冲动或ADHD共病症状之间存在显著相关性。
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[Effects of Nitric Oxide Synthase-1 Exon 1f-VNTR Gene Polymorphism on the Clinical Symptoms of Alcohol Dependence,Impulsivity and Comorbid Attention Deficit Hyperactivity Disorder].
OBJECTIVE We planned to compare individuals with alcohol dependence (AD) and healthy controls on the frequency of NOS1 exon 1f-VNTR gene polymorphism and to investigate the effects of this polymorphism on the clinical symptoms of alcohol dependence, impulsiveness and comorbid attention deficit hyperactivity disorder (ADHD) symptoms. METHOD A total of 282 participants consisting of 153 patients and 129 age and gender matched healthy individuals were inluded in the study. All participants were evaluated with Structured Clinical Interview for DSM-IV Axis 1 disorders (SCID-I) and Michigan Alcohol Screening Test (MAST), Barratt Impulsiveness Scale (BIS-11), UPPS Impulsive Behavior Scale, Adult Attention Deficit and Hyperactivity Diagnosis Scale (ADHDS), Family History Research Diagnostic Criteria (FHDRC). The QF-PCR fragment protocols were used for genetic analyses. Allele fragments of ≤176 bp and >176 bp sizes were separated and 3 different genotypes were determined as the SS, SL and LL. Associations of these genotypes with symptoms of AD severity, impulsiveness and comorbid ADHD were investigated. RESULTS The AD and control groups did not differ significantly on the basis of NOS1 exon 1f-VNTR gene polymorphism. Also, significant correlations between this polymorphism and symptoms of AD severity, impulsiveness and ADHD were not determined. CONCLUSION Results of our study do not indicatea significant association between the NOS1 exon 1f-VNTR genotypes and AD, subgroups of AD, impulsiveness or comorbid ADHD semptoms.
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