Background
A low level of response to alcohol has been associated with both the genetic constitution
of the regulatory region (SLC6A4) of the human serotonin (5-hydroxytryptamine, 5-HT)
transporter (5-HTT) and with future alcohol intake and an increased risk for alcoholism.
To date, all studies of relevant polymorphisms have been carried out in populations
in the United States.
Methods
Data were extracted from a subset (n = 243) of a cohort of children who have been observed since birth through evaluation
of the family history of alcoholism and psychosocial risk influences. At age 16 years,
the response to alcohol was assessed with the Self-Rating of the Effects of Alcohol
(SRE) questionnaire, and the average amount of alcohol intake per month was assessed
during the prior 6 months. Additional variables that were measured included the 5-HTT
genotype, externalizing behavior, and sociodemographic variables, such as gender and
age.
Results
The level of response to alcohol was significantly lower among carriers of two long
alleles of the 5-HTT regulatory region compared with carriers of one or two short
alleles (Mann-Whitney U = 5225.0, p = .005). In a multiple regression analysis, the level of response to alcohol and
externalizing behavior but not psychosocial factors significantly predicted the average
amount of alcohol intake per month.
Conclusions
This study demonstrates that, independent of the assessed psychosocial variables,
the 5-HTT genotype correlated with the level of response to alcohol and predicted
alcohol intake among 16-year-old adolescents.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Biological PsychiatryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Manual for the Child Behavior Checklist/4-18 and 1991 Profile. University of Vermont, Department of Psychiatry, Burlington, Vermont1991
- Modern views on an ancient chemical.Brain Res Bull. 2001; 56: 413-424
- Serotonin transporter gene variation is associated with alcohol sensitivity in rhesus macaques exposed to early life stress.Alcohol Clin Exp Res. 2003; 27: 812-817
- Sexual dichotomy of an interaction between early adversity and the serotonin transporter gene promoter variant in rhesus monkeys.Proc Natl Acad Sci U S A. 2004; 101: 12358-12363
- Early experience and serotonin transporter gene variation interact to influence primate CNS function.Mol Psychiatry. 2002; 7: 118-122
- Influence of life stress on depression.Science. 2003; 301: 386-389
- Inheritance of alcohol abuse. Cross-fostering analysis of adopted men.Arch Gen Psychiatry. 1981; 38: 861-868
- Deutschsprachige Konsensus-Versionen der Child Behavior Checklist (CBCL 4-18), der Teacher Report Form (TRF) und der Youth Self Report Form (YSR).Kindheit Entwicklung. 1994; 3: 54-59
- Cerebral glucose metabolism, CSF 5-HIAA levels, and aggressive behavior in rhesus monkeys.Am J Psychiatry. 1995; 152: 1782-1787
- A family-based analysis of whether the functional promoter alleles of the serotonin transporter gene HTT affect the risk for alcohol dependence.Alcohol Clin Exp Res. 1998; 22: 1080-1085
- The level of response to alcohol in daughters of alcoholics and controls.Drug Alcohol Depend. 2005; 79: 83-93
- Meta-analysis of the association of a functional serotonin transporter promoter polymorphism with alcohol dependence.Am J Med Genet B Neuropsychiatr Genet. 2005; 133: 79-84
- Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen (SCID-I/P W/ PSY SCREEN). Biometrics Research, New York State Psychiatric Institute, New York2001
- Structured Clinical Interview for DSM-IV Personality Disorders, (SCID-II). American Psychiatric Press, Washington, DC1997
- Serotonin transporter protein (SCL6A4) allele and haplotype frequencies and linkage disequilibria in African- and European-American populations and alcohol-dependent subjects.Hum Genet. 1997; 101: 243-264
- Serotonin transporter genetic variation and the response of the human amygdala.Science. 2002; 297: 400-403
- Amygdala-prefrontal coupling depends on a genetic variation of the serotonin transporter.Nat Neurosci. 2005; 8: 20-21
- In vivo association between alcohol intoxication, aggression, and serotonin transporter availability in nonhuman primates.Am J Psychiatry. 1998; 155: 1023-1028
- Relationship between cortisol and serotonin metabolites and transporters in alcoholism.Pharmacopsychiatry. 2002; 35: 127-134
- A relationship between serotonin transporter genotype and in vivo protein expression and alcohol neurotoxicity.Biol Psychiatry. 2000; 47: 643-649
- An expanded evaluation of the relationship of four alleles to the level of response to alcohol and the alcoholism risk.Alcohol Clin Exp Res. 2005; 29: 8-16
- Developmental outcome of infants born with biological and psychological risks.J Child Psychol Psychiatry. 1997; 38: 843-853
- Behavioral sequelae of perinatal insults and early family adversity at 8 years of age.J Am Acad Child Adolesc Psychiatry. 2000; 39: 1229-1237
- Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region.Science. 1996; 274: 1527-1531
- Cocaine, ethanol, and genotype effects on human midbrain serotonin transporter binding sites and mRNA levels.Am J Psychiatry. 1998; 155: 207-213
- Role of the serotonin transporter promoter polymorphism in anxiety-related traits.Arch Gen Psychiatry. 1998; 55: 936-940
- Animal models of alcoholism.Crit Rev Neurobiol. 1998; 12: 339-369
- Comorbidity of conduct and depressive problems at sixth grade.J Abnorm Child Psychol. 1998; 26: 221-232
- Searching for genetic determinants in the new millennium.Nature. 2000; 405: 847-856
- Does psychomotor sensitivity predict subsequent alcohol use?.Alcohol Clin Exp Res. 1993; 17: 155-161
- Psychiatric disorder—ecological factors and concepts of causation.in: McGurk M. Ecological Factors in Human Development. 1977: 173-187 (Amsterdam: North Holland)
- Vulnerability factors for alcoholism.in: Davis K.L. Charney D. Coyle J.T. Nemeroff C. Neuropsychopharmacology. 98. Lippincott, Williams and Wilkins, Philadelphia2002: 1399-1411
- A genome-wide search for genes that relate to a low level of response to alcohol.Alcohol Clin Exp Res. 2001; 25: 323-329
- Selective genotyping for the role of 5-HT2A, 5-HT2C, and GABA alpha 6 receptors and the serotonin transporter in the level of response to alcohol.Biol Psychiatry. 1999; 45: 647-651
- An 8-year follow-up of 450 sons of alcoholic and control subjects.Arch Gen Psychiatry. 1996; 53: 202-210
- Testing the level of response to alcohol.Alcohol Clin Exp Res. 2004; 28: 1881-1889
- Performance of a self-report measure of the level of response to alcohol in 12- to 13-year-old adolescents.J Stud Alcohol. 2005; 66: 452-458
- Evaluation of a level of response to alcohol-based structural equation model in adolescents.J Stud Alcohol. 2005; 66: 174-184
- Correlations among first-degree relatives for responses on the self-rating of the effects of alcohol questionnaire in teenagers.J Stud Alcohol. 2005; 66: 62-65
- The Self-Rating of the Effects of Alcohol (SRE) form as a retrospective measure of the risk for alcoholism.Addiction. 1997; 92: 979-988
- The relationship between self-rating of the effects of alcohol and alcohol challenge results in ninety-eight young men.J Stud Alcohol. 1997; 58: 397-404
- Reliability of alcohol use indices.J Stud Alcohol. 1982; 43: 1157-1170
- A three-pathway psychobiological model of craving for alcohol.Alcohol Alcohol. 1999; 34: 197-222
- The electroencephalogram after alcohol administration in high-risk men and the development of alcohol use disorders 10 years later. Preliminary findings.Arch Gen Psychiatry. 1996; 53: 258-263
- The search for genes related to a low-level response to alcohol determined by alcohol challenges.Alcohol Clin Exp Res. 2003; 27: 1041-1047
- Strukturiertes Klinisches Interview für DSM-IV (SKID). Beltz-Test, Göttingen1996
Article info
Publication history
Published online: February 22, 2006
Accepted:
December 8,
2005
Received in revised form:
October 16,
2005
Received:
May 9,
2005
Identification
Copyright
© 2006 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.