Document Detail


Neurotransmission-related genetic polymorphisms, negative affectivity traits, and gender predict tobacco abstinence symptoms across 44 days with and without nicotine patch.
MedLine Citation:
PMID:  19413407     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Genetic and personality trait moderators of tobacco abstinence-symptom trajectories were assessed in a highly controlled study. Based on evidence suggesting their importance in stress reactivity and smoking, moderators studied were serotonin transporter gene (5-HTTLPR) and dopamine D2 receptor gene (DRD2) polymorphisms and personality traits related to negative affect (NA). Smokers were randomly assigned to quit smoking with nicotine or placebo patches. Financial incentives resulted in 80% verified abstinence across the 44-day study. Individuals with 1 or 2 short alleles of 5-HTTLPR (S carriers) experienced larger increases in NA symptoms than did those without a short allele. Nicotine replacement therapy (NRT) alleviated anxiety only in S carriers. NRT reduced NA to a greater extent in DRD2 A1 carriers than in A2A2 individuals during the 1st 2 weeks of treatment (when on the 21-mg patch); however, A1 carriers experienced a renewal of NA symptoms when switched to the 7-mg patch and when off the patch, while A2A2 individuals continued to benefit from NRT. The results suggest that the effects of genotype and treatment may vary across different durations of abstinence, treatment doses, and genotypes.
Authors:
David G Gilbert; Yantao Zuo; Norka E Rabinovich; Hege Riise; Rachel Needham; Jodi I Huggenvik
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of abnormal psychology     Volume:  118     ISSN:  1939-1846     ISO Abbreviation:  J Abnorm Psychol     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-05     Completed Date:  2009-08-11     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  0034461     Medline TA:  J Abnorm Psychol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  322-34     Citation Subset:  IM    
Affiliation:
Department of Psychology, Southern Illinois University, Carbondale, IL 62901-6502, USA. dgilbert@siu.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Affect / drug effects
Alleles
Female
Genetic Predisposition to Disease
Humans
Male
Middle Aged
Motivation
Nicotine / therapeutic use*
Nicotinic Agonists / therapeutic use*
Polymorphism, Genetic*
Receptors, Dopamine D2 / genetics*
Risk Assessment
Serotonin Plasma Membrane Transport Proteins / genetics*
Sex Factors
Smoking / drug therapy,  genetics*,  prevention & control
Smoking Cessation / methods*,  psychology
Synaptic Transmission / genetics
Time Factors
Treatment Outcome
Young Adult
Grant Support
ID/Acronym/Agency:
R01 DA012289/DA/NIDA NIH HHS; R01 DA012289-02/DA/NIDA NIH HHS; R01 DA12289/DA/NIDA NIH HHS
Chemical
Reg. No./Substance:
0/Nicotinic Agonists; 0/Receptors, Dopamine D2; 0/Serotonin Plasma Membrane Transport Proteins; 54-11-5/Nicotine
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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