Monoamine metabolite (MM) levels in lumbar cerebrospinal fluid (CSF) a
re extensively used as indirect estimates of monoamine turnover in the
brain, in this study we investigated genotypes for DNA polymorphisms
in the D2 (DRD2), D3 (DRD3), and D4 (DRD4) dopamine receptor and tyros
ine hydroxylase (TH) genes and their relationships to CSF MM in health
y volunteers (n = 66), Concentrations of homovanillic acid (HVA), 3-me
thoxy-4-hydroxyphenylglycol (MHPG), and 5-hydroxyindoleacetic acid (5-
HIAA) were corrected for back length, a confounding variable. Correcte
d MM levels were not related to age, gender height, weight heredity, s
eason or atmospheric pressure at sampling. Individuals with specific D
RD2 and TH allele and genotype configurations significantly differed i
n HVA and MHPG concentrations, DRD3 homo- and heterozygotic genotypes
had significantly different CSF 5-HIAA levels, DRD4 genotypes were not
related to MM concentrations. The results suggest that specific DRD2,
DRD3, and TH genotypes participate in the regulation of monoamine tur
nover in the central nervous system. Accordingly monoamine receptors a
nd synthesizing enzyme genotypes appear to be variance factors influen
cing Mil concentrations in CSF, The relationships found in this study
support MM concentrations as markers for monoamine transmission in the
human brain. (C) 1996 Society of Biological Psychiatry