K. Blum et al., DOPAMINE D2 RECEPTOR GENE VARIANTS - ASSOCIATION AND LINKAGE STUDIES IN IMPULSIVE-ADDICTIVE-COMPULSIVE BEHAVIOR, Pharmacogenetics, 5(3), 1995, pp. 121-141
Drug and alcohol seeking behaviour has become a great global problem a
ffecting millions of inhabitants with a cost to society in the billion
s, Dopaminergic reward pathways have frequently been implicated in the
etiology of addictive behaviour. While other neurotransmitters have a
lso been implicated, to date the only molecular genetic defect which h
as been found to associate with alcoholism, drug dependency, obesity,
smoking, pathological gambling, attention-deficit-hyperactivity disord
er (ADHD), Tourette syndrome, as well as other related compulsive beha
viours, are the variants of the dopamine D2 receptor gene (DRD2). In t
his review of the available data on the subject, we report a number of
independent meta-analyses that confirm an association of DRD2 polymor
phisms and impulsive-addictive-compulsive behaviour (IACB), which we h
ave termed ''Reward Deficiency Syndrome'', While we agree that Meta-an
alyses of all exant studies support an association of variants of DRD2
and IACB, correct negative findings with alcoholism may be due to dif
ferences in assessing controls and inclusion/exclusion criteria for se
lection of diseased probands.