Low amplitude of the P300 evoked potential waves has been linked to substan
ce abuse. Defects in opioidergic genes regulating reward pathways have been
implicated as risk factors in substance abuse. Since the rate of degradati
on of enkephalins regulates their CNS level, we focused on the MME gene for
metallo-membrane endopeptidase (neutral endopeptidase, enkephalinase). We
identified a GT repeat polymorphism 5' to the gene and examined its potenti
al association with P300 wave amplitude in 25 male subjects with substance
abuse. There was significant association of low mel. wt alleles with low am
plitude of the P300 wave at the parietal (p = 0.0087) and coronal (p = 0.00
9) leads. These results support a role of endogenous opioids in the regulat
ion of P300 wave amplitude. NeuroReport 10:2283-2285 (C) 1999 Lippincott Wi
lliams & Wilkins.