Den stoffgebundenen Süchten liegen ätiologisch komplexe Interaktionen von genetischen
und umweltbedingten Faktoren zugrunde. Sucht bezeichnet das unabweisbare Verlangen
nach einem bestimmten Erlebniszustand. Die Charakterisierung und Identifizierung der
neurobiologischen Grundlagen, die dieses Verlangen und davon abgeleitete Verhaltensmuster
determinieren, ist von herausragender Bedeutung. Im Mittelpunkt aktueller wissenschaftlicher
Untersuchungen stehen daher neurobiologische Erkenntnisse zum Themengebiet der epigenomischen
und genomischen Forschung, die sowohl neue Erkenntnisse zum Verständnis des Alkoholverlangens
(Craving) als auch zur bekannten reduzierten zellulären Stressantwort bei Alkoholabhängigkeit
liefern.
Addictions to substances are based on etiologically complex interactions of genetic
and environmentally conditioned factors. Craving signifies an irresisitible desire
to experience a specific mental and/or physical condition. The characterization and
identification of the neurobiological fundamentals determining this desire and the
pertaining behavioural patterns are of utmost importance. Hence, neurobiological realizations
on the subject of epigenomic and genomic research are focal points of scientific research
yielding new knowledge for understanding such ”cravings” and the already well-known
reduced cellular response to the stress situation prevailing in addicts.
Key words
Addiction - craving - synuclein - stress - cellular response - epigenetic - DNA-methylation
Literatur
- 1
Abdolmaleky HM, Smith CL, Faraone SV. et al. .
Methylomics in psychiatry: Modulation of gene-environment interactions may be through
DNA methylation.
Am J Med Genet B Neuropsychiatr Genet.
2004;
127
51-59
- 2
Althausen S, Paschen W..
Homocysteine-induced changes in mRNA levels of genes coding for cytoplasmic- and endoplasmic
reticulum-resident stress proteins in neuronal cell cultures.
Brain Res Mol Brain Res.
2000;
84
32-40
- 3
Baptista MJ, O'Farrell C, Daya S. et al. .
Co-ordinate transcriptional regulation of dopamine synthesis genes by alpha-synuclein
in human neuroblastoma cell lines.
J Neurochem.
2003;
85
957-968
- 4
Bleich S, Carl M, Bayerlein K. et al. .
Evidence of elevated homocysteine levels in alcoholism: the Franconian alcoholism
research studies (FARS).
Alcohol Clin Exp Res.
2005;
29
334-336
- 5
Bönsch D, Lenz B, Reulbach U. et al. .
Homocysteine associated genomic DNA hypermethylation in patients with chronic alcoholism.
J Neural Transm.
2004;
111
1611-1616
- 6
Bönsch D, Reulbach U, Bayerlein K. et al. .
Elevated alpha synuclein mRNA levels are associated with craving in patients with
alcoholism.
Biol Psychiatry.
2004;
56
984-986
- 7
Bönsch D, Reulbach U, Kornhuber J, Bleich S..
Joint analysis of the NACP-REP1 marker within the alpha synuclein gene concludes association
with alcohol dependence.
Hum Mol Genet.
2005;
14
967-971
- 8
Bönsch D, Lenz B, Kornhuber J, Bleich S..
DNA hypermethylation of the alpha synuclein promoter in patients with alcoholism.
Neuroreport.
2005;
16
167-170
- 9
Bleich S, Lenz B, Ziegenbein M. et al. .
Epigenetic DNA hypermethylation of the HERP gene promoter induces down-regulation
of its mRNA expression in patients with alcohol dependence.
Alcohol Clin Exp Res.
2006;
30
587-591
- 10
Bönsch D, Lenz B, Fiszer R, Frieling H. et al. .
Lowered DNA methyltranferase (DNMT-3b) mRNA expression is associated with genomic
DNA hypermethylation in patients with chronic alcoholism.
J Neural Transm.
2006;
113
1299-1304
- 11
Chan SL, Fu W, Zhang P. et al. .
Herp stabilizes neuronal Ca2+ homeostasis and mitochondrial function during endoplasmic
reticulum stress.
J Biol Chem.
2004;
279
28733-28743
- 12
Frieling H, Gozner A, Römer KD. et al. .
Global DNA hypomethylation and DNA hypermethylation of the alpha synuclein promoter
in females with anorexia nervosa.
Mol Psychiatry.
2007;
12
229-230
- 13
Hori O, Ichinoda F, Yamaguchi A. et al. .
Role of Herp in the endoplasmic reticulum stress response.
Genes Cells.
2004;
9
457-469
- 14
Kokame K, Agarwala KL, Kato H, Miyata T..
Herp, a new ubiquitin-like membrane protein induced by endoplasmic reticulum stress.
J Biol Chem.
2000;
275
32846-32853
- 15
Lee FJ, Liu F, Pristupa ZB, Niznik HB..
Direct binding and functional coupling of alpha-synuclein to the dopamine transporters
accelerate dopamine-induced apoptosis.
FASEB J.
2001;
15
916-926
- 16
Liang T, Spence J, Liu L. et al. .
Alpha-Synuclein maps to a quantitative trait locus for alcohol preference and is differentially
expressed in alcohol-preferring and nonpreferring rats.
Proc Natl Acad Sci USA.
2003;
100
4690-4695
- 17
Liu S, Ninan I, Antonova I. et al. .
Alpha synuclein produces a long-lasting increase in neurotransmitter release.
EMBO J.
2004;
23
4506-4516
- 18
Lotharius J, Barg S, Wiekop P. et al. .
Effect of mutant alpha-synuclein on dopamine homeostasis in a new human mesencephalic
cell line.
J Biol Chem.
2002;
277
38884-38894
- 19
Ma Y, Hendershot LM..
Herp is dually regulated by both the endoplasmic reticulum stress-specific branch
of the unfolded protein response and a branch that is shared with other cellular stress
pathways.
J Biol Chem.
2004;
279
13792-13799
- 20
Mash DC, Ouyang Q, Pablo J. et al. .
Cocaine abusers have an overexpression of alpha synuclein in dopamine neurons.
J Neursci.
2003;
23
2564-2571
- 21
Mattson MP, Shea TB..
Folate and homocysteine metabolism in neural plasticity and neurodegenerative disorders.
Trends Neurosci.
2003;
26
137-146
- 22
Nonaka H, Tsujino T, Watari Y. et al. .
Taurine prevents the decrease in expression and secretion of extracellular superoxide
dismutase induced by homocysteine: amelioration of homocysteine-induced endoplasmic
reticulum stress by taurine.
Circulation.
2001;
104
1165-1170
- 23
Perez RG, Waymire JC, Lin E. et al. .
A role for alpha-synuclein in the regulation of dopamine biosynthesis.
J Neurosci.
2002;
22
3090-3099
- 24
Self DW, Nestler EJ..
Relapse to drug-seeking: neural and molecular mechanisms.
Drug Alcohol Depend.
1998;
51
49-60
- 25
Sidhu A, Wersinger C, Moussa CE, Vernier P..
The Role of alpha synuclein in both neuroprotection and neurodegeneration.
Ann N Y Acad Sci.
2004;
1035
250-270
- 26
Walker SJ, Grant KA..
Peripheral blood alpha-synuclein mRNA levels are elevated in cynomolgus monkeys that
chronically self-administer ethanol.
Alcohol.
2006;
38
1-4
- 27
Wersinger C, Rusnak M, Sidhu A..
Modulation of the trafficking of the human serotonin transporter by human alpha-synuclein.
Eur J Neurosci.
2006;
24
55-64
Korrespondenz
Prof. Dr. Stefan Bleich
Psychiatrische und Psychotherapeutische Klinik Universitätsklinikum Erlangen
Schwabachanlage 6
91054 Erlangen
eMail: stefan.bleich@uk-erlangen.de