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Ionotropic glutamate receptor gene GRIK3 SER310ALA functional polymorphism is related to delirium tremens in alcoholics

Abstract

Upregulation of glutamatergic neurotransmission resulting from chronic ethanol intoxication may cause a hyperexcitable state during alcohol withdrawal, which may lead to seizures and delirium tremens. The aim of our study was to evaluate the association between a history of alcohol withdrawal-induced seizures and delirium tremens, and a functional polymorphism (Ser310Ala) of the GRIK3 gene coding for the glutamatergic kainate receptor subunit GlurR7 in a sample of well-characterized alcoholics compared to controls. In total, 233 patients meeting DSM-IV alcohol dependence criteria and 309 controls, all of German descent, were investigated. GRIK3 functional polymorphism was determined using PCR (polymerase chain reaction) of lymphocyte DNA. History of alcohol withdrawal-induced delirium tremens and seizures were obtained using the SSAGA (Semi-Structured Assessment for the Genetics of Alcoholism). Data were cross-checked with in-patients’ clinical files. While a significant relationship between history of delirium tremens and the Ser310 allele was detected, no significant results were obtained for alcohol withdrawal-related seizures. Although this result is suggestive for a significant role of this polymorphism in the pathogenesis of delirium tremens in alcohol-dependent individuals, further investigation and confirmation are warranted.

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References

  1. Tsai G, Gastfriend DR, Coyle JT . The glutamatergic basis of human alcoholism. Am J Psychiatry 1995; 152: 332–340.

    Article  CAS  Google Scholar 

  2. Davis KM, Wu JY . Role of glutamatergic and GABAergic systems in alcoholism. J Biomed Sci 2001; 8: 7–19.

    Article  CAS  Google Scholar 

  3. Bleich S, Degner D, Bandelow B, von Ahsen N, Ruther E, Kornhuber J . Plasma homocysteine is a predictor of alcohol withdrawal seizures. Neuroreport 2000; 11: 2749–2752.

    Article  CAS  Google Scholar 

  4. Tsai GE, Ragan P, Chang R, Chen S, Linnoila VM, Coyle JT . Increased glutamatergic neurotransmission and oxidative stress after alcohol withdrawal. Am J Psychiatry 1998; 155: 726–732.

    Article  CAS  Google Scholar 

  5. Spanagel R, Pendyala G, Abarca C, Zghoul T, Sanchis-Segura C, Magnone MC et al. The clock gene Period2 influences the glutamatergic system and thereby modulates alcohol consumption. Nat Med 2005; 11: 35–42.

    Article  CAS  Google Scholar 

  6. Hollmann M, Heinemann S . Cloned glutamate receptors. Annu Rev Neurosci 1994; 17: 31–108.

    Article  CAS  Google Scholar 

  7. Liu QS, Xu Q, Arcuino G, Kang J, Nedergaard M . Astrocyte-mediated activation of neuronal kainate receptors. Proc Natl Acad Sci 2004; 101: 3172–3177.

    Article  CAS  Google Scholar 

  8. Huettner JE . Kainate receptors and synaptic transmission. Prog Neurobiol 2003; 70: 387–407.

    Article  CAS  Google Scholar 

  9. Castillo PE, Malenka RC, Nicoll RA . Kainate receptors mediate a slow postsynaptic current in hippocampal CA3 neurons. Nature 1997; 388: 182–186.

    Article  CAS  Google Scholar 

  10. Kamiya H, Ozawa S . Kainate receptor-mediated inhibition of presynaptic Ca2+ influx and EPSP in area CA1 of the rat hippocampus. J Physiol (London) 1998; 509: 833–845.

    Article  CAS  Google Scholar 

  11. Vignes M, Clarke VR, Parry MJ, Bleakman D, Lodge D, Ornstein Pl et al. The GluR5 subtype of kainate receptor regulates excitatory synaptic transmission in areas CA1 and CA3 of the rat hippocampus. Neuropharmacology 1998; 37: 1269–1277.

    Article  CAS  Google Scholar 

  12. Frerking M, Schmitz D, Zhou Q, Johansen J, Nicoll RA . Kainate receptors depress excitatory synaptic transmission at CA3 → CA1 synapses in the hippocampus via a direct presynaptic action. J Neurosci 2001; 21: 2958–2966.

    Article  CAS  Google Scholar 

  13. Kullmann DM . Presynaptic kainate receptors in the hippocampus: slowly emerging from obscurity. Neuron 2001; 32: 561–564.

    Article  CAS  Google Scholar 

  14. Jiang L, Xu J, Nedergaard M, Kang J . A kainate receptor increases the efficacy of GABAergic synapses. Neuron 2001; 30: 503–513.

    Article  CAS  Google Scholar 

  15. Carta M, Ariwodola OJ, Weiner JL, Valenzuela CF . Alcohol potently inhibits the kainate receptor-dependent excitatory drive of hippocampal interneurons. Proc Natl Acad Sci 2003; 100: 6813–6818.

    Article  CAS  Google Scholar 

  16. Dildy-Mayfield JE, Harris RA . Acute and chronic ethanol exposure alters the function of hippocampal kainate receptors expressed in Xenopus oocytes. J Neurochem 1992; 58: 1569–1572.

    Article  CAS  Google Scholar 

  17. Carta M, Olivera DS, Dettmer TS, Valenzuela CF . Ethanol withdrawal upregulates kainate receptors in cultured rat hippocampal neurons. Neurosci Lett 2002; 327: 128–132.

    Article  CAS  Google Scholar 

  18. Dietrich D, Beck H, Kral T, Clusmann H, Elger CE, Schramm J . Metabotropic glutamate receptors modulate synaptic transmission in the perforant path: pharmacology and localization of two distinct receptors. Brain Res 1997; 767: 220–227.

    Article  CAS  Google Scholar 

  19. Puranam RS, Eubanks JH, Heinemann SF, McNamara JO . Chromosomal localization of gene for human glutamate receptor subunit-7. Somat Cell Mol Genet 1993; 19: 581–588.

    Article  CAS  Google Scholar 

  20. Reich T, Edenberg HJ, Goate A, Williams JT, Rice JP, Van Eerdewegh P et al. Genome-wide search for genes affecting the risk for alcohol dependence. Am J Med Genet 1998; 81: 207–215.

    Article  CAS  Google Scholar 

  21. Foroud T, Edenberg HJ, Goate A, Rice J, Flury L, Koller DL et al. Alcoholism susceptibility loci: confirmation studies in a replicate sample and further mapping. Alcohol Clin Exp Res 2000; 24: 933–945.

    Article  CAS  Google Scholar 

  22. Dick DM, Nurnberger Jr J, Edenberg HJ, Goate A, Crowe R, Rice J et al. Suggestive linkage on chromosome 1 for a quantitative alcohol-related phenotype. Alcohol Clin Exp Res 2002; 10: 1453–1460.

    Article  Google Scholar 

  23. Schiffer HH, Swanson GT, Heinemann SF . Rat GluR7 and a carboxy-terminal splice variant, GluR7b, are functional kainate receptor subunits with a low sensitivity to glutamate. Neuron 1997; 19: 1141–1146.

    Article  CAS  Google Scholar 

  24. Nutt SL, Hoo KH, Rampersad V, Deverill RM, Elliott CE, Fletcher EJ et al. Molecular characterization of the human EAA5 (GluR7) receptor: a high-affinity kainate receptor with novel potential RNA editing sites. Receptors Channels 1994; 2: 315–326.

    CAS  PubMed  Google Scholar 

  25. Krupp JJ, Vissel B, Heinemann SF, Westbrook GL . N-terminal domains in the NR2 subunit control desensitization of NMDA receptors. Neuron 1998; 20: 317–327.

    Article  CAS  Google Scholar 

  26. Stern-Bach Y, Bettler B, Hartley M, Sheppard PO, O’Hara PJ, Heinemann SF . Agonist selectivity of glutamate receptors is specified by two domains structurally related to bacterial amino acid-binding proteins. Neuron 1994; 13: 1345–1357.

    Article  CAS  Google Scholar 

  27. Armstrong N, Sun Y, Chen GQ, Gouaux E . Structure of a glutamate receptor ligand-binding core in complex with kainate. Nature 1998; 395: 913–917.

    Article  CAS  Google Scholar 

  28. Schiffer HH, Swanson GT, Masliah E, Heinemann SF . Unequal expression of allelic kainate receptor GluR7 mRNAs in human brains. J Neurosci 2000; 20: 9025–9033.

    Article  CAS  Google Scholar 

  29. Lappalainen J, Kranzler HR, Petrakis I, Somberg LK, Page G, Krystal JH et al. Confirmation and fine mapping of the chromosome 1 alcohol dependence risk locus. Mol Psychiatry 2004; 9: 312–319.

    Article  CAS  Google Scholar 

  30. Begni S, Popoli M, Moraschi S, Bignotti S, Tura GB, Gennarelli M . Association between the ionotropic glutamate receptor kainate 3 (GRIK3) ser310ala polymorphism and schizophrenia. Mol Psychiatry 2002; 7: 416–418.

    Article  CAS  Google Scholar 

  31. Schmidt LG, Harms H, Kuhn S, Rommelspacher H, Sander T . Modification of alcohol withdrawal by the A9 allele of the dopamine transporter gene. Am J Psychiatry 1998; 155: 474–478.

    Article  CAS  Google Scholar 

  32. Sander T, Harms H, Podschus J, Finckh U, Nickel B, Rolfs A et al. Allelic association of a dopamine transporter gene polymorphism in alcohol dependence with withdrawal seizures or delirium. Biol Psychiatry 1997; 41: 299–304.

    Article  CAS  Google Scholar 

  33. Gorwood P, Limosin F, Batel P, Hamon M, Ades J, Boni C . The A9 allele of the dopamine transporter gene is associated with delirium tremens and alcohol-withdrawal seizure. Biol Psychiatry 2003; 53: 85–92.

    Article  CAS  Google Scholar 

  34. Wernicke C, Smolka M, Gallinat J, Winterer G, Schmidt LG, Rommelspacher H . Evidence for the importance of the human dopamine transporter gene for withdrawal symptomatology of alcoholics in a German population. Neurosci Lett 2002; 333: 45–48.

    Article  CAS  Google Scholar 

  35. Franke P, Schwab SG, Knapp M, Gansicke M, Delmo C, Zill P et al. DAT1 gene polymorphism in alcoholism: a family-based association study. Biol Psychiatry 1999; 45: 652–654.

    Article  CAS  Google Scholar 

  36. Buck KJ, Finn D . Genetic factors in addiction: QTL mapping and candidate gene studies implicate GABAergic genes in alcohol and barbiturate withdrawal in mice. Addiction 2001; 96: 139–149.

    Article  CAS  Google Scholar 

  37. Klein RL, Mascia MP, Whiting PJ, Harris RA . GABAA receptor function and binding in stably transfected cells: chronic ethanol treatment. Alcohol Clin Exp Res 1995; 19: 1338–1344.

    Article  CAS  Google Scholar 

  38. Faingold C, Li Y, Evans MS . Decreased GABA and increased glutamate receptor-mediated activity on inferior colliculus neurons in vitro are associated with susceptibility to ethanol withdrawal seizures. Brain Res 2000; 868: 287–295.

    Article  CAS  Google Scholar 

  39. Wojnar M, Bizon Z, Wasilewski D . Assessment of the role of kindling in the pathogenesis of alcohol withdrawal seizures and delirium tremens. Alcohol Clin Exp Res 1999; 23: 204–208.

    Article  CAS  Google Scholar 

  40. Olney JW . Excitotoxic amino acids and neuropsychiatric disorders. Annu Rev Pharmacol Toxicol 1990; 30: 47–71.

    Article  CAS  Google Scholar 

  41. Crowder TL, Ariwodola OJ, Weiner JL . Ethanol antagonizes kainate receptor-mediated inhibition of evoked GABAA inhibitory postsynaptic currents in the rat hippocampal CA1 region. J Pharmacol Exp Ther 2002; 303: 937–944.

    Article  CAS  Google Scholar 

  42. Weiner JL, Dunwiddie TV, Valenzuela CF . Ethanol inhibition of synaptically evoked kainate responses in rat hippocampal CA3 pyramidal neurons. Mol Pharmacol 1999; 56: 85–90.

    Article  CAS  Google Scholar 

  43. Little HJ . The contribution of electrophysiology to knowledge of the acute and chronic effects of ethanol. Pharmacol Ther 1999; 84: 333–353.

    Article  CAS  Google Scholar 

  44. Heinz A, Schafer M, Higley JD, Krystal JH, Goldman D . Neurobiological correlates of the disposition and maintenance of alcoholism. Pharmacopsychiatry 2003; 36 (Suppl 3): 255–258.

    Google Scholar 

  45. Becker HC . Kindling in alcohol withdrawal. Alcohol Res Health 1998; 22: 25–33.

    CAS  Google Scholar 

  46. Brown ME, Anton RF, Malcolm R, Ballenger JC . Alcohol detoxification and withdrawal seizures: clinical support for a kindling hypothesis. Biol Psychiatry 1988; 23: 507–514.

    Article  CAS  Google Scholar 

  47. Booth BM, Blow FC . The kindling hypothesis: further evidence from a US national study of alcoholic men. Alcohol Alcohol 1993; 28: 593–598.

    CAS  PubMed  Google Scholar 

  48. Preuss UW, Soyka M, Bahlmann M, Wenzel K, Behrens S, de Jonge S et al. Serotonin transporter gene regulatory region polymorphism (5-HTTLPR), [3H]paroxetine binding in healthy control subjects and alcohol-dependent patients and their relationships to impulsivity. Psychiatry Res 2000; 96: 51–61.

    Article  CAS  Google Scholar 

  49. Preuss UW, Koller G, Soyka M, Bondy B . Association between suicide attempts and 5-HTTLPR-S-allele in alcohol-dependent and control subjects: further evidence from a German alcohol-dependent inpatient sample. Biol Psychiatry 2001; 50: 636–639.

    Article  CAS  Google Scholar 

  50. Soyka M, Preuss UW, Koller G, Zill P, Bondy B . Dopamine D 4 receptor gene polymorphism and extraversion revisited: results from the Munich gene bank project for alcoholism. J Psychiatr Res 2002; 36: 429–435.

    Article  CAS  Google Scholar 

  51. Bucholz KK, Cadoret R, Cloninger CR, Dinwiddie SH, Hesselbrock VM, Nurnberger Jr JI et al. A new, semi-structured psychiatric interview for use in genetic linkage studies: a report on the reliability of the SSAGA. J Stud Alcohol 1994; 55: 149–158.

    Article  CAS  Google Scholar 

  52. Hesselbrock M, Easton C, Bucholz KK, Schuckit M, Hesselbrock V . A validity study of the SSAGA – a comparison with the SCAN. Addiction 1999; 94: 1361–1370.

    Article  CAS  Google Scholar 

  53. Wittchen HU, Zaudig M, Fydrich T . SKID. Strukturiertes Klinisches Interview für DSM-IV. Achse I und II. Hogrefe: Göttingen, 1997.

    Google Scholar 

  54. Babor TF, Hofmann M, DelBoca FK, Hesselbrock V, Meyer RE, Dolinsky ZS et al. Types of alcoholics, I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Arch Gen Psychiatry 1992; 49: 599–608.

    Article  CAS  Google Scholar 

  55. Schuckit MA, Tipp JE, Smith TL, Shapiro E, Hesselbrock VM, Bucholz KK et al. An evaluation of type A and B alcoholics. Addiction 1995; 90: 1189–1203.

    Article  CAS  Google Scholar 

  56. Endler NS, Parker JD, Butcher JN . A factor analytic study of coping styles and the MMPI-2 content scales. J Clin Psychol 1989; 49: 523–527.

    Article  Google Scholar 

  57. Armitage P . Tests for linear trends in proportions and frequencies. Biometrics 1955; 11: 375–386.

    Article  Google Scholar 

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We thank Dr WM Wong for English language review.

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Correspondence to U W Preuss.

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Preuss, U., Zill, P., Koller, G. et al. Ionotropic glutamate receptor gene GRIK3 SER310ALA functional polymorphism is related to delirium tremens in alcoholics. Pharmacogenomics J 6, 34–41 (2006). https://doi.org/10.1038/sj.tpj.6500343

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