Evidence map›Paper›PMID 26437921›Full record

Observational studyAddiction science & clinical practice2015

Contribution of BDNF and DRD2 genetic polymorphisms to continued opioid use in patients receiving methadone treatment for opioid use disorder: an observational study.

Monica Bawor, Brittany B Dennis, Charlie Tan, Guillaume Pare, Michael Varenbut, Jeff Daiter, Carolyn Plater, Andrew Worster, David C Marsh, Meir Steiner and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Addiction science & clinical practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Influence ofJournal of pharmacy & bioallied sciences · 2020
    Article
  4. Article
  5. Review
  6. Review
  7. Pharmacogenetics of Methadone Response.Molecular diagnosis & therapy · 2018
    Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Monica BaworMiNDS Neuroscience Program, McMaster University, Hamilton, ON, Canada. baworm@mcmaster.ca.
Brittany B DennisPopulation Genomics Program, Chanchlani Research Centre, McMaster University, Hamilton, ON, Canada. dennisbb@mcmaster.ca.
Charlie TanMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. tancy3@mcmaster.ca.
Guillaume ParePopulation Genomics Program, Chanchlani Research Centre, McMaster University, Hamilton, ON, Canada. pareg@mcmaster.ca.
Michael VarenbutCanadian Addiction Treatment Centres (CATC), Richmond Hill, ON, Canada. MVarenbut@canatc.ca.
Jeff DaiterCanadian Addiction Treatment Centres (CATC), Richmond Hill, ON, Canada. jdaiter@toxpro.ca.
Carolyn PlaterCanadian Addiction Treatment Centres (CATC), Richmond Hill, ON, Canada. cplater@toxpro.ca.
Andrew WorsterDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada. worster@mcmaster.ca.
David C MarshCanadian Addiction Treatment Centres (CATC), Richmond Hill, ON, Canada. dmarsh@nosm.ca.
Meir SteinerDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada. mst@mcmaster.ca.
Rebecca AnglinDepartment of Medicine, McMaster University, Hamilton, ON, Canada. anglinr@mcmaster.ca.
Dipika DesaiPopulation Genomics Program, Chanchlani Research Centre, McMaster University, Hamilton, ON, Canada. dipika.desai@phri.ca.
Lehana ThabaneDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada. thabanl@mcmaster.ca.
Zainab SamaanMiNDS Neuroscience Program, McMaster University, Hamilton, ON, Canada. samaanz@mcmaster.ca.
McMaster University · CAPopulation Health Research Institute · CA

Funding

Canadian Institutes of Health Research 126639
6 · The paper itself

Abstract

backgroundThe heritability of opioid use disorder has been widely investigated; however, the influence of specific genes on methadone treatment outcomes is not well understood. The association between response to methadone treatment and genes that are involved in substance use behaviors and reward mechanisms is poorly understood, despite evidence suggesting their contribution to opioid use disorder. The aim of this study was to investigate the effect of brain-derived neurotrophic factor (BDNF) and dopamine receptor D2 (DRD2) polymorphisms on continued opioid use among patients on methadone treatment for opioid use disorder.

methodsBDNF 196G>A (rs6265) and DRD2-241A>G (rs1799978) genetic variants were examined in patients with opioid use disorder who were recruited from methadone treatment clinics across Southern Ontario, Canada. We collected demographic information, substance use history, blood for genetic analysis, and urine to measure opioid use. We used regression analysis to examine the association between continued opioid use and genetic variants, adjusting for age, sex, ethnicity, methadone dose, duration in treatment, and number of urine screens.

resultsAmong 240 patients treated with methadone for opioid use disorder, 36.3 percent (n = 87) and 11.3 percent (n = 27) had at least one risk allele for rs6265 and rs1799978, respectively. These genetic variants were not significantly associated with continued opioid use while on methadone maintenance treatment [rs6265: odds ratio (OR) = 1.37, 95 % confidence interval (CI) = 0.792, 2.371, p = 0.264; rs1799978: OR 1.27, 95 % CI 0.511, 3.182, p = 0.603].

conclusionsDespite an association of BDNF rs6265 and DRD2 rs1799978 with addictive behaviors, these variants were not associated with continued illicit opioid use in patients treated with methadone. Problematic use of opioids throughout treatment with methadone may be attributed to nongenetic factors or a polygenic effect requiring further exploration. Additional research should focus on investigating these findings in larger samples and different populations.

Indexed as

Opiate Substitution TreatmentAdultBrain-Derived Neurotrophic FactorCanadaFemaleGene FrequencyGenotypeHumansMaleMethadoneMiddle AgedOpioid-Related DisordersPolymorphism, Single NucleotideReceptors, Dopamine D2Regression AnalysisSocioeconomic FactorsBDNF protein, humanBrain-Derived Neurotrophic FactorDRD2 protein, humanMethadoneReceptors, Dopamine D2

Identifiers

PMID26437921
PMCPMC4672523
OpenAlexW1893762565

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.