Evidence map›Paper›PMID 36031718›Full record

Trial reportAlcoholism, clinical and experimental research2022

Validation of serotonin transporter mRNA as a quantitative biomarker of heavy drinking and its comparison to ethyl glucuronide/ethyl sulfate: A randomized, double-blind, crossover trial.

Jessica Cornell, Andrew Conchas, Xin-Qun Wang, Jeffrey C Fink, Hegang Chen, Maureen A Kane, Nageswara Pilli, Nassima Ait-Daoud, David A Gorelick, Ming D Li and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

12 authors at 3 institutions in 1 country.

Jessica CornellDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Andrew ConchasAIDS and Cancer Virus Program, Frederick National Laboratory for Cancer Research, Frederick, Maryland, USA.
Xin-Qun WangDepartment of Public Health Sciences, University of Virginia, Charlottesville, Virginia, USA.
Jeffrey C FinkDepartment of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Hegang ChenDepartment of Epidemiology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Maureen A KaneDepartment of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
Nageswara PilliDepartment of Pharmaceutical Sciences, University of Maryland School of Pharmacy, Baltimore, Maryland, USA.
Nassima Ait-DaoudDepartment of Psychiatry, University of Virginia, Charlottesville, Virginia, USA.
David A GorelickDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Ming D LiSeton Hall University, South Orange, New Jersey, USA.
Bankole A JohnsonDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Chamindi SeneviratneDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-3135-2979
University of Maryland, Baltimore · USUniversity of Virginia · USSeton Hall University · US

Funding

QAQC Johns Hopkins Institute for Clinical and Translational ResearchUL1TR003098 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2019 to 2023
$57.7M
Genomic Predictors of Placebo response in Phase II AUD trialsR01AA026291 · NIAAA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAHURKAR, ANUP · 2018 to 2022
$2.9M
Biomarkers to Measure Treatment Response for Alcohol DependenceK23AA020899 · NIAAA · UNIVERSITY OF VIRGINIA · PI SENEVIRATNE, CHAMINDI · 2012 to 2016
$741k
NCATS NIH HHS UL1 TR003098NIAAA NIH HHS K23 AA020899NIAAA NIH HHS R01 AA026291
6 · The paper itself

Abstract

backgroundThe serotonin transporter (SERT) mRNA was previously reported to be a quantitative and pathophysiology-based biomarker of heavy drinking in 5HTTLPR:LL genotype-carriers treated with ondansetron. Here, we validated the potential use of SERT mRNA for quantitative prediction of recent alcohol consumption (in the absence of treatment) and compared it with the known biomarkers ethyl glucuronide (EtG) and ethyl sulfate (EtS).

methodsBinge drinking men and women of European ancestry aged 21 to 65 years were enrolled in a 12-day, in-patient, randomized, double-blind, crossover study, where they were administered three beverage doses (placebo, 0.5 g/kg [0.4 g/kg] ethanol, and 1 g/kg [0.9 g/kg] ethanol for men [women]) individually in three 4-day periods (experiments), separated by minimum 7-day washout period. Diet, sleep, and physical activity were controlled throughout the inpatient experiments. Twenty-nine participants were randomized to receive beverage doses counterbalancing the sequence of treatment and gender within subgroups stratified by SERT genotypes 5HTTLPR:LL+rs25531:AA (L

resultsThe association between administered beverage dose and SERT mRNA from completers of at least one 4-day experiment (N = 18) assessed by a linear mixed model was not statistically significant. Significant positive associations were found with beverage dose and plasma EtG, EtS and EtG/EtS ratio (β = 5.8, SE = 1.2, p < 0.0001; β = 1.3, SE = 0.6, p = 0.023; and β = 3.0, SE = 0.7, p < 0.0001, respectively; the C-statistics for discriminating outcomes were 0.97, 0.8, and 0.92, respectively). Additionally, we observed a sequence effect with a greater placebo effect on SERT mRNA when it was administered during the first experiment (p = 0.0009), but not on EtG/EtS measures.

conclusionThe findings do not validate the use of SERT as a biomarker of heavy drinking. Larger and more innovative studies addressing the effects of placebo, race, gender, and response to treatment with serotonergic agents are needed to fully assess the utility of SERT as a biomarker of heavy and binge drinking.

Indexed as

Binge DrinkingSerotonin Plasma Membrane Transport ProteinsAdultAgedAlcohol DrinkingBiomarkersCross-Over StudiesEthanolFemaleGlucuronatesHumansMaleMiddle AgedOndansetronRNA, MessengerSulfuric Acid EstersBiomarkersdiethyl sulfateEthanolethyl glucuronideGlucuronatesOndansetronRNA, MessengerSerotonin Plasma Membrane Transport ProteinsSulfuric Acid Estersbinge drinkingbiomarkermRNAplasma EtG/EtSserotonin

Identifiers

PMID36031718
PMCPMC9588643
OpenAlexW4293511015

What OpenQuestion holds

Textmetadata
LicenceTDM
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.