Evidence map›Paper›PMID 42543683›Full record

ArticleAlcohol, clinical & experimental research2026

The OPRM1 A118G G Allele Is Associated With Poorer Auditory-Verbal Learning and Memory, Executive Functions, and Working Memory in Veterans Undergoing Residential Treatment for Alcohol Use Disorder.

Roberto Andrade, M Windy McNerney, Eric P Kraybill, Claudia B Padula, Timothy C Durazzo

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Article in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Roberto AndradeSierra-Pacific Mental Illness Research and Education Clinical Centers, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.
M Windy McNerneySierra-Pacific Mental Illness Research and Education Clinical Centers, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.
Eric P KraybillSierra-Pacific Mental Illness Research and Education Clinical Centers, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.ORCID https://orcid.org/0009-0009-1669-4848
Claudia B PadulaSierra-Pacific Mental Illness Research and Education Clinical Centers, Veterans Affairs Palo Alto Healthcare System, Palo Alto, California, USA.ORCID https://orcid.org/0000-0002-0574-9374
Timothy C DurazzoDepartment of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0000-0002-5969-9544

Funding

CSRD VA IK2 CX001356RRD VA I01 RX002303U.S. Department of Veterans Affairs RX002303Wu Tsai Neurosciences Institute, Stanford University
6 · The paper itself

Abstract

backgroundThe neurocognitive dysfunction observed in Alcohol Use Disorder (AUD) is related to a complex interplay between genetic, neurobiological, and environmental factors. The μ-opioid receptor (MOR), encoded by the OPRM1 gene, modulates reward processing, stress responsivity, and excitatory-inhibitory activity within prefrontal-limbic and hippocampal circuits implicated in neurocognition. The common A118G (Asn40Asp, rs1799971) polymorphism alters MOR expression and signaling, but its contribution to domain-specific cognitive functioning in AUD, particularly among Veterans, has received limited investigation.

methodsVeterans (n = 127) in residential treatment for AUD completed a neurocognitive battery assessing the following domains of functioning: auditory-verbal and visuospatial learning and memory, executive function, and working memory. Participants were genotyped for OPRM1 A118G, and A homozygotes and G-allele carriers (AG/GG) were compared on the above measures, using bootstrapped generalized linear models, adjusted for age, education, biological sex, race, pre-study alcohol consumption, and brain-derived neurotrophic factor (BDNF) (rs6265) and catechol-O-methyltransferase (COMT) (rs4680) genotypes, which have been previously shown to be associated with neurocognition.

resultsG-allele carriers demonstrated significantly worse performance than A homozygotes on measures of auditory-verbal learning and memory, cognitive flexibility/set shifting, auditory working memory, and on a composite average of all measures. BDNF or COMT genotypes were not associated with any measure, and there were no significant interactions among OPRM1, BDNF, and COMT genotypes.

conclusionsFindings suggest that altered MOR signaling in G-allele carriers may be associated with differences in prefrontal network efficiency, potentially justifying future studies investigating the relationship between OPRM1 and glutamatergic plasticity. The results highlight a potential genetically influenced contributor to the neurocognitive heterogeneity in AUD and underscore the possible value of integrating MOR-related biological markers into neurocognitive assessment of individuals with AUD.

Indexed as

AlcoholismExecutive FunctionMemory, Short-TermReceptors, Opioid, muVerbal LearningVeteransAdultAllelesFemaleGenotypeHumansMaleMemoryMiddle AgedNeuropsychological TestsPolymorphism, Single NucleotideOPRM1 protein, humanReceptors, Opioid, mu

Identifiers

PMID42543683
PMCPMC13429951

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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.