Catechol-O-methyltransferase (COMT) catalyzes the breakdown of catechol neurotransmitters, including dopamine, which plays a prominent role in drug reward. A common single nucleotide polymorphism (SNP), G472A, codes for a Val158Met substitution and results in a fourfold down regulation of enzyme activity. We sequenced exon IV of COMT gene in search for novel polymorphisms and then genotyped four out of five identified by direct sequencing, using TaqMan assay on 266 opioid-dependent and 173 control subjects. Genotype frequencies of the G472A SNP varied significantly (P = 0.029) among the three main ethnic/cultural groups (Caucasians, Hispanics, and African Americans). Using a genotype test, we found a trend to point-wise association (P = 0.053) of the G472A SNP in Hispanic subjects with opiate addiction. Further analysis of G472A genotypes in Hispanic subjects with data stratified by gender identified a pointwise significant (P = 0.049) association of G/A and A/A genotypes with opiate addiction in women, but not men. These point-wise significant results are not significant experiment-wise (at P <0.05) after correction for multiple testing. No significant association was found with haplotypes of the three most common SNPs. Linkage disequilibrium patterns were similar for the three ethnic/ cultural groups. Männistö and Kaakkola, 1999]. There are two forms of COMT in humans and other mammals. The soluble form (S-COMT) is 50 amino acids shorter than the membrane-bound form (MB-COMT). The variant forms are generated through alternative splicing. In most tissues, S-COMT accounts for only a small fraction of overall COMT activity [Rivett et al., 1983]. The highest ratios of MB-COMT to S-COMT are in the brain, and since MB-COMT has a higher substrate affinity for catecholamines than the soluble form, this MB-COMT may be important in regions where substrate levels are low [Rivett and Roth, 1982;Rivett et al., 1983;Roth, 1992;Männistö and Kaakkola, 1999].
KeywordsThe human COMT gene is located on chromosome 22q11.21, and MB-COMT is organized into six exons [Grossman et al., 1992;Tenhunen et al., 1994]. A common missense polymorphism (G472A, Val158Met substitution in the membrane-bound form) in exon IV of the COMT gene is well recognized to account for heritable differences in enzyme thermolability and activity [Weinshilboum and Dunnette, 1981;Lotta et al., 1995;Lachman et al., 1996]. The Met variant of the enzyme has activity fourfold lower compared to the Val variant. Variants of the COMT gene have been associated in some, but not all, studies with schizophrenia [e.g., Matthysse and Baldessarini, 1972;Egan et al., 2001], panic disorder [e.g., Hamilton et al., 2002;Woo et al., 2004], major depression and bipolar disorders [e.g., Fahndrich et al., 1982;Massat et al., 2005], obsessive compulsive disorder [e.g., Karayiorgou et al., 1997Karayiorgou et al., , 1999Niehaus et al., 2001], attention deficit hyperactivity disorder [e.g., Eisenberg et al., 1999], and efficacy of response to L-Dopa in the treatment of Parkins...