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  • 1.
    Andreou, Dimitrios
    et al.
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Univ Athens, Dept Psychiat 1, Athens, Greece..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Sci Life Lab, Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Dept Neurosci, Ctr Clin Res, Vasteras, Sweden..
    Nilsson, Kent W.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Dept Neurosci, Ctr Clin Res, Vasteras, Sweden..
    Hodgins, Sheilagh
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Univ Montreal, Inst Univ Sante Mentale Montreal, Montreal, PQ, Canada..
    Maltreatment, the Oxytocin Receptor Gene, and Conduct Problems Among Male and Female Teenagers2018In: Frontiers in Human Neuroscience, E-ISSN 1662-5161, Vol. 12, article id 112Article in journal (Refereed)
    Abstract [en]

    The oxytocin receptor gene (OXTR) influences human behavior. The G allele of OXTR rs53576 has been associated with both prosocial and maladaptive behaviors but few studies have taken account of environmental factors. The present study determined whether the association of childhood maltreatment with conduct problems was modified by OXTR rs53576 genotypes. In a general population sample of 1591 teenagers, conduct problems as well as maltreatment were measured by self-report. DNA was extracted from saliva samples. In males, there was a significant positive association between maltreatment and conduct problems independent of the genotype. In females, among G allele carriers, the level of conduct problems was significantly higher among those who had been maltreated as compared to those not maltreated. By contrast, among female AA carriers, conduct problems did not vary between those who were, and who were not, maltreated. The results indicate that OXTR rs53576 plays a role in antisocial behavior in females such that the G allele confers vulnerability for antisocial behavior if they experience maltreatment, whereas the A allele has a protective effect.

  • 2.
    Aslund, Cecilia
    et al.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Comasco, Erika
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, Uppsala, Sweden..
    Nordquist, Niklas
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, Uppsala, Sweden..
    Leppert, Jerzy
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Oreland, Lars
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Self-Reported Family Socioeconomic Status, the 5-HTTLPR Genotype, and Delinquent Behavior in a Community-Based Adolescent Population2013In: Aggressive Behavior, ISSN 0096-140X, E-ISSN 1098-2337, Vol. 39, no 1, p. 52-63Article in journal (Refereed)
    Abstract [en]

    Twin and adoption studies have demonstrated a significant contribution of both genetic and environmental factors to antisocial and delinquent behavior. Associations have been reported between the serotonin transporter (5-HTT) and aggression, and between socioeconomic status (SES), aggression, and serotonergic functions of the brain. We aimed to investigate associations between the 5-HTTLPR genotype and family SES in relation to delinquent behavior among adolescents. A total of 1,467 17- to 18-year-old students in the county of Vastmanland, Sweden, anonymously completed a questionnaire and gave a saliva sample. Family SES had a U-shaped relation to delinquency, where adolescents with low and high family SES were the most delinquent. There were curvilinear interactions between the 5-HTTLPR genotype and family SES in relation to delinquency. Among individuals having high family SES, boys with the LL (homozygous for the long allele) or LS (heterozygous) genotypes and girls with the SS (homozygous for the short allele) or LS (heterozygous) genotypes showed the highest delinquency scores. Among individuals having low family SES, boys with the LL (homozygous for the long allele) genotype and girls with the LS (heterozygous) genotype showed the highest delinquency scores. The present study suggests evidence for an interaction between family SES and the 5-HTTLPR genotype in relation to juvenile delinquency. 

  • 3.
    Aslund, Cecilia
    et al.
    Uppsala Univ, Clin Res Ctr, Cent Hosp, S-72189 Vasteras, Sweden..
    Leppert, Jerzy
    Uppsala Univ, Clin Res Ctr, Cent Hosp, S-72189 Vasteras, Sweden..
    Comasco, Erika
    Uppsala Univ, Clin Res Ctr, Cent Hosp, S-72189 Vasteras, Sweden.;Uppsala Univ, Dept Neurosci, Pharmacol Unit, S-75105 Uppsala, Sweden..
    Nordquist, Niklas
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, S-75105 Uppsala, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, S-75105 Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Clin Res Ctr, Cent Hosp, S-72189 Vasteras, Sweden..
    Impact of the Interaction Between the 5HTTLPR Polymorphism and Maltreatment on Adolescent Depression. A Population-Based Study2009In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 39, no 5, p. 524-531Article in journal (Refereed)
    Abstract [en]

    Serotonin plays a central role in mood regulation and the development of depressive disorders. The present study investigated whether a functional polymorphism (5HTTLPR) of the serotonin transporter gene interacts with maltreatment in the prediction of depression. A cohort of 17-18 years old students (n = 1,482) anonymously completed the Survey of Adolescent Life and Health in Vestmanland 2006 and gave a saliva sample for DNA extraction. An association between maltreatment and adolescent depression was found independent of sex. When the whole population was analyzed, no main effect of 5HTTLPR in association with depression was found. When separated by sex, a significant main effect and a G x E interaction effect of the SS allele was found among girls. No gene main effect or G x E interaction effect was found among boys. The present study confirms previous findings of sex differences in interaction effects between the 5HTTLPR polymorphism and maltreatment in the prediction of adolescent depression.

  • 4.
    Bendre, Megha
    et al.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.;Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Checknita, Dave
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.;Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Tiihonen, Jari
    Karolinska Inst, Ctr Psychiat Res, Stockholm, Sweden..
    Hodgins, Sheilagh
    Univ Montreal, Inst Univ Sante Mentale Montreal, Montreal, PQ, Canada..
    Nilsson, Kent W.
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Associations Between MAOA-uVNTR Genotype, Maltreatment, MAOA Methylation, and Alcohol Consumption in Young Adult Males2018In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 42, no 3, p. 508-519Article in journal (Refereed)
    Abstract [en]

    BackgroundEpigenetic mechanisms are candidate moderators of the effect of maltreatment on brain and behavior. Interactions between maltreatment and the monoamine oxidase A upstream variable number tandem repeat genotype (MAOA-uVNTR) are associated with alcohol-related problems. However, presently it is not known whether DNA methylation moderates this association. The study focused on 53 young adult males and aimed to determine whether MAOA methylation moderated the association of alcohol-related problems with the interaction of MAOA-uVNTR and maltreatment, and whether alcohol consumption moderated the association of MAOA methylation with the interaction of MAOA-uVNTR and maltreatment. MethodsMAOA-uVNTR genotypes with 3 and > 3 repeats were categorized as short (S) and long (L), respectively. Data on maltreatment were obtained retrospectively, using self-reported questionnaires. DNA methylation of 16 candidate CpGs within part of the MAOA first exon and intron was assessed and grouped based on principal component analyses. Alcohol-related problems were assessed using the Alcohol Use Disorders Identification Test (AUDIT). Alcohol consumption was measured using AUDIT-C. Moderation effects were assessed and probed using the moderated moderation model and Johnson-Neyman's method, respectively. ResultsCarriers of the S allele, who experienced maltreatment and displayed lower Component 1 (mean of CpGs 13-16 in the first intron) MAOA methylation levels, reported higher AUDIT score in contrast to L-allele carriers. Carriers of the S allele, who reported higher AUDIT-C score and experienced maltreatment, displayed lower Component 3 (mean of CpGs 2-6 in the first exon) MAOA methylation levels than L-allele carriers. ConclusionsIntronic methylation moderated the association of alcohol-related problems with the interaction of MAOA-uVNTR and maltreatment. Alcohol consumption moderated the association of exonic methylation with the interaction of MAOA-uVNTR and maltreatment. These results suggest that epigenetic factors as well as genotype and maltreatment play a role in the development of alcohol misuse among young adult males.

  • 5.
    Bendre, Megha
    et al.
    Uppsala Univ, Dept Neurosci, Sci Life Lab, Uppsala, Sweden.;Uppsala Univ, Ctr Clin Res, Vasteras, Sweden..
    Granholm, Linnea
    Dept Pharmaceut Biosci Neuropharmacol Addict & Be, Uppsala, Sweden..
    Drennan, Ryan
    EpigenDx Inc, Hopkinton, MA USA..
    Meyer, Ann
    EpigenDx Inc, Hopkinton, MA USA..
    Yan, Liying
    EpigenDx Inc, Hopkinton, MA USA..
    Nilsson, Kent W.
    Uppsala Univ, Ctr Clin Res, Vasteras, Sweden..
    Nylander, Ingrid
    Dept Pharmaceut Biosci Neuropharmacol Addict & Be, Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Sci Life Lab, Uppsala, Sweden..
    Early life stress and voluntary alcohol consumption in relation to Maoa methylation in male rats2019In: Alcohol, ISSN 0741-8329, E-ISSN 1873-6823, Vol. 79, p. 7-16Article in journal (Refereed)
    Abstract [en]

    Early life stress (ELS) or alcohol consumption can influence DNA methylation and affect gene expression. Monoamine oxidase A (Maoa) encodes the enzyme that metabolizes monoaminergic neurotransmitters crucial for the stress response, alcohol reward, and reinforcement. Previously, we reported lower Maoa expression in the nucleus accumbens and dorsal striatum of male rats exposed to ELS during the first three postnatal weeks, and to voluntary alcohol consumption in adulthood, compared with controls. The present study continued to investigate the effect of ELS and alcohol consumption on Maoa methylation, and its relation to Maoa expression in these animals. We selected candidate CpGs after performing next generation bisulfite sequencing of the Maoa promoter, intron 1-5, and exons 5 and 6, together composed of 107 CpGs (5'-cytosine-phosphate-guanosine-3'), in a subgroup of rats. Pyrosequencing was used to analyze the methylation of 10 candidate CpGs in the promoter and intron 1 in the entire sample. ELS and alcohol displayed an interactive effect on CpG-specific methylation in the dorsal striatum. CpG-specific methylation correlated with Maoa expression, corticosterone levels, and alcohol consumption in a brain region-specific manner. CpG-specific methylation in the Maoa promoter was a potential moderator of the interaction of ELS with alcohol consumption on Maoa expression in the NAc. However, the findings were sparse, did not survive correction for multiple testing, and the magnitude of differences in methylation levels was small. In conclusion, CpG-specific Maoa methylation in the promoter and intron 1 may associate with ELS, alcohol consumption, and Maoa expression in reward-related brain regions. (C) 2018 Elsevier Inc. All rights reserved.

  • 6.
    Checknita, Dave
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Bendre, Megha
    Uppsala Univ, Uppsala, Sweden..
    Ekstrom, Tomas
    Karolinska Inst, Stockholm, Sweden..
    Comasco, Erika
    Uppsala Univ, Uppsala, Sweden..
    Tiihonen, Jari
    Karolinska Inst, Stockholm, Sweden..
    Nilsson, Kent W.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Uppsala, Sweden..
    Hodgins, Sheilagh
    Karolinska Inst, Stockholm, Sweden..
    MONOAMINE OXIDASE A (MAOA) GENOTYPE AND METHYLATION MODERATES ASSOCIATIONS OF MALTREATMENT AND AGGRESSION IN WOMEN AND MEN2019In: European Neuropsychopharmacology, ISSN 0924-977X, E-ISSN 1873-7862, Vol. 29, p. S850-S850Article in journal (Other academic)
  • 7.
    Checknita, David
    et al.
    Uppsala Univ, Uppsala Biomed Ctr, Dept Neurosci, Husargatan 3, S-75124 Uppsala, Sweden.;Ctr Psychiat Res CPF, Dept Clin Neurosci, Norra Stn Gatan 69,7th Floor, S-11364 Stockholm, Sweden.;Uppsala Univ, Ctr Clin Res, Vastmanland Cty Council, Vastmanlands Sjukhus Vasteras, S-72189 Vasteras, Sweden..
    Bendre, Megha
    Uppsala Univ, Uppsala Biomed Ctr, Dept Neurosci, Husargatan 3, S-75124 Uppsala, Sweden.;Uppsala Univ, Ctr Clin Res, Vastmanland Cty Council, Vastmanlands Sjukhus Vasteras, S-72189 Vasteras, Sweden..
    Ekstrom, Tomas J.
    Karolinska Univ Sjukhuset, Ctr Mol Med, Dept Clin Neurosci L8 00, S-17176 Stockholm, Sweden..
    Comasco, Erika
    Uppsala Univ, Uppsala Biomed Ctr, Dept Neurosci, Sci Life Lab, Husargatan 3, S-75124 Uppsala, Sweden..
    Tiihonen, Jari
    Ctr Psychiat Res CPF, Dept Clin Neurosci, Norra Stn Gatan 69,7th Floor, S-11364 Stockholm, Sweden..
    Hodgins, Sheilagh
    Ctr Psychiat Res CPF, Dept Clin Neurosci, Norra Stn Gatan 69,7th Floor, S-11364 Stockholm, Sweden.;Univ Montreal, Inst Univ Sante Mentale Montreal, Dept Psychiat, CP 6128,Succursale Ctr Ville, Montreal, PQ H3C 3J7, Canada..
    Nilsson, Kent W.
    Uppsala Univ, Uppsala Biomed Ctr, Dept Neurosci, Husargatan 3, S-75124 Uppsala, Sweden.;Uppsala Univ, Ctr Clin Res, Vastmanland Cty Council, Vastmanlands Sjukhus Vasteras, S-72189 Vasteras, Sweden..
    Monoamine oxidase A genotype and methylation moderate the association of maltreatment and aggressive behaviour2020In: Behavioural Brain Research, ISSN 0166-4328, E-ISSN 1872-7549, Vol. 382, article id 112476Article in journal (Refereed)
    Abstract [en]

    Background: The association between childhood maltreatment and subsequent aggressive behaviour is modified by monoamine oxidase A (MAOA) functional polymorphism (MAOA-uVNTR) genotype, MAOA-Long (MAOA-L) in females, MAOA-Short (MAOA-S) in males. Childhood maltreatment is associated with differential DNA methylation in several genes. Consistent with recent proposals, we hypothesized that the association of the interaction of MAOA genotype and maltreatment with aggressive behaviour is further moderated by methylation of a region of interest (ROI) spanning the first exon and partial first intron of MAOA. Method: The sample included 117 women and 77 men who completed interviews and questionnaires to report maltreatment and aggressive behaviour towards others and provided saliva samples for DNA extraction. The MAOA-uVNTR polymorphism was genotyped, and methylation of the MAOA ROI was assessed. Results: Following adjustment for substance misuse, psychoactive medication use, and in males tobacco use, the highest levels of aggressive behaviour were found among maltreated male carriers of MAOA-S with high levels of exonic methylation. Conclusion: Methylation levels within the MAOA ROI further contributed to the interaction of MAOA risk genotypes and maltreatment on aggressive behaviours among men.

  • 8.
    Checknita, David
    et al.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.;Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Karolinska Univ Sjukhuset, Psychiat Bldg R5 00 C-O Jari Tiihonen, S-17176 Stockholm, Sweden..
    Ekstrom, Tomas J.
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden.;Uppsala Univ, Vastmanland Cty Council, Clin Res Ctr, Vasteras, Sweden..
    Tiihonen, Jari
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Hodgins, Sheilagh
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Univ Montreal, Inst Univ Sante Mentale Montreal, Montreal, PQ, Canada..
    Associations of monoamine oxidase A gene first exon methylation with sexual abuse and current depression in women2018In: Journal of neural transmission, ISSN 0300-9564, E-ISSN 1435-1463, Vol. 125, no 7, p. 1053-1064Article in journal (Refereed)
    Abstract [en]

    Childhood physical abuse (PA) and sexual abuse (SA) interact with monoamine oxidase A (MAOA) gene polymorphism to modify risk for mental disorders. In addition, PA and SA may alter gene activity through epigenetic mechanisms such as DNA methylation, thereby further modifying risk for disorders. We investigated whether methylation in a region spanning the MAOA first exon and part of the first intron was associated with PA and/or SA, MAOA genotype, alcohol dependence, drug dependence, depression disorders, anxiety disorders, and conduct disorder. 114 Swedish women completed standardized diagnostic interviews and questionnaires to report PA and SA, and provided saliva samples for DNA extraction. DNA was genotyped for MAOA-uVNTR polymorphisms, and methylation of a MAOA region of interest (chrX: 43,515,544-43,515,991) was measured. SA, not PA, was associated with hypermethylation of the MAOA first exon relative to no-abuse, and the association was robust to adjustment for psychoactive medication, alcohol and drug dependence, and current substance use. SA and MAOA-uVNTR genotype, but not their interaction, was associated with MAOA methylation. SA associated with all measured mental disorders. Hypermethylation of MAOA first exon mediated the association of SA with current depression, and both methylation levels and SA independently predicted lifetime depression. Much remains to be learned about the independent effects of SA and MAOA-uVNTR genotypes on methylation of the MAOA first exon.

  • 9.
    Comasco, Erika
    et al.
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, BMC, S-75124 Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, BMC, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Three-way interaction effect of 5-HTTLPR, BDNF Val66Met, and childhood adversity on depression: A replication study2013In: European Neuropsychopharmacology, ISSN 0924-977X, E-ISSN 1873-7862, Vol. 23, no 10, p. 1300-1306Article in journal (Refereed)
    Abstract [en]

    Both the serotonin transporter linked promoter region (5-HTTLPR) and the brain-derived neurotrophic factor (BDNF) Val66Met polymorphisms have been shown to interact with unfavourable environment in relation to depression symptoms and to depression diagnosis. Several attempts have been made to study a three-way interaction effect of these factors on depression, however with contradictory results. We aimed to test the hypothesis of a three-way interaction effect and to attempt at replication in an independent population-based sample. Family maltreatment, sexual abuse and depression were self-reported by an adolescent population-based cohort (N=1393) from the county of Vastmanland, Sweden. DNA was isolated from saliva, and used for genotyping of the 5-HTTLPR and BDNF Val66Met polymorphisms. Neither 5-HTTLPR or BDNF genotypes separately, nor in interaction with each other had any relation to depression, however in an environment adjusted model a two-way interaction and a three-way interaction effect was found. Both 5-HTTLPR and BDNF Val66Met interacted with unfavourable environment in relation to depressive symptoms (Adj R-2=0.19). Depressive symptoms and depression were more common among carriers of either the ss/sl+Val/Val or the ll+Met genotypes in the presence of early-life adversities. This three-way effect was more pronounced among girls. The current study, with a virtually similar set-up compared to previous studies, can partially confirm previous findings and their generalizability. The study also shows the importance of genetic plasticity in individuals with different environmental exposure, for different phenotypic expression. 

  • 10.
    Comasco, Erika
    et al.
    Uppsala Univ, BMC, Pharmacol Unit, Dept Neurosci, S-75124 Uppsala, Sweden.;Uppsala Univ, Cent Hosp Vasteras, Ctr Clin Res, S-75124 Uppsala, Sweden..
    Berglund, Kenneth
    Oreland, Lars
    Uppsala Univ, BMC, Pharmacol Unit, Dept Neurosci, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Cent Hosp Vasteras, Ctr Clin Res, S-75124 Uppsala, Sweden.;Dept Community Med, Cty Counsel Uppsala, Uppsala, Sweden..
    Why Do Adolescents Drink?: Motivational Patterns Related to Alcohol Consumption and Alcohol-Related Problems2010In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 45, no 10, p. 1589-1604Article in journal (Refereed)
    Abstract [en]

    The present study was designed to investigate motivational patterns for drinking alcohol and their relation about alcohol consumption and problems related to alcohol consumption. Data were collected by semistructured interviews and questionnaires, containing questions about reasons for drinking, alcohol consumption, and problems related to alcohol consumption during the years 2001, 2004, and 2005. Three independent population samples from two different counties of central Sweden were included. A total of 11,167 adolescents participated. Data on reasons for drinking were analyzed by factor analysis to extract components explaining drinking motives. Relationships between motivational patterns and alcohol use were examined with correlation analysis. Three drinking motives emerged (social-enhancement, coping, and dominance motives) and related to alcohol consumption and problems related to alcohol consumption. Limitations of the study are noted and discussed.

  • 11.
    Comasco, Erika
    et al.
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, BMC, S-75124 Uppsala, Sweden.;Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Nordquist, Niklas
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, BMC, S-75124 Uppsala, Sweden..
    Gokturk, Camilla
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, BMC, S-75124 Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Hallman, Jarmila
    Univ Uppsala Hosp, Unit Psychiat, Dept Neurosci, S-75185 Uppsala, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, BMC, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    The clock gene PER2 and sleep problems: Association with alcohol consumption among Swedish adolescents2010In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 115, no 1, p. 41-48Article in journal (Refereed)
    Abstract [en]

    Background. Alcohol abuse is associated with sleep problems, which are often linked to circadian rhythm disturbances. Previous studies have separately examined the effects of mutations in the clock gene PER2 on alcohol consumption and sleep problems. Here we hypothesized that an allelic variation in the PER2 gene is associated with alcohol consumption in interaction with sleep problems among adolescents. Methods. The Survey of Adolescent Life and Health in Vastmanland 2006, a Swedish county, including 1254 students 17-18 years old, was used as a population-representative sample of adolescents. We investigated the PER2 Single Nucleotide polymorphism (SNP) 10870 (A/G) in the cohort together with an assessment of alcohol consumption according to the AUDIT-C questionnaire, and sleep problems using a survey consisting of 18 items. Furthermore, we carried out an exploratory analysis on the PER2 Single Nucleotide Polymorphism 10870 polymorphism in a group of severely alcoholic females. Results. We found a significant association of the SNP 10870 in adolescent boys, where the genotype AA, in the presence of several and frequent sleep problems, was associated with increased alcohol consumption. Among adolescent girls, only sleep problems were related to alcohol consumption. A non-significant trend was observed among the severely alcoholic females, with the G allele being over-represented in the severely alcoholic females group in comparision to the control females. Conclusion. These results indicate that PER2 gene variation is associated with alcohol consumption in interaction with sleep problems among Swedish adolescent boys.

  • 12.
    Comasco, Erika
    et al.
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden.;Uppsala Univ, Clin Res Ctr, Cent Hosp, Vasteras, Sweden..
    Nordquist, Niklas
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden..
    Leppert, Jerzy
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden..
    Oreland, Lars
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden..
    Kronstrand, Robert
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden..
    Alling, Christer
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Pharmacol Unit, Dept Neurosci, BMC, S-75124 Uppsala, Sweden..
    Adolescent Alcohol Consumption: Biomarkers PEth and FAEE in Relation to Interview and Questionnaire Data2009In: Journal of Studies on Alcohol and Drugs, ISSN 1937-1888, E-ISSN 1938-4114, Vol. 70, no 5, p. 797-804Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to investigate the congruence of biomarkers, questionnaires, and interviews as instruments to assess adolescent alcohol consumption. Method: The methodology used was a cross-sectional study with a randomized sample. Four different methods were used to estimate high adolescent alcohol consumption. The concordance of the results was investigated. Surveys were performed, and biological specimens were collected at all schools in the county of Vastmanland, Sweden, in 2001. Eighty-one boys and 119 girls from a population of 16- and 19-year-old adolescents were randomly selected from quartiles of volunteers representing various degrees of psychosocial risk behaviors. Using a questionnaire (for a 1-hour session) and in-depth interviews, subjects were assessed regarding their alcohol-use habits. Blood and hair samples were analyzed for phosphatidylethanol (PEth) and fatty acid ethyl esters (FAEEs), respectively. Results: High alcohol consumption was underreported in the questionnaire compared with the interviews. PEth and FAEE analyses weakly confirmed the self-reports, and the results of the two biochemical tests did not overlap. The PEth blood test was the most specific but the least sensitive, whereas the FAEE hair test revealed low specificity and an overrepresentation of positive results in girls. Conclusions: The expected higher self-report of high alcohol consumption by interview rather than by questionnaire was confirmed partly because of the influence of a bogus pipeline procedure. The absence of overlap between PEth and FAEE results and their poor agreement with self-reports suggested that biomarkers are unsuitable as screening tools for alcohol consumption in adolescents. 

  • 13.
    Comasco, Erika
    et al.
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Todkar, Aniruddha
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Granholm, Linnea
    Uppsala Univ, Dept Pharmaceut Biosci, Neuropharmacol Addict & Behav Grp, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Vasteras Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Nylander, Ingrid
    Uppsala Univ, Dept Pharmaceut Biosci, Neuropharmacol Addict & Behav Grp, S-75124 Uppsala, Sweden..
    Alpha 2a-Adrenoceptor Gene Expression and Early Life Stress-Mediated Propensity to Alcohol Drinking in Outbred Rats2015In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, no 7, p. 7154-7171Article in journal (Refereed)
    Abstract [en]

    Stressful events early in life, later high alcohol consumption and vulnerability to alcohol use disorder (AUD) are tightly linked. Norepinephrine is highly involved in the stress response and the alpha 2A-adrenoceptor, which is an important regulator of norepinephrine signalling, is a putative target in pharmacotherapy of AUD. The aim of the present study was to investigate the effects of early-life stress and adult voluntary alcohol drinking on the alpha 2A-adrenoceptor. The relative expression and promoter DNA methylation of the Adra2a gene were measured in the hypothalamus, a key brain region in stress regulation. A well-characterized animal model of early-life stress was used in combination with an episodic voluntary drinking in adulthood. Alcohol drinking rats with a history of early-life stress had lower Adra2a expression than drinking rats not exposed to stress. Alcohol intake and Adra2a gene expression were negatively correlated in high-drinking animals, which were predominantly rats subjected to early-life stress. The results provide support for a link between early-life stress, susceptibility for high alcohol consumption, and low Adra2a expression in the hypothalamus. These findings can increase our understanding of the neurobiological basis for vulnerability to initiate risk alcohol consumption and individual differences in the response to 2A-adrenoceptor agonists.

  • 14.
    Granholm, Linnea
    et al.
    Uppsala Univ, Dept Pharmaceut Biosci, Neuropharmacol Addict & Behav, Uppsala, Sweden..
    Todkar, Aniruddah
    Uppsala Univ, Dept Neurosci, Neuropsychopharmacol, Uppsala, Sweden..
    Bergman, Sofia
    Uppsala Univ, Dept Neurosci, Neuropsychopharmacol, Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Vasteras Ctr Clin Res, Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Neuropsychopharmacol, Uppsala, Sweden..
    Nylander, Ingrid
    Uppsala Univ, Dept Pharmaceut Biosci, Neuropharmacol Addict & Behav, Uppsala, Sweden..
    The expression of opioid genes in non-classical reward areas depends on early life conditions and ethanol intake2017In: Brain Research, ISSN 0006-8993, E-ISSN 1872-6240, Vol. 1668, p. 36-45Article in journal (Refereed)
    Abstract [en]

    The young brain is highly sensitive to environmental influences that can cause long-term changes in neuronal function, possibly through altered gene expression. The endogenous opioid system continues to mature after birth and because of its involvement in reward, an inadequate maturation of this system could lead to enhanced susceptibility for alcohol use disorder. Recent studies show that the classical reward areas nucleus accumbens and ventral tegmental area are less affected by early life stress whereas endogenous opioids in non-classical areas, e.g. dorsal striatum and amygdala, are highly responsive. The aim was to investigate the interaction between early life conditions and adult voluntary ethanol intake on opioid gene expression. Male Wistar rats were exposed to conventional rearing, 15, or 360 min of daily maternal separation (MS) postnatal day 1-21, and randomly assigned to ethanol or water drinking postnatal week 10-16. Rats exposed to early life stress (MS360) had increased opioid receptor gene (Oprm1, Oprd1 and Oprk1) expression in the dorsal striatum. Ethanol drinking was associated with lower striatal Oprd1 and Oprk1 expression solely in rats exposed to early life stress. Furthermore, rats exposed to early life stress had high inherent Pomc expression in the amygdala but low expression after ethanol intake. Thus, adverse events early in life induced changes in opioid gene expression and also influenced the central molecular response to ethanol intake. These long-term consequences of early life stress can contribute to the enhanced risk for excessive ethanol intake and alcohol use disorder seen after exposure to childhood adversity. 

  • 15.
    Isaksson, Johan
    et al.
    Uppsala Univ, Dept Neurosci, S-75185 Uppsala, Sweden.;Karolinska Inst, Ctr Neurodev Disorders, Karolinska Inst KIND, Dept Womens & Childrens Hlth,Pediat Neuropsychiat, S-17177 Stockholm, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, S-75185 Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Vastmanland Cty Hosp Vasteras, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Rehn, Mattias
    Uppsala Univ, Vastmanland Cty Hosp Vasteras, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Tuvblad, Catherine
    Univ Southern Calif, Dept Psychol, Los Angeles, CA 90089 USA.;Univ Orebro, Sch Law Psychol & Social Work, S-70182 Orebro, Sweden..
    Andershed, Henrik
    Univ Orebro, Sch Law Psychol & Social Work, S-70182 Orebro, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Vastmanland Cty Hosp Vasteras, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Associations between the FKBP5 haplotype, exposure to violence and anxiety in females2016In: Psychoneuroendocrinology, ISSN 0306-4530, E-ISSN 1873-3360, Vol. 72, p. 196-204Article in journal (Refereed)
    Abstract [en]

    The gene that encodes the FK506-binding protein 5 (FKBP5) is regarded as a candidate for investigating how negative life events interact with a genetic predisposition to stress-related disorders, such as depression and anxiety. Given the role of FKBP5 as an important regulator of stress responses, we aimed to investigate if single-nucleotide polymorphisms (SNPs) in FKBP5 in the presence/absence of exposure to violence are associated with symptoms of depression and anxiety. Data from two community-based samples of adolescents (n=1705) and young adults (n=1800) regarding ratings on depression, anxiety, exposure to violence and FKBP5 genotype were collected. A risk haplogenotype including the minor alleles of seven common SNPs in the FKBP5 (rs3800373, rs9296158, rs7748266, rs1360780, rs9394309, rs9470080 and rs4713916) conferred higher ratings on anxiety among females, but not males, in the presence of violence. Exposure to violence and female sex were associated with higher ratings on both depression and anxiety, with the exception of ratings on depression among young adults, on which sex had no effect. Ratings on depression were not associated with the haplogenotype. These findings may correspond to differences in the regulation of the HPA axis and with the higher vulnerability to anxiety in females. 

  • 16.
    Nilsson, Kent W.
    et al.
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Comasco, Erika
    Uppsala Univ, Sci Life Lab, Dept Neurosci, Uppsala, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Gene-environment interaction of monoamine oxidase A in relation to antisocial behaviour: current and future directions2018In: Journal of neural transmission, ISSN 0300-9564, E-ISSN 1435-1463, Vol. 125, no 11, p. 1601-1626Article, review/survey (Refereed)
    Abstract [en]

    Since the pioneering finding of Caspi and co-workers in 2002 that exposure to childhood maltreatment predicted later antisocial behaviour (ASB) in male carriers of the low-activity MAOA-uVNTR allele, frequent replication studies have been published. Two meta-analyses, one in 2006 and the other in 2014, confirmed the original findings by Caspi and co-workers. In the present paper, we review the literature, note some methodological aspects of candidate gene-environment interaction (cGxE) studies and suggest some future directions. Our conclusions are as follows. (1) The direction of the effect in a cGxE model may differ according to the positive and negative environmental background of the population. (2) There is a predictor-intersection problem such that when measuring one type of maltreatment in a person, other kinds of maltreatment often co-occur. Other forms of abuse are implicitly considered in statistical models; therefore, it is difficult to draw conclusions about the effects of timing and the severity of different forms of stressful life events in relation to ASB. (3) There is also an outcome-intersection problem because of the major intersection of ASB and other forms of mental health problems. It is likely that the GxE with MAOA is related to a common unmeasured factor. (4) For the GxE model, in which the effect of the gene on the outcome variable is dependent on other predictor variables, theoretically, hypothesis-driven statistical modelling is needed.

  • 17.
    Nilsson, Kent W.
    et al.
    Uppsala Univ, Cent Hosp, Clin Res Ctr, Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Cent Hosp, Clin Res Ctr, Uppsala, Sweden.;Uppsala Univ, Dept Neurosci, Pharmacol Unit, Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Cent Hosp, Clin Res Ctr, Uppsala, Sweden..
    Nordquist, Niklas
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, Uppsala, Sweden..
    Leppert, Jerzy
    Uppsala Univ, Cent Hosp, Clin Res Ctr, Uppsala, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, Pharmacol Unit, Uppsala, Sweden..
    MAOA genotype, family relations and sexual abuse in relation to adolescent alcohol consumption2011In: Addiction Biology, ISSN 1355-6215, E-ISSN 1369-1600, Vol. 16, no 2, p. 347-355Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to investigate MAOA gene-environment (G*E) interactions in relation to adolescent alcohol consumption. In the county of Vastmanland, Sweden, all 17-18-year-old students were asked to complete an anonymous questionnaire and provide a saliva sample during class hours. A total of 2263 students completed the questionnaire (77.4%) and a saliva sample was provided by 2131 participants. Failed MAOA u-variable number of tandem repeats (VNTR) genotype analyses and internal non-responses left 851 boys and 735 girls (total n = 1586) to be investigated. Alcohol use disorder identification test was used to measure hazardous alcohol consumption. MAOA u-VNTR was used to measure biological risk in interaction with poor family relations and experience of sexual abuse. The model was also adjusted for non-independent socioeconomic variables, separated parents, type of housing and parental unemployment. Results showed that the MAOA u-VNTR, in interaction with psychosocial risk factors, such as the quality of family relations and sexual abuse, was related to high alcohol consumption among adolescents. Girls, carrying the long MAOA u-VNTR variant showed a higher risk of being high alcohol consumers, whereas among boys, the short allele was related to higher alcohol consumption. The present study supports the hypothesis that there is a relation between MAOA u-VNTR and alcohol consumption and that this relation is modulated by environmental factors. Furthermore, the present study also supports the hypothesis that there is a sex difference in the G*E interaction.

  • 18.
    Nilsson, Kent W.
    et al.
    Uppsala Univ, Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Hodgins, Sheilagh
    Karolinska Inst, Stockholm, Sweden.;Univ Montreal, Dept Psychiat, Montreal, PQ H3C 3J7, Canada..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Genotypes Do Not Confer Risk For Delinquency ut Rather Alter Susceptibility to Positive and Negative Environmental Factors: Gene-Environment Interactions of BDNF Val66Met, 5-HTTLPR, and MAOA-uVNTR2015In: International Journal of Neuropsychopharmacology, ISSN 1461-1457, E-ISSN 1469-5111, Vol. 18, no 5Article in journal (Refereed)
    Abstract [en]

    Background: Previous evidence of gene-by-environment interactions associated with emotional and behavioral disorders is contradictory. Differences in findings may result from variation in valence and dose of the environmental factor, and/or failure to take account of gene-by-gene interactions. The present study investigated interactions between the brain-derived neurotrophic factor gene (BDNF Val66Met), the serotonin transporter gene-linked polymorphic region (5-HTTLPR), the monoamine oxidase A (MAOA-uVNTR) polymorphisms, family conflict, sexual abuse, the quality of the child-parent relationship, and teenage delinquency. Methods: In 2006, as part of the Survey of Adolescent Life in Vastmanland, Sweden, 1 337 high-school students, aged 1718 years, anonymously completed questionnaires and provided saliva samples for DNA analyses. Results: Teenage delinquency was associated with two-, three-, and four-way interactions of each of the genotypes and the three environmental factors. Significant four-way interactions were found for BDNF Val66Met x 5-HTTLPRxMAOA-uVNTR x family conflicts and for BDNF Val66Met x 5-HTTLPRxMAOA-uVNTR x sexual abuse. Further, the two genotype combinations that differed the most in expression levels (BDNF Val66Met Val, 5-HTTLPR LL, MAOA-uVNTR LL [girls] and L [boys] vs BDNF Val66Met Val/Met, 5-HTTLPR S/LS, MAOA-uVNTR S/SS/LS) in interaction with family conflict and sexual abuse were associated with the highest delinquency scores. The genetic variants previously shown to confer vulnerability for delinquency (BDNF Val66Met Val/Met x 5-HTTLPR S x MAOA-uVNTR S) were associated with the lowest delinquency scores in interaction with a positive child-parent relationship. Conclusions: Functional variants of the MAOA-uVNTR, 5-HTTLPR, and BDNF Val66Met, either alone or in interaction with each other, may be best conceptualized as modifying sensitivity to environmental factors that confer either risk or protection for teenage delinquency.

  • 19.
    Nilsson, Kent W.
    et al.
    Uppsala Univ, Vastmanland Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Sonnby, Karin
    Uppsala Univ, Vastmanland Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Nordquist, Niklas
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Leppert, Jerzy
    Uppsala Univ, Vastmanland Cty Hosp, Clin Res Ctr, S-72189 Vasteras, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Sjoberg, Rickard L.
    Univ Hosp Umea, Dept Neurosurg, S-90185 Umea, Sweden..
    Transcription Factor Activating Protein-2 beta (TFAP-2 beta) genotype and symptoms of attention deficit hyperactivity disorder in relation to symptoms of depression in two independent samples2014In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 23, no 4, p. 207-217Article in journal (Refereed)
    Abstract [en]

    The Transcription Factor Activating Protein-2 beta (TFAP-2 beta) gene has been shown to influence monoaminergic neurotransmission, and several genes important for monoaminergic function have binding sites for TFAP-2 beta. Familial studies of attention deficit hyperactivity disorder (ADHD) suggest a hereditary-determined subtype of ADHD with comorbid depression. We examined a functional variation of the TFAP-2 beta gene in the context of co-occurring symptoms of ADHD and depression in two independent population-based samples of adolescents (Group A, n = 175 and Group B, n = 1,506) from Sweden. Results indicated 6.1 to 7.8 % of adolescents screened positively for ADHD and depression symptoms. Symptoms of depression were more common among girls who screened positively for ADHD and did not carry the nine-repeat allele of the TFAP-2 beta intron 1 Variable Number Tandem Repeat (VNTR) polymorphism. The presence of the nine-repeat variant of the TFAP-2 beta intron 1 VNTR appears to protect girls with ADHD symptoms from the co-expression of symptoms of depression.

  • 20.
    Nordquist, Niklas
    et al.
    Uppsala Univ, Pharmacol Sect, Dept Neurosci, Uppsala, Sweden..
    Gokturk, Camilla
    Uppsala Univ, Pharmacol Sect, Dept Neurosci, Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Pharmacol Sect, Dept Neurosci, Uppsala, Sweden.;Uppsala Univ, Clin Res Ctr, Vasteras, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Clin Res Ctr, Vasteras, Sweden..
    Oreland, Lars
    Uppsala Univ, Pharmacol Sect, Dept Neurosci, Uppsala, Sweden..
    Hallman, Jarmila
    Uppsala Univ, Sect Psychiat, Dept Neurosci, Uppsala, Sweden..
    Transcription factor AP2 beta involved in severe female alcoholism2009In: Brain Research, ISSN 0006-8993, E-ISSN 1872-6240, Vol. 1305, p. S20-S26Article in journal (Refereed)
    Abstract [en]

    Susceptibility to alcoholism and antisocial behavior exhibits an evident link to monoaminergic neurotransmission. The serotonin system in particular, which is associated with regulation of mood and behavior, has an influence on personality characters that are firmly connected to risk of developing alcoholism and antisocial behavior, such as impulsiveness, and aggression. The transcription factor TFAP2b has repeatedly been shown to be involved in monoaminergic transmission, likely due to a regulatory effect on genes that are fundamental to this system, e.g. monoamine oxidase type A, and the serotonin transporter. Recent research has identified a functional polymorphism in the gene encoding TFAP2B that regulates its level of expression. In the present study we have compared a sample of female alcoholics (n=107), sentenced to institutional care for their severe addiction, contrasted against a control sample of adolescent females (n=875). The results showed that parental alcohol misuse was significantly more common among the alcoholic females, and also that parental alcohol misuse was associated with a reduction in age of alcohol debut. We also addressed the question of whether a functional TFAP2b polymorphism was associated with alcoholism. Results showed that the high-functioning allele was significantly more common among the female alcoholics, compared to the nonalcoholic controls. Furthermore, the results also indicated that psychosocial factors, in terms of parental alcohol misuse, depression or psychiatric disorder, had an influence on the association. It was observed that the genetic association was restricted to the subset of cases that had not experienced these negative psychosocial factors. 

  • 21.
    Nylander, Ingrid
    et al.
    Uppsala Univ, Dept Pharmaceut Biosci, Box 591, SE-75124 Uppsala, Sweden..
    Todkar, Aniruddha
    Uppsala Univ, Dept Neurosci, Box 593, SE-75124 Uppsala, Sweden..
    Granholm, Linnea
    Uppsala Univ, Dept Pharmaceut Biosci, Box 591, SE-75124 Uppsala, Sweden..
    Vrettou, Maria
    Uppsala Univ, Dept Neurosci, Box 593, SE-75124 Uppsala, Sweden..
    Bendre, Megha
    Uppsala Univ, Dept Neurosci, Box 593, SE-75124 Uppsala, Sweden..
    Boon, Wout
    Uppsala Univ, Dept Neurosci, Box 593, SE-75124 Uppsala, Sweden..
    Andershed, Henrik
    Orebro Univ, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden..
    Tuvblad, Catherine
    Orebro Univ, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden.;Univ Southern Calif, Dept Psychol, 3620 S McClintock Ave, Los Angeles, CA 90089 USA..
    Nilsson, Kent W.
    Vasteras Hosp, Clin Res Ctr, SE-72189 Vasteras, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Box 593, SE-75124 Uppsala, Sweden..
    Evidence for a Link Between Fkbp5/FKBP5, Early Life Social Relations and Alcohol Drinking in Young Adult Rats and Humans2017In: Molecular Neurobiology, ISSN 0893-7648, E-ISSN 1559-1182, Vol. 54, no 8, p. 6225-6234Article in journal (Refereed)
    Abstract [en]

    Alcohol misuse has been linked to dysregulation of stress, emotion, and reward brain circuitries. A candidate key mediator of this association is the FK506-binding protein (FKBP5), a negative regulator of the glucocorticoid receptor. The aim of the present study was to further understand the Fkbp5/FKBP5-related genetic underpinnings underlying the relationship between early life social relations and alcohol drinking. The effect of maternal separation and voluntary alcohol drinking on Fkbp5 expression was investigated in the brain of young adult rats, whereas the interaction effect of the functional FKBP5 single nucleotide polymorphism rs1360780 genotype and parent-child relationship on problematic drinking was examined in young adult humans. In rats, Fkbp5 expression in the nucleus accumbens and ventral tegmental area, core regions of the reward system, was affected in a region-dependent manner and in opposite direction by maternal separation and alcohol drinking. Fkbp5 expression in the cingulate cortex was affected by the combined effect of maternal separation and alcohol drinking. In humans, the TT genotype, in the presence of a poor relationship between the child and parents, was associated with problematic drinking behavior. The present findings suggest that Fkbp5 expression in mesocorticolimbic dopaminergic regions associates with early life stress-mediated sensitivity to alcohol drinking and that FKBP5 genotype interacts with parent-child relationship to influence alcohol drinking. These findings are the first to point to a role of FKBP5 in propensity to alcohol misuse and call for studies of the underlying molecular mechanisms to identify potential drug targets.

  • 22.
    Olofsdotter, Susanne
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Uppsala, Sweden..
    Furmark, Tomas
    Uppsala Univ, Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Uppsala, Sweden..
    Differential susceptibility effects of oxytocin gene (OXT) polymorphisms and perceived parenting on social anxiety among adolescents2018In: Development and psychopathology (Print), ISSN 0954-5794, E-ISSN 1469-2198, Vol. 30, no 2, p. 449-459Article in journal (Refereed)
    Abstract [en]

    Social anxiety is one of the most commonly reported mental health problems among adolescents, and it has been suggested that parenting style influences an adolescent's level of anxiety. A context-dependent effect of oxytocin on human social behavior has been proposed; however, research on the oxytocin gene (OXT) has mostly been reported without considering contextual factors. This study investigated the interactions between parenting style and polymorphic variations in the OXT gene in association with social anxiety symptoms in a community sample of adolescents (n = 1,359). Two single nucleotide polymorphisms linked to OXT, rs4813625 and rs2770378, were genotyped. Social anxiety and perceived parenting style were assessed by behavioral questionnaires. In interaction models adjusted for sex, significant interaction effects with parenting style were observed for both variants in relation to social anxiety. The nature of the interactions was in line with the differential susceptibility framework for rs4813625, whereas for rs2770378 the results indicated a diathesis-stress type of interaction. The findings may be interpreted from the perspective of the social salience hypothesis of oxytocin, with rs4813625 affecting social anxiety levels along a perceived unsafe-safe social context dimension.

  • 23.
    Oreland, Lars
    et al.
    Uppsala Univ, Dept Neurosci, BMC, Box 593, S-75124 Uppsala, Sweden..
    Lagravinese, Gianvito
    Uppsala Univ, Dept Neurosci, BMC, Box 593, S-75124 Uppsala, Sweden..
    Toffoletto, Simone
    Uppsala Univ, Dept Neurosci, BMC, Box 593, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Clin Res Ctr, Vastmanland Cty Counci, Vasteras, Sweden..
    Harro, Jaanus
    Univ Tartu, Div Neuropsychopharmacol, Dept Psychol, Tartu, Estonia.;North Estonia Med Ctr, Psychiat Clin, Tallinn, Estonia..
    Cloninger, C. Robert
    Washington Univ, Sch Med, Dept Psychiat, St Louis, MO 63110 USA..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, BMC, Box 593, S-75124 Uppsala, Sweden..
    Personality as an intermediate phenotype for genetic dissection of alcohol use disorder2018In: Journal of neural transmission, ISSN 0300-9564, E-ISSN 1435-1463, Vol. 125, no 1, p. 107-130Article, review/survey (Refereed)
    Abstract [en]

    Genetic and environmental interactive influences on predisposition to develop alcohol use disorder (AUD) account for the high heterogeneity among AUD patients and make research on the risk and resiliency factors complicated. Several attempts have been made to identify the genetic basis of AUD; however, only few genetic polymorphisms have consistently been associated with AUD. Intermediate phenotypes are expected to be in-between proxies of basic neuronal biological processes and nosological symptoms of AUD. Personality is likely to be a top candidate intermediate phenotype for the dissection of the genetic underpinnings of different subtypes of AUD. To date, 38 studies have investigated personality traits, commonly assessed by the Cloninger's Tridimensional Personality Questionnaire (TPQ) or Temperament and Character Inventory (TCI), in relation to polymorphisms of candidate genes of neurotransmitter systems in alcohol-dependent patients. Particular attention has been given to the functional polymorphism of the serotonin transporter gene (5-HTTLPR), however, leading to contradictory results, whereas results with polymorphisms in other candidate monoaminergic genes (e.g., tryptophan hydroxylase, serotonin receptors, monoamine oxidases, dopamine receptors and transporter) are sparse. Only one genome-wide association study has been performed so far and identified the ABLIM1 gene of relevance for novelty seeking, harm avoidance and reward dependence in alcohol-dependent patients. Studies investigating genetic factors together with personality could help to define more homogenous subgroups of AUD patients and facilitate treatment strategies. This review also urges the scientific community to combine genetic data with psychobiological and environmental data to further dissect the link between personality and AUD.

  • 24.
    Todkar, Aniruddha
    et al.
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Vasteras Hosp, Ctr Clin Res, S-72189 Vasteras, Sweden..
    Oreland, Lars
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Hodgins, Sheilagh
    Univ Montreal, Dept Psychiat, Montreal, PQ H3C 3J7, Canada.;Kings Coll London, Inst Psychiat, London WC2R 2LS, England..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, S-75124 Uppsala, Sweden..
    Serotonin transporter genotype by environment: Studies on alcohol use and misuse in non-human and human primates2013In: Translational Neuroscience, ISSN 2081-3856, E-ISSN 2081-6936, Vol. 4, no 2, p. 241-250Article, review/survey (Refereed)
    Abstract [en]

    Much evidence indicates that gene-by-environment interactions (GxE) play a role in alcohol misuse. It has been proposed that interactions between serotonin and stress confer vulnerability for alcohol misuse. The present review examined studies of the interaction between the serotonin transporter linked polymorphic region (5-HTTLPR) genotype and stressful life events and alcohol-related phenotypes, in rhesus monkeys and humans. Ten studies were found that had investigated the interaction of 5-HTTLPR and various measures of stress and alcohol use or misuse, two studies of rhesus monkeys, and eight of humans. The results are contradictory. Important differences were reported in study samples, experimental designs, measures used to assess environmental variables, definitions and measurements of alcohol-related phenotypes, and in the statistical analyses. These differences may explain the contradictory results. Guidelines for future studies are suggested. Results are discussed in light of findings from molecular, non-human animal, and clinical studies. The review highlights the need for future studies examining associations of interactions between the serotonin transporter gene and environmental factors and alcohol misuse, especially in samples followed over time.

  • 25.
    Tuvblad, Catherine
    et al.
    Univ Orebro, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden.;Univ Southern Calif, Dept Psychol, Los Angeles, CA USA..
    Narusyte, Jurgita
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Comasco, Erika
    Uppsala Univ, BMC, Dept Neurosci, Uppsala, Sweden..
    Andershed, Henrik
    Univ Orebro, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden..
    Andershed, Anna-Karin
    Univ Orebro, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden..
    Colins, Olivier F.
    Univ Orebro, Sch Law Psychol & Social Work, SE-70182 Orebro, Sweden.;Curium Leiden Univ, Med Ctr, Dept Child & Adolescent Psychiat, Leiden, Netherlands..
    Fanti, Kostas A.
    Univ Cyprus, Dept Psychol, Nicosia, Cyprus..
    Nilsson, Kent W.
    Uppsala Univ, Cty Hosp, Clin Res Ctr, Vasteras, Sweden..
    Physical and Verbal Aggressive Behavior and COMT Genotype: Sensitivity to the Environment2016In: American Journal of Medical Genetics Part B: Neuropsychiatric Genetics, ISSN 1552-4841, E-ISSN 1552-485X, Vol. 171, no 5, p. 708-718Article in journal (Refereed)
    Abstract [en]

    Catechol-O-methyltransferase (COMT) genotype has been implicated as a vulnerability factor for several psychiatric diseases as well as aggressive behavior, either directly, or in interaction with an adverse environment. The present study aimed at investigating the susceptibility properties of COMT genotype to adverse and favorable environment in relation to physical and verbal aggressive behavior. The COMT Val158Met polymorphism was genotyped in a Swedish population-based cohort including 1,783 individuals, ages 20-24 years (47% males). A significant three-way interaction was found, after correction for multiple testing, between COMT genotype, exposure to violence, and parent-child relationship in association with physical but not verbal aggressive behavior. Homozygous for the Val allele reported lower levels of physical aggressive behavior when they were exposed to violence and at the same time experienced a positive parent-child relationship compared to Met carriers. Thus, susceptibility properties of COMT genotype were observed in relation to physical aggressive behavior supporting the hypothesis that COMT genotypes are modifying the sensitivity to environment that confers either risk or protection for aggressive behavior. As these are novel findings, they warrant further investigation and replication in independent samples. 

  • 26.
    Vrettou, Maria
    et al.
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Granholm, Linnea
    Uppsala Univ, Dept Pharmaceut Biosci, Box 591, S-75124 Uppsala, Sweden..
    Todkar, Aniruddha
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Nilsson, Kent W.
    Uppsala Univ, Vasteras Ctr Clin Res, Uppsala, Sweden..
    Wallen-Mackenzie, Asa
    Uppsala Univ, Dept Organismal Biol Comparat Physiol, Uppsala, Sweden..
    Nylander, Ingrid
    Uppsala Univ, Dept Pharmaceut Biosci, Box 591, S-75124 Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Uppsala, Sweden..
    Ethanol affects limbic and striatal presynaptic glutamatergic and DNA methylation gene expression in outbred rats exposed to early-life stress2017In: Addiction Biology, ISSN 1355-6215, E-ISSN 1369-1600, Vol. 22, no 2, p. 369-380Article in journal (Refereed)
    Abstract [en]

    Alcohol use disorder is the outcome of both genetic and environmental influences and their interaction via epigenetic mechanisms. The neurotransmitter glutamate is an important regulator of reward circuits and implicated in adaptive changes induced by ethanol intake. The present study aimed at investigating corticolimbic and corticostriatal genetic signatures focusing on the glutamatergic phenotype in relation to early-life stress (ELS) and consequent adult ethanol consumption. A rodent maternal separation model was employed to mimic ELS, and a free-choice paradigm was used to assess ethanol intake in adulthood. Gene expression levels of the Vesicular Glutamate Transporters (Vglut) 1, 2 and 3, as well as two key regulators of DNA methylation, DNA (cytosine-5)-methyltransferase 1 (Dnmt1) and methyl-CpG-binding protein 2 (Mecp2), were analyzed. Brain regions of interest were the ventral tegmental area (VTA), nucleus accumbens (Acb), medial prefrontal cortex (mPFC) and dorsal striatum (dStr), all involved in mediating aspects of ethanol reward. Region-specific Vglut, Dnmt1 and Mecp2 expression patterns were observed. ELS was associated with down-regulated expression of Vglut2 in the VTA and mPFC. Rats exposed to ELS were more sensitive to ethanol-induced changes in Vglut expression in the VTA, Acb, and dStr and in Dnmt1 and Mecp2 expression in the striatal regions. These findings suggest long-term glutamatergic and DNA methylation neuroadaptations as a consequence of ELS, and show an association between voluntary drinking in non-preferring, non-dependent, rodents and different Vglut, Dnmt1 and Mecp2 expression depending on early-life history.

  • 27.
    Vrettou, Maria
    et al.
    Uppsala Univ, Dept Neurosci, Sci Life Lab, BMC, Box 593, S-75124 Uppsala, Sweden..
    Nilsson, Kent W.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Uppsala Univ, Vastmanland Cty Hosp Vasteras, Ctr Clin Res Vasteras, Uppsala, Sweden..
    Tuvblad, Catherine
    Orebro Univ, Sch Law Psychol & Social Work, Orebro, Sweden.;Univ Southern Calif, Dept Psychol, Los Angeles, CA USA..
    Rehn, Mattias
    Uppsala Univ, Vastmanland Cty Hosp Vasteras, Ctr Clin Res Vasteras, Uppsala, Sweden..
    Aslund, Cecilia
    Uppsala Univ, Vastmanland Cty Hosp Vasteras, Ctr Clin Res Vasteras, Uppsala, Sweden..
    Andershed, Anna-Karin
    Orebro Univ, Sch Law Psychol & Social Work, Orebro, Sweden..
    Wallen-Mackenzie, Asa
    Uppsala Univ, Dept Organismal Biol, Uppsala, Sweden..
    Andershed, Henrik
    Orebro Univ, Sch Law Psychol & Social Work, Orebro, Sweden..
    Hodgins, Sheilagh
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.;Univ Montreal, Inst Univ Sante Mentale Montreal, Montreal, PQ, Canada..
    Nylander, Ingrid
    Uppsala Univ, Dept Pharmaceut Biosci, Uppsala, Sweden..
    Comasco, Erika
    Uppsala Univ, Dept Neurosci, Sci Life Lab, BMC, Box 593, S-75124 Uppsala, Sweden..
    VGLUT2 rs2290045 genotype moderates environmental sensitivity to alcohol-related problems in three samples of youths2019In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 28, no 10, p. 1329-1340Article in journal (Refereed)
    Abstract [en]

    The importance of Vesicular Glutamate Transporter 2 (VGLUT2)-mediated neurotransmission has been highlighted in studies on addiction-related phenotypes. The single nucleotide polymorphism rs2290045 in VGLUT2 has been associated with alcohol dependence, but it is unknown whether or how this association is affected by environmental factors. The present study determined whether the association of alcohol-related problems with the rs2290045 in the VGLUT2 gene was modified by negative and positive environmental factors. Three samples were included: a clinical sample of 131 adolescents followed from age 17 to 22; a general population sample of 1794 young adults; and a general population sample of 1687 adolescents followed from age 14 to 17. DNA was extracted from saliva and the rs2290045 (T/C) was genotyped. Alcohol-related problems were assessed using the Alcohol Use Disorders Identification Test. Stressful life events (SLE) and parenting were assessed by questionnaires. Gene-environment interactions were investigated using a dual statistical approach. In all samples (effect sizes 0.6-6.2%), and consistent with the differential susceptibility framework, T carriers exposed to SLE reported more alcohol-related problems if they had experienced poor parenting, and lower alcohol-related problems if they had received supportive parenting. T carriers not exposed to SLE reported higher alcohol-related problems if they had received supportive parenting and lower alcohol-related problems if they had received poor parenting. Among CC carriers, alcohol-related problems did not vary as a function of negative and positive environmental factors. In conclusion, in three samples of youths, alcohol-related problems were associated with an interaction of VGLUT2 rs2290045, SLE, and parenting.

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