Genetic variants in NECTIN4 encoding an adhesion molecule are associated with continued opioid use

Methadone is a synthetic opioid used as maintenance treatment for patients addicted to heroin. Skin irritation is one of the adverse events caused by opioid use. 344 methadone maintenance treatment (MMT) patients were recruited with records and measurements on methadone dose, plasma methadone concen...

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Veröffentlicht in:PloS one 2020-06, Vol.15 (6), p.e0234549
Hauptverfasser: Fang, Chiu-Ping, Liu, Tung-Hsia, Chung, Ren-Hua, Tsou, Hsiao-Hui, Kuo, Hsiang-Wei, Wang, Sheng-Chang, Liu, Chia-Chen, Liu, Shu Chih, Chen, Andrew C H, Liu, Yu-Li
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creator Fang, Chiu-Ping
Liu, Tung-Hsia
Chung, Ren-Hua
Tsou, Hsiao-Hui
Kuo, Hsiang-Wei
Wang, Sheng-Chang
Liu, Chia-Chen
Liu, Shu Chih
Chen, Andrew C H
Liu, Yu-Li
description Methadone is a synthetic opioid used as maintenance treatment for patients addicted to heroin. Skin irritation is one of the adverse events caused by opioid use. 344 methadone maintenance treatment (MMT) patients were recruited with records and measurements on methadone dose, plasma methadone concentrations, and treatment emergent symptom scales (TESS). 15 patients reported with skin irritation. Five SNPs located within the NECTIN4 genetic region were genotyped. The NECTIN4 gene within the adherens junction interaction pathway was associated with methadone dose in pathway-based genome wide association analyses (P = 0.0008). Three highly-linked SNPs, rs11265549, rs3820097, and rs4656978, were significantly associated with methadone dose (P = 0.0003), plasma concentrations of R,S-methadone (P = 0.0004) and TNF-α (P = 0.010) in all 344 MMT patients, and with self-report skin irritation symptom scores (P = 0.010) in the 15 MMT patients who reported with skin irritation. To identify the possible roles of plasma level of Nectin-4 in the responses to MMT and opioid use, additional age- and gender-matched 51 controls and 83 methadone-free abstinent former heroin users were recruited. Plasma level of Nectin-4 was the highest in MMT patients among the three groups. The results suggest involvement of genetic variants on NECTIN4 in methadone dose. Plasma Nectin-4 level is likely an indicator for continued use of opioids.
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Skin irritation is one of the adverse events caused by opioid use. 344 methadone maintenance treatment (MMT) patients were recruited with records and measurements on methadone dose, plasma methadone concentrations, and treatment emergent symptom scales (TESS). 15 patients reported with skin irritation. Five SNPs located within the NECTIN4 genetic region were genotyped. The NECTIN4 gene within the adherens junction interaction pathway was associated with methadone dose in pathway-based genome wide association analyses (P = 0.0008). Three highly-linked SNPs, rs11265549, rs3820097, and rs4656978, were significantly associated with methadone dose (P = 0.0003), plasma concentrations of R,S-methadone (P = 0.0004) and TNF-α (P = 0.010) in all 344 MMT patients, and with self-report skin irritation symptom scores (P = 0.010) in the 15 MMT patients who reported with skin irritation. To identify the possible roles of plasma level of Nectin-4 in the responses to MMT and opioid use, additional age- and gender-matched 51 controls and 83 methadone-free abstinent former heroin users were recruited. Plasma level of Nectin-4 was the highest in MMT patients among the three groups. The results suggest involvement of genetic variants on NECTIN4 in methadone dose. Plasma Nectin-4 level is likely an indicator for continued use of opioids.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0234549</identifier><identifier>PMID: 32555608</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analgesics, Opioid - administration &amp; dosage ; Analgesics, Opioid - adverse effects ; Antibodies ; Bioinformatics ; Biology and Life Sciences ; Cell adhesion &amp; migration ; Cell Adhesion Molecules - blood ; Cell Adhesion Molecules - genetics ; Clinical trials ; Complications and side effects ; Cytokines ; Dose-response relationship ; Drug abuse ; Drug dosages ; Drug metabolism ; Enzymes ; Female ; Gene expression ; Genetic aspects ; Genetic diversity ; Genetic Predisposition to Disease ; Genetic variance ; Genetic variation ; Genome-Wide Association Study ; Genomes ; Health aspects ; Health sciences ; Heroin ; Heroin Dependence - blood ; Heroin Dependence - drug therapy ; Heroin Dependence - genetics ; Heroin Dependence - pathology ; Humans ; Irritation ; Maintenance ; Male ; Medical records ; Medical research ; Medicine and Health Sciences ; Methadone ; Methadone - administration &amp; dosage ; Methadone - adverse effects ; Methadone - blood ; Narcotics ; Nectin ; Opiate Substitution Treatment - methods ; Opioid-Related Disorders - blood ; Opioid-Related Disorders - drug therapy ; Opioid-Related Disorders - genetics ; Opioid-Related Disorders - pathology ; Opioids ; Plasma ; Single-nucleotide polymorphism ; Skin ; Social Sciences ; Tumor necrosis factor-TNF ; Tumor necrosis factor-α</subject><ispartof>PloS one, 2020-06, Vol.15 (6), p.e0234549</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Fang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Fang et al 2020 Fang et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-496250e217e3340bee1b1222928764ea5c028104581ed7fb4b33082454c996b83</citedby><cites>FETCH-LOGICAL-c692t-496250e217e3340bee1b1222928764ea5c028104581ed7fb4b33082454c996b83</cites><orcidid>0000-0001-7519-2965</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302666/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302666/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32555608$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ikeda, Kazutaka</contributor><creatorcontrib>Fang, Chiu-Ping</creatorcontrib><creatorcontrib>Liu, Tung-Hsia</creatorcontrib><creatorcontrib>Chung, Ren-Hua</creatorcontrib><creatorcontrib>Tsou, Hsiao-Hui</creatorcontrib><creatorcontrib>Kuo, Hsiang-Wei</creatorcontrib><creatorcontrib>Wang, Sheng-Chang</creatorcontrib><creatorcontrib>Liu, Chia-Chen</creatorcontrib><creatorcontrib>Liu, Shu Chih</creatorcontrib><creatorcontrib>Chen, Andrew C H</creatorcontrib><creatorcontrib>Liu, Yu-Li</creatorcontrib><title>Genetic variants in NECTIN4 encoding an adhesion molecule are associated with continued opioid use</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Methadone is a synthetic opioid used as maintenance treatment for patients addicted to heroin. Skin irritation is one of the adverse events caused by opioid use. 344 methadone maintenance treatment (MMT) patients were recruited with records and measurements on methadone dose, plasma methadone concentrations, and treatment emergent symptom scales (TESS). 15 patients reported with skin irritation. Five SNPs located within the NECTIN4 genetic region were genotyped. The NECTIN4 gene within the adherens junction interaction pathway was associated with methadone dose in pathway-based genome wide association analyses (P = 0.0008). Three highly-linked SNPs, rs11265549, rs3820097, and rs4656978, were significantly associated with methadone dose (P = 0.0003), plasma concentrations of R,S-methadone (P = 0.0004) and TNF-α (P = 0.010) in all 344 MMT patients, and with self-report skin irritation symptom scores (P = 0.010) in the 15 MMT patients who reported with skin irritation. 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Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fang, Chiu-Ping</au><au>Liu, Tung-Hsia</au><au>Chung, Ren-Hua</au><au>Tsou, Hsiao-Hui</au><au>Kuo, Hsiang-Wei</au><au>Wang, Sheng-Chang</au><au>Liu, Chia-Chen</au><au>Liu, Shu Chih</au><au>Chen, Andrew C H</au><au>Liu, Yu-Li</au><au>Ikeda, Kazutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Genetic variants in NECTIN4 encoding an adhesion molecule are associated with continued opioid use</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-06-18</date><risdate>2020</risdate><volume>15</volume><issue>6</issue><spage>e0234549</spage><pages>e0234549-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Methadone is a synthetic opioid used as maintenance treatment for patients addicted to heroin. Skin irritation is one of the adverse events caused by opioid use. 344 methadone maintenance treatment (MMT) patients were recruited with records and measurements on methadone dose, plasma methadone concentrations, and treatment emergent symptom scales (TESS). 15 patients reported with skin irritation. Five SNPs located within the NECTIN4 genetic region were genotyped. The NECTIN4 gene within the adherens junction interaction pathway was associated with methadone dose in pathway-based genome wide association analyses (P = 0.0008). Three highly-linked SNPs, rs11265549, rs3820097, and rs4656978, were significantly associated with methadone dose (P = 0.0003), plasma concentrations of R,S-methadone (P = 0.0004) and TNF-α (P = 0.010) in all 344 MMT patients, and with self-report skin irritation symptom scores (P = 0.010) in the 15 MMT patients who reported with skin irritation. To identify the possible roles of plasma level of Nectin-4 in the responses to MMT and opioid use, additional age- and gender-matched 51 controls and 83 methadone-free abstinent former heroin users were recruited. Plasma level of Nectin-4 was the highest in MMT patients among the three groups. The results suggest involvement of genetic variants on NECTIN4 in methadone dose. Plasma Nectin-4 level is likely an indicator for continued use of opioids.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32555608</pmid><doi>10.1371/journal.pone.0234549</doi><tpages>e0234549</tpages><orcidid>https://orcid.org/0000-0001-7519-2965</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - adverse effects
Antibodies
Bioinformatics
Biology and Life Sciences
Cell adhesion & migration
Cell Adhesion Molecules - blood
Cell Adhesion Molecules - genetics
Clinical trials
Complications and side effects
Cytokines
Dose-response relationship
Drug abuse
Drug dosages
Drug metabolism
Enzymes
Female
Gene expression
Genetic aspects
Genetic diversity
Genetic Predisposition to Disease
Genetic variance
Genetic variation
Genome-Wide Association Study
Genomes
Health aspects
Health sciences
Heroin
Heroin Dependence - blood
Heroin Dependence - drug therapy
Heroin Dependence - genetics
Heroin Dependence - pathology
Humans
Irritation
Maintenance
Male
Medical records
Medical research
Medicine and Health Sciences
Methadone
Methadone - administration & dosage
Methadone - adverse effects
Methadone - blood
Narcotics
Nectin
Opiate Substitution Treatment - methods
Opioid-Related Disorders - blood
Opioid-Related Disorders - drug therapy
Opioid-Related Disorders - genetics
Opioid-Related Disorders - pathology
Opioids
Plasma
Single-nucleotide polymorphism
Skin
Social Sciences
Tumor necrosis factor-TNF
Tumor necrosis factor-α
title Genetic variants in NECTIN4 encoding an adhesion molecule are associated with continued opioid use
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