PMID- 19895766 OWN - NLM STAT- MEDLINE DCOM- 20100126 LR - 20221207 IS - 1938-4114 (Electronic) IS - 1937-1888 (Print) IS - 1937-1888 (Linking) VI - 70 IP - 6 DP - 2009 Nov TI - Drinking histories in alcohol-use-disordered youth: preliminary findings on relationships to platelet serotonin transporter expression with genotypes of the serotonin transporter. PG - 899-907 AB - OBJECTIVE: The serotonin (5-HT) transporter (5-HTT) is thought to play a key role in the onset of alcohol use, with potential behavioral and biological mechanisms mediated by the level of 5-HT in the synapse and in cerebral spinal fluid. Although 5-HT dysregulation has been related to poor impulse control, the biological mechanism is unknown, although functional control of the serotonergic system has been shown to be regulated in part by differential expression of the 5-HTT. The gene responsible for encoding 5-HTT has a functional polymorphism at the 5'-regulatory promoter region, which results in two forms: long (L) and short (S). The LL genotype is hypothesized to play a key role in the early onset of alcohol use and may be related to poor impulse control. The objective of this pilot study is to determine whether adolescents with a current alcohol-use disorder (AUD) (N = 21) have platelet measures of the 5-HTT functioning that are related to 5-HTT genotype and poor impulse control. Specifically, we wanted to examine the relationships between the following: platelet 5-HTT and 5-HTT genotype; platelet 5-HTT parameters and age at onset, as well as duration of drinking; and 5-HTT genotype and impulse control. METHOD: Adolescents with current AUD were recruited from the community to participate in a cross-section pilot study. RESULTS: Our main findings showed significantly higher paroxetine binding (density of 5-HTT) in LL genotype versus S carriers (SS or SL genotypes); also, the LL group had a significantly earlier age at onset of drinking and longer duration of drinking, and poorer impulse control. CONCLUSIONS: These findings provide partial support for the hypothesis that, among currently drinking adolescents with an AUD, differential expression of 5-HTT may play an important role in the onset of adolescent AUD. FAU - Dawes, Michael A AU - Dawes MA AD - Department of Psychiatry, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229-3900, USA. dawes@uthscsa.edu FAU - Roache, John D AU - Roache JD FAU - Javors, Martin A AU - Javors MA FAU - Bergeson, Susan E AU - Bergeson SE FAU - Richard, Dawn M AU - Richard DM FAU - Mathias, Charles W AU - Mathias CW FAU - Ait-Daoud, Nassima AU - Ait-Daoud N FAU - Dougherty, Donald M AU - Dougherty DM FAU - Johnson, Bankole A AU - Johnson BA LA - eng GR - R01 MH077684/MH/NIMH NIH HHS/United States GR - R01-MH-077684/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Stud Alcohol Drugs JT - Journal of studies on alcohol and drugs JID - 101295847 RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 0 (Serotonin Uptake Inhibitors) RN - 41VRH5220H (Paroxetine) SB - IM MH - Adolescent MH - Age of Onset MH - Alcohol Drinking/*genetics MH - Alcohol-Related Disorders/*genetics MH - Blood Platelets/metabolism MH - Cross-Sectional Studies MH - Disruptive, Impulse Control, and Conduct Disorders/complications/genetics MH - Female MH - Gene Expression MH - Genotype MH - Humans MH - Male MH - Paroxetine/metabolism MH - Pilot Projects MH - Polymorphism, Genetic MH - Serotonin Plasma Membrane Transport Proteins/*genetics MH - Selective Serotonin Reuptake Inhibitors/metabolism MH - Young Adult PMC - PMC2776120 EDAT- 2009/11/10 06:00 MHDA- 2010/01/27 06:00 PMCR- 2010/11/01 CRDT- 2009/11/10 06:00 PHST- 2009/11/10 06:00 [entrez] PHST- 2009/11/10 06:00 [pubmed] PHST- 2010/01/27 06:00 [medline] PHST- 2010/11/01 00:00 [pmc-release] AID - 899 [pii] AID - 10.15288/jsad.2009.70.899 [doi] PST - ppublish SO - J Stud Alcohol Drugs. 2009 Nov;70(6):899-907. doi: 10.15288/jsad.2009.70.899.