Opioid use disorder risk alleles in self-reported assigned African American/Afro-Caribbean and European biogeographical genetic ancestry groups and in males and females

Pharmacogenomics J. 2024 Aug 1;24(4):23. doi: 10.1038/s41397-024-00337-y.

Abstract

The influence of genetic variants related to opioid use disorder (OUD) was evaluated using multiple logistic regression analysis in self-reported assigned African American/Afro-Caribbean and European biogeographical ancestry groups (BGAGs) and by sex. From a sample size of 1301 adult patients (>18 years of age) seen in emergency departments of three medical centers in Ohio, six variants were found to be associated with OUD. Two of the variants, rs2740574 (CYP3A4) and rs324029 (DRD3), were included in the analysis having met criteria of at least five subjects for each BGAG, variant carrier status, and OUD status combinations. Variant carriers in the African/Afro-Caribbean BGAG had slightly lower predicted probabilities of OUD. Variant carriers in the European BGAG had slightly higher predicted probabilities of OUD. Relative to sex, all the six variants met evaluation criteria (five subjects for all sex, variant, and OUD status combinations). No statistically significant interactions were found between a given variant, BGAGs and sex. Findings suggest variant testing relative to OUD risk can be applied across BGAGs and sex, however, studies in larger populations are needed.

MeSH terms

  • Adult
  • Alleles*
  • Black People / genetics
  • Black or African American* / genetics
  • Caribbean People
  • Cytochrome P-450 CYP3A / genetics
  • Female
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Male
  • Middle Aged
  • Opioid-Related Disorders* / genetics
  • Polymorphism, Single Nucleotide / genetics
  • Risk Factors
  • Self Report
  • White People* / genetics

Substances

  • CYP3A4 protein, human
  • Cytochrome P-450 CYP3A

Supplementary concepts

  • Afro-Caribbean people