The glucagon-like peptide-1 receptor as a potential treatment target in alcohol use disorder: evidence from human genetic association studies and a mouse model of alcohol dependence

Transl Psychiatry. 2015 Jun 16;5(6):e583. doi: 10.1038/tp.2015.68.

Abstract

The hormone glucagon-like peptide-1 (GLP-1) regulates appetite and food intake. GLP-1 receptor (GLP-1R) activation also attenuates the reinforcing properties of alcohol in rodents. The present translational study is based on four human genetic association studies and one preclinical study providing data that support the hypothesis that GLP-1R may have a role in the pathophysiology of alcohol use disorder (AUD). Case-control analysis (N = 908) was performed on a sample of individuals enrolled in the National Institute on Alcohol Abuse and Alcoholism (NIAAA) intramural research program. The Study of Addiction: Genetics and Environment (SAGE) sample (N = 3803) was used for confirmation purposes. Post hoc analyses were carried out on data from a human laboratory study of intravenous alcohol self-administration (IV-ASA; N = 81) in social drinkers and from a functional magnetic resonance imaging study in alcohol-dependent individuals (N = 22) subjected to a Monetary Incentive Delay task. In the preclinical study, a GLP-1R agonist was evaluated in a mouse model of alcohol dependence to demonstrate the role of GLP-1R for alcohol consumption. The previously reported functional allele 168Ser (rs6923761) was nominally associated with AUD (P = 0.004) in the NIAAA sample, which was partially replicated in males of the SAGE sample (P = 0.033). The 168 Ser/Ser genotype was further associated with increased alcohol administration and breath alcohol measures in the IV-ASA experiment and with higher BOLD response in the right globus pallidus when receiving notification of outcome for high monetary reward. Finally, GLP-1R agonism significantly reduced alcohol consumption in a mouse model of alcohol dependence. These convergent findings suggest that the GLP-1R may be an attractive target for personalized pharmacotherapy treatment of AUD.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking
  • Alcoholism / drug therapy
  • Alcoholism / genetics*
  • Alcoholism / physiopathology
  • Alleles
  • Animals
  • Behavior, Animal / drug effects
  • Brain / physiopathology
  • Case-Control Studies
  • Central Nervous System Depressants / administration & dosage
  • Disease Models, Animal
  • Ethanol / administration & dosage
  • Female
  • Functional Neuroimaging
  • Genetic Association Studies
  • Genotype
  • Globus Pallidus / physiopathology*
  • Glucagon-Like Peptide-1 Receptor / agonists*
  • Glucagon-Like Peptide-1 Receptor / genetics*
  • Humans
  • Magnetic Resonance Imaging
  • Mice
  • Middle Aged
  • Molecular Targeted Therapy
  • Neuropsychological Tests
  • Peptides / pharmacology
  • Self Administration
  • Young Adult

Substances

  • AC3174
  • Central Nervous System Depressants
  • GLP1R protein, human
  • Glp1r protein, mouse
  • Glucagon-Like Peptide-1 Receptor
  • Peptides
  • Ethanol

Associated data

  • dbGaP/PHS000092.V1.P
  • dbGaP/PHS000092.V1.P1