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Short Communication |
Department of Medical Genetics, Institute of Basic Medical Sciences [Ha. I., T. O., Hi. I., K. Y-K., H. H., T. A.], and Institute of Community Medicine [H. I., K. E., Y-L. L., H. Y., S. T.], University of Tsukuba, Ibaraki, 305-8575 Japan; and Rural Health Care Center, Tsuchiura Kyodo General Hospital, Tsuchiura, Ibaraki, 305-0053 Japan [K. K.]
The serotoninergic system may be involved in smoking behavior because nicotine increases brain serotonin secretion, nicotine withdrawal decreases serotonin levels, and a selective serotonin reuptake inhibitor antagonizes the response to nicotine. Compared with the L allele, the S allele of the polymorphism in the upstream regulatory region of the serotonin transporter gene is associated with decreased transcription efficiency of the 5-HTT gene promoter. We examined this polymorphism in a Japanese population consisting of 387 males from two different areas in Japan. The L allele was observed significantly more often in smokers (21%) than in nonsmokers (lifetime nonsmokers + ex-smokers, 14%; P = 0.005). The presence of the L allele (the L/L + L/S genotypes) was also significantly increased in smokers (37%) compared with that in nonsmokers (24%; P = 0.003). The present study suggests that individuals with the S/S genotype are less inclined to smoke and/or can more easily stop smoking than others, supporting a role of the serotoninergic system in smoking behavior.
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