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Using only SNPs that are both independent and significantly associated to case-control status, we perform Fisher's exact test to determine SNP level odds ratios in relation to case-control status and then perform logistic regressions as post-hoc analysis, while considering various covariates.

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This result was not replicated in the SYS cohort. While preliminary, the present study suggests that the eCB system may play a role in the development of AUD in adolescents. Introduction Substance use disorders are a growing concern across the world, with an estimated 31 million users worldwide suffering from drug use disorders. After alcohol and tobacco, cannabis ranks as the most used drug worldwide 1.

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Moreover, those who use cannabis are more than five times more likely to have an alcohol use disorder AUD 2. Cannabinoid receptors and related enzymes are expressed in many of the reward centers of the brain: nucleus accumbens NAcventral tegmental area VTAamygdala, Independende: basal nucleus of the stria terminalis BNST 34.

Auditor Independence: Case Study

These eCB levels are affected by Cas 5and the eCB system plays a role in the development of AUD and other substance use disorders in humans 4. Basavarajappa and colleagues 6 demonstrated that acute ethanol use has been associated with an increase Auditor Independence: Case Study Audotor signaling, while others have reported that alcohol use decreases eCB signaling 78. Moreover, as is the case with other go here of abuse, eCBs mediate the Auditor Independence: Case Study signals associated with alcohol use 9.

Overall, the underlying evidence shows that the eCB system is modulated by ethanol use, and this same system may play an independent role in AUD It has been shown that polymorphisms in the CNR1 gene, the gene coding for the CB1 receptor protein, are associated with a range of diseases, psychiatric disorders, and substance use 13 — Many studies have assessed the various aspects of the eCB genes and their relationship with substance use disorders and risk-taking behavior.

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The single nucleotide polymorphism SNP rs in the CNR1 gene has been associated with severe alcoholism minor A allele 16heroin addiction major G allele 17 Studj, and impulsivity Furthermore, haplotype blocks within the CNR1 gene have been associated with addiction and addictive behavior 19 Polymorphisms in the FAAH gene have also been associated with problem drug use and addiction 21 Among these, only one study has found a positive association between SNPs of the MGLL gene and Auditor Independence: Case Study dependence 25while no studies have reported a significant association between DAGL and any form Auditor Independence: Case Study drug abuse.

Moreover, many of the original findings reporting an association between SNPs located in genes of the eCB and various drug abuse behaviors have not been replicated 426suggesting the possibility of false positive results in these candidate gene approaches.

Auditor Independence: Case Study

Nevertheless, while there are conflicting results among studies, the candidate gene literature suggests that genes related eCB proteins may play Auditor Independence: Case Study role in the development of substance use problems. While candidate gene findings in psychiatric genetics Audltor been widely criticized for replication failure, particularly with respect to GWAS and meta-analysis 27candidate gene approaches in addiction research have identified genetic read article that have been confirmed in GWAS and meta-analysis This is perhaps related to particularly heritable nature of addictive behaviors compared to other psychiatric conditions, or to the fact that candidate gene approaches can be directly informed by pharmacogenetic studies on how drugs of abuse interact with the brain's neurochemistry.

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Others have argued 29 that the failure to replicate candidate gene findings through GWAS and meta-analysis does not necessarily suggest the findings are false. The candidate gene findings may represent particular endophenotypes of sub-populations, which may account for a portion, albeit small, of genetic influence on the phenotype in question. Thus, other groups have utilized novel methodologies, such as gene-set approaches, to analyze hypothesis-based questions in psychiatric genetics and addiction medicine.

Recently, one group, utilizing said gene-set approaches, found that MGLL and the SNP rs interact with childhood sexual abuse to predict cannabis dependence symptoms Considering our relatively limited understanding of the roles of the various endocannabinoid genes in the pathogenesis of addictive behaviors, and the lack of robust findings at the individual SNP, or GWAS levels, gene-set, and system-based approaches remain of interest 25 Thus, the current study employs a gene-set based approach in an attempt to shed light on Auditor Independence: Case Study role of the eCB system in the pathogenesis of addictive behaviors.

Endocannabinoid genetic influence was studied through a candidate Auditor Independence: Case Study approach. To understand this relationship, a three-tiered approach was used. First, a set-based test 32 is utilized to study, at the gene level, the link between the eCB system and alcohol abuse behavior.

Finally, while some studies have investigated the interaction between two eCB genes and addictive behavior 3334none have examined the eCB system as a whole. A new wave of candidate gene studies have explored more complex gene-gene interactions, using various methods of multifactor dimensionality reductions analyses to yield promising results such as predicting outcomes in breast cancer treatment 35in determining genetic biomarkers to predict antidepressant response 36and further understanding the genetic influences of nicotine addiction Here, http://pinsoftek.com/wp-content/custom/sociological-imagination-essay/what-is-the-importance-of-secrecy-in-the-scarlet-letter.php utilized Generalized Multifactor Dimensionality Reduction GMDR to understand the effects that the multiple eCB genes may have on each other and their combined influence on alcoholic behavior in adolescence.]

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