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Human Molecular Genetics Advance Access first published online on December 22, 2008
This version published online on January 7, 2009

Human Molecular Genetics, doi:10.1093/hmg/ddn439
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Published by Oxford University Press 2008
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.0/uk/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Expansion of the Human µ-Opioid Receptor Gene Architecture: Novel Functional Variants

Svetlana A. Shabalina1,*, Dmitri V. Zaykin2, Pavel Gris3, Aleksey Y. Ogurtsov1, Josee Gauthier3, Kyoko Shibata2, Inna E. Tchivileva3, Inna Belfer4,5,6, Bikashkumar Mishra4,5, Carly Kiselycznyk4,5, Margaret R. Wallace7, Roland Staud8, Nikolay A. Spiridonov9, Mitchell B. Max4,6, David Goldman5, Roger B. Fillingim8, William Maixner3 and Luda Diatchenko3,*

1 National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA 2 National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, USA 3 Center for Neurosensory Disorders, School of Dentistry, University of North Carolina at Chapel Hill, CB 7455, Chapel Hill, NC 27599, USA 4 National Institute of Dental and Craniofacial Research, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA 5 Laboratory of Neurogenetics, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Department of Health and Human Services, 5625 Fishers Lane, Room 3S-32, Rockville, MD 20852, USA 6 Department of Anesthesiology, University of Pittsburgh, Pittsburgh, PA 15261, USA 7 University of Florida College of Medicine, Department of Molecular Genetics and Microbiology, 1329 SW 16th Street, Gainesville, FL 32608, USA 8 University of Florida College of Dentistry, Community Dentistry and Behavioral Science, 1329 SW 16th Street, Gainesville, FL 32608, USA 9 Division of Therapeutic Proteins, Center for Drug Evaluation and Research, US Food and Drug Administration, Bethesda, MD 20892, USA

* corresponding authors: National Center for Biotechnology Information, National Library of Medicine, National Institutes of Health, Bethesda, MD 20894, USA, Tel: 301-594-5693; Fax: 301-480-2290; e-mail: shabalin{at}ncbi.nlm.nih.gov

Received September 18, 2008; Revised December 18, 2008; Accepted December 18, 2008

The µ-opioid receptor (OPRM1) is the principal receptor target for both endogenous and exogenous opioid analgesics. There are substantial individual differences in human responses to painful stimuli and to opiate drugs that are attributed to genetic variations in OPRM1. In searching for new functional variants, we employed comparative genome analysis and obtained evidence for the existence of an expanded human OPRM1 gene locus with new promoters, alternative exons and regulatory elements. Examination of polymorphisms within the human OPRM1 gene locus identified strong association between SNP rs563649 and individual variations in pain perception. SNP rs563649 is located within a structurally conserved internal ribosomal binding site (IRES) in the 5'UTR of a novel exon 13-containig OPRM1 isoforms (MOR-1K) and affects both mRNA levels and translation efficiency of these variants. Furthermore, rs563649 exhibits very strong linkage disequilibrium throughout the entire OPRM1 gene locus and thus affects the functional contribution of the corresponding haplotype that includes other functional OPRM1 SNPs. Our results provide evidence for an essential role for MOR-1K isoforms in nociceptive signaling and suggest that genetic variations in alternative OPRM1 isoforms may contribute to individual differences in opiate responses.


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