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A case-control study was carried out, which included 107 cocaine and crack users and 115 controls who never used healthy cocaine and crack. The SNPs in the TNFA (-308G/A), IL-10 (-819C/T) and ENOS (-786T/C) genes were genotyped by real time PCR.
Our results suggest that genetic polymorphisms promote susceptibility or promote protection for clinical phenotypes of psychiatric comorbidities in cocaine and crack users and be considered as good prognostic markers.
Cocaine is used by an estimated 18.2 million people worldwide, about 0.4 percent of the global population aged between 15 and 64 years [1]. Disorders triggered by the use of cocaine and crack consist of a complex public health problem that involves consequences at the biological level and in social behavior [2, 3]. The chronic use of cocaine is often accompanied by several mental disorders, such as chronic depressive symptoms [4], suicide risk, post-traumatic stress disorder, antisocial personality disorder [5], and anxiety disorders [6].
From this perspective, several studies have demonstrated the role of single nucleotide polymorphisms (SNPs) in molecules of the immune system and oxidative stress that contribute to susceptibility to mental disorders [19-21]; however, there are no investigations involving drug users to understand the development of these disorders. In the present study, we hypothesize that IL-10 (-819C/T), TNFA (-30G/A8) and ENOS (-786T/C) polymorphisms can modulate the outcome of mental disorders in cocaine and crack users. The aim of this study was to investigate the role of genetic polymorphisms of cytokines and oxidative stress in the development of psychiatric comorbidities in cocaine and crack users.
The study was approved by the Ethics Committee of the Federal University of Alagoas, and all participants provided a free and informed consent term (protocol nº 2.408.885 and CAAE 67643417.3.0000.5013). For this research, we conducted a case-control study with a sample of 107 cocaine and crack users recruited from three therapeutic community groups in a state in Northeast Brazil. The control group (n=115) was composed of healthy volunteers who did not report an established clinical diagnosis of psychiatric comorbidities, were without positive diagnoses according to the MINI International Neuropsychiatric Interview (MINI version 5.0), were 18 years old, who reported that they had ne