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Associations between Taq1A/C957T Polymorphic Variants and Autonomic Responsivity in a Slot Machine Task: Influence of real-life Gambling Exposure and Sex
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social medicine/CHAP. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland. Västmanland Hospital Västerås, Region Västmanland, Västerås, Sweden.ORCID iD: 0000-0002-8884-2872
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland. Västmanland Hospital Västerås, Region Västmanland, Västerås, Sweden.ORCID iD: 0000-0001-9927-2660
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Clinical Research, County of Västmanland. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences. Västmanland Hospital Västerås, Region Västmanland, Västerås, Sweden; School of Health, Care and Social Welfare, Mälardalen University, Sweden.ORCID iD: 0000-0002-8853-2508
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2025 (English)In: Journal of Gambling Studies, ISSN 1050-5350, E-ISSN 1573-3602, Vol. 41Article in journal (Refereed) Published
Abstract [en]

Monetary reward processing during gambling is associated with dopaminergic functioning. Emotional reactivity to different gambling stimuli can be indexed by autonomic nervous system (ANS) responses measured by skin conductance responses (SCR) and heart rate (HR). Genetic markers regulating neural dopaminergic activity, such as the D2 dopamine receptor, might confer differential sensitivity to gambling stimuli, which may also be modulated by previous exposure to gambling. To date, no previous studies have explored the relationship between genetic markers of the D2 dopamine receptor, real-life gambling exposure and ANS responses during gambling. Hence, this study explored associations and interactions between DRD2 C957T (rs6277) and ANKK1 Taq1A (rs1800497) genotypes, real-life gambling frequency and autonomic responses during reward anticipation and outcome delivery in a slot machine task producing wins, near-misses and full-misses. Participants (n = 270) performed a computerized slot machine task with recordings of SCRs and HR responses during gambling performance and provided saliva samples for DNA extraction. Taq1A A1 carriers showed increased SCRs and HR responses during reward anticipation and to wins. Greater responsivity during anticipation, as well as to wins and full-misses, was also observed in C957T heterozygotes. Regarding real-life gambling involvement, higher gambling frequency among Taq1A A1 carriers was associated with decreased HR responses during anticipation and to wins. Results suggest that polymorphic variants of the D2 dopamine receptor may confer differential sensitivity to different gambling stimuli which may further be modulated by real-life gambling exposures. However, further studies are needed in well powered samples of gamblers and control subjects.

Place, publisher, year, edition, pages
Springer Nature, 2025. Vol. 41
National Category
Drug Abuse and Addiction
Identifiers
URN: urn:nbn:se:uu:diva-553301DOI: 10.1007/s10899-025-10398-8ISI: 001499145400001PubMedID: 40445514Scopus ID: 2-s2.0-105006919058OAI: oai:DiVA.org:uu-553301DiVA, id: diva2:1947430
Available from: 2025-03-25 Created: 2025-03-25 Last updated: 2025-09-08Bibliographically approved
In thesis
1. Autonomic responses and decision-making during gambling: Gene-environment interactions and translational perspectives
Open this publication in new window or tab >>Autonomic responses and decision-making during gambling: Gene-environment interactions and translational perspectives
2025 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis investigated autonomic responses and decision-making during two gambling tasks in a population of young adults. The included papers specifically addressed: 1) autonomic responses and subjective perceptions of slot machine outcomes, with a focus on the effects of near-misses; 2) decision-making strategies in human and animal gambling tasks; and 3) differential autonomic responsivity during gambling and decision-making as a function of polymorphic variants of the dopamine D2 receptor (Taq1A and C957T), including potential influences of prior gambling exposure and sex.  

The four papers were based on data from an experimental study conducted at Västmanland Hospital in Västerås, Sweden. Participants (n = 270) completed two gambling tasks—a slot machine gambling task and the Iowa Gambling Task (IGT)—while their heart rate (HR) and skin conductance responses (SCR) were simultaneously recorded. Saliva samples were collected for DNA extraction. Additionally, Paper II included comparisons with adult outbred male Lister Hooded rats (N = 72) performing the rat Gambling Task (rGT).

Findings from Paper I contribute to the existing literature on the near-miss effect in gambling, demonstrating heightened autonomic responses to these structural features, along with distinct subjective perceptions of affect, motivation, and perceived chances of winning across different near-miss subtypes. Furthermore, females exhibited stronger responses to winning outcomes compared to males.

Comparisons of decision-making strategies in the IGT and rGT in Paper II revealed that human performance was characterized by exploration and learning over time, whereas rats displayed relatively stable preferences for advantageous choices throughout the task. Procedural differences in task protocols suggest that these models are suited to examining distinct aspects of decision-making.

Papers III and IV provide preliminary evidence that polymorphic variants of the D2 dopamine receptor are associated with differential autonomic sensitivity to slot machine gambling cues and rewards, as well as anticipatory responses linked to implicit guidance during decision-making under uncertainty. These relationships were further influenced by prior gambling exposure and sex, suggesting potential differential susceptibility to gambling stimuli.

In conclusion, near-misses should be considered in gambling regulation policies aimed at harm prevention. Translational inferences from both human and animal studies require careful methodological considerations and to what degree they capture similar psychological constructs that are relevant to real-world gambling behaviors. Furthermore, potential gene-environment interactions between genetic predispositions and gambling exposure in shaping emotional responses and decision-making warrant further investigation in well-powered studies.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2025. p. 101
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 2140
Keywords
Gambling, autonomic nervous system, heart rate, skin conductance, near-miss, deci-sion-making, DRD2, ANKK1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-553305 (URN)978-91-513-2445-6 (ISBN)
Public defence
2025-05-16, Aulan, Ingång 21, Västmanlands sjukhus, Västerås, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2025-04-23 Created: 2025-03-25 Last updated: 2025-04-23

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Hultman, CathrineRehn, MattiasNilsson, KentVadlin, SofiaÅslund, Cecilia

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