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Effects of Taq1A/C957T polymorphic variants and somatic markers on decision-making performance in the IOWA Gambling Task: Influence of 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
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: 0000-0001-7787-2956
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(English)Manuscript (preprint) (Other academic)
Abstract [en]

Impairments in decision-making plays an important role in gambling disorder. Decision-making under uncertainty relies on an interplay between emotion and rationality, requiring changes in skin conductance responses (somatic markers), which involve changes in neurotransmitter release, such as dopamine. Functional variants of D2 receptor genotypes have been implicated in gambling disorder. Variability in dopamine D2 receptor genes and previous gambling may be associated with the biasing role of somatic markers in decision-making. This may also be modulated by sex. Hence, this study explored the relationship between polymorphic variants of DRD2/ANKK1 genotypes, previous exposure to gambling and sex on decision-making, and interactions with somatic markers. Participants (n = 270) performed the IOWA Gambling Task with recordings of anticipatory skin conductance responses and provided saliva samples for DNA extraction. Taq1A A1 and C957T C carriers with previous gambling exposure showed poorer decision-making than non-exposed individuals. In Taq1A A1 and C957T C variants, larger somatic markers were linked to improved decision-making, but this was not observed in individuals with gambling exposure who also displayed blunted somatic markers. Sensitivity to somatic markers as a function of C957T genotypes was also influenced by sex. Thus, the reduced D2 receptor expression in subgroups of gambling individuals may render them more susceptible to the adverse effects of gambling. Reduced sensitivity to emotional guidance may be prominent in subgroups carrying genotypes associated with reduced striatal D2 receptor expression. Results indicates differential susceptibility effects in a non-clinical sample, with possible implications for the predisposition and risk of developing problem gambling. 

National Category
Drug Abuse and Addiction
Identifiers
URN: urn:nbn:se:uu:diva-553303OAI: oai:DiVA.org:uu-553303DiVA, id: diva2:1947431
Available from: 2025-03-25 Created: 2025-03-25 Last updated: 2025-03-28Bibliographically 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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