{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T08:52:42Z","timestamp":1782377562869,"version":"3.54.5"},"reference-count":38,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Addict Res"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Aims:&lt;\/i&gt;&lt;\/b&gt; The nerve growth factor (NGF) and the vascular endothelial growth factor-A (VEGF-A) may be of importance for psychiatric diseases including substance use disorders. The aim of the study was to identify differences in the regulation of both neuropeptides via the DNA-methylation status of the promotor regions of NGF and VEGF-A in different forms of maintenance therapy for opioid dependence and the related stress regulation via the hypothalamic-pituitary-adrenal axis. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We compared methylation levels of opioid-dependent patients receiving treatment with diamorphine (&lt;i&gt;n&lt;\/i&gt;\u00a0= 28) or levomethadone (&lt;i&gt;n&lt;\/i&gt;\u00a0= 54) and similar levels in a healthy control group (&lt;i&gt;n&lt;\/i&gt;\u00a0= 72). &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; There was a significantly higher methylation of VEGF-A in opioid-maintained patients with levomethadone compared to that in the control group (estimated marginal means [EMM] [SE]): 0.036 [0.003] vs. 0.020 [0.003]; &lt;i&gt;p&lt;\/i&gt;\u00a0&amp;#x3c; 0.001). We performed a cluster analysis for NGF, splitting up the results in 4 clusters. We found significant changes in methylation rates of the opioid-maintained patients compared to the controls in cluster I ([EMM] [SE]: 0.064 [0.005] vs. 0.084 [0.006]; &lt;i&gt;p&lt;\/i&gt;\u00a0= 0.03), cluster II ([EMM] [SE]: 0.133 [0.013] vs. 0.187 [0.014]; &lt;i&gt;p&lt;\/i&gt;\u00a0&amp;#x3c; 0.001) and cluster III ([EMM] [SE]: 0.190 [0.014] vs. 0.128 [0.016]; &lt;i&gt;p&lt;\/i&gt;\u00a0&amp;#x3c; 0.001). &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; The results are of importance, as they indicate that long-term changes in stress regulation regulated by neurotrophines are a crucial part of the symptomatology of opioid dependence, thus influencing drug consumption and the different forms of opioid-maintenance therapies.<\/jats:p>","DOI":"10.1159\/000485030","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T22:02:10Z","timestamp":1512770530000},"page":"249-259","source":"Crossref","is-referenced-by-count":4,"title":["Epigenetic Regulation 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