The Difference of the $2^{nd}$ to $4^{th}$ Digit Length Ratio between Type I and Type II Alcoholism

알코올 의존 제I형 및 II형 환자에서 검지-약지 길이 비의 차이

  • 한창우 (계요의료재단 계요병원) ;
  • 이유상 (용인정신병원) ;
  • 함웅 (계요의료재단 계요병원) ;
  • 원성두 (계요의료재단 계요병원)
  • Received : 2011.10.30
  • Accepted : 2011.11.10
  • Published : 2011.11.30

Abstract

Objectives The second to fourth digit ratio (2D : 4D) is known to reflect testosterone level during intrauterine period. Testosterone is essential for masculinization of brain. Cloninger's type II alcoholism is characterized by early age at onset and largely limited to males. Compared with type I alcoholism, type II alcoholism is thought to be masculine. There is a possibility that the digit ratio of type II alcoholism is low compared with type I. We examined digit length ratio in Cloninger's type I and II alcoholism to understand the effects of intrauterine testosterone on the development of alcoholism. Methods The participants were 87 alcohol dependent patients. We divided two subtypes of patients by Irwin's symptom list, based on Cloninger's concept. We captured the images of both palms by the scanner and measured the lengths of digits by the graphic program. Then we analyzed the digit ratios by independent-sample t-test. Results The mean 2D : 4D of type I was 0.942 (right), 0.952 (left). The mean 2D : 4D of type II was 0.927 (right), 0.940 (left). In both hands, 2D : 4D of type II was significantly lower than type I. Conclusions Type II alcoholism showed masculine type of digit length ratio compared with type I. It suggests the exposure of testosterone during intrauterine period might play an important role in determining the course and feature of alcoholism.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: American Psychiatric Association;1994.
  2. Irwin M, Schuckit M, Smith TL. Clinical importance of age at onset in type 1 and type 2 primary alcoholics. Arch Gen Psychiatry 1990; 47:320-324. https://doi.org/10.1001/archpsyc.1990.01810160020003
  3. Mayfield RD, Harris RA, Schuckit MA. Genetic factors influencing alcohol dependence. Br J Pharmacol 2008;154:275-287.
  4. Schuckit MA. Genetics of the risk for alcoholism. Am J Addict 2000;9:103-112. https://doi.org/10.1080/10550490050173172
  5. Prescott CA, Aggen SH, Kendler KS. Sex differences in the sources of genetic liability to alcohol abuse and dependence in a population- based sample of U.S. twins. Alcohol Clin Exp Res 1999;23:1136- 1144. https://doi.org/10.1111/j.1530-0277.1999.tb04270.x
  6. Pickens RW, Svikis DS, McGue M, Lykken DT, Heston LL, Clayton PJ. Heterogeneity in the inheritance of alcoholism. A study of male and female twins. Arch Gen Psychiatry 1991;48:19-28. https://doi.org/10.1001/archpsyc.1991.01810250021002
  7. Jellinek EM. The disease concept of alcoholism. New Brunswick: Hillhouse Press;1960.
  8. Babor TF, Hofmann M, DelBoca FK, Hesselbrock V, Meyer RE, Dolinsky ZS, et al. Types of alcoholics, I. Evidence for an empirically derived typology based on indicators of vulnerability and severity. Arch Gen Psychiatry 1992;49:599-608. https://doi.org/10.1001/archpsyc.1992.01820080007002
  9. Cloninger CR, Bohman M, Sigvardsson S. Inheritance of alcohol abuse. Cross-fostering analysis of adopted men. Arch Gen Psychiatry 1981;38:861-868. https://doi.org/10.1001/archpsyc.1981.01780330019001
  10. Leggio L, Kenna GA, Fenton M, Bonenfant E, Swift RM. Typologies of alcohol dependence. From Jellinek to genetics and beyond. Neuropsychol Rev 2009;19:115-129. https://doi.org/10.1007/s11065-008-9080-z
  11. von Knorring AL, Bohman M, von Knorring L, Oreland L. Platelet MAO activity as a biological marker in subgroups of alcoholism. Acta Psychiatr Scand 1985;72:51-58.
  12. Oreland L. Platelet monoamine oxidase, personality and alcoholism: the rise, fall and resurrection. Neurotoxicology 2004;25:79-89. https://doi.org/10.1016/S0161-813X(03)00115-3
  13. von Knorring AL, Hallman J, von Knorring L, Oreland L. Platelet monoamine oxidase activity in type 1 and type 2 alcoholism. Alcohol Alcohol 1991;26:409-416.
  14. Lee HK, Chou SP, Cho MJ, Park JI, Dawson DA, Grant BF. The prevalence and correlates of alcohol use disorders in the United States and Korea--a cross-national comparative study. Alcohol 2010;44: 297-306. https://doi.org/10.1016/j.alcohol.2010.02.005
  15. Ceylan-Isik AF, McBride SM, Ren J. Sex difference in alcoholism: who is at a greater risk for development of alcoholic complication? Life Sci 2010;87:133-138. https://doi.org/10.1016/j.lfs.2010.06.002
  16. Pfefferbaum A, Rosenbloom M, Deshmukh A, Sullivan E. Sex differences in the effects of alcohol on brain structure. Am J Psychiatry 2001;158:188-197. https://doi.org/10.1176/appi.ajp.158.2.188
  17. McCarthy MM, Auger AP, Bale TL, De Vries GJ, Dunn GA, Forger NG, et al. The epigenetics of sex differences in the brain. J Neurosci 2009;29:12815-12823. https://doi.org/10.1523/JNEUROSCI.3331-09.2009
  18. Manning JT, Barley L, Walton J, Lewis-Jones DI, Trivers RL, Singh D, et al. reproductive success. evidence for sexually antagonistic genes? Evol Hum Behav 2000;21:163-183. https://doi.org/10.1016/S1090-5138(00)00029-5
  19. Malas MA, Dogan S, Evcil EH, Desdicioglu K. Fetal development of the hand, digits and digit ratio (2D:4D). Early Hum Dev 2006;82: 469-475. https://doi.org/10.1016/j.earlhumdev.2005.12.002
  20. Manning JT, Bundred PE, Flanagan BF. The ratio of 2nd to 4th digit length: a proxy for transactivation activity of the androgen receptor gene? Med Hypotheses 2002;59:334-336. https://doi.org/10.1016/S0306-9877(02)00181-0
  21. Manning JT, Scutt D, Wilson J, Lewis-Jones DI. The ratio of 2nd to 4th digit length: a predictor of sperm numbers and concentrations of testosterone, luteinizing hormone and oestrogen. Hum Reprod 1998;13:3000-3004. https://doi.org/10.1093/humrep/13.11.3000
  22. Manning JT, Stewart A, Bundred PE, Trivers RL. Sex and ethnic differences in 2nd to 4th digit ratio of children. Early Hum Dev 2004;80:161-168. https://doi.org/10.1016/j.earlhumdev.2004.06.004
  23. Manning JT, Taylor RP. Second to fourth digit ratio and male ability in sport: implications for sexual selection in humans. Evol Hum Behav 2001;22:61-69. https://doi.org/10.1016/S1090-5138(00)00063-5
  24. Brown WM, Hines M, Fane BA, Breedlove SM. Masculinized finger length patterns in human males and females with congenital adrenal hyperplasia. Horm Behav 2002;42:380-386. https://doi.org/10.1006/hbeh.2002.1830
  25. Manning JT, Bundred PE. The ratio of 2nd to 4th digit length: a new predictor of disease predisposition? Med Hypotheses 2000;54:855- 857. https://doi.org/10.1054/mehy.1999.1150
  26. Okten A, Kalyoncu M, Yaris N. The ratio of second- and fourth-digit lengths and congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Early Hum Dev 2002;70:47-54. https://doi.org/10.1016/S0378-3782(02)00073-7
  27. Zheng Z, Cohn MJ. Developmental basis of sexually dimorphic digit ratios. Proc Natl Acad Sci USA 2011;108:16289-16294. https://doi.org/10.1073/pnas.1108312108
  28. Bailey AA, Hurd PL. Finger length ratio (2D : 4D) correlates with physical aggression in men but not in women. Biol Psychol 2005;68: 215-222. https://doi.org/10.1016/j.biopsycho.2004.05.001
  29. Cho HW, Chae JH, Lee YS. The differences of 2nd to 4th digit length ratio between schizophrenia patients and normal controls. J Korean Neuropsychiatr Assoc 2009;48:496-501.
  30. Collinson SL, Lim M, Chaw JH, Verma S, Sim K, Rapisarda A, et al. Increased ratio of 2nd to 4th digit (2D : 4D) in schizophrenia. Psychiatry Res 2010;176:8-12. https://doi.org/10.1016/j.psychres.2009.08.023
  31. Stevenson JC, Everson PM, Williams DC, Hipskind G, Grimes M, Mahoney ER. Attention deficit/hyperactivity disorder (ADHD) symptoms and digit ratios in a college sample. Am J Hum Biol 2007; 19:41-50. https://doi.org/10.1002/ajhb.20571
  32. Shin AY, Lee YS, Chae JH. A relationship between 2nd to 4th digit length ratio and aggression related-sports entries characteristics in female athletics of Korean national teams. Korean J Biol Psychiatry 2010;17:37-43.
  33. Jeon SW, Kim SH, Oh DH, Lee YS, Lee SH. The correlation between 2nd to 4th digit length ratio and characteristics of temperament and character in university students. Korean J Biol Psychiatry 2010;17:136-144.
  34. Kornhuber J, Erhard G, Lenz B, Kraus T, Sperling W, Bayerlein K, et al. Low digit ratio 2D : 4D in alcohol dependent patients. PLoS One 2011;6:e19332. https://doi.org/10.1371/journal.pone.0019332
  35. McFadden D, Shubel E. Relative lengths of fingers and toes in human males and females. Horm Behav 2002;42:492-500. https://doi.org/10.1006/hbeh.2002.1833
  36. Youn YJ, Rho SH. Comparison of PAI profile in patients with subtypes of alcohol dependence. J Korean Academy of Addiction Psychiaty 2003;7:28-36.
  37. Lee DK, Shin JK, Yun SM, Byun WT. A reliability and validity study of the. Korean version of the Alcohol Dependence Scale in alcoholics. J Korean Acad Addict Psychiaty 2000;4:30-37.
  38. Manning J. Digit ratio-a pointer to fertility, behavior, and health. New Brunswick, New Jersey: Rutgers University press;2002.
  39. Kaminsky Z, Wang SC, Petronis A. Complex disease, gender and epigenetics. Ann Med 2006;38:530-544. https://doi.org/10.1080/07853890600989211
  40. Williams TJ, Pepitone ME, Christensen SE, Cooke BM, Huberman AD, Breedlove NJ, et al. Finger-length ratios and sexual orientation. Nature 2000;404:455-456. https://doi.org/10.1038/35006555
  41. Lippa RA. Finger lengths, 2D : 4D ratios, and their relation to gender- related personality traits and the Big Five. Biol Psychol 2006;71:116-121. https://doi.org/10.1016/j.biopsycho.2005.02.004
  42. Kiefer F, Jimenez-Arriero MA, Klein O, Diehl A, Rubio G. Cloninger's typology and treatment outcome in alcohol-dependent subjects during pharmacotherapy with naltrexone. Addict Biol 2008; 13:124-129. https://doi.org/10.1111/j.1369-1600.2007.00073.x
  43. Csatho A, Osvath A, Bicsak E, Karadi K, Manning J, Kallai J. Sex role identity related to the ratio of second to fourth digit length in women. Biol Psychol 2003;62:147-156. https://doi.org/10.1016/S0301-0511(02)00127-8
  44. Son HG, Choi IG, Chai PG, Choi MR, Kim JH, Yang BH. Association of serotonin transporter gene polymorphism with alcohol dependence. Korean J Biol Psychiatry 2003;10:159-167.
  45. Lee SW, Chee IS, Lee JG. The validity of criteria for subgrouping alcoholics according to age of onset. J Korean Acad Addict Psychiaty 1998;2:213-219.
  46. Cheon YH, Rho SH. Correlation between serum choleterol level and impulsivity-aggressiveness in patients with alcohol dependence. J Korean Acad Addict Psychiaty 2000;4:11-23.
  47. Pettinati HM, Volpicelli JR, Kranzler HR, Luck G, Rukstalis MR, Cnaan A. Sertraline treatment for alcohol dependence: interactive effects of medication and alcoholic subtype. Alcohol Clin Exp Res 2000;24:1041-1049. https://doi.org/10.1111/j.1530-0277.2000.tb04648.x
  48. Bogenschutz MP, Scott Tonigan J, Pettinati HM. Effects of alcoholism typology on response to naltrexone in the COMBINE study. Alcohol Clin Exp Res 2009;33:10-18. https://doi.org/10.1111/j.1530-0277.2008.00804.x