The DRD2 Gene in Dopamine Function

Dopamine is a crucial neurotransmitter in the brain, where it controls [R, R]:
- Motivation and reward
- Creativity and cognition
- Movement
- Social and parental bonding
The DRD2 gene encodes the D2 dopamine receptor — one of several vital types of dopamine receptors that regulate the activity of this neurotransmitter [R, R].
Unlike other major types of dopamine receptors, D2 receptors are inhibitory. This means that having more of these receptors generally results in lower overall dopamine activity in the brain, and vice-versa [R, R, R].
However, the situation is not always that straightforward: D2 receptor activity also enables dopamine-dependent reward pathways that make certain experiences pleasurable. DRD2 variants can impair the function of D2 receptors and correlate with addictive or reward-dependent behaviors [R, R].
Dopamine is a neurotransmitter crucial for emotional and mental health. The DRD2 gene codes for the D2 receptor found mostly in our brain’s reward pathways.
D2 Receptor Function & Eating Behavior
Dietary habits depend heavily on the “anticipatory” and “rewarding” effects of food. Hence, it is no surprise that dopamine plays a key role in food intake and eating behavior via D2 receptors [R].
Along with substance abuse and other addictive behaviors, impairments in D2 receptor signaling can contribute to different eating disorders and influence food preferences [R, R, R, R, R].
Some scientists argue that addiction to tasty, energy-dense food may trigger some of the same mechanisms involved in drug addiction (albeit to a lesser extent). These highly “rewarding” foods may cause the brain to release large amounts of dopamine, which could “over-stimulate” the brain’s reward pathways. Eventually, this strong, long-term dopamine stimulation could result in the reduction (“down-regulation“) of the total number of D2 receptors in the brain [R, R].
D2 dopamine receptors enable the reward pathways that influence our eating behavior and food preferences. Eating disorders and addictive behaviors have been associated with impaired D2 signaling.
When it comes to the genetic influences of D2 receptor function, most research has focused on one SNP: rs1800497.
Studies often also mention other SNPs — such as rs2283265, rs1076560, rs6275, rs6277, rs6279, and rs2514218 — but these variants are often all inherited together with the variant you carry for rs1800497, so they usually don’t represent truly “independent” genetic factors [R, R, R, R].
Food Preferences
According to five clinical trials with over 1,300 participants, the ‘A’ (also known as the “A1”) allele correlates with a higher preference for [R, R, R, R, R]:
- Carbohydrates (especially sugar)
- Fast food
- High-fat, fried foods
Interestingly, these effects also seem to be independent of age, gender, and ethnicity.
One study of 26 volunteers used brain imaging to measure how the brain responded to tasty food, depending on the rs1800497 variant each participant carried. When given a delicious milkshake, all participants rated its tastiness similarly — but those carrying the ‘A’ allele showed a blunted (weaker) response in the reward system [R].
People with rs1800497-A crave tasty, energy-dense foods — but the feelings of “reward” they experience upon consumption may be relatively weaker.
Eating Behavior
Among 394 Malaysian adults, those with the ‘A’ allele were more prone to uncontrolled eating [R]. Similarly, in a trial of 279 Dutch adolescents, this variant correlated with emotional eating in response to high psychological control from parents [R].
In two smaller studies, rs1800497-A correlated with high food reinforcement, which means people with this allele were willing to work harder to obtain food they liked. Consequently, they ultimately consumed significantly more calories than people with other alleles [R, R].
This same genetic variant has been associated with other dopamine-related issues, such as eating disorders, substance abuse, and impulsive behavior [R, R, R, R].
rs1800497-A has been associated with increased food cravings, emotional eating, and sometimes even the development of eating disorders.
Obesity & Weight Maintenance
The link between rs1800497 and obesity has been a topic of intense research, although some of this work has produced conflicting results.
According to a large meta-analysis of 33 trials, there was no strong or consistent correlation between this variant and body mass index (BMI). However, people with the ‘A’ allele may not respond well to (or comply with) weight-loss interventions, possibly due to increased impulsivity making it harder for them to make healthy food choices [R].
In one study, rs1800497-A showed a much stronger correlation with obesity among people with substance use disorders [R].
The link between rs1800497 and obesity is not straightforward and likely depends on other factors, such as impulsive behavior and/or predispositions toward substance abuse and other dopamine-related issues.
How It Works: The Two Faces of Dopamine
rs1800497 is found in the gene ANKK1, which controls the activity of DRD2 gene. The ‘A’ (“A1”) allele correlates with a 30% lower number (“density”) of D2 receptors [R, R, R].
According to the primary suggested mechanism, reduced D2 density may hinder the reward system. This could cause people with rs1800497-A to overeat, and/or choose high-fat and high-sugar foods to compensate for the relative lack of pleasure they experience when eating other, healthier foods [R, R, R].
However, the D2 dopamine receptors are inhibitory, so their lower density implies higher overall dopamine levels [R, R, R]. While this might seem counter-intuitive, some authors have suggested that — contrary to popular belief — dopamine might not be responsible for making us feel “pleasure” from rewards per se — instead, dopamine makes us “want” the reward. Thus, excessive dopamine activity could actually cause a vicious cycle of food-craving, due to increased motivation for tasty food [R].
The rs1800497 variant significantly reduces D2 dopamine receptor density in the brain. This may impair the reward system, and could pave the way for “addictive” behavior by contributing to greatly increased motivation for eating unhealthy foods.
Food for Thought: Research of dopamine-dependent reward mechanisms has led some scientists to ask a fundamental question: Is modern society turning us into “mindless pleasure junkies”? In support of this idea, these authors have pointed to the fact that people may becoming more and more addicted to short-term dopamine-boosting experiences, while neglecting “longer-term” concerns such as overall prosperity, health, and well-being [R].
We’ll return back to this intruiging idea later on, so keep reading for a potential solution these authors are offering!
Diet
Limit Intake of Sugar & Processed Carbs
As we discussed previously, people who carry the ‘A’ allele for rs1800497 tend to crave carb- and sugar-rich foods. Refined sugar, in particular, is highly addictive — and may even trigger some of the same neural pathways as addictive drugs [R]. Additionally, some studies have reported that animals fed high-sugar diets show reduced D2 receptor activity [R, R].
It is important to note that refined carbohydrate sources — such as white flour — have a high glycemic index, which means they quickly turn into sugar in your body, and can cause a potentially dangerous “spike” in blood sugar levels [R].
Excess sugar consumption can be one of your worst enemies when it comes to weight control, and is one of the single-most common factors that can lead to obesity [R, R].
Avoid High-Fat Diets
Animals fed high-fat diets have reduced D2 receptor activity [R, R].
People with rs1800497-A crave fried and fast foods, which are very often loaded with fat. Additionally, these unhealthy foods may also further impair the brain’s reward system, leading to a vicious cycle of habitual fast-food consumption [R, R, R, R].
A combination of fat and sugar — typical for fast foods and snacks — is particularly dangerous, as added sugar actually reduces the satiating effects of consuming fat [R].
With that said, this doesn’t mean you go to the other extreme and avoid consuming fats altogether! Unlike refined sugar, fats are essential and healthy — as long as they are consumed in moderation. Although heavily marketed, so-called “low-fat” products often compensate for reduced fat with high levels of added sugar and starches, and therefore are not necessarily a “healthier” alternative [R].
When in doubt, always check the nutritional labels of the food you’re eating — you may be surprised at just how unhealthy some “low-fat” products can be!
To potentially counteract your negative DRD2 variants and reduce food cravings, avoid highly-processed and “fast” foods, which are often very high in sugar and fat.
Increase Protein Intake
Rats fed a low-protein diet had lower D2 receptor density in their brains [R]. Dietary protein has a more potent satiating effect than carbs and fat, and may therefore help keep the reward system balanced and “well-tuned” [R].
Additional studies also suggest that getting more calories from protein may support weight loss, metabolism, and promote appropriate feelings of “fullness” after eating [R, R, R].
Therefore, it may be a good idea to consume a variety of protein-rich foods, such as [R]:
- Eggs
- Meat & fish
- Legumes
- Cheese (if not sensitive)
- Nuts & seeds
Protein-rich foods also supply tyrosine, the main amino acid our body and brain uses to create the neurotransmitter dopamine. However, it is still unclear whether dietary protein intake has a noticeable or significant impact on the levels of dopamine the brain is capable of producing [R].
Increase your intake of dietary protein to balance the reward system, reduce appetite, and improve weight control.
Intermittent Fasting
According to some sources, different types of caloric restriction (e.g., intermittent fasting & continuous restriction) may be equally effective for weight loss in the general population [R].
However, people with the ‘A’ allele for rs1800497 may prefer intermittent fasting (also sometimes known as “time-restricted eating“). Human trials suggest that intermittent fasting may help control appetite, and may even enhance the body’s ability to burn fat [R].
Intermittent fasting may even affect the brain’s dopamine system directly. For example, one study of obese rats reported that fasting actually led to increased numbers of D2 receptors in the brain [R].