We retrieved all eligible studies published up to April 12, 2011 from the PubMed/MEDLINE, EMBASE, and ISI Web of Science databases. Ethnicity-specific meta-analyses were performed using either fixed- or random-effect models as appropriate.
Twelve independent studies with 1900 cases and 2382 controls were included. Five studies were conducted in Asians and seven in Caucasians. Ethnicity-specific meta-analyses revealed that the A118G polymorphism was significantly associated with alcohol dependence risk in Asians (GA vs. AA: odds ratio [OR], 1.73; 95%confidence interval [CI], 1.33-2.25; GA + GG vs. AA: OR, 1.57; 95%CI, 1.22-2.02), but not in Caucasians (GA vs. AA: OR, 1.05; 95%CI, 0.75-1.49; GA + GG vs. AA: OR, 1.11; 95%CI, 0.79-1.55).
The OPRM1 A118G polymorphism may contribute to the susceptibility of alcohol dependence in Asians but not in Caucasians.