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Exploring the role of low-frequency and rare exonic variants in alcohol and tobacco use

  • Andries T. Marees*
  • , Anke R. Hammerschlag
  • , Lisa Bastarache
  • , Hilde de Kluiver
  • , Florence Vorspan
  • , Wim van den Brink
  • , Dirk J. Smit
  • , Damiaan Denys
  • , Eric R. Gamazon
  • , Ruifang Li-Gao
  • , Elemi J. Breetvelt
  • , Mark C.H. de Groot
  • , Tessel E. Galesloot
  • , Sita H. Vermeulen
  • , Jan L. Poppelaars
  • , Patrick C. Souverein
  • , Renske Keeman
  • , Renée de Mutsert
  • , Raymond Noordam
  • , Frits R. Rosendaal
  • Najada Stringa, Dennis O. Mook-Kanamori, Ilonca Vaartjes, Lambertus A. Kiemeney, Martin den Heijer, Natasja M. van Schoor, Olaf H. Klungel, Anke H. Maitland-Van der Zee, Marjanka K. Schmidt, Tinca J.C. Polderman, Andries R. van der Leij, Danielle Posthuma, Eske M. Derks
*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Alcohol and tobacco use are heritable phenotypes. However, only a small number of common genetic variants have been identified, and common variants account for a modest proportion of the heritability. Therefore, this study aims to investigate the role of low-frequency and rare variants in alcohol and tobacco use. Methods: We meta-analyzed ExomeChip association results from eight discovery cohorts and included 12,466 subjects and 7432 smokers in the analysis of alcohol consumption and tobacco use, respectively. The ExomeChip interrogates low-frequency and rare exonic variants, and in addition a small pool of common variants. We investigated top variants in an independent sample in which ICD-9 diagnoses of “alcoholism” (N = 25,508) and “tobacco use disorder” (N = 27,068) had been assessed. In addition to the single variant analysis, we performed gene-based, polygenic risk score (PRS), and pathway analyses. Results: The meta-analysis did not yield exome-wide significant results. When we jointly analyzed our top results with the independent sample, no low-frequency or rare variants reached significance for alcohol consumption or tobacco use. However, two common variants that were present on the ExomeChip, rs16969968 (p = 2.39 × 10−7) and rs8034191 (p = 6.31 × 10−7) located in CHRNA5 and AGPHD1 at 15q25.1, showed evidence for association with tobacco use. Discussion: Low-frequency and rare exonic variants with large effects do not play a major role in alcohol and tobacco use, nor does the aggregate effect of ExomeChip variants. However, our results confirmed the role of the CHRNA5-CHRNA3-CHRNB4 cluster of nicotinic acetylcholine receptor subunit genes in tobacco use.

Original languageEnglish
Pages (from-to)94-101
Number of pages8
JournalDrug and Alcohol Dependence
Volume188
Early online date25 Apr 2018
DOIs
Publication statusPublished - 1 Jul 2018

Keywords

  • Addiction
  • Alcohol
  • Exome
  • Nicotine
  • Pathway analysis
  • PRS
  • Rare variants
  • Tobacco

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