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 RosendaalNajada 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

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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
DOIs
Publication statusPublished - 1 Jul 2018

Keywords

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

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