Variants in nicotinic receptors and risk for nicotine dependence.
OBJECTIVE
A recent study provisionally identified numerous genetic variants as risk factors for the transition from smoking to the development of nicotine dependence, including an amino acid change in the alpha5 nicotinic cholinergic receptor (CHRNA5). The purpose of this study was to replicate these findings in an independent data set and more thoroughly investigate the role of genetic variation in the cluster of physically linked nicotinic receptors, CHRNA5-CHRNA3-CHRNB4, and the risk of smoking.


METHODS
Individuals from 219 European American families (N=2,284) were genotyped across this gene cluster to test the genetic association with smoking. The frequency of the amino acid variant (rs16969968) was studied in 995 individuals from diverse ethnic populations. In vitro studies were performed to directly test whether the amino acid variant in the CHRNA5 influences receptor function.


RESULTS
A genetic variant marking an amino acid change showed association with the smoking phenotype (p=0.007). This variant is within a highly conserved region across nonhuman species, but its frequency varied across human populations (0% in African populations to 37% in European populations). Furthermore, functional studies demonstrated that the risk allele decreased response to a nicotine agonist. A second independent finding was seen at rs578776 (p=0.003), and the functional significance of this association remains unknown.


CONCLUSIONS
This study confirms that at least two independent variants in this nicotinic receptor gene cluster contribute to the development of habitual smoking in some populations, and it underscores the importance of multiple genetic variants contributing to the development of common diseases in various populations.
Department of Psychiatry, Washington University School of Medicine, Box 8134, 660 South Euclid Ave., St. Louis, MO 63110, USA. bierutl@msnotes.wustl.edu
Laura Jean
LJ
Bierut
Jerry A
JA
Stitzel
Jen C
JC
Wang
Anthony L
AL
Hinrichs
Richard A
RA
Grucza
Xiaoling
X
Xuei
Nancy L
NL
Saccone
Scott F
SF
Saccone
Sarah
S
Bertelsen
Louis
L
Fox
William J
WJ
Horton
Naomi
N
Breslau
John
J
Budde
C Robert
CR
Cloninger
Danielle M
DM
Dick
Tatiana
T
Foroud
Dorothy
D
Hatsukami
Victor
V
Hesselbrock
Eric O
EO
Johnson
John
J
Kramer
Samuel
S
Kuperman
Pamela A F
PA
Madden
Kevin
K
Mayo
John
J
Nurnberger
Ovide
O
Pomerleau
Bernice
B
Porjesz
Oliver
O
Reyes
Marc
M
Schuckit
Gary
G
Swan
Jay A
JA
Tischfield
Howard J
HJ
Edenberg
John P
JP
Rice
Alison M
AM
Goate
D002460:Cell Line; D017931:DNA Primers / Q000235:genetics; D005838:Genotype; D006801:Humans; D015810:Linkage Disequilibrium; D009419:Nerve Tissue Proteins / Q000235:genetics*; D010641:Phenotype; D016133:Polymerase Chain Reaction; D020641:Polymorphism, Single Nucleotide / Q000235:genetics; D011978:Receptors, Nicotinic / Q000235:genetics*; D012307:Risk Factors; D013045:Species Specificity; D014029:Tobacco Use Disorder / Q000235:genetics*
D017931:DNA Primers; D009419:Nerve Tissue Proteins; D011978:Receptors, Nicotinic; C447158:CHRNA5 protein, human; C447159:CHRNB4 protein, human