Department of Psychiatry (Box 8134), Washington University School of Medicine, 660S. Euclid Ave., St. Louis, MO 63110, USA.
Nicotine Tob Res. 2012 Apr;14(4):425-33. doi: 10.1093/ntr/ntr231. Epub 2011 Nov 18.
INTRODUCTION: Strong evidence demonstrates that nicotine dependence is associated with 4 genetic variants rs16969968, rs6474412, rs3733829, and rs1329650 in large-scale Genome-Wide Association Studies. We examined how these identified genetic variants relate to nicotine dependence defined by different categorical and dimensional measures. METHODS: Four genetic variants were analyzed in 2,047 subjects of European descent (1,062 cases and 985 controls). Nicotine dependence was assessed with multiple smoking measures, including the Fagerström Test for Nicotine Dependence, the Diagnostic and Statistical Manual for Mental Disorders-IV (DSM-IV) nicotine dependence, the Nicotine Dependence Syndrome Scale, and the Wisconsin Inventory of Smoking Dependence Motives. Single-item measures of cigarettes per day (CPD) and time to first cigarette (TTF) in the morning were also examined. RESULTS: Among the variants, association effect sizes were largest for rs16969968, with measures of craving and heavy smoking, especially cigarettes smoked per day, showing the largest effects. Significant but weaker associations were found for rs6474412 and rs3733729 but not for rs1329650. None of the more comprehensive measures of smoking behaviors yielded stronger genetic associations with these variants than did CPD. CONCLUSIONS: CPD is an important simple measure that captures in part the genetic associations of CHRNA5 and nicotine dependence, even when other more comprehensive measures of smoking behaviors are examined. The CHRNA5 gene is associated with heavy compulsive smoking and craving; this should inform the mission to improve the diagnostic validity of DSM-V.
简介:强有力的证据表明,尼古丁依赖与 4 个大规模全基因组关联研究中确定的遗传变异 rs16969968、rs6474412、rs3733829 和 rs1329650 有关。我们研究了这些已确定的遗传变异与通过不同类别和维度测量定义的尼古丁依赖之间的关系。
方法:在 2047 名欧洲血统的受试者(1062 例病例和 985 例对照)中分析了 4 个遗传变异。使用多种吸烟测量方法评估尼古丁依赖,包括尼古丁依赖测试、精神障碍诊断与统计手册第四版(DSM-IV)尼古丁依赖、尼古丁依赖综合征量表和威斯康星州吸烟依赖动机量表。还检查了每日吸烟量(CPD)和早晨第一支烟时间(TTF)的单一项目测量。
结果:在这些变异中,rs16969968 的关联效应最大,与渴望和重度吸烟的测量结果,特别是每天吸烟量,表现出最大的效果。rs6474412 和 rs3733729 也存在显著但较弱的关联,但 rs1329650 则没有。在这些变异中,没有任何更全面的吸烟行为测量方法比 CPD 产生更强的遗传关联。
结论:CPD 是一个重要的简单测量方法,即使在检查其他更全面的吸烟行为测量方法时,它也能部分捕捉到 CHRNA5 和尼古丁依赖的遗传关联。CHRNA5 基因与重度强迫性吸烟和渴望有关;这应该为改善 DSM-V 的诊断有效性提供信息。
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