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Human Molecular Genetics Advance Access published online on November 29, 2006

Human Molecular Genetics, doi:10.1093/hmg/ddl438
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© The Author 2006. Published by Oxford University Press. All rights reserved

Cholinergic Nicotinic Receptor Genes Implicated in a Nicotine Dependence Association Study Targeting 348 Candidate Genes with 3,713 SNPs

Scott F. Sacconea,*,1, Anthony L. Hinrichsa,1, Nancy L. Saccone1, Gary A. Chase2, Karel Konvicka3, Pamela A.F. Madden1, Naomi Breslau4, Eric O. Johnson5, Dorothy Hatsukami6, Ovide Pomerleau7, Gary E. Swan8, Alison M. Goate1,9, Joni Rutter10, Sarah Bertelsen1, Louis Fox1, Douglas Fugman11, Nicholas G. Martin12, Grant W. Montgomery12, Jen C. Wang1, Dennis G. Ballinger3, John P. Rice1,9 and Laura Jean Bierut1

1 Department of Psychiatry, Washington University School of Medicine, Saint Louis, 63110, U.S.A. 2 Department of Health Evaluation Sciences, Penn State College of Medicine, Hershey, Pennsylvania, 17033, U.S.A. 3 Perlegen Sciences, Mountain View, California, 94043, U.S.A. 4 Department of Epidemiology, Michigan State University, East Lansing, Michigan, 48824, U.S.A. 5 Research Triangle Institute International, Research Triangle Park, North Carolina, 27709, U.S.A. 6 Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, 55454, U.S.A. 7 Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, 48109, U.S.A. 8 Center for Health Sciences, SRI International, Menlo Park, California, 94025, U.S.A. 9 Department of Genetics, Washington University School of Medicine, Saint Louis, 63110, U.S.A. 10 National Institute on Drug Abuse, Bethesda, Maryland, 20892, U.S.A. 11 Rutgers University Cell and DNA Repository, Rutgers University, Piscataway, New Jersey, 08854, U.S.A. 12 Queensland Institute of Medical Research, Queensland 4029, Australia

* Corresponding Author: Scott F. Saccone, Department of Psychiatry, Box 8134, Washington University School of Medicine, 660 South Euclid Avenue, Saint Louis, Missouri 63110, Facsimile: 314-286-2577, Telephone: 314-286-2581, Electronic Mail: saccones{at}msnotes.wustl.edu

Received August 11, 2006; Revised November 13, 2006; Accepted November 13, 2006

Nicotine dependence is one of the world's leading causes of preventable death. To discover genetic variants that influence risk for nicotine dependence, we targeted over three hundred candidate genes and analyzed 3,713 single nucleotide polymorphisms (SNPs) in 1,050 cases and 879 controls. The Fagerström test for nicotine dependence (FTND)was used to assess dependence, where cases were required to have an FTND of 4 or more. The control criterion was strict: control subjects must have smoked at least 100 cigarettes in their lifetimes and had an FTND of 0 during the heaviest period of smoking. After correcting for multiple testing by controlling the false discovery rate, several cholinergic nicotinic receptor genes dominated the top signals. The strongest association was from a SNP representing CHRNB3, the ß3 nicotinic receptor subunit gene (p=9.4x10–5). Biologically, the most compelling evidence for a risk variant came from a nonsynonymous SNP in the {alpha}5 nicotinic receptor subunit gene CHRNA5 (p=6.4x10–4). This SNP exhibited evidence of a recessive mode of inheritance, resulting in individuals having a two-fold increase in risk of developing nicotine dependence once exposed to cigarette smoking. Other genes among the top signals were KCNJ6 and GABRA4. This study represents one of the most powerful and extensive studies of nicotine dependence to date, and has found novel risk loci which require confirmation by replication studies.


a These authors contributed equally to this manuscript


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