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ADH1B is associated with alcohol dependence and alcohol consumption in populations of European and African ancestry
- L J Bierut1,
- A M Goate1,
- N Breslau2,
- E O Johnson3,
- S Bertelsen1,
- L Fox1,
- A Agrawal1,
- K K Bucholz1,
- R Grucza1,
- V Hesselbrock4,
- J Kramer5,
- S Kuperman6,
- J Nurnberger7,
- B Porjesz8,
- N L Saccone9,
- M Schuckit10,
- J Tischfield11,
- J C Wang1,
- T Foroud12,
- J P Rice1 &
- …
- H J Edenberg12,13
Molecular Psychiatryvolume 17, pages445–450 (2012)Cite this article
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210Citations
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Abstract
A coding variant in alcohol dehydrogenase 1B (ADH1B) (rs1229984) that leads to the replacement of Arg48 with His48 is common in Asian populations and reduces their risk for alcoholism, but because of very low allele frequencies the effects in European or African populations have been difficult to detect. We genotyped and analyzed this variant in three large European and African-American case–control studies in which alcohol dependence was defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria, and demonstrated a strong protective effect of the His48 variant (odds ratio (OR) 0.34, 95% confidence interval (CI) 0.24, 0.48) on alcohol dependence, with genome-wide significance (6.6 × 10–10). The hypothesized mechanism of action involves an increased aversive reaction to alcohol; in keeping with this hypothesis, the same allele is strongly associated with a lower maximum number of drinks in a 24-hour period (lifetime), withP=3 × 10–13. We also tested the effects of this allele on the development of alcoholism in adolescents and young adults, and demonstrated a significantly protective effect. This variant has the strongest effect on risk for alcohol dependence compared with any other tested variant in European populations.
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References
Edenberg HJ . The genetics of alcohol metabolism: role of alcohol dehydrogenase and aldehyde dehydrogenase variants.Alcohol Res Health 2007;30: 5–13.
Chen CC, Lu RB, Chen YC, Wang MF, Chang YC, Li TKet al. Interaction between the functional polymorphisms of the alcohol-metabolism genes in protection against alcoholism.Am J Hum Genet 1999;65: 795–807.
Thomasson HR, Edenberg HJ, Crabb DW, Mai XL, Jerome RE, Li TKet al. Alcohol and aldehyde dehydrogenase genotypes and alcoholism in Chinese men.Am J Hum Genet 1991;48: 677–681.
Whitfield JB . Alcohol dehydrogenase and alcohol dependence: variation in genotype-associated risk between populations.Am J Hum Genet 2002;71: 1247–1250; author reply 1250–1241.
Li D, Zhao H, Gelernter J . Strong association of the alcohol dehydrogenase 1B Gene (ADH1B) with alcohol dependence and alcohol-induced medical diseases.Biol Psychiatry 2011;70: 504–512.
Ding JH, Li SP, Cao HX, Wu JZ, Gao CM, Liu YTet al. Alcohol dehydrogenase-2 and aldehyde dehydrogenase-2 genotypes, alcohol drinking and the risk for esophageal cancer in a Chinese population.J Hum Genet 2010;55: 97–102.
McKay JD, Truong T, Gaborieau V, Chabrier A, Chuang SC, Byrnes Get al. A genome-wide association study of upper aerodigestive tract cancers conducted within the INHANCE consortium.PLoS Genet 2011;7: e1001333.
American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC, 1994.
Begleiter H, Reich T, Hesselbrock V, Porjesz B, Li T-K, Schuckit MAet al. The Collaborative Study on the Genetics of Alcoholism.Alcohol Health Res World 1995;19: 228–236.
Reich T, Edenberg HJ, Goate A, Williams JT, Rice JP, Van Eerdewegh Pet al. Genome-wide search for genes affecting the risk for alcohol dependence.Am J Med Genet 1998;81: 207–215.
Edenberg HJ, Koller DL, Xuei X, Wetherill L, McClintick JN, Almasy Let al. Genome-wide association study of alcohol dependence implicates a region on chromosome 11.Alcohol Clin Exp Res 2010;34: 840–852.
Bierut LJ, Madden PA, Breslau N, Johnson EO, Hatsukami D, Pomerleau OFet al. Novel genes identified in a high-density genome wide association study for nicotine dependence.Hum Mol Genet 2007;16: 24–35.
Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO . The Fagerstrom Test for nicotine dependence: a revision of the Fagerstrom Tolerance Questionnaire.Br J Addict 1991;86: 1119–1127.
Sherva R, Rice JP, Neuman RJ, Rochberg N, Saccone NL, Bierut LJ . Associations and interactions between SNPs in the alcohol metabolizing genes and alcoholism phenotypes in European Americans.Alcohol Clin Exp Res 2009;33: 848–857.
Bierut LJ, Strickland JR, Thompson JR, Afful SE, Cottler LB . Drug use and dependence in cocaine dependent subjects, community-based individuals, and their siblings.Drug Alcohol Depend 2008;95: 14–22.
Bucholz KK, Cadoret R, Cloninger CR, Dinwiddie SH, Hesselbrock VM, Nurnberger Jr JIet al. A new, semi-structured psychiatric interview for use in genetic linkage studies: a report on the reliability of the SSAGA.J Stud Alcohol 1994;55: 149–158.
Bucholz KK, Hesselbrock VM, Shayka JJ, Nurnberger Jr JI, Schuckit MA, Schmidt Iet al. Reliability of individual diagnostic criterion items for psychoactive substance dependence and the impact on diagnosis.J Stud Alcohol 1995;56: 500–505.
Hesselbrock M, Easton C, Bucholz KK, Schuckit M, Hesselbrock V . A validity study of the SSAGA—a comparison with the SCAN.Addiction 1999;94: 1361–1370.
Saccone SF, Hinrichs AL, Saccone NL, Chase GA, Konvicka K, Madden PAet al. Cholinergic nicotinic receptor genes implicated in a nicotine dependence association study targeting 348 candidate genes with 3713 SNPs.Hum Mol Genet 2007;16: 36–49.
Wang JC, Grucza R, Cruchaga C, Hinrichs AL, Bertelsen S, Budde JPet al. Genetic variation in the CHRNA5 gene affects mRNA levels and is associated with risk for alcohol dependence.Mol Psychiatry 2009;14: 501–510.
Price AL, Patterson NJ, Plenge RM, Weinblatt ME, Shadick NA, Reich D . Principal components analysis corrects for stratification in genome-wide association studies.Nat Genet 2006;38: 904–909.
Macgregor S, Lind PA, Bucholz KK, Hansell NK, Madden PA, Richter MMet al. Associations of ADH and ALDH2 gene variation with self report alcohol reactions, consumption and dependence: an integrated analysis.Hum Mol Genet 2009;18: 580–593.
Treutlein J, Cichon S, Ridinger M, Wodarz N, Soyka M, Zill Pet al. Genome-wide association study of alcohol dependence.Arch Gen Psychiatry 2009;66: 773–784.
Bierut LJ, Agrawal A, Bucholz KK, Doheny KF, Laurie C, Pugh Eet al. A genome-wide association study of alcohol dependence.Proc Natl Acad Sci USA 2010;107: 5082–5087.
Browning BL, Browning SR . A unified approach to genotype imputation and haplotype-phase inference for large data sets of trios and unrelated individuals.Am J Hum Genet 2009;84: 210–223.
Acknowledgements
Support for the Collaborative Study on the Genetics of Alcoholism (COGA) was provided by the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse (U10 AA008401). Support for the Collaborative Genetic Study of Nicotine Dependence (COGEND) was provided by the National Cancer Institute (P01 CA089392). Support for the Family Study of Cocaine Dependence (FSCD) was provided by the National Institute on Drug Abuse (R01 DA013423, R01 DA019963). This work was also supported by NIDA Grant K02 DA021237 to LJB. A detailed list of acknowledgments and funding sources can be found in the Supplementary Information online. We thank Sherri Fisher for her organization and assistance in the development of this manuscript.
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Authors and Affiliations
Department of Psychiatry, Washington University School of Medicine, St Louis, MO, USA
L J Bierut, A M Goate, S Bertelsen, L Fox, A Agrawal, K K Bucholz, R Grucza, J C Wang & J P Rice
Department of Epidemiology, Michigan State University, East Lansing, MI, USA
N Breslau
Division of Health, Social and Economic Research, Research Triangle Institute International, Research Triangle Park, NC, USA
E O Johnson
Department of Psychiatry, University of Connecticut, Farmington, CT, USA
V Hesselbrock
Department of Psychiatry, University of Iowa, Iowa City, IA, USA
J Kramer
Division of Child Psychiatry, University of Iowa Hospitals, Iowa City, IA, USA
S Kuperman
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA
J Nurnberger
Department of Psychiatry, State University of New York, Brooklyn, NY, USA
B Porjesz
Department of Genetics, Washington University School of Medicine, St Louis, MO, USA
N L Saccone
Department of Psychiatry, University of California-San Diego, La Jolla, CA, USA
M Schuckit
Department of Genetics, Rutgers University, Piscataway, NJ, USA
J Tischfield
Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN, USA
T Foroud & H J Edenberg
Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN, USA
H J Edenberg
- L J Bierut
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- A M Goate
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Correspondence toL J Bierut.
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Competing interests
Dr Bierut, Dr Rice, Dr Goate and Dr Wang are inventors on the patent ‘Markers for Addiction’ (US 20070258898) covering the use of certain SNPs in determining the diagnosis, prognosis and treatment of addiction. Dr NL Saccone is the spouse of Dr S Saccone, who is listed as an inventor on the patent. Dr Bierut served as a consultant for Pfizer Inc. in 2008. Dr Breslau, Dr Johnson, Ms Bertelsen, Mr Fox, Dr Agrawal, Dr Bucholz, Dr Grucza, Dr Hesselbrock, Dr Kramer, Dr Nurnberger, Dr Porjesz, Dr Schuckit, Dr Tischfield, Dr Foroud and Dr Edenberg declare no conflict of interest.
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Bierut, L., Goate, A., Breslau, N.et al.ADH1B is associated with alcohol dependence and alcohol consumption in populations of European and African ancestry.Mol Psychiatry17, 445–450 (2012). https://doi.org/10.1038/mp.2011.124
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