학술논문

An ADH1B Variant and Peer Drinking in Progression to Adolescent Drinking Milestones: Evidence of a Gene‐by‐Environment Interaction
Document Type
article
Source
Alcoholism Clinical and Experimental Research. 38(10)
Subject
Paediatrics
Biomedical and Clinical Sciences
Genetics
Substance Misuse
Alcoholism
Alcohol Use and Health
Underage Drinking
Pediatric
Behavioral and Social Science
Prevention
Cardiovascular
Cancer
Oral and gastrointestinal
Stroke
Good Health and Well Being
Adolescent
Alcohol Dehydrogenase
Alcohol Drinking
Alcohol-Related Disorders
Alcoholism
Alleles
Child
Disease Progression
Drinking Behavior
Female
Gene-Environment Interaction
Genetic Variation
Humans
Longitudinal Studies
Male
Peer Group
Proportional Hazards Models
Psychological Distance
Risk Factors
Social Environment
United States
Young Adult
Peer Drinking
Clinical Sciences
Neurosciences
Psychology
Substance Abuse
Clinical sciences
Biological psychology
Clinical and health psychology
Language
Abstract
BackgroundAdolescent drinking is an important public health concern, one that is influenced by both genetic and environmental factors. The functional variant rs1229984 in alcohol dehydrogenase 1B (ADH1B) has been associated at a genome-wide level with alcohol use disorders in diverse adult populations. However, few data are available regarding whether this variant influences early drinking behaviors and whether social context moderates this effect. This study examines the interplay between rs1229984 and peer drinking in the development of adolescent drinking milestones.MethodsOne thousand five hundred and fifty European and African American individuals who had a full drink of alcohol before age 18 were selected from a longitudinal study of youth as part of the Collaborative Study on the Genetics of Alcoholism (COGA). Cox proportional hazards regression, with G × E product terms in the final models, was used to study 2 primary outcomes during adolescence: age of first intoxication and age of first DSM-5 alcohol use disorder symptom.ResultsThe minor A allele of rs1229984 was associated with a protective effect for first intoxication (HR = 0.56, 95% CI 0.41 to 0.76) and first DSM-5 symptom (HR = 0.45, 95% CI 0.26 to 0.77) in the final models. Reporting that most or all best friends drink was associated with a hazardous effect for first intoxication (HR = 1.81, 95% CI 1.62 to 2.01) and first DSM-5 symptom (HR = 2.17, 95% 1.88 to 2.50) in the final models. Furthermore, there was a significant G × E interaction for first intoxication (p = 0.002) and first DSM-5 symptom (p = 0.01). Among individuals reporting none or few best friends drinking, the ADH1B variant had a protective effect for adolescent drinking milestones, but for those reporting most or all best friends drinking, this effect was greatly reduced.ConclusionsOur results suggest that the risk factor of best friends drinking attenuates the protective effect of a well-established ADH1B variant for 2 adolescent drinking behaviors. These findings illustrate the interplay between genetic and environmental factors in the development of drinking milestones during adolescence.