학술논문

Multivariate genome-wide association meta-analysis of over 1 million subjects identifies loci underlying multiple substance use disorders
Document Type
article
Source
Nature Mental Health. 1(3)
Subject
Biological Sciences
Biomedical and Clinical Sciences
Genetics
Biological Psychology
Psychology
Pharmacology and Pharmaceutical Sciences
Human Genome
Brain Disorders
Drug Abuse (NIDA only)
Substance Misuse
Genetic Testing
Prevention
2.1 Biological and endogenous factors
Aetiology
2.3 Psychological
social and economic factors
Mental health
Good Health and Well Being
Substance Use Disorder Working Group of the Psychiatric Genomics Consortium
Language
Abstract
Genetic liability to substance use disorders can be parsed into loci that confer general or substance-specific addiction risk. We report a multivariate genome-wide association meta-analysis that disaggregates general and substance-specific loci for published summary statistics of problematic alcohol use, problematic tobacco use, cannabis use disorder, and opioid use disorder in a sample of 1,025,550 individuals of European descent and 92,630 individuals of African descent. Nineteen independent SNPs were genome-wide significant (P < 5e-8) for the general addiction risk factor (addiction-rf), which showed high polygenicity. Across ancestries, PDE4B was significant (among other genes), suggesting dopamine regulation as a cross-substance vulnerability. An addiction-rf polygenic risk score was associated with substance use disorders, psychopathologies, somatic conditions, and environments associated with the onset of addictions. Substance-specific loci (9 for alcohol, 32 for tobacco, 5 for cannabis, 1 for opioids) included metabolic and receptor genes. These findings provide insight into genetic risk loci for substance use disorders that could be leveraged as treatment targets.