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Chunk #2 — Introduction

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Genome-wide time-to-event analysis on smoking progression stages in a family-based study.
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(Chen et al. 2012), and the effect of a functional CHRNA5 variant (rs16969968) on smoking quantity is reported to be stronger in early‐onset smokers than in late‐onset smokers (Hartz et al. 2012). Further, a genetic risk score composed of CHRNA5‐CHRNA3‐CHRNB4 and CYP2A6 (encoding the main metabolic enzyme for nicotine) variants highlighted in large CPD GWAS meta‐analyses (Liu et al. 2010; The Tobacco and Genetics Consortium 2010; Thorgeirsson et al. 2010) was unrelated to smoking initiation, but associated with progression to heavy smoking and ND (Belsky et al. 2013).