A large-scale genome-wide association study meta-analysis of cannabis use disorder.
- Authors
- Johnson, Emma C; Demontis, Ditte; Thorgeirsson, Thorgeir E; Walters, Raymond K; Polimanti, Renato; Hatoum, Alexander S; Sanchez-Roige, Sandra; Paul, Sarah E; Wendt, Frank R; Clarke, Toni-Kim; Lai, Dongbing; Reginsson, Gunnar W; Zhou, Hang; He, June; Baranger, David A A; Gudbjartsson, Daniel F; Wedow, Robbee; Adkins, Daniel E; Adkins, Amy E; Alexander, Jeffry; Bacanu, Silviu-Alin; Bigdeli, Tim B; Boden, Joseph; Brown, Sandra A; Bucholz, Kathleen K; Bybjerg-Grauholm, Jonas; Corley, Robin P; Degenhardt, Louisa; Dick, Danielle M; Domingue, Benjamin W; Fox, Louis; Goate, Alison M; Gordon, Scott D; Hack, Laura M; Hancock, Dana B; Hartz, Sarah M; Hickie, Ian B; Hougaard, David M; Krauter, Kenneth; Lind, Penelope A; McClintick, Jeanette N; McQueen, Matthew B; Meyers, Jacquelyn L; Montgomery, Grant W; Mors, Ole; Mortensen, Preben B; Nordentoft, Merete; Pearson, John F; Peterson, Roseann E; Reynolds, Maureen D; Rice, John P; Runarsdottir, Valgerdur; Saccone, Nancy L; Sherva, Richard; Silberg, Judy L; Tarter, Ralph E; Tyrfingsson, Thorarinn; Wall, Tamara L; Webb, Bradley T; Werge, Thomas; Wetherill, Leah; Wright, Margaret J; Zellers, Stephanie; Adams, Mark J; Bierut, Laura J; Boardman, Jason D; Copeland, William E; Farrer, Lindsay A; Foroud, Tatiana M; Gillespie, Nathan A; Grucza, Richard A; Harris, Kathleen Mullan; Heath, Andrew C; Hesselbrock, Victor; Hewitt, John K; Hopfer, Christian J; Horwood, John; Iacono, William G; Johnson, Eric O; Kendler, Kenneth S; Kennedy, Martin A; Kranzler, Henry R; Madden, Pamela A F; Maes, Hermine H; Maher, Brion S; Martin, Nicholas G; McGue, Matthew; McIntosh, Andrew M; Medland, Sarah E; Nelson, Elliot C; Porjesz, Bernice; Riley, Brien P; Stallings, Michael C; Vanyukov, Michael M; Vrieze, Scott; Psychiatric Genomics Consortium Substance Use Disorders Workgroup; Davis, Lea K; Bogdan, Ryan; Gelernter, Joel; Edenberg, Howard J; Stefansson, Kari; Bรธrglum, Anders D; Agrawal, Arpana
- Year
- 2020
- Journal
- The lancet. Psychiatry
- PMID
- 33096046
- DOI
- 10.1016/S2215-0366(20)30339-4
- PMCID
- PMC7674631
BACKGROUND: Variation in liability to cannabis use disorder has a strong genetic component (estimated twin and family heritability about 50-70%) and is associated with negative outcomes, including increased risk of psychopathology. The aim of the study was to conduct a large genome-wide association study (GWAS) to identify novel genetic variants associated with cannabis use disorder. METHODS: To conduct this GWAS meta-analysis of cannabis use disorder and identify associations with genetic loci, we used samples from the Psychiatric Genomics Consortium Substance Use Disorders working group, iPSYCH, and deCODE (20โ916 case samples, 363โ116 control samples in total), contrasting cannabis use disorder cases with controls. To examine the genetic overlap between cannabis use disorder and 22 traits of interest (chosen because of previously published phenotypic correlations [eg, psychiatric disorders] or hypothesised associations [eg, chronotype] with cannabis use disorder), we used linkage disequilibrium score regression to calculate genetic correlations. FINDINGS: We identified two genome-wide significant loci: a novel chromosome 7 locus (FOXP2, lead single-nucleotide polymorphism [SNP] rs7783012; odds ratio [OR] 1ยท11, 95% CI 1ยท07-1ยท15, p=1ยท84โรโ10) and the previously identified chromosome 8 locus (near CHRNA2 and EPHX2, lead SNP rs4732724; OR 0ยท89, 95% CI 0ยท86-0ยท93, p=6ยท46โรโ10). Cannabis use disorder and cannabis use were genetically correlated (r 0ยท50, p=1ยท50โรโ10), but they showed significantly different genetic correlations with 12 of the 22 traits we tested, suggesting at least partially different genetic underpinnings of cannabis use and cannabis use disorder. Cannabis use disorder was positively genetically correlated with other psychopathology, including ADHD, major depression, and schizophrenia. INTERPRETATION: These findings support the theory that cannabis use disorder has shared genetic liability with other psychopathology, and there is a distinction between genetic liability to cannabis use and cannabis use disorder. FUNDING: National Institute of Mental Health; National Institute on Alcohol Abuse and Alcoholism; National Institute on Drug Abuse; Center for Genomics and Personalized Medicine and the Centre for Integrative Sequencing; The European Commission, Horizon 2020; National Institute of Child Health and Human Development; Health Research Council of New Zealand; National Institute on Aging; Wellcome Trust Case Control Consortium; UK Research and Innovation Medical Research Council (UKRI MRC); The Brain & Behavior Research Foundation; National Institute on Deafness and Other Communication Disorders; Substance Abuse and Mental Health Services Administration (SAMHSA); National Institute of Biomedical Imaging and Bioengineering; National Health and Medical Research Council (NHMRC) Australia; Tobacco-Related Disease Research Program of the University of California; Families for Borderline Personality Disorder Research (Beth and Rob Elliott) 2018 NARSAD Young Investigator Grant; The National Child Health Research Foundation (Cure Kids); The Canterbury Medical Research Foundation; The New Zealand Lottery Grants Board; The University of Otago; The Carney Centre for Pharmacogenomics; The James Hume Bequest Fund; National Institutes of Health: Genes, Environment and Health Initiative; National Institutes of Health; National Cancer Institute; The William T Grant Foundation; Australian Research Council; The Virginia Tobacco Settlement Foundation; The VISN 1 and VISN 4 Mental Illness Research, Education, and Clinical Centers of the US Department of Veterans Affairs; The 5th Framework Programme (FP-5) GenomEUtwin Project; The Lundbeck Foundation; NIH-funded Shared Instrumentation Grant S10RR025141; Clinical Translational Sciences Award grants; National Institute of Neurological Disorders and Stroke; National Heart, Lung, and Blood Institute; National Institute of General Medical Sciences.
Genetic correlations between CUD, cannabis use, and other traits of interestCUD=cannabis use disorder. GWAS=genome-wide association studies. rg=genetic correlation. *Significantly genetically correlated with CUD. โ Significantly different correlations between CUD and cannabis use (ฮฑ=0ยท002).
PheWAS associations between polygenic risk for CUD and phenotypes in the BioVU biobankThe 46 phenotypes shown are significantly associated with CUD (p<3ยท74 ร 10โ5, corrected for 1335 phenotypes tested). CUD=cannabis use disorder. PheWAS=phenotype-wide association study. NOS=not otherwise specified. SIRS=systemic inflammatory response syndrome.
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| Preliminary Evidence for Genetic Nurture in Depression and Neuroticism Through Polygenic Scores. | Tubbs JD et al. | โ | 2023 | โ |
| Psychoactive substance use in patients diagnosed with attention-deficit/hyperactivity disorder: an exploratory study. | Wiฤckiewicz G et al. | โ | 2023 | โ |
| Role of neuronal nicotinic acetylcholine receptors in cannabinoid dependence. | Buzzi B et al. | โ | 2023 | โ |
| Sleep Health at the Genomic Level: Six Distinct Factors and Their Relationships With Psychopathology. | Morrison CL et al. | โ | 2023 | โ |
| Testing the causal relationships of physical activity and sedentary behaviour with mental health and substance use disorders: a Mendelian randomisation study. | Iob E et al. | โ | 2023 | โ |
| The collaborative study on the genetics of alcoholism: Genetics. | Johnson EC et al. | โ | 2023 | โ |
| The Collaborative Study on the Genetics of Alcoholism: Overview. | Agrawal A et al. | โ | 2023 | โ |
| The collaborative study on the genetics of alcoholism: Sample and clinical data. | Dick DM et al. | โ | 2023 | โ |
| The Genetically Informed Neurobiology of Addiction (GINA) model. | Bogdan R et al. | โ | 2023 | โ |
| The Interrelationship of the Genetic Risks for Different Forms of Substance Use Disorder in a Swedish National Sample: A Top-Down Genetic Analysis. | Kendler KS et al. | โ | 2023 | โ |
| The pleiotropic contribution of genes in dopaminergic and serotonergic pathways to addiction and related behavioral traits. | Antรณn-Galindo E et al. | โ | 2023 | โ |
| The relationship between cannabis use, schizophrenia, and bipolar disorder: a genetically informed study. | Cheng W et al. | โ | 2023 | โ |
| The Stage-Based Model of Addiction-Using <i>Drosophila</i> to Investigate Alcohol and Psychostimulant Responses. | Cummins-Beebee PN et al. | โ | 2023 | โ |
| Towards a New Dynamic Interaction Model of Adolescent CUD Manifestation, Prevention, and Treatment: A Narrative Review. | Oosten W et al. | โ | 2023 | โ |
| Transcriptional signatures of heroin intake and relapse throughout the brain reward circuitry in male mice. | Browne CJ et al. | โ | 2023 | โ |
| Transcriptome-Wide Structural Equation Modeling of 13 Major Psychiatric Disorders for Cross-Disorder Risk and Drug Repurposing. | Grotzinger AD et al. | โ | 2023 | โ |
| Understanding the relationship between loneliness, substance use traits and psychiatric disorders: A genetically informed approach. | Martin E et al. | โ | 2023 | โ |
| Unraveling shared susceptibility loci and Mendelian genetic associations linking educational attainment with multiple neuropsychiatric disorders. | Chen D et al. | โ | 2023 | โ |
| Association of cannabis use disorder with cardiovascular diseases: A two-sample Mendelian randomization study. | Chen M et al. | โ | 2022 | โ |
| Association of Predicted Expression and Multimodel Association Analysis of Substance Abuse Traits. | Bost DM et al. | โ | 2022 | โ |
| Associations between cannabis use, cannabis use disorder, and mood disorders: longitudinal, genetic, and neurocognitive evidence. | Kuhns L et al. | โ | 2022 | โ |
| Associations between cognition and polygenic liability to substance involvement in middle childhood: Results from the ABCD study. | Paul SE et al. | โ | 2022 | โ |
| Cannabis use and the risk of periodontitis: A two-sample Mendelian randomization study. | Baumeister SE et al. | โ | 2022 | โ |
| Characterisationย of the genetic relationship between the domains of sleep and circadian-related behavioursย with substance use phenotypes. | Hatoum AS et al. | โ | 2022 | โ |
| Chronic adolescent exposure to cannabis in mice leads to sex-biased changes in gene expression networks across brain regions. | Zuo Y et al. | โ | 2022 | โ |
| Clinical, environmental, and genetic risk factors for substance use disorders: characterizing combined effects across multiple cohorts. | Barr PB et al. | โ | 2022 | โ |
| Comorbidity and Coaggregation of Major Depressive Disorder and Bipolar Disorder and Cannabis Use Disorder in a Controlled Family Study. | Quick CR et al. | โ | 2022 | โ |
| Comorbidity between mood and substance-related disorders: A systematic review and meta-analysis. | Saha S et al. | โ | 2022 | โ |
| Consensus paper of the WFSBP task force on cannabis, cannabinoids and psychosis. | D'Souza DC et al. | โ | 2022 | โ |
| Cross-ancestry meta-analysis of opioid use disorder uncovers novel loci with predominant effects in brain regions associated with addiction. | Kember RL et al. | โ | 2022 | โ |
| Differences in the genetic architecture of common and rare variants in childhood, persistent and late-diagnosed attention-deficit hyperactivity disorder. | Rajagopal VM et al. | โ | 2022 | โ |
| Epigenetic Signatures of Smoking in Five Brain Regions. | Zillich L et al. | โ | 2022 | โ |
| FOXN3 and GDNF Polymorphisms as Common Genetic Factors of Substance Use and Addictive Behaviors. | Vereczkei A et al. | โ | 2022 | โ |
| Genetics in psychiatry: Methods, clinical applications and future perspectives. | Fabbri C | โ | 2022 | โ |
| Genetics of Attention-Deficit Hyperactivity Disorder. | Langley K et al. | โ | 2022 | โ |
| Genome-wide association study in individuals of European and African ancestry and multi-trait analysis of opioid use disorder identifies 19 independent genome-wide significant risk loci. | Deak JD et al. | โ | 2022 | โ |
| Integrating human brain proteomic data with genome-wide association study findings identifies novel brain proteins in substance use traits. | Toikumo S et al. | โ | 2022 | โ |
| Is there a causal relationship between executive function and liability to mental health and substance use? A Mendelian randomization approach. | Burton SMI et al. | โ | 2022 | โ |
| Multi-omics signatures of alcohol use disorder in the dorsal and ventral striatum. | Zillich L et al. | โ | 2022 | โ |
| Neurogenetic and Epigenetic Aspects of Cannabinoids. | Dennen CA et al. | โ | 2022 | โ |
| Nongenetic Factors Associated With Psychotic Experiences Among UK Biobank Participants: Exposome-Wide Analysis and Mendelian Randomization Analysis. | Lin BD et al. | โ | 2022 | โ |
| Pairwise genetic meta-analyses between schizophrenia and substance dependence phenotypes reveals novel association signals with pharmacological significance. | Greco LA et al. | โ | 2022 | โ |
| Parsing genetically influenced risk pathways: genetic loci impact problematic alcohol use via externalizing and specific risk. | Barr PB et al. | โ | 2022 | โ |
| Prenatal alcohol and tobacco exposures and the risk of cannabis use in offspring: Findings from a population-based cohort study. | Duko B et al. | โ | 2022 | โ |
| Risks and Benefits of Cannabis and Cannabinoids in Psychiatry. | Hill KP et al. | โ | 2022 | โ |
| Substance abuse and the risk of severe COVID-19: Mendelian randomization confirms the causal role of opioids but hints a negative causal effect for cannabinoids. | Jabalameli MR et al. | โ | 2022 | โ |
| Substance use and common contributors to morbidity: A genetics perspective. | Sanchez-Roige S et al. | โ | 2022 | โ |
| The addiction risk factor: A unitary genetic vulnerability characterizes substance use disorders and their associations with common correlates. | Hatoum AS et al. | โ | 2022 | โ |
| The genetic aetiology of cannabis use: from twin models to genome-wide association studies and beyond. | Verweij KJH et al. | โ | 2022 | โ |
| The Genetic and Neural Substrates of Externalizing Behavior. | Baselmans B et al. | โ | 2022 | โ |
| The systems medicine of cannabinoids in pediatrics: the case for more pediatric studies. | O'Dell CP et al. | โ | 2022 | โ |
| Transforming the Future of Adolescent Health: Opportunities From the Adolescent Brain Cognitive Development Study. | Hoffman EA et al. | โ | 2022 | โ |
| Uncovering the genetic architecture of broad antisocial behavior through a genome-wide association study meta-analysis. | Tielbeek JJ et al. | โ | 2022 | โ |
| Using Mendelian randomization to explore the gateway hypothesis: possible causal effects of smoking initiation and alcohol consumption on substance use outcomes. | Reed ZE et al. | โ | 2022 | โ |
| Alcohol and cigarette smoking consumption as genetic proxies for alcohol misuse and nicotine dependence. | Sanchez-Roige S et al. | โ | 2021 | โ |
| Cannabis use and obesity-traits: A Mendelian randomization study. | Alayash Z et al. | โ | 2021 | โ |
| Cannabis Use, Pulmonary Function, and Lung Cancer Susceptibility: A Mendelian Randomization Study. | Baumeister SE et al. | โ | 2021 | โ |
| Exploring the genetic overlap of suicide-related behaviors and substance use disorders. | Colbert SMC et al. | โ | 2021 | โ |
| Genes identified in rodent studies of alcohol intake are enriched for heritability of human substance use. | Huggett SB et al. | โ | 2021 | โ |
| Genetic basis of cannabis use: a systematic review. | Hillmer A et al. | โ | 2021 | โ |
| Genetic Liability to Cannabis Use Disorder and COVID-19 Hospitalization. | Hatoum AS et al. | โ | 2021 | โ |
| Genetics of substance use disorders: a review. | Deak JD et al. | โ | 2021 | โ |
| Genetics of substance use disorders in the era of big data. | Gelernter J et al. | โ | 2021 | โ |
| Genome-wide association study of problematic opioid prescription use in 132,113 23andMe research participants of European ancestry. | Sanchez-Roige S et al. | โ | 2021 | โ |
| Integration of evidence across human and model organism studies: A meeting report. | Palmer RHC et al. | โ | 2021 | โ |
| Meta-Analysis of Transcriptome-Wide Association Studies across 13 Brain Tissues Identified Novel Clusters of Genes Associated with Nicotine Addiction. | Ye Z et al. | โ | 2021 | โ |
| Molecular genetics of substance use disorders: An umbrella review. | Lopez-Leon S et al. | โ | 2021 | โ |
| Smoking is significantly associated with increased risk of COVID-19 and other respiratory infections. | Rosoff DB et al. | โ | 2021 | โ |
| The Gut Microbiome and Substance Use Disorder. | Russell JT et al. | โ | 2021 | โ |
| The relationship between cannabis and schizophrenia: a genetically informed perspective. | Johnson EC et al. | โ | 2021 | โ |
| Using genetic information to inform policy on cannabis. | Hines LA et al. | โ | 2020 | โ |