A common genetic variant in the 15q24 nicotinic acetylcholine receptor gene cluster (CHRNA5-CHRNA3-CHRNB4) is associated with a reduced ability of women to quit smoking in pregnancy.
- Authors
- Freathy, Rachel M; Ring, Susan M; Shields, Beverley; Galobardes, Bruna; Knight, Beatrice; Weedon, Michael N; Smith, George Davey; Frayling, Timothy M; Hattersley, Andrew T
- Year
- 2009
- Journal
- Human molecular genetics
- PMID
- 19429911
- DOI
- 10.1093/hmg/ddp216
- PMCID
- PMC2706684
Maternal smoking during pregnancy is associated with low birth weight and adverse pregnancy outcomes. Women are more likely to quit smoking during pregnancy than at any other time in their lives, but some pregnant women continue to smoke. A recent genome-wide association study demonstrated an association between a common polymorphism (rs1051730) in the nicotinic acetylcholine receptor gene cluster (CHRNA5-CHRNA3-CHRNB4) and both smoking quantity and nicotine dependence. We aimed to test whether the same polymorphism that predisposes to greater cigarette consumption would also reduce the likelihood of smoking cessation in pregnancy. We studied 7845 pregnant women of European descent from the South-West of England. Using 2474 women who smoked regularly immediately pre-pregnancy, we analysed the association between the rs1051730 risk allele and both smoking cessation during pregnancy and smoking quantity. Each additional copy of the risk allele was associated with a 1.27-fold higher odds (95% CI 1.11-1.45) of continued smoking during pregnancy (P = 0.0006). Adjustment for pre-pregnancy smoking quantity weakened, but did not remove this association [odds ratio (OR) 1.20 (95% CI 1.03-1.39); P = 0.018]. The same risk allele was also associated with heavier smoking before pregnancy and in the first, but not the last, trimester [OR for smoking 10+ cigarettes/day versus 1-9/day in first trimester = 1.30 (95% CI 1.13-1.50); P = 0.0003]. To conclude, we have found strong evidence of association between the rs1051730 variant and an increased likelihood of continued smoking in pregnancy and have confirmed the previously observed association with smoking quantity. Our data support the role of genetic factors in influencing smoking cessation during pregnancy.
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| Name | Type |
|---|---|
| 1649 mothers local | cohort |
| adoptive families cohort local | cohort |
| age | phenotype |
| Age started smoking local | phenotype |
| ALSPAC | cohort |
| Avon Longitudinal Study of Parents and Children (ALSPAC) | cohort |
| birth weight | phenotype |
| BMI | phenotype |
| Chrna3 | gene |
| CHRNA5 | gene |
| CHRNA5-CHRNA3-CHRNB4 cluster | gene |
| Chrnb4 | gene |
| cigarettes | phenotype |
| common variants | cohort |
| continued smoking local | phenotype |
| continued smoking in pregnancy local | phenotype |
| continuing to smoke in pregnancy local | phenotype |
| cotinine | drug |
| educational attainment | phenotype |
| EFSOCH local | cohort |
| Europeans | cohort |
| European women local | cohort |
| Exeter Family Study of Childhood Health local | cohort |
| Fetal growth restriction local | phenotype |
| first trimester smoking local | phenotype |
| first trimester smoking quantity local | phenotype |
| FTO | gene |
| FTO common variant | variant |
| heavy smoking | phenotype |
| light smokers | phenotype |
| low birth weight | phenotype |
| lung cancer | phenotype |
| maternal age | phenotype |
| maternal genotype local | variant |
| maternal risk allele local | variant |
| maternal smoking | phenotype |
| metabolic traits | phenotype |
| nicotine | drug |
| nicotine dependence | phenotype |
| nicotinic agonist | drug |
| Non-responders | phenotype |
| non-smokers | phenotype |
| nonβsmoking women local | cohort |
| obesity | phenotype |
| Occupational position local | phenotype |
| parity | phenotype |
| partner's smoking local | phenotype |
| Partner's smoking status local | phenotype |
| pregnancy | phenotype |
| pregnancy complications | phenotype |
| pregnant women | cohort |
| Pre-pregnancy smokers local | phenotype |
| pre-pregnancy smoking quantity local | phenotype |
| preterm birth | phenotype |
| Responders | phenotype |
| risk allele | cohort |
| rs1051730 | variant |
| rs16969968 | variant |
| smoking | phenotype |
| smoking behaviour | phenotype |
| smoking cessation | phenotype |
| smoking cessation in pregnancy local | phenotype |
| Smoking cessation in pregnancy local | phenotype |
| smoking mothers (first/third trimester) local | cohort |
| smoking prevalence | phenotype |
| smoking quantity | phenotype |
| smoking quantity before pregnancy local | phenotype |
| smoking quantity in first trimester local | phenotype |
| socioeconomic position local | phenotype |
| stopped smoking local | phenotype |
| Sweden | cohort |
| Third trimester local | phenotype |
| third trimester smokers local | cohort |
| third trimester smoking local | phenotype |
| third trimester smoking quantity local | phenotype |
| Townsend deprivation score local | phenotype |
| United Kingdom | cohort |
| USA | cohort |
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