Nicotinic acetylcholine receptor variation and response to smoking cessation therapies.
- Authors
- Bergen, Andrew W; Javitz, Harold S; Krasnow, Ruth; Nishita, Denise; Michel, Martha; Conti, David V; Liu, Jinghua; Lee, Won; Edlund, Christopher K; Hall, Sharon; Kwok, Pui-Yan; Benowitz, Neal L; Baker, Timothy B; Tyndale, Rachel F; Lerman, Caryn; Swan, Gary E
- Year
- 2013
- Journal
- Pharmacogenetics and genomics
- PMID
- 23249876
- DOI
- 10.1097/FPC.0b013e32835cdabd
- PMCID
- PMC3563676
OBJECTIVE: To evaluate the association of nicotinic acetylcholine receptor (nAChR) single nucleotide polymorphism (SNP) with 7-day point prevalence abstinence (abstinence) in randomized clinical trials of smoking cessation therapies in individuals grouped by pharmacotherapy randomization to inform the development of personalized smoking cessation therapy. MATERIALS AND METHODS: We quantified association of four SNPs at three nAChRs with abstinence in eight randomized clinical trials. Participants were 2633 outpatient treatment-seeking, self-identified European ancestry individuals smoking at least 10 cigarettes/day, recruited through advertisement, prescribed pharmacotherapy, and provided with behavioral therapy. Interventions included nicotine replacement therapy (NRT), bupropion, varenicline, placebo (PLA), or combined NRT and bupropion, and five modes of group and individual behavioral therapy. Outcome measures tested in multivariate logistic regression were end of treatment and 6 month (6MO) abstinence, with demographic, behavioral, and genetic covariates. RESULTS: 'Risk' alleles previously associated with smoking heaviness were significantly (P<0.05) associated with reduced abstinence in the PLA pharmacotherapy group (PG) at 6MO [for rs588765, odds ratio (95% confidence interval) 0.41 (0.17-0.99)], and at end of treatment and at 6MO [for rs1051730, 0.42 (0.19-0.93) and 0.31 (0.12-0.80)], and with increased abstinence in the NRT PG at 6MO [for rs588765, 2.07 (1.11-3.87) and for rs1051730, 2.54 (1.29-4.99)]. We observed significant heterogeneity in rs1051730 effects (F=2.48, P=0.021) between PGs. CONCLUSION: chr15q25.1 nAChR SNP risk alleles for smoking heaviness significantly increase relapse with PLA treatment and significantly increase abstinence with NRT. These SNP-PG associations require replication in independent samples for validation, and testing in larger sample sizes to evaluate whether similar effects occur in other PGs.
Effects of rs588765 and rs1051730 on abstinence at end of treatment (EOT) and six months (6MO) by pharmacotherapy group (PG) [nicotine replacement therapy (NRT), bupropion (BUP), placebo (PLA), varenicline (VAR), NRT and BUP (NRT+BUP), chronic NRT and BUP (cNRT+BUP) and chronic BUP and NRT (cBUP+NRT)].
Mediation of rs1051730 association with 6MO abstinence by nicotine dependence measures Fagerstrom Test for Nicotine Dependence (FTND) and cigarettes per day (CPD). a) Association of rs1051730 with 6MO abstinence without adjustment for nicotine dependence measures. The total path from rs1051730 to 6MO abstinence (not including the nicotine dependence measures FTND and CPD) is statistically significant at P<0.05. b) Mediation analyses of rs1051730 with 6MO abstinence with nicotine dependence measures. The direct path has a larger effect size and is more significant (P<0.01), than the total path in (a) above, due to the negative effects of FNTD and CPD on the total path. The path from rs1051730 through FTND to 6MO abstinence is statistically significant at P<0.05. The path from rs1051730 through CPD to 6MO abstinence is not statistically significant, though the association of rs1051730 with CPD is statistically significant at P<0.001.
Receiver Operating Characteristic (ROC) curves for a. placebo (PLA), b. nicotine replacement therapy (NRT) and c. all pharmacotherapy groups (All PG) models at 6MOs. ROC curves are shown for models including demographic variables (demos), demographic variables and rs1051730 (demos_SNP), demographic and dependence variables (demos_dep), demographics and dependence variables and rs1051730 (demos_dep_SNP), and all variables with other chr15q25.1 SNPs, rs588765 and rs578776 (demos_dep_SNP_covSNPs).
| Name | Type |
|---|---|
| 1000 Genomes CEU local | cohort |
| 6-month abstinence | phenotype |
| abstinence | phenotype |
| abstinence at EOT | phenotype |
| abstinence outcomes local | phenotype |
| active pharmacotherapy local | drug |
| age | phenotype |
| All PG local | cohort |
| axis I disorder | phenotype |
| baseline FagerstrΓΆm Test for Nicotine Dependence score local | phenotype |
| Behavioral counseling local | drug |
| Biospecimen local | drug |
| buprenorphine | drug |
| bupropion | drug |
| chr15q25.1 local | variant |
| chr15q25.1 nAChR SNP local | variant |
| chr15q25.1 risk haplotypes local | variant |
| chr15q25.1 SNPs local | variant |
| Chrna3 | gene |
| CHRNA5 | gene |
| Chrnb2 | gene |
| Chromosomal sex local | phenotype |
| cingulate cortex - frontal region circuit local | anatomy |
| Clinical gender local | phenotype |
| cognition | phenotype |
| college degree | phenotype |
| Combination pharmacotherapy local | drug |
| comorbidity | phenotype |
| CPD | phenotype |
| DNA sample local | drug |
| dorsal anterior cingulate cortex - ventral striatum circuit local | anatomy |
| education | phenotype |
| Eight Randomized Clinical Trials local | cohort |
| European population | cohort |
| FTND | phenotype |
| FTND-associated cingulate circuit local | anatomy |
| FTND score | phenotype |
| HapMap | cohort |
| healthy human smokers local | cohort |
| individuals with Axis I disorders local | cohort |
| initial response to tobacco local | phenotype |
| intra-cingulate cortex circuit local | anatomy |
| lung cancer | phenotype |
| marital status | phenotype |
| medial habenular-interpeduncular nuclear tract local | anatomy |
| metabolism phenotypes local | phenotype |
| nAChR local | gene |
| nAChR SNP local | variant |
| nAChR SNPs local | variant |
| nausea | phenotype |
| nicotine | drug |
| nicotine dependence | phenotype |
| nicotine metabolism | phenotype |
| nicotine patch | drug |
| nicotine replacement therapy | drug |
| non-smokers | phenotype |
| NRT | drug |
| NRT+BUP local | drug |
| NRT group local | cohort |
| NRT PG local | cohort |
| older smokers local | cohort |
| Other pharmacotherapies group local | cohort |
| PG local | cohort |
| PGs | drug |
| Pharmacogenetic variation local | variant |
| pharmacotherapy | drug |
| Pharmacotherapy arms local | drug |
| PLA local | cohort |
| PLA local | drug |
| placebo group | cohort |
| placebo patch local | drug |
| PNAT local | cohort |
| PNAT Consortium local | cohort |
| Point prevalence abstinence local | phenotype |
| quitting success | phenotype |
| randomization arm local | cohort |
| randomized controlled trial local | cohort |
| RCT local | cohort |
| RCT 3A local | cohort |
| RCT 3B local | cohort |
| RCT 5 local | cohort |
| RCT arms local | cohort |
| RCTs | cohort |
| RCTs 3A and 3B local | cohort |
| relapse | phenotype |
| Response to tobacco local | phenotype |
| rs1051730 | variant |
| rs16969968 | variant |
| rs2072661 | variant |
| rs578776 | variant |
| rs588765 | variant |
| seven day point prevalence abstinence local | phenotype |
| sex | phenotype |
| short-term abstinence | phenotype |
| short-term cessation local | phenotype |
| smoking | phenotype |
| smoking abstinence | phenotype |
| smoking cessation | phenotype |
| smoking heaviness | phenotype |
| smoking likelihood during pregnancy local | phenotype |
| smoking phenotypes | phenotype |
| SNP effects | variant |
| tobacco use | phenotype |
| transdermal NRT | drug |
| treatment response | phenotype |
| treatment-seeking smokers | cohort |
| treatmentβseeking smokers local | cohort |
| United States metropolitan regions local | cohort |
| varenicline | drug |
| White | phenotype |
| white participants | cohort |
| working memory | phenotype |
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In this knowledge base
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