Preprint
Genome-wide association study implicates CHRNA2 in cannabis use disorder
Affiliations
Organisations
- (1) Lundbeck Foundation, grid.452548.a
- (2) Aarhus University, grid.7048.b, AU
- (3) Copenhagen University Hospital, Mental Health Centre Copenhagen Mental Health Services in the Capital Region of Denmark, Hellerup, Denmark
- (4) State Serum Institute, grid.6203.7
- (5) Icahn School of Medicine at Mount Sinai, grid.59734.3c
- (6) Institute of Biological Psychiatry, MHC Sct. Hans, Mental Health Services Copenhagen, Roskilde, Denmark
- (7) University of Copenhagen, grid.5254.6, KU
- (8) Aarhus University Hospital, grid.154185.c, Central Denmark Region
- (9) Broad Institute, grid.66859.34
- (10) Massachusetts General Hospital, grid.32224.35
Description
Introductory paragraph Cannabis is the most frequently used illicit psychoactive substance worldwide 1 . Life time use has been reported among 35-40% of adults in Denmark 2 and the United States 3 . Cannabis use is increasing in the population 4–6 and among users around 9% become dependent 7 . The genetic risk component is high with heritability estimates of 51 8 –70% 9 . Here we report the first genome-wide significant risk locus for cannabis use disorder (CUD, P=9.31×10 −12 ) that replicates in an independent population (P replication =3.27×10 −3 , P metaanalysis =9.09×10 −12 ). The finding is based on a genome-wide association study (GWAS) of 2,387 cases and 48,985 controls followed by replication in 5,501 cases and 301,041 controls. The index SNP (rs56372821) is a strong eQTL for CHRNA2 and analyses of the genetic regulated gene expressions identified significant association of CHRNA2 expression in cerebellum with CUD. This indicates a potential therapeutic use in CUD of compounds with agonistic effect on the neuronal acetylcholine receptor alpha-2 subunit encoded by CHRNA2 . At the polygenic level analyses revealed a significant decrease in the risk of CUD with increased load of variants associated with cognitive performance.