DSM-5 cannabis use disorder: a phenotypic and genomic perspective

Arpana Agrawal, Michael T Lynskey, Kathleen K Bucholz, Manav Kapoor, Laura Almasy, Danielle M Dick, Howard J Edenberg, Tatiana Foroud, Alison Goate, Dana B Hancock, Sarah Hartz, Eric O Johnson, Victor Hesselbrock, John R Kramer, Samuel Kuperman, John I Nurnberger, Marc Schuckit, Laura J Bierut

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)

Abstract

Background
We explore the factor structure of DSM-5 cannabis use disorders, examine its prevalence across European- and African-American respondents as well as its genetic underpinnings, utilizing data from a genome-wide study of single nucleotide polymorphisms (SNPs). We also estimate the heritability of DSM-5 cannabis use disorders explained by these common SNPs.

Methods
Data on 3053 subjects reporting a lifetime history of cannabis use were utilized. Exploratory and confirmatory factor analyses were conducted to create a factor score, which was used in a genome-wide association analysis. p-values from the single SNP analysis were examined for evidence of gene-based association. The aggregate effect of all SNPs was also estimated using Genome-Wide Complex Traits Analysis.

Results
The unidimensionality of DSM-5 cannabis use disorder criteria was demonstrated. Comparing DSM-IV to DSM-5, a decrease in prevalence of cannabis use disorders was only noted in European-American respondents and was exceedingly modest. For the DSM-5 cannabis use disorders factor score, no SNP surpassed the genome-wide significance testing threshold. However, in the European-American subsample, gene-based association testing resulted in significant associations in 3 genes (C17orf58, BPTF and PPM1D) on chromosome 17q24. In aggregate, 21% of the variance in DSM-5 cannabis use disorders was explained by the genome-wide SNPs; however, this estimate was not statistically significant.

Conclusions
DSM-5 cannabis use disorder represents a unidimensional construct, the prevalence of which is only modestly elevated above the DSM-IV version. Considerably larger sample sizes will be required to identify individual SNPs associated with cannabis use disorders and unequivocally establish its polygenic underpinnings.
Original languageEnglish
Article numberN/A
Pages (from-to)362-369
Number of pages8
JournalDrug and alcohol dependence
Volume134
Issue numberN/A
DOIs
Publication statusPublished - 1 Jan 2014

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