Evidence map›Paper›PMID 18519132›Full record

ArticleBiological psychiatry2008

A risk allele for nicotine dependence in CHRNA5 is a protective allele for cocaine dependence.

Richard A Grucza, Jen C Wang, Jerry A Stitzel, Anthony L Hinrichs, Scott F Saccone, Nancy L Saccone, Kathleen K Bucholz, C Robert Cloninger, Rosalind J Neuman, John P Budde and 14 more

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 4 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 4 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Association of the CHRNA5-A3-B4 gene cluster with heaviness of smoking: a meta-analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2011
    Pooled it
  5. Article
  6. Article
  7. Biochemical Diagnosis in Substance and Non-substance Addiction.Advances in experimental medicine and biology · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Generalized genetic liability to substance use disorders.The Journal of clinical investigation · 2024
    Review
  12. Analogs of α-conotoxin PnIC selectively inhibit α7β2- over α7-only subtype nicotinic acetylcholine receptors via a novel allosteric mechanism.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Mechanisms of Nicotine Addiction.Cold Spring Harbor perspectives in medicine · 2021
    Review
  18. Review
  19. Review
  20. Article

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 9 institutions in 1 country.

Richard A GruczaDepartment of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Box 8134, St. Louis, Missouri 63110, USA. Rick@tci.wustl.edu
Jen C Wang
Jerry A Stitzel
Anthony L Hinrichs
Scott F Saccone
Nancy L Saccone
Kathleen K Bucholz
C Robert Cloninger
Rosalind J Neuman
John P Budde
Louis Fox
Sarah Bertelsen
John Kramer
Victor Hesselbrock
Jay Tischfield
John I Nurnberger
Laura Almasy
Bernice Porjesz
Samuel Kuperman
Marc A Schuckit
Howard J Edenberg
John P Rice
Alison M Goate
Laura J Bierut
Washington University in St. Louis · USIndiana University – Purdue University Indianapolis · USUniversity of Iowa · USRutgers, The State University of New Jersey · USSUNY Downstate Health Sciences University · USTexas Biomedical Research Institute · USUConn Health · USUniversity of California, San Diego · USUniversity of Colorado Boulder · US

Funding

Subject CollectionU10AA008401 · NIAAA · SUNY DOWNSTATE MEDICAL CENTER · PI JESSICA E SALVATORE · 1989 to 2026
$162.7M
FAMILY STUDY OF COCAINE DEPENDENCER01DA013423 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA JEAN · 2000 to 2004
$2.2M
Case Control Candidate Gene Study of AddictionR01DA019963 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2007 to 2009
$1.2M
Longitudinal Studies in Personality and Substance AbuseK01DA016618 · NIDA · WASHINGTON UNIVERSITY · PI GRUCZA, RICHARD A · 2003 to 2007
$553k
NHGRI NIH HHS HHSN268200782096CNIAAA NIH HHS U10 AA008401NIAAA NIH HHS U10AA008401NIDA NIH HHS K01 DA016618NIDA NIH HHS K01 DA16618NIDA NIH HHS R01 DA013423NIDA NIH HHS R01 DA019963NIDA NIH HHS R01 DA19963
6 · The paper itself

Abstract

backgroundA nonsynonymous coding polymorphism, rs16969968, of the CHRNA5 gene that encodes the alpha-5 subunit of the nicotinic acetylcholine receptor (nAChR) has been found to be associated with nicotine dependence. The goal of this study was to examine the association of this variant with cocaine dependence.

methodsGenetic association analysis was performed in two independent samples of unrelated case and control subjects: 1) 504 European Americans participating in the Family Study on Cocaine Dependence (FSCD) and 2) 814 European Americans participating in the Collaborative Study on the Genetics of Alcoholism (COGA).

resultsIn the FSCD, there was a significant association between the CHRNA5 variant and cocaine dependence (odds ratio = .67 per allele, p = .0045, assuming an additive genetic model), but in the reverse direction compared with that previously observed for nicotine dependence. In multivariate analyses that controlled for the effects of nicotine dependence, both the protective effect for cocaine dependence and the previously documented risk effect for nicotine dependence were statistically significant. The protective effect for cocaine dependence was replicated in the COGA sample. In COGA, effect sizes for habitual smoking, a proxy phenotype for nicotine dependence, were consistent with those observed in FSCD.

conclusionsThe minor (A) allele of rs16969968, relative to the major G allele, appears to be both a risk factor for nicotine dependence and a protective factor for cocaine dependence. The biological plausibility of such a bidirectional association stems from the involvement of nAChRs with both excitatory and inhibitory modulation of dopamine-mediated reward pathways.

Indexed as

Genetic Predisposition to DiseaseAdolescentAdultAlcoholismCase-Control StudiesChi-Square DistributionCocaine-Related DisordersConfidence IntervalsFamily HealthFemaleGene FrequencyGenetic VariationGenotypeHumansMaleMiddle AgedCHRNA5 protein, humanNerve Tissue ProteinsReceptors, Nicotinic

Identifiers

PMID18519132
PMCPMC2582594
OpenAlexW2035924724

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.