Replicated association of the NR4A3 gene with smoking behaviour in schizophrenia and in bipolar disorder
Open accessAbstract
Schizophrenia and bipolar disorder are associated with dopamine neurotransmission and show high comorbidity with tobacco dependence. Recent evidence indicates that the family of the NR4A orphan nuclear receptors, which are expressed in dopamine neurons and in dopaminoceptive brain areas, may play a role in dopamine-mediated effects. We have, therefore, analysed the association of six single nucleotide polymorphisms (SNPs) within the three genes belonging to the NR4A orphan nuclear receptor family, NR4A1 (rs2603751, rs2701124), NR4A2 (rs12803, rs834835) and NR4A3 (rs1131339, rs1405209), with the degree of smoking in a sample of 204 unrelated schizophrenia patients, which included 126 smokers and 78 non-smokers. SNPs within the NR4A3 gene (rs1131339 and rs1405209) were significantly associated with heavy smoking in this cohort, using a stepwise analysis of the escalated number of cigarettes smoked per day (P = 0.008 and 0.006, respectively; satisfying the Nyholt significance threshold of 0.009, an adjustment for multiple testing). We then repeated the association analysis of the NR4A3 markers (rs1131339 and rs1405209) in a larger cohort of 319 patients with bipolar disorder, which included 167 smokers and 152 non-smokers. We have replicated the positive association with smoking of the NR4A3 SNP rs1131339 in this group (P = 0.04), providing an important confirmation of the involvement of the NR4A3 gene in nicotine addiction in patients with mental health disease, a population significantly at risk for nicotine addiction.
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There is a genetic predisposition in a subgroup of people with bipolar disorder for tobacco use disorder.
“This finding suggests that there is a genetic predisposition in a subgroup of people with BD for TUD.”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [21]
The NR4A3 marker rs1131339 is significantly associated with the risk of smoker status and with the degree of smoking in people with bipolar disorder.
“Association analysis of marker allele of the NR4A3 marker rs1131339 with smoking behavior in people with BD demonstrated a significant association with the risk of smoker status (smokers compared to non-smokers) as well as with the degree of smoking (21).”
From The detrimental effects of smoking on the course and outcome in adults with bipolar disorder—A narrative review (2023) · cites this paper as [21]
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“However, with respect to BD, a single nucleotide polymorphism (SNPs) of the NR4A3 gene was found of special interest in another study (21) as it has a decisive role in the modulation of the dopaminergic responsiveness within the meso-cortical system.”
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- Authors
- Novak, G., Zai, C. C., Mirkhani, M., Shaikh, S., Vincent, J. B., Meltzer, H., Lieberman, J. A., Strauss, J., Lévesque, D., Kennedy, J. L., & Le Foll, B.
- Affiliations
- Centre for Addiction and Mental Health (CA)
- Vanderbilt University (US)
- New York State Psychiatric Institute (US)
- Université de Montréal (CA)
- Corresponding author
- Kennedy, J. L.
- ORCID
- Venue
- Genes, Brain and Behavior
- Publisher
- Wiley
- Published
- 2010-11
- Volume
- 9
- Issue
- 8
- Pages
- 910-917
- ISSN
- 1601-183X (ISSN-L)
- 1601-1848
- OpenAlex
- W2091670456
- Cited by
- 23
- References
- 63
- Citations by year
- 2024: 1 · 2023: 5 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 4 · 2013: 2 · 2012: 2
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Genes Brain & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- GlaxoSmithKline
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- NR4A3, smoking behavior, schizophrenia, bipolar disorder, nicotine dependence, single nucleotide polymorphisms, dopamine signaling, replication
- MeSH terms
- Adult, Bipolar Disorder, DNA-Binding Proteins, Female, Humans, Male, Middle Aged, Receptors, Steroid, Receptors, Thyroid Hormone, Reference Values, Risk Factors, Schizophrenia, Smoking, Tobacco Use Disorder, Case-Control Studies, Matched-Pair Analysis, Diagnosis, Dual (Psychiatry)
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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