Genome-wide scan identifies opioid overdose risk locus close to MCOLN1

Zhongshan Cheng1, Bao-Zhu Yang1, Hang Zhou1

  • 1Division of Human Genetics, Department of Psychiatry, Yale University School of Medicine and VA CT Healthcare Center, New Haven, CT, USA.

Addiction Biology
|July 31, 2019
PubMed

Insights

Researchers identified potential genetic risk factors for opioid overdose severity. Mucolipin 1 (MCOLN1) gene variants were associated with overdose risk in African Americans, suggesting MCOLN1 as a potential target for preventing opioid overdoses.

Area of Science:

  • Genetics and Genomics
  • Pharmacology
  • Public Health

Background:

  • The United States faces a severe opioid overdose crisis.
  • Genetic predispositions may influence opioid overdose (OpOD) severity.
  • Understanding genetic risk is crucial for developing targeted interventions.

Purpose of the Study:

  • To conduct a genome-wide association study (GWAS) to identify genetic variants associated with opioid overdose severity.
  • To investigate potential genetic risk factors in European American (EA) and African American (AA) populations.
  • To explore the functional role of identified genetic loci in opioid overdose.

Main Methods:

  • Genome-wide association study (GWAS) on 3,477 opioid-exposed individuals (2,032 EA, 1,445 AA), including 1,019 with opioid overdoses.
  • Severity scoring based on overdose status and medical treatment frequency.
  • Post-GWAS analysis including network analysis (gene coexpression) and drug repositioning analysis (Connectivity Map database).

Main Results:

  • Two genome-wide significant (GWS) signals were identified in African Americans near MCOLN1/PNPLA6 (rs115208233, rs116181528, rs114077267) and DDX18 (rs369098800); no GWS signals in European Americans.
  • Network analysis revealed MCOLN1-associated genes enriched in calcium and cation channel activities relevant to OpOD.
  • Drug repositioning analysis suggested MCOLN1 overexpression profiles align with opioid agonist drug effects, identifying potential therapeutic avenues.

Conclusions:

  • Mucolipin 1 (MCOLN1) may be a risk gene for opioid overdose severity, particularly in African American populations.
  • MCOLN1's role in calcium and cation channel activity warrants further investigation for its contribution to OpOD.
  • Findings could guide the identification of novel drug targets for preventing opioid overdose, though replication studies are necessary.

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