Stratification by smoking status reveals an association of CHRNA5-A3-B4 genotype with body mass index in never smokers.

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2014

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info:eu-repo/semantics/altIdentifier/doi/10.1371/journal.pgen.1004799

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info:eu-repo/semantics/altIdentifier/pmid/25474695

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info:eu-repo/semantics/altIdentifier/eissn/1553-7404

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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_667DF213E3E16

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A.E. Taylor et al., « Stratification by smoking status reveals an association of CHRNA5-A3-B4 genotype with body mass index in never smokers. », Serveur académique Lausannois, ID : 10.1371/journal.pgen.1004799


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We previously used a single nucleotide polymorphism (SNP) in the CHRNA5-A3-B4 gene cluster associated with heaviness of smoking within smokers to confirm the causal effect of smoking in reducing body mass index (BMI) in a Mendelian randomisation analysis. While seeking to extend these findings in a larger sample we found that this SNP is associated with 0.74% lower body mass index (BMI) per minor allele in current smokers (95% CI -0.97 to -0.51, P = 2.00 × 10(-10)), but also unexpectedly found that it was associated with 0.35% higher BMI in never smokers (95% CI +0.18 to +0.52, P = 6.38 × 10(-5)). An interaction test confirmed that these estimates differed from each other (P = 4.95 × 10(-13)). This difference in effects suggests the variant influences BMI both via pathways unrelated to smoking, and via the weight-reducing effects of smoking. It would therefore be essentially undetectable in an unstratified genome-wide association study of BMI, given the opposite association with BMI in never and current smokers. This demonstrates that novel associations may be obscured by hidden population sub-structure. Stratification on well-characterized environmental factors known to impact on health outcomes may therefore reveal novel genetic associations.

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