Abstract
Conduct problems, alcohol problems and hyperactive–inattentive symptoms co-occur at a high rate and are heritable in adolescence. The γ-aminobutyric acid A receptor, α2 gene (GABRA2) is associated with a broad spectrum of externalizing problems and disinhibitory-related traits. The current study tested whether two important forms of disinhibition in adolescence, impulsivity and sensation seeking, mediated the effects of GABRA2 on hyperactive–inattentive symptoms, conduct problems, and alcohol problems. Participants were assessed at two waves (11–17 and 12–18 years old; N = 292). Analyses used the GABRA2 SNP, rs279858, which tags the two complementary (yin–yang) GABRA2 haplotypes. Multiple informants reported on adolescents’ impulsivity and sensation seeking and adolescents self-reported their hyperactive–inattentive symptoms, conduct problems and lifetime alcohol problems. Impulsivity mediated the effect of GABRA2 on alcohol problems, hyperactive–inattentive symptoms, and conduct problems, whereas sensation seeking mediated the effect of GABRA2 on alcohol problems (AA/AG genotypes conferred risk). GABRA2 directly predicted adolescent alcohol problems, but the GG genotype conferred risk. Results suggest that there may be multiple pathways of risk from GABRA2 to adolescent externalizing problems, and suggest important avenues for future research.
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Hicks BM, Foster KT, Iacono WG, McGue M (2013) Genetic and environmental influences on the familial transmission of externalizing disorders in adoptive and twin offspring. JAMA Psychiatr 70:1076–1083
Young SE, Stallings MC, Corley RP, Krauter KS, Hewitt JK (2000) Genetic and environmental influences on behavioral disinhibition. Am J Med Genet B Neuropsychiatr Genet 96:684–695
Barnard EA, Skolnick P, Olsen RW et al (1998) Subtypes of γ-aminobutyric acidA receptors: classification on the basis of subunit structure and receptor function. Pharmacol Rev 50:291–313
Enoch MA (2008) The role of GABAA receptors in the development of alcoholism. Pharmacol Biochem Be 90:95–104
Johnson SW, North RA (1992) Opioids excite dopamine neurons by hyperpolarization of local interneurons. J Neurosci 12:483–488
Steffensen SC, Svingos AL, Pickel VM, Henriksen SJ (1998) Electrophysiological characterization of GABAergic neurons in the ventral tegmental area. J Neurosci 18:8003–8015
Comings DE, Blum K (2000) Reward deficiency syndrome: genetic aspects of behavioral disorders. Prog Brain Res 126:325–341
Dick DM, Latendresse SJ, Lansford JE et al (2009) Role of GABRA2 in trajectories of externalizing behavior across development and evidence of moderation by parental monitoring. Arch Gen Psychiatr 66:649–657
Dick D, Aliev F, Latendresse S et al (2013) How phenotype and developmental stage affect the genes we find: GABRA2 and impulsivity. Twin Res Hum Genet 16:661–669
Dick DM, Bierut L, Hinrichs A et al (2006) The role of GABRA2 in risk for conduct disorder and alcohol and drug dependence across developmental stages. Behav Genet 36:577–590
Sakai JT, Stallings MC, Crowley TJ et al (2010) Test of association between GABRA2 (SNP rs279871) and adolescent conduct/alcohol use disorders utilizing a sample of clinic referred youth with serious substance and conduct problems, controls and available first degree relatives. Drug Alcohol Depend 106:199–203
Trucco EM, Villafuerte S, Heitzeg MM, Burmeister M, Zucker RA (2014) Rule breaking mediates the developmental association between GABRA2 and adolescent substance abuse. J Child Psychol Psyc. doi:10.1111/jcpp.12244
Melroy WE, Stephens SH, Sakai JT et al (2014) Examination of genetic variation in GABRA2 with conduct disorder and alcohol abuse and dependence in a longitudinal study. Behav Genet 44:356–367
Dick DM, Agrawal A, Schuckit M et al (2006) Marital status, alcohol dependence, and GABRA2: evidence for gene–environment correlation and interaction. J Stud Alcohol Drugs 67:185–194
Agrawal A, Edenberg HJ, Foroud T et al (2006) Association of GABRA2 with drug dependence in the collaborative study of the genetics of alcoholism sample. Behav Genet 36:640–650
Covault J, Gelernter J, Hesselbrock V, Nellissery M, Kranzler HR (2004) Allelic and haplotypic association of GABRA2 with alcohol dependence. Am J Med Genet B Neuropsychiatr Genet 129:104–109
Edenberg HJ, Dick DM, Xuei X et al (2004) Variations in GABRA2, encoding the alpha 2 subunit of the GABA(A) receptor, are associated with alcohol dependence and with brain oscillations. Am J Hum Genet 74:705–714
Fehr C, Sander T, Tadic A, Lenzen KP, Anghelescu I, Klawe C (2006) Confirmation of association of the GABRA2 gene with alcohol dependence by subtype-specific analysis. Psychiatr Genet 16:9–17
Lappalainen J, Krupitsky E, Remizov M et al (2005) Association between alcoholism and gamma-amino butyric acid alpha2 receptor subtype in a Russian population. Alcohol Clin Exp Res 29:493–498
Lind P, MacGregor S, Agrawal A, Heath AC, Martin NG, Whitfield JB (2008) The role of GABRA2 in alcohol dependence, smoking and illicit drug use in an Australian population sample. Alcohol Clin Exp Res 32:1721–1731
Philibert RA, Gunter TD, Beach SRH et al (2009) Role of GABRA2 on risk for alcohol, nicotine, and cannabis dependence in the Iowa adoption studies. Psychiatr Genet 19:91–98
Soyka M, Preuss UW, Hesselbrock V, Zill P, Koller G, Bondy B (2008) GABA-A2 receptor subunit gene (GABRA2) polymorphisms and risk for alcohol dependence. J Psychiatr Res 42:184–191
Villafuerte S, Heitzeg MM, Foley S et al (2012) Impulsiveness and insula activation during reward anticipation are associated with genetic variants in GABRA2 in a family sample enriched for alcoholism. Mol Psychiatry 17:511–519
Villafuerte S, Strumba V, Stoltenberg SF, Zucker RA Burmeister (2013) Impulsiveness mediates the association between GABRA2 SNPs and lifetime alcohol problems. Genes Brain Behav 12:525–531
Li D, Sulovari A, Cheng C, Zhao H, Kranzler HR, Gelernter J (2014) Association of γ-aminobutyric acid A receptor α2 gene (GABRA2) with alcohol use disorder. Neuropsychopharmacology 39:907–918
Kendler KS, Schmitt E, Aggen SH, Prescott CA (2008) Genetic and environmental influences on alcohol, caffeine, cannabis, and nicotine use from early adolescence to middle adulthood. Arch Gen Psychiatry 65:674–682
Dick DM (2007) Identification of genes influencing a spectrum of externalizing psychopathology. Curr Dir Psychol Sci 16:331–335
Dick DM, Cho SB, Latendresse SJ et al (2013) Genetic influences on alcohol use across stages of development: GABRA2 and longitudinal trajectories of drunkenness from adolescence to young adulthood. Addict Biol. doi:10.1111/adb.12066
Bauer LO, Covault J, Harel O et al (2007) Variation in GABRA2 predicts drinking behavior in project MATCH subjects. Alcohol Clin Exp Res 31:1780–1787
Dick DM, Smith G, Olausson P et al (2010) Review: understanding the construct of impulsivity and its relationship to alcohol use disorders. Addict Biol 15:217–226
Jonas KG, Markon KE (2014) A meta-analytic evaluation of the endophenotype hypothesis: effects of measurement paradigm in the psychiatric genetics of impulsivity. J Abnorm Psychol 123:660–675
Steinberg L (2010) A dual systems model of adolescent risk-taking. Dev Psychobiol 52:216–224
Whiteside SP, Lynam DR (2001) The five factor model and impulsivity: using a structural model of personality to understand impulsivity. Pers Individ Dif 30:669–689
Handley ED, Chassin L, Haller MM, Bountress KE, Dandreaux D, Beltran I (2011) Do executive and reactive disinhibition mediate the effects of familial substance use disorders on adolescent externalizing outcomes? J Abnorm Psychol 120:528–542
Miller J, Flory K, Lynam D, Leukefeld C (2003) A test of the four-factor model of impulsivity-related traits. Personal Individ Differ 34:1403–1418
Miller DJ, Derefinko KJ, Lynam DR, Milich R, Fillmore MT (2010) Impulsivity and attention deficit-hyperactivity disorder: subtype classification using the UPPS impulsive behavior scale. J Psychopathol Behav Assess 32:323–332
Bates ME, Labouvie EW (1995) Personality environment constellations and alcohol use: a process-oriented study of intraindividual change during adolescence. Psychol Addict Behav 9:23–25
Derefinko K, DeWall CN, Metze AV, Walsh EC, Lynam DR (2011) Do different facets of impulsivity predict different types of aggression? Aggress Behav 37:223–233
Lynam DR, Miller JD (2004) Personality pathways to impulsive behavior and their relations to deviance: results from three samples. J Quant Criminol 20:319–341
Castellanos-Ryan N, Rubia K, Conrod P (2011) Sensation seeking and common and unique variance in conduct disorder and substance misuse. Alcohol Clin Exp Res 35:1–15
Comeau N, Stewart SH, Loba P (2001) The relations of trait anxiety, anxiety sensitivity, and sensation seeking to adolescents’ motivations for alcohol, cigarette, and marijuana use. Addict Behav 26:803–825
Raine A (2002) Biosocial studies of antisocial and violent behavior in children and adults: a review. J Abnorm Child Psychol 30:311–326
Frick PJ, Morris AS (2004) Temperament and developmental pathways to conduct problems. J Clin Child Adolesc Psychol 33:54–68
O’Connor TG, Neiderhiser JM, Reiss D, Hetherington EM, Plomin R (1998) Genetic contributions to continuity, change, and co-occurrence of antisocial and depressive symptoms in adolescence. J Child Psychol Psyc 39:323–336
McGue M, Bacon S, Lykken DT (1993) Personality stability and change in early adulthood: a behavioral genetic analysis. Dev Psychol 29:96–109
Chassin L, Barrera M, Bech K, Kossak-Fuller J (1992) Recruiting a community sample of adolescent children of alcoholics: a comparison of three subject sources. J Stud Alcohol 53:316–319
Fendrich M, Yun Soo Kim J (2001) Multiwave analysis of retest artifact in the national longitudinal survey of youth drug use. Drug Alcohol Depend 62:239–253
Hodgkinson CA et al (2008) Addictions biology: haplotype-based analysis for 130 candidate genes on a single array. Alcohol Alcohol 43:505–515
Ward LD, Kellis M (2012) HaploReg: a resource for exploring chromatin states, conservation, and regulatory motif alterations within sets of genetically linked variants. Nucleic Acids Res 40:D930–D934
Perry BL, Pescosolido BA, Bucholz K (2013) Gender-specific gene-environment interaction in alcohol dependence: the impact of daily life events and GABRA2. Behav Genet 43:402–414
Tian C, Gregersen PK, Seldin MF (2008) Accounting for ancestry: population substructure and genome-wide association studies. Hum Mol Genet 17:R143–R150
Zucker RA, Ellis DA, Fitzgerald HE (1994) Developmental evidence for at least two alcoholisms. I. biopsychosocial variation among pathways into symptomatic difficulty. Ann NY Acad Sci 708:134–146
Stoltenberg SF, Mudd SA, Blow FC, Hill EM (1998) Evaluating measures of family history of alcoholism: density versus dichotomy. Addiction 93:1511–1520
Robins LN, Cottler LB, Bucholz KK, Compton WM, North CS, Rourke KM (2000) Diagnostic interview schedule for the DSM-IV (DIS-IV). Washington University School of Medicine, MO
Endicott J, Andreasen N, Spitzer RL (1975) Family history-research diagnostic criteria. Biometrics Research, New York State Psychiatric Institute, New York
Eysenck SBG, Easting G, Pearson PR (1985) Age norms for impulsiveness, venturesomeness and empathy in children. Pers Indiv Differ 5:315–321
Zuckerman M (1979) Sensation seeking: beyond the optimal level of arousal. Lawrence Erlbaum Associates, Hillsdale
Achenbach TM, Rescorla LA (2001) Manual for the ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families
Rhee SH, Hewitt JK, Young SE, Corley RP, Crowley TJ, Stallings MC (2003) Genetic and environmental influences on substance initiation, use, and problem use in adolescents. Arch Gen Psychiatry 60:1256–1264
Fisher SL, Bucholz KK, Reich W, Fox L, Kuperman S, Kramer J (2006) Teenagers are right—parents do not know much: an analysis of adolescent-parent agreement on reports of adolescent substance use, abuse, and dependence. Alcohol Clin Exp Res 30:1699–1710
Muthén LK, Muthén BO (1998–2012) Mplus User’s Guide. Seventh Edition. Los Angeles, CA
MacKinnon DP, Lockwood CM, Williams J (2004) Confidence limits for the indirect effect: distribution of the product and resampling methods. Multivariate Behav Res 39:99–128
Hur Y, Bouchard TJ (1997) The genetic correlation between impulsivity and sensation seeking traits. Behav Genet 27:455–463
Rothbart MK, Bates JE (2006) Temperament. In: Damon W, Eisenberg N (eds) Handbook of child psychology, vol 3., Social, emotional, personality developmentWiley, New York, pp 88–166
Haughey HM, Ray LA, Finan P, Villanueva R, Niculescu M, Hutchison KE (2008) The human GABA(A) receptor alpha2 gene moderates the acute effects of alcohol and brain mRNA expression. Genes Brain Behav 7:447–454
Pierucci-Lagha A, Covault J, Feinn R et al (2005) GABRA2 alleles moderate the subjective effects of alcohol, which are attenuated by finasteride. Neuropsychopharmacology 30:1193–1203
Uhart M, Weerts EM, Mccaul ME et al (2013) GABRA2 markers moderate the subjective effects of alcohol. Addict Biol 18:357–369
Cohen P, Cohen J, Kasen S et al (1993) An epidemiological study of disorders in late childhood and adolescence, 1: age- and gender-specific prevalence. J Child Psychol Psychiatr 34:851–867
Enoch MA, Schwartz L, Albaugh B, Virkkunen M, Goldman D (2006) Dimensional anxiety mediates linkage of GABRA2 haplotypes with alcoholism. Am J Med Genet B Neuropsychtr Genet 141:599–607
Vassos E, Collier DA, Fazel S (2014) Systematic meta-analyses and field synopsis of genetic association studies of violence and aggression. Mol Psychiatry 19:471–477
Storey JD (2002) A direct approach to false discovery rates. J R Stat Soc Series B Stat Methodol 64:479–498
Gottesman II, Gould TD (2003) The endophenotype concept in psychiatry: etymology and strategic intentions. Am J Psychiatry 160:636–645
Acknowledgments
This work was supported by the National Institute of Alcohol Abuse and Alcoholism: R01 AA016213 and R21 AA022097-02 to Laurie Chassin, P50 AA11998-01 to the Midwest Alcohol Research Center, and F31 AA023128-01 to Frances Wang. Approval was obtained by the Institutional Review Boards at Arizona State University (IRB# 0506000017) and Washington University in St. Louis (IRB# 201110243).
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Wang, F.L., Chassin, L., Geiser, C. et al. Mechanisms in the relation between GABRA2 and adolescent externalizing problems. Eur Child Adolesc Psychiatry 25, 67–80 (2016). https://doi.org/10.1007/s00787-015-0703-7
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DOI: https://doi.org/10.1007/s00787-015-0703-7