Cis-Regulatory Variants Affect CHRNA5 mRNA Expression in Populations of African and European Ancestry

Variants within the gene cluster encoding α3, α5, and β4 nicotinic receptor subunits are major risk factors for substance dependence. The strongest impact on risk is associated with variation in the CHRNA5 gene, where at least two mechanisms are at work: amino acid variation and altered mRNA expression levels. The risk allele of the non-synonymous variant (rs16969968; D398N) primarily occurs on the haplotype containing the low mRNA expression allele. In populations of European ancestry, there are approximately 50 highly correlated variants in the CHRNA5-CHRNA3-CHRNB4 gene cluster and the adjacent PSMA4 gene region that are associated with CHRNA5 mRNA levels. It is not clear which of these variants contribute to the changes in CHRNA5 transcript level. Because populations of African ancestry have reduced linkage disequilibrium among variants spanning this gene cluster, eQTL mapping in subjects of African ancestry could potentially aid in defining the functional variants that affect CHRNA5 mRNA levels. We performed quantitative allele specific gene expression using frontal cortices derived from 49 subjects of African ancestry and 111 subjects of European ancestry. This method measures allele-specific transcript levels in the same individual, which eliminates other biological variation that occurs when comparing expression levels between different samples. This analysis confirmed that substance dependence associated variants have a direct cis-regulatory effect on CHRNA5 transcript levels in human frontal cortices of African and European ancestry and identified 10 highly correlated variants, located in a 9 kb region, that are potential functional variants modifying CHRNA5 mRNA expression levels.

Our previous studies showed there are at least two possible biological mechanisms accounting for these associations: an amino acid variation in exon 5 of CHRNA5 (rs16969968; D398N), which likely alters protein structure and receptor function and variation in CHRNA5 mRNA expression levels [8,19,20]. In European American populations, the nicotine dependence risk allele (minor allele) of the non-synonymous variant (rs16969968; D398N) primarily occurs on the haplotype containing the low mRNA expression allele of CHRNA5. The major allele at rs16969968 occurs on both high and low expression haplotypes. When the major allele occurs on the low mRNA expression haplotype of CHRNA5, the risk for nicotine dependence and lung cancer is significantly lower when compared to major alleles on the higher mRNA expression haplotype [19]. Lung cancer studies also demonstrated up-regulation of CHRNA5 mRNA expression in lung adenocarcinomas, compared to normal lung tissue [21,22]. In addition, CHRNA5 mRNA expression in normal lung tissue was significantly associated with the genotype of rs16969968. mRNA expression level was about 2.5-fold lower in patients who are homozygous for the minor allele of rs16969968 than patients who are homozygous for the major allele [22].
There are approximately 50 variants spanning ,83 kb within and flanking the CHRNA5-A3-B4 gene cluster and the adjacent PSMA4 gene that are highly correlated (D9$0.9; r 2 $0.7) with the variants (i.e. rs3841324, rs588765, rs880395) associated with CHRNA5 mRNA levels in populations of European ancestry (Table S1). It is not clear which of these variants directly affect CHRNA5 mRNA expression. Because populations of African ancestry have reduced linkage disequilibrium (LD) patterns across this gene cluster (http://hapmap.ncbi.nlm.nih.gov) (Table S1), the contrasting genetic architecture in Africans and Europeans can be leveraged to identify the functional variation most tightly linked to differences in CHRNA5 mRNA expression. A previous study using quantitative allele specific gene expression in prefrontal cortex tissue from 59 Caucasians and 14 African Americans reported a cluster of 6 highly correlated SNPs located ,13.5 kb upstream of the CHRNA5 gene that accounted for the variability in mRNA expression [23]. Differential allelic expression of CHRNA5 was also detected in normal lung tissue and in lung adenocarcinoma; two single nucleotide polymorphisms (rs55853698 and rs55781567) in the 59UTR of CHRNA5 were associated with significant imbalance in allelic expression ratio [24]. However, another study with 6 samples derived from human frontal cortex, amygdala or nucleus accumbens showed only one of the 6 samples revealed significant CHRNA5 allelic expression imbalance in amygdala and nucleus accumbens, but not in frontal cortex [25]. The subject which showed allelic expression imbalance was heterozygous for 2 SNPs in ,13.5 kb region upstream of the gene, but was homozygous for the variant (rs3841324) in the promoter region adjacent to CHRNA5 transcription start site [25].
Our previous studies in frontal cortices of European ancestry demonstrated significant cis-regulatory effects on the CHRNA5 mRNA levels. In contrast only modest variation in CHRNA3 or CHRNB4 mRNA levels were detected in our sample and these were not associated with SNP variation. In this study, we focused on CHRNA5. We first examined the CHRNA5 mRNA variability in frontal cortices derived from 49 African Americans and confirmed our previous observation in other ethnic population. Further, we quantified CHRNA5 allelic mRNA expression in frontal cortices derived from 66 European Australians, 45 European Americans, and 49 African Americans, to investigate the putative cisregulatory variants that affect mRNA expression of this gene. Because several cis-regulatory variants for CHRNA5 mRNA expression are located in the PSMA4 gene region, we also examined the influence of these variants on PSMA4 mRNA expression to clarify whether the cis-regulatory effect is specific for CHRNA5 mRNA expression.

Study subjects
Three sets of postmortem brain tissues from the frontal cortex and one set of lymphoblastoid cells were tested in this study: (a) tissue derived from 49 unrelated African Americans was obtained from the National Institute of Child Health and Human Development (NICHD) brain and tissue bank for developmental disorders at the University of Maryland (http://medschool. umaryland.edu/btbank/); (b) tissue derived from 66 unrelated European Australians (35 alcoholics and 31 controls) was received from the Australian Brain Donor Programs NSW Tissue Resource Centre (http://sydney.edu.au/medicine/pathology/trc); (c) tissue derived from 45 unrelated, non-demented elderly European Americans was obtained from the Knight Alzheimer's Disease Research Center at Washington University (http://alzheimer. wustl.edu/); (d) cDNA and gDNA from 120 lymphoblastoid cell lines were obtained from the Rutgers University Cell and DNA Repository (http://www.rucdr.org/). These lymphoblastoid cell lines were generated from 60 unrelated African Americans and 60 unrelated European Americans, who were selected from the COGA dataset based on the genotypes of rs3841324 from our previous study [20]. In the African American subset, 24 subjects are homozygous for the major allele of rs3841324, 21 subjects are homozygous for the minor allele, and 15 subjects are heterozygous. In the European American subset, 21 subjects are homozygous for the major allele of rs3841324, 18 subjects are heterozygous, and 21 subjects are homozygous for the minor allele. The Washington University IRB reviewed the protocol using brain tissue and determined it was exempt from approval. The study using the COGA dataset was approved by IRB at all participating institutions. All data were analyzed anonymously.

Genotyping
We used the Qiagen DNeasy Blood and Tissue Kit (Qiagen, Valencia, California, USA) to extract DNA from brain tissue. We used the PrimerPicker software (http://www.kbioscience.co.uk/ primer-picker/) to design the assay and followed the protocol described in the KASPar SNP Genotyping System manual (http://www.kbioscience.co.uk) to run PCR reactions with an ABI GeneAmp PCR System 9700 (Applied Biosystems www. AppliedBiosystems.com). Genotypes were evaluated using an ABI instrument, 7900 HT Fast Real-Time PCR system. The 22-bp insertion/deletion variant, rs3841324 was genotyped using electrophoresis method described in our previous study [20]. We used Haploview software (v3.2) [26], to infer the LD structure of the genome in the region containing loci associated with CHRNA5 expression in brain samples tested.

Quantitative real-time total mRNA expression assay
We used the Qiagen RNeasy and Lipid Tissue kit (Qiagen, Valencia, CA, USA) to extract total RNA from brain tissue. RNA concentration was measured with a NanoDrop 2000 spectrophotometer (Thermo Scientific, Pittsburgh, Philadelphia, USA) and 5-10 ug total RNA was converted to cDNA with a High Capacity cDNA Archive kit (http://www.appliedbiosystems.com). TaqMan assays were used to quantify the total mRNA expression of CHRNA5 (Hs00181248_m1; Applied Biosystems, CA, USA), and PSMA4 (Hs01002583_m1) in human frontal cortices. Gene expression levels were assessed by real-time PCR using an ABI-7900HT Fast real-time PCR system. Each real-time PCR run included within-plate triplicates. Correction for sample-to-sample variation was done by simultaneously amplifying GAPDH (Hs02758991_g1) as a reference. We used the comparative Ct method to analyze total mRNA expression levels of CHRNA5 and PSMA4 and then normalized with GAPDH mRNA expression to obtain relative total mRNA expression level. A detailed protocol is described in Wang et al. [19,20].
Association analysis of genetic effect on CHRNA5 and PSMA4 total mRNA expression To obtain a normal distribution, we log transformed relative total mRNA expression. Association between SNP genotype and relative total mRNA expression of CHRNA5 and PSMA4 was performed in PLINK [27] using linear regression under an additive genetic model. To minimize possible effects of sample heterogeneity, we performed our association analysis in subjects of each ancestral group separately. Similar to our observation in European Americans, postmortem interval (PMI = 13.96 6.0 hour in samples of African ancestry; 22.5614.7 hour in samples of European ancestry) had a weak effect on CHRNA5 mRNA expression levels in brains of African ancestry and this variable was included as a covariate for association analysis. Age and gender did not affect CHRNA5 expression and were not included as covariates. For PSMA4 mRNA expression analysis, age had a weak effect in brains of European ancestry but not in samples of African ancestry; therefore this variable was included as a covariate for association analysis in the European ancestry datasets. PMI and gender did not influence PSMA4 mRNA expression.

Allele-specific expression (ASE)
Allelic mRNA expression level is determined by comparing the number of genomic DNA molecules for each allele with the number of allelic mRNA molecules within the same individual and same tissue, thus mRNA expression levels from the paternal and maternal alleles would be the same unless there are cis-regulatory variants that affect gene expression. We selected subjects with heterozygous genotypes for the coding SNP (rs16969968) and/or a SNP (rs615470) in the 39UTR of CHRNA5 for allele-specific expression measures. TaqMan genotyping assays for rs16969968 (Life technologies, C_26000428_20) and rs615470 (Life technologies, C_18757_10) are within the CHRNA5 transcript, and were used for allele specific quantitative RT-PCR in each genomic DNA and cDNA. To enhance RT-PCR template, we preamplified gDNA and cDNA using primers flanking the region targeted by the TaqMan genotyping assay and ran a standard PCR reaction for 20 cycles. Primers used for rs16969968 preamplification are: forward primer 59-CGCCTTTGGTCCGCAA-GATA-39 and reverse primer 59-TGCTGATGGGGGAA-GGTGGAG-39. Primers used for rs615470 pre-amplification are: forward primer 59-CAGATGATCCATTTGAACAGTT-GGC-39 and reverse primer 59-TAGAGACGGGGTTTCTC-CACGTTG-39. Portions of pre-amplified cDNA from heterozygous samples for rs16969968 and/or rs615470 were arrayed in triplicate onto 384-well plates. As a control, a portion of preamplified gDNA from matched samples was also arrayed in duplicate onto the same 384-well plate. All reactions were evaluated on an ABI-7900HT Fast real-time PCR system under standard conditions.

Determination of allelic mRNA expression imbalance (AEI)
The transcript level in each sample should be identical for allele 1 and allele 2 unless there is a cis-regulatory effect of one allele that changes its relative expression level. Therefore, one allele serves as the control for the other. To evaluate the amplification efficiency for allelic mRNA expression, we first set up a dilution series using one sample (cDNA or gDNA) that was homozygous for allele 1 and another sample that was homozygous for allele 2. The RT-PCR efficiency for each allele ranges from 95% to 100% with the cDNA sample. In the gDNA sample, the amplification efficiency ranges from 94% to 100%. Real-time data were analyzed using the comparative Ct method [28] and were corrected for the PCR efficiency of each assay. In each cDNA sample, the delta Ct (Ct value of allele 1 -Ct value of allele 2) value was calculated as an average of triplicate reactions. In gDNA samples, delta Ct values were calculated as an average of duplicate reactions. Only the samples with #10% standard errors in dCt were used for further analysis.
Allelic expression for each cDNA sample was normalized against the overall average ratio obtained for gDNA from each run. Subjects with greater than 2-fold difference in relative ASE (cDNA allelic expression/gDNA allelic expression) possess allelic expression imbalance (AEI). To verify our AEI determination threshold was accurate, we applied the Davies-Bouldin (DB) validity index [29]. The lowest values of the index reflect that within a bin the measurements are more similar to each other than the measurements in the other bins [29].

Results
Total CHRNA5 mRNA level in frontal cortex is strongly associated with variants located upstream of the gene in individuals of both African and European ancestry Similar to our previous study in human brains of European ancestry [19,20], the variability in CHRNA5 total mRNA expression levels in frontal cortices of African ancestry is significantly associated with rs880395 (p = 7.27610 27 ), rs3841324 (p = 6.94610 23 ), and rs588765 (p = 1.10610 24 ) ( Table 1). Subjects homozygous for the minor allele at rs880395 and rs3841324, and rs588765 showed 5.4-fold, 2.6-fold, and 4.7fold increase in CHRNA5 mRNA expression levels compared to the major allele homozygotes, respectively ( Figure 1).
The insertion-deletion variant rs3841324 within the putative promoter region of CHRNA5 is highly correlated with rs880395 and rs588765 (r 2 .0.8; Figure S1a) in our brain samples of European ancestry, however it is very weakly correlated with rs880395 (r 2 = 0.12) and rs588765 (r 2 = 0.16) in brain samples of African ancestry ( Figure S1b). rs588765 has a modest correlation with rs880395 in samples of African ancestry (r 2 = 0.63; Figure  S1b). To test whether the associations of CHRNA5 mRNA expression with rs3841324 and with rs588765 are due to the LD with rs880395, we performed conditional analyses. When the effect of rs880395 on CHRNA5 mRNA expression was included as a covariate, the association between rs3841324 or rs588765 and CHRNA5 expression level was no longer significant in samples of African ancestry or in samples of European ancestry. Conversely, in conditional analysis controlling for the effect of rs3841324, the association of rs880395 with CHRNA5 mRNA expression remains statistically significant in samples of African ancestry (p = 1.79610 25 ) and in samples of European ancestry (p = 1.99610 23 ). Similarly, conditional analysis showed rs880395 remains significantly associated with CHRNA5 expression in both samples of African ancestry (p = 1.86610 25 ) and European ancestry (1.38610 25 ) after controlling for the effect of rs588765.
To further investigate eQTLs within and flanking the CHRNA5 gene, we genotyped twenty additional SNPs including 2 variants (rs601079, rs615470) that are associated with CHRNA5 total mRNA expression levels in brain tissues of European ancestry reported in our previous study [20], 5 tag SNPs (rs55853698, rs16969968, rs578776, rs3743078, rs6495308) from different LD bins in the CHRNA5-A3-B4 gene cluster [19], and 12 SNPs highly correlated with rs880395 in the European population (r 2 = 0.9). The linear regression results with postmortem interval as a covariate showed that the most significant variants associated with altered mRNA expression levels are located upstream of the CHRNA5 transcript (Table 1).

Tissue-specific effect on the variability of CHRNA5 mRNA levels
We tested whether eQTLs for CHRNA5 expression found in human brain are also present in lymphoblastoid cells. We measured CHRNA5 total mRNA expression levels in 60 lymphoblastoid cell lines from European Americans and 60 lymphoblastoid cell lines from African Americans and examined the effect of rs880395 and rs3841324 on expression. In cells from European Americans, both rs880395 (p = 1.02610 23 ) and rs3841324 (p = 6.0610 24 ) were significantly associated with variability of CHRNA5 mRNA expression. However, the effect is much weaker and is in the opposite direction to the effect detected in frontal cortex. The minor alleles of rs880395 and rs3841324 are associated with increased mRNA expression of CHRNA5 in human frontal cortex (Figure 1) but they are associated with decreased mRNA expression of CHRNA5 in lymphoblastoid cells ( Figure S2a). In cells from African Americans, no significant effect of rs880395 or rs3841324 on CHRNA5 mRNA expression was observed ( Figure S2b).

Allelic expression imbalance (AEI) analysis in frontal cortices from European Americans/Australians
To further confirm the cis-regulatory effect on CHRNA5 transcript levels and identify potential variants responsible for modulating mRNA expression, we performed allele specific expression (ASE) assays. We identified 49/111 and 55/111 brain samples derived from European Americans/Australians that are heterozygous for rs16969968 and rs615470, respectively.
We first applied the Davies-Bouldin (DB) validity index [29] to verify that relative ASE = 2 is an appropriate threshold for AEI analysis. Our analysis showed the lowest DB index was at the threshold between ASE = 1.78 and ASE = 3.48 for rs16969968 (Figure 2a). The lowest DB index for rs615470 was at the threshold between ASE = 1.29 and ASE = 2.23 (Figure 3a). After excluding samples that failed in ASE assays and those with ,90% genotyping success rate, 30 subjects showed more than 2-fold difference in relative ASE (AEI-positive) quantified with rs16969968; 14 subjects had ASE ,2 and were determined to be AEI-negative (Figure 2b). Using ANOVA analysis, we detected strongly significant difference in relative ASE between AEIpositive and AEI-negative subsets (p-value = 1.85610 218 ). With assay of rs615470, there were 39 AEI-positive subjects with 2.2-7.1-fold difference in relative ASE which is significantly different (p-value = 1.94610 29 ) from the relative ASE in the AEI-negative subset (6 subjects) (Figure 3b).
The correlation of relative ASE measures between two experimental runs was 0.91 and 0.76 for rs16969968 and rs615470, respectively. We also compared the allelic mRNA expression in 26 samples that are heterozygous for both rs16969968 and rs615470 and observed consistent relative allelic expression (correlation = 0.74) between the two markers ( Figure  S3).

Allelic expression imbalance analysis in frontal cortices from African Americans
Because rs16969968 is rare in African Americans (minor allele frequency ,0.05), we only used rs615470 to measure ASE. Applying the DB validity index, we detected the lowest DB index at the threshold between ASE = 1.52 and ASE = 2.53, which confirmed our threshold of relative ASE = 2 for AEI-positive and AEI-negative individuals (Figure 4a). Ten subjects were AEIpositive with 2.2 -7.5-fold difference in relative ASE; 5 subjects were AEI-negative (Figure 4b). Our ANOVA analysis showed the difference of relative ASE between AEI-positive and AEI-negative subsets is statistically significant at p = 1.62610 23 . The correlation between two experiments of ASE assays is 0.97.

Potential functional variants that affect CHRNA5 mRNA expression
In this study we detected reproducible allelic expression of CHRNA5 mRNA in frontal cortex of African Americans, Australians and European Americans. Therefore, we used allelic mRNA expression imbalance as a phenotypic trait to identify functional cis-acting variants. In frontal cortices of European ancestry, subjects who were AEI-positive (ASE .2) detected by either rs16969968 or rs615470 are heterozygous for 13 of the 23 variants genotyped (Figures 2b and 3b). These 13 variants, flanked by rs12916483 and rs4275821, are in a .12 kb region spanning from upstream of the CHRNA5 transcription site (28,521 bp relative to the AUG of CHRNA5) to upstream of the PSMA4 transcription start site (2358 bp relative to the AUG of PSMA4) (Table 1, Figure 5). Subjects who were AEI-negative (ASE ,2) are homozygous for all 13 variants. The concordance of AEI-positive with heterozygosity suggests that the difference in mRNA expression is affected by variants in this region.
We then tested the cis-acting effect in frontal cortex from individuals of African ancestry. All 10 subjects who were AEIpositive are heterozygous for 10 variants in a ,9 kb region (222.3 kb to 213.2 kb relative to the AUG of CHRNA5), defined by an intronic SNP (rs11858230) of PSMA4 and rs7164030 located upstream of CHRNA5 (Figures 4b and 5). Five subjects who were AEI-negative are homozygous for these 10 variants. This analysis suggests that the potential functional variants altering CHRNA5 mRNA expression levels are likely located in this region.
Association of SNP rs880395 and highly correlated variants with PSMA4 mRNA level in human frontal cortices Because 4 of the 10 potentially functional variants associated with CHRNA5 mRNA expression are within the PSMA4 region, we tested whether these variants are also associated with PSMA4 mRNA levels. We observed variability of PSMA4 mRNA levels in both samples of African ancestry and European ancestry. However, the PSMA4 mRNA expression observed in frontal cortices is not correlated with the level of CHRNA5 mRNA expression (correlation = 20.13, p = 0.2 in samples of European ancestry; correlation = 0.03, p = 0.8 in samples of African ancestry). Using linear regression with age as a covariate, none of the 23 variants tested is associated with PSMA4 mRNA levels in frontal cortices of European ancestry (Table S2). In brains of African ancestry, 4 of 22 polymorphic variants tested showed marginal association with PSMA4 mRNA levels (5.96610 23 #p#3.91610 22 ), but the association is no longer significant after correcting for multiple testing (q value $0.13).

Discussion
The cis-regulatory effect on CHRNA5 mRNA expression in frontal cortex from individuals of African ancestry is the same as observed in frontal cortex from individuals of European ancestry. In populations of European ancestry variants that alter CHRNA5 mRNA expression levels are in an extensive linkage disequilibrium bin spanning ,200 kb, with correlation coefficient (r 2 ) of 0.7. In populations of African ancestry they fell into 7 bins (r 2 $0.7) ( Table  Table 1. Association of CHRNA5 total mRNA expression with variants within and flanking the CHRNA5 gene.  Among 10 potential causal variants tested, 4 SNPs, including one synonymous SNP (rs8053), are within the PSMA4 region.
PSMA4, which encodes proteasome subunit alpha type-4, was reported as a strong candidate mediator of lung cancer cell growth [30]. Liu et al. [30] reported PSMA4 mRNA levels were increased in lung tumors compared with normal lung tissues. However, no change in PSMA4 mRNA expression was detected in another study of paired normal lung and lung adenocarcinoma tissue [21].    Our eQTL analysis showed none of the variants tested within and flanking CHRNA5 and PSMA4 is associated with PSMA4 total mRNA levels (Table S2). In addition, we did not observe any correlation between CHRNA5 and PSMA4 mRNA expression in the brain samples tested. It is possible that the association between the 4 SNPs in PSMA4 (rs11858230, rs8025429, rs4887062 and rs8053) and the changes in CHRNA5 transcript levels results from the LD between these SNPs with rs880395.
The strong concordance between CHRNA5 differential allele expression and heterozygosity detected in this study suggests that one or more of the 6 SNPs (rs1979907, rs1979906, rs1979905, rs880395, rs905740, and rs7164030), in a single LD bin (with r 2 $0.94, D9 = 1 in populations of both African and European ancestry) spanning ,2.5 kb at the 59 distal region of the CHRNA5 transcript are potential causal variants that alter the mRNA expression of this gene. This study reinforces previous findings that these 6 variants account for allelic expression differences in overall CHRNA5 mRNA expression in human frontal cortices [23] and possibly in the human amygdala and nucleus accumbens [25].
Quantitative mRNA expression analysis in this study and previous studies have demonstrated that minor alleles of variants in the adjacent CHRNA5 promoter region and/or 59distal promoter region increase CHRNA5 mRNA levels in post-mortem brain tissues and in lung tissue [19][20][21]. However, Doyle et al conducted a functional study that incorporated an 852 bp portion of the 59 distal region of the CHRNA5 promoter and showed strongly repressed transcription in cells with heterologous promoter constructs, compared to control vector [25]. No significant difference of the relative promoter activities was detected between the all-minor-allele haplotype construct and the all-major-allele haplotype construct [25]. The contradictory findings between the in vitro study and ex vivo study maybe explained by exclusion of the regions of the CHRNA5 gene and adjacent promoter from the constructs used in Doyle et al study.
Another possibility could be the tissue-specific nature of CHRNA5 RNA expression. For example, we observed that the genetic effects on CHRNA5 total mRNA expression in lymphoblastoid cells of European ancestry are in the opposite direction to that observed in human brains. Studies with promoter haplotypes, including rs3841324 and/or rs503464 within the CHRNA5 promoter region and rs55853698 and rs55781567 within the 59UTR, have shown that CHRNA5 transcriptional activity was modulated by the promoter haplotype [21,25]. It is possible that CHRNA5 transcription is affected by variants in the 59UTR, and adjacent and the 59distal region of the CHRNA5 promoter. eQTLs are common in the human genome; some eQTLs are shared across tissues and some are tissue-specific [31][32][33][34]. A recent study integrating GWAS SNPs and gene expression profiles in blood and brain demonstrated that brain tissue is required for eQTL discovery for neurological diseases and psychiatric traits.
For example, significant eQTLs that mapped to the Parkinson disease associated gene, MAPT were only detected in post-mortem brains but not in blood [32]. In this study, we detected a consistent cis-regulatory effect on the variability of CHRNA5 mRNA levels in human frontal cortices of African and European ancestry but not in lymphoblastoid cell lines, which supports the importance of examining gene expression in brain, especially for psychiatric traits. Future studies examining other brain regions involved in the reward pathway may further define whether the eQTL for CHRNA5 mRNA expression is limited to frontal cortex or is shared across brain regions.
A further limitation of this study is the absence of a direct assay of a5 protein in brain tissue. There are several caveats when mRNA transcript level is used as a proxy for functional receptor number. The mRNA level largely reflects the content of the somato-dendritic compartment, while it is very likely that most receptors incorporating the a5 subunit are located in the terminal regions of the cell [35]. Further, it is known that the number of receptors containing a subunit protein can change by up to 2-fold in the absence of a change in mRNA content (for example, a study by Pauly et al) [36]. Finally, the amount of a5 subunit protein available has been shown to strongly influence the assembly of receptors containing a4 and b2 subunits [37] and so the ultimate level of functional receptors containing the a5 subunit may be influenced by additional factors. Because of these factors it is not possible to directly link our measured effects on transcription to a predicted change in the availability of functional cell-surface receptors containing the a5 subunit. However, a reduction in transcript availability has the potential to have widespread effects on the number and subunit stoichiometry of surface receptors.
In summary, our allele specific expression analysis in human brains of African and European ancestry confirmed the cisregulatory effect on CHRNA5 mRNA expression and implicated variants in a 2.5 kb region upstream of CHRNA5 transcription site as the putatively functional variants. Figure S1 a. Linkage disequilibrium between variants in human brains of European ancestry. Number in each square represents the correlation (r 2 ) between 2 variants genotyped in 111 frontal cortices included in this study. b. Linkage disequilibrium between variants in human brains of African ancestry. Number in each square represents the correlation (r 2 ) between 2 variants genotyped in 49 frontal cortices included in this study. (TIFF) Figure S2 a. Minor allele of rs880395 (A allele) and rs3841324 (S allele) are associated with decreased relative CHRNA5 total mRNA expression (CHRNA5 total mRNA expression/GAPDH total mRNA expression) in lymphoblastoid cells of European Americans. Y-axis represents the log10 values of relative CHRNA5 total mRNA expression. b. Minor allele of rs880395 (A allele) and rs3841324 (S allele) are not associated with relative CHRNA5 total mRNA expression (CHRNA5 total mRNA expression/GAPDH total mRNA expression) in lymphoblastoid cells of African Americans. Y-axis represents the log10 values of relative CHRNA5 total mRNA expression. (TIFF) Figure S3 Correlation of relative allele specific expression (cDNA ASE/gDNA ASE) between rs16969968 and rs615470 in frontal cortex of European ancestry. (TIFF)