Genetic Variants for Substance Use and Brain Structure Share Common Pathways

A genetics study identified shared genetic links between brain cortical structure and substance use behaviors, finding that a common substance use genetic factor was associated with brain surface area differences in the ABCD study of adolescents.

Rabinowitz, Jill A et al.·Cerebral cortex (New York·2022·Moderate EvidenceCross-Sectional
RTHC-04160Cross SectionalModerate Evidence2022RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Eight significant negative genetic correlations were found between brain measures and substance use, including between alcohol consumption and cortical thickness. Five positive correlations were found, including between insula surface area and lifetime cannabis use. Polygenic risk scores for substance use predicted brain structure variation in the ABCD adolescent cohort.

Key Numbers

71 brain imaging measures analyzed. 8 significant negative and 5 significant positive genetic correlations identified. Insula surface area positively correlated with cannabis use genetics. Substance use polygenic risk scores predicted brain structure in ABCD cohort.

How They Did This

Used GWAS summary statistics for 71 brain imaging measures and alcohol, tobacco, and cannabis use behaviors. Linkage disequilibrium score regression identified genetic correlations. Genomic structural equation modeling created a common substance use genetic factor. Polygenic risk scores were validated in the ABCD study.

Why This Research Matters

This study helps disentangle whether substance use changes brain structure or whether shared genetics underlie both. The finding that substance use genetic risk predicts brain differences in adolescents who have not yet used substances suggests genetics play a genuine role.

The Bigger Picture

This complements studies showing brain differences in substance users by demonstrating that some of those differences may be genetically predetermined rather than caused by substance use itself. This has important implications for interpreting brain imaging studies in cannabis users.

What This Study Doesn't Tell Us

GWAS are primarily conducted in European-ancestry populations. Genetic correlations indicate shared genetic architecture but do not prove causation. Brain measures were from adult samples while validation was in adolescents. Effect sizes of individual genetic variants are very small.

Questions This Raises

  • ?Do the genetically-driven brain differences increase vulnerability to substance use, or do they reflect broader personality or cognitive traits?
  • ?Would these genetic findings replicate in non-European populations?

Trust & Context

Key Stat:
Cannabis use genetics positively correlated with insula surface area
Evidence Grade:
Moderate: large-scale genetic analysis with ABCD validation, though limited by European-ancestry focus and inability to prove causation.
Study Age:
Published in 2022.
Original Title:
Shared Genetic Etiology between Cortical Brain Morphology and Tobacco, Alcohol, and Cannabis Use.
Published In:
Cerebral cortex (New York, N.Y. : 1991), 32(4), 796-807 (2022)
Database ID:
RTHC-04160

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Does cannabis use change brain structure or are people with different brains more likely to use?

This study suggests both may be true. Genetic variants associated with substance use also predict brain structure differences, even in adolescents who have not used substances. This means some brain differences seen in cannabis users may be pre-existing rather than caused by use.

What brain area was linked to cannabis genetics?

The insula, a brain region involved in interoception (awareness of internal body states), craving, and decision-making, showed surface area variation associated with cannabis use genetics.

Read More on RethinkTHC

Cite This Study

RTHC-04160·https://rethinkthc.com/research/RTHC-04160

APA

Rabinowitz, Jill A; Campos, Adrian I; Ong, Jue-Sheng; García-Marín, Luis M; Alcauter, Sarael; Mitchell, Brittany L; Grasby, Katrina L; Cuéllar-Partida, Gabriel; Gillespie, Nathan A; Huhn, Andrew S; Martin, Nicholas G; Thompson, Paul M; Medland, Sarah E; Maher, Brion S; Rentería, Miguel E. (2022). Shared Genetic Etiology between Cortical Brain Morphology and Tobacco, Alcohol, and Cannabis Use.. Cerebral cortex (New York, N.Y. : 1991), 32(4), 796-807. https://doi.org/10.1093/cercor/bhab243

MLA

Rabinowitz, Jill A, et al. "Shared Genetic Etiology between Cortical Brain Morphology and Tobacco, Alcohol, and Cannabis Use.." Cerebral cortex (New York, 2022. https://doi.org/10.1093/cercor/bhab243

RethinkTHC

RethinkTHC Research Database. "Shared Genetic Etiology between Cortical Brain Morphology an..." RTHC-04160. Retrieved from https://rethinkthc.com/research/rabinowitz-2022-shared-genetic-etiology-between

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.