We propose a comprehensive investigation into the relationship between epigenetic variation (DNA Methylation, Histone Methylation and Acetylation), genome-wide, and variation in intravenous drug use in the ALIVE cohort. The AIDS Linked to the Intravenous Experience (ALIVE) study is a prospective community-based cohort of intravenous drug users (IDUs) in Baltimore that commenced in 1988, eventually enrolling more than 3,500 IDUs. Subsequent biennial follow-up included comprehensive assessment of risk behaviors and drug use. We will focus our work on the HIV- subjects in the sample who were already genotyped using the Affymetrix 6.0 platform (N~1200). This sample is >95% African- American addressing a common shortcoming in genomics research.
In Aim 1, we propose to examine the relationship between DNA methylation, assessed genome-wide using the Illumina Methylation 450k bead chip, and intravenous drug use, in a subset with available longitudinal biological samples during extended periods of chronic use and then again > 1 year after complete abstinence from all illicit drugs. This is an extension of a preliminary study, presented in the Research Plan, where we found a significant impact of IDU on genome-wide methylation. We will also perform this work on a subsample with subsequent relapse to uncover methylation signals which differ between those who relapse (Aim 1.2) and those who continue to abstain as well as examine the role of methylation in early drug use cessation (Aim 1.3).
In Aim 2, we extend this work to examine the impact of long-term chronic use, operationalized as `injection years', on genome-wide methylation signals.
Aim 3, we examine the relationship between Histone Methylation (H3K9me2) and Acetylation (H3K9ac) using ChIP Seq technology. As in Aim 1, we will select longitudinal samples from the same individuals during periods of chronic IDU and complete abstinence to maximize the likelihood that we will find differences. We will also attempt to replicate the top findings in a post-mortem brain sample comparing opiate users to controls. This work is novel and innovative for several reasons. The proposed work is among the largest epigenetic studies for any disease or trait in an African American sample. The work builds on a large literature based on animal models of drug exposure for which there are a limited number of human datasets, with available biological samples during periods of chronic use and complete abstinence that could attempt similar work. Lastly, given that we have existing GWAS data, this work will be truly integrative, across many domains of biology (genetic, epigenetic, and phenotypic).

Public Health Relevance

Studies of the genomics of drug addiction in humans, aimed at understanding the underlying biology of addiction, have largely focused on European-American samples. We propose, in a large (Total N~3800), NIDA-funded, African American sample ascertained in Baltimore, MD, to examine the relationship between genome-wide DNA methylation, histone methylation and acetylation and intravenous drug injection using novel brain functional data to rank our hypotheses. We will use available genome-wide SNP data to build mechanistic models of addiction risk across biological domains (genetic, epigenetic and phenotypic) and will replicate our findings in a novel post-mortem brain cohort comprising subjects with addiction and controls.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA039408-04
Application #
9414005
Study Section
Special Emphasis Panel (ZRG1)
Program Officer
Satterlee, John S
Project Start
2015-04-15
Project End
2020-01-31
Budget Start
2018-02-01
Budget End
2019-01-31
Support Year
4
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Other Health Professions
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205
Musci, Rashelle J; Fairman, Brian; Masyn, Katherine E et al. (2018) Polygenic Score × Intervention Moderation: an Application of Discrete-Time Survival Analysis to Model the Timing of First Marijuana Use Among Urban Youth. Prev Sci 19:6-14
Maher, Brion S; Latendresse, Shawn; Vanyukov, Michael M (2018) Informing Prevention and Intervention Policy Using Genetic Studies of Resistance. Prev Sci 19:49-57
Latendresse, Shawn J; Musci, Rashelle; Maher, Brion S (2018) Critical Issues in the Inclusion of Genetic and Epigenetic Information in Prevention and Intervention Trials. Prev Sci 19:58-67
Maher, Brion S (2015) Polygenic Scores in Epidemiology: Risk Prediction, Etiology, and Clinical Utility. Curr Epidemiol Rep 2:239-244