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  • As a model of prenatal adversity we chose maternal cigarette

    2018-10-29

    As a model of prenatal adversity, we chose maternal cigarette smoking during pregnancy (MSP). This choice reflects high prevalence of MSP in the general population; the latest results of the National Survey on Drug Use and Health (U.S.A.) suggest that smoking during pregnancy has not changed significantly between 2002/2003 and 2011/2012, ranging between 18% and 15.9% respectively (Anon., 2013). Smoking during pregnancy has been associated with a number of behavioral sequelae (Cornelius and Day, 2009; Gaysina et al., 2013; Kandel et al., 2009; Wakschlag et al., 2011), in that offspring of mothers who smoked cigarettes during pregnancy are more vulnerable to developing addictions, likely due to the combination of prenatal exposure with other familial (genetic and environmental) risks. We recruited adolescents in high schools. Over a period of 10 years, our team has made 28 visits to schools and, in this way, contacted a total of 27,190 students (18,127 families). Of the 18,127 families, 5570 (33%) sent a response card indicating their interest in the study (3269 families; 59% of all responses) or declining further participation (2301 families; 41% of all responses). Based on the inclusion (e.g., maternal smoking during pregnancy, 2 or more siblings per family) and exclusion (MR contraindications) criteria (Supplementary Table I in Pausova et al., 2007), a total of 1801 SBHA (55% of the interested families) were eligible to participate in the study; the eligibility was determined by a research nurse via a structured telephone interview. Individuals whose mothers smoked during pregnancy (at least 1 cigarette per day during the second trimester) were identified first (via a telephone interview with the mother); then we selected non-exposed individuals (no smoking for 12 months before pregnancy and during pregnancy) who were matched to the exposed ones by maternal education and school attended. Note that this matching procedure was used on an ongoing basis throughout the study; it was applied at each high school so that an equivalent number of “exposed” and (matched) non-exposed adolescents were recruited at each school. In this manner, we minimized differences between the “exposed” and “non-exposed” adolescents in their families’ socio-economic status. We used a family-based design, recruiting a minimum of two siblings per family; note that siblings were concordant for the exposure status in the majority of families (446/481 families; 93%). Phenotyping of the adolescents took place over several sessions (∼15 h in total) and included a number of domains detailed in Table 1 (further details in Pausova et al., 2007 and www.saguenay-youth-study.org); each adolescent provided a fasting (morning) blood sample. During this initial phase (Wave 1), biological parents of the adolescents filled out a series of questionnaires about the family environment and their mental health; the latter included questions about cigarette smoking, alcohol use, and drug experimentation throughout their life (including current habits and age of onset), and the presence of anti-social behavior (at present and during their adolescence; Table 2). Parents also provided a blood sample for genetic analyses. In Table 3, we provide basic demographic information about the sample of adolescents who underwent the full assessment during Wave 1. In Table 4, we provide information about the lifetime history and current (last 30 days) use of the three most common substances: cannabis, alcohol and cigarettes. Note that the current use of cannabis in older adolescents (16–18 years) is comparable to that found in other countries among high-school students (Hibell et al., 2012). Using deoxyribonucleic acid (DNA) extracted from the blood samples of the adolescents and their parents, we have acquired information about single nucleotide polymorphisms (SNPs) using a genome-wide approach. The first 600 adolescents were genotyped with the Illumina Human610-Quad BeadChip (610K SNPs). The remaining 424 adolescents and all 971 parents were genotyped with the Illumina HumanOmniExpress BeadChip (700K SNPs). We have used imputations to generate the same set of markers for the two samples; we employed an imputation protocol developed by the ENIGMA Working Group, and imputed genotypes using IMPUTE (www.mathgen.stats.ox.ac.uk/impute), with a reference file created by the ENIGMA2 Genetics Support Team. This reference file is based on the most recent versions of the 1000 Genomes Project set (Phase 1, Release v3; ∼41M SNPs) but includes only ∼13M SNPs that are polymorphic in Caucasians and have been observed more than once in European populations.