
This study investigates the relationship between genetic copy number  variations and brain volume differences in an alcohol use disorder (AUD)  population.
We hypothesized that copy number variations may influence subject's  risk for alcohol use disorders through variations in regional gray and white  matter brain volumes. Since genetic influences upon behavior are the result of  many complicated interactions we focus on differences in brain volume as a  putative intermediate phenotype between genetic variation and behavior.
Copy  number variation, alcohol use assessments and brain structural magnetic  resonance images from 283 subjects, 199 male and 84 females who were enrolled in  two AUD studies were obtained and analyzed using a combination of the Freesurfer  image analysis suite and independent component analysis. Because brain volume  varies by age we compared participant's volume variation with that derived from  a control cohort of 75 subjects. In addition we also regressed out the possible  brain volume changes induced by long term alcohol consumption.
Small cerebral  cortex, cerebellar and caudate along with large cerebral white matter and 5th  ventricle volumes are shown to be significantly associated with increased AUD  severity. When these volume variations are compared with control subject  volumes; the variations seen in subjects with AUD are markedly different from  normal aging effects.
CNVs at 11 q14.2 are marginally (p < 0.05 uncorrected) correlated with such brain volume variations and the correlation holds true after controlling for long-term alcohol consumption; deletion carriers have smaller cerebral cortex, cerebellar, caudate and larger cerebral white matter and 5th ventricle volumes than insertion carriers or subjects with no variation in this region.
 Similarly, deletion carriers also demonstrate  higher AUD severity scores than insertion carriers or subjects with no  variation.
The results presented here suggest that copy number variation and in particular the variation at chromosome 11 q14.2 may have an impact in brain volume variation, potentially influencing AUD behavior.
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