A large-scale meta-analysis of DNA methylation signatures of alcohol use disorder in the Psychiatric Genomics Consortium
Abstract Despite extensive research on DNA methylation signatures associated with alcohol use disorder (AUD), findings are often inconsistent. Here we conducted a large-scale meta-analysis of epigenome-wide association studies (EWASs) to identify reliable, reproducible epigenetic markers of AUD. Seven cohorts, comprising 3,775 individuals (1,325 with AUD), contributed to this meta-analysis. Downstream analyses included differentially methylated regions, overrepresentation analyses and the construction of a methylation risk score. We identified 118 significant CpG sites associated with AUD, with the strongest association found at cg24889777 ( P = 5.12 × 10 −17 ). CpG sites were enriched for pathways related to GTPase signaling, transmembrane transporter activity and EWAS signals of alcohol consumption. The methylation risk score explained 2.06% of the variance in alcohol consumption and predicted heavy drinking in an independent cohort ( N = 2,534, area under the curve = 0.657). This analysis offers key insights into the epigenetic mechanisms of AUD and lays the groundwork for future research on methylation risk scores for the diagnosis, prognosis and treatment of AUD.
Authors
- Katharina Domschke (ORCID: https://orcid.org/0000-0002-2550-9132)
- Daniel F. Levey (ORCID: https://orcid.org/0000-0001-8431-9569)
- Nancy Diazgranados (ORCID: https://orcid.org/0000-0002-7415-8455)
- Eric Zillich (ORCID: https://orcid.org/0000-0003-3704-7243)
- Negar Fani (ORCID: https://orcid.org/0000-0002-7720-252X)
- Shaunna L. Clark (ORCID: https://orcid.org/0000-0002-3193-6923)
- Rainer Spanagel (ORCID: https://orcid.org/0000-0003-2151-4521)
- Dana B. Hancock (ORCID: https://orcid.org/0000-0003-2240-3604)
- Edwin J. C. G. van den Oord (ORCID: https://orcid.org/0000-0003-2701-4405)
- Miriam A. Schiele (ORCID: https://orcid.org/0000-0003-2613-6515)
- Renato A Polimanti (ORCID: https://orcid.org/0000-0003-0745-6046)
- Brion S. Maher (ORCID: https://orcid.org/0000-0001-9809-0064)
- Joel Gelernter (ORCID: https://orcid.org/0000-0002-4067-1859)
- Şeyma Katrinli (ORCID: https://orcid.org/0000-0003-1575-8642)
- Karolina A. Åberg (ORCID: https://orcid.org/0000-0001-6103-5168)
- William Copeland (ORCID: https://orcid.org/0000-0002-1348-7781)
- Jeesun Jung (ORCID: https://orcid.org/0000-0002-2668-5541)
- Stephanie H. Witt (ORCID: https://orcid.org/0000-0002-1571-1468)
- Janitza L. Montalvo‐Ortiz (ORCID: https://orcid.org/0000-0002-7657-8365)
- Sheila T. Nagamatsu (ORCID: https://orcid.org/0000-0002-4986-5094)
- Jerome C. Foo (ORCID: https://orcid.org/0000-0003-1067-5725)
- Julie D. White (ORCID: https://orcid.org/0000-0002-2235-4817)
- Henry R. Kranzler (ORCID: https://orcid.org/0000-0002-1018-0450)
- Lea Zillich (ORCID: https://orcid.org/0000-0001-7457-374X)
- Diana L Nunez-Rios
- Alicia K. Smith (ORCID: https://orcid.org/0000-0002-8537-5156)
- Diana Avetyan (ORCID: https://orcid.org/0000-0002-0126-7474)
- Eva Friedel (ORCID: https://orcid.org/0000-0001-8859-4234)
- José Jaime Martínez‐Magaña (ORCID: https://orcid.org/0000-0003-0390-8252)
- Eric O. Johnson (ORCID: https://orcid.org/0000-0002-8870-1949)
- Ian R. Gizer (ORCID: https://orcid.org/0000-0002-4026-5674)
- Angela P. Moissl (ORCID: https://orcid.org/0000-0003-0302-2136)
- Falk W. Lohoff (ORCID: https://orcid.org/0000-0002-0480-7755)
- David Goldman
- Graciela E. Delgado
- Marcus E Kleber
- David W. Sosnowski (ORCID: https://orcid.org/0000-0003-0007-7027)
- Sofia D'Augello
- Natalie Merrill
- Kirk C. Wilhelmsen
- Abigail Powers
- Winfried März
- Jacqueline M. Otto
- Brenda W. J. H. Penninx
Institutions
- University of Vermont (US)
- University of North Carolina at Chapel Hill (US)
- Synlab Czech (Czechia) (CZ)
- National Institutes of Health (US)
- Johns Hopkins University (US)
- Emory University (US)
- University of Alberta (CA)
- University of Freiburg (DE)
- RTI International (US)
- Virginia Commonwealth University (US)
- Regeneron (United States) (US)
- Medical University of Graz (AT)
- Heidelberg University (DE)
- University Hospital Heidelberg (DE)
- Yale University (US)
- VA Connecticut Healthcare System (US)
- Central Institute of Mental Health (DE)
- National Institute on Alcohol Abuse and Alcoholism (US)
- Ministry of AYUSH (IN)
- Synlab (Germany) (DE)
- Women and Children’s Health Research Institute (CA)
- Connecticut Health Foundation (US)
- Amsterdam University Medical Centers (NL)
- University Medical Centre Mannheim (DE)
- Renaissance Computing Institute (US)
- University of Missouri (US)
- Charité - Universitätsmedizin Berlin (DE)
- University of Pennsylvania (US)
- Heidelberg University (US)
- Vrije Universiteit Amsterdam (NL)
- RWTH Aachen University (DE)
- Texas A&M University (US)
Publication Details
- Journal
- Nature Mental Health
- Published
- 2026-06-29
- DOI
- https://doi.org/10.1038/s44220-026-00666-w
- Primary Topic
- Epigenetics and DNA Methylation
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Deutsche Forschungsgemeinschaft
- Bundesministerium für Bildung und Forschung