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rs55781567 (CHRNA5)

What you carry at this position in your DNA and what research says about it.

Lung Cancer Risk: 10/10 evidence, 15 publications.

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Sample genotype (not yours): C/C

Typical Lung Cancer and Nicotine Dependence Risk

Two copies of the C allele are associated with typical lung cancer risk and lower susceptibility to nicotine dependence. This genotype is also linked to better baseline lung function.

What this genotype means: Typical baseline risk of lung cancer; Lower susceptibility to nicotine dependence; Better baseline lung function.

Sample genotype (not yours): C/G

Moderately Higher Lung Cancer and Nicotine Dependence Risk

One copy of the G allele is linked to a moderately increased risk of lung cancer and nicotine dependence. It also slightly reduces lung function compared to the typical genotype.

What this genotype means: Moderately higher risk of lung cancer; Slightly increased nicotine dependence; Slightly reduced lung function.

Sample genotype (not yours): G/G

Higher Lung Cancer and Nicotine Dependence Risk

Two copies of the G allele are associated with a significantly higher risk of developing lung cancer and increased nicotine dependence. This genetic profile is also linked to lower baseline lung function and a higher likelihood of chronic respiratory diseases.

What this genotype means: Significantly higher risk of lung cancer; Increased susceptibility to nicotine dependence; Reduced baseline lung function.

About CHRNA5

Gene function and biological role

Gene Function: The CHRNA5 gene encodes the alpha-5 subunit of the nicotinic acetylcholine receptor, which is a ligand-gated ion channel [1]. These receptors are widely expressed in both the central nervous system and peripheral tissues, including the lungs [2]. They play a critical role in mediating the cellular responses to acetylcholine and exogenous nicotine [1]. Genetic variations in this gene have been heavily implicated in smoking behaviors, nicotine addiction, and respiratory diseases [3].

Variant Impact: Located in the 5 prime untranslated region (UTR) of the CHRNA5 gene, rs55781567 is a regulatory variant. This regulatory region is crucial for controlling the translation efficiency and overall expression levels of the receptor subunit [4]. The C to G nucleotide change at this position alters the expression profile of CHRNA5 in lung tissues [2]. Specifically, the G allele is associated with lower mRNA expression levels of the functional subunit [2]. This expression imbalance is thought to alter nicotinic receptor signaling, contributing to increased susceptibility to lung diseases and nicotine addiction [1].

Key Insight: The G allele of this variant not only increases the risk of lung cancer but also makes it significantly harder to quit smoking by increasing nicotine dependence.

Location: CHRNA5. Chromosome 15 · 15q25.1 · 78.6 Mb

Genotype Frequencies

Estimated prevalence by population

Global 49.0%; European 42.2%; African 53.0%; East Asian 93.3%; South Asian 59.8%; Americas 56.3%; Ashkenazi 41.2%; Finnish 45.3%; Middle Eastern 34.3%; Amish 34.0%.

Estimated CC genotype frequency.

Global 41.3%; European 45.5%; African 39.6%; East Asian 6.6%; South Asian 35.1%; Americas 37.5%; Ashkenazi 46.0%; Finnish 44.0%; Middle Eastern 48.5%; Amish 48.6%.

Estimated CG genotype frequency.

Global 9.6%; European 12.3%; African 7.4%; East Asian 0.1%; South Asian 5.1%; Americas 6.2%; Ashkenazi 12.8%; Finnish 10.7%; Middle Eastern 17.2%; Amish 17.4%.

Estimated GG genotype frequency.

Associated Traits

Showing effects for C/C genotype

Cancer & Oncology

Lung Cancer

Lung Cancer. Evidence: 10/10. Source: PMID 27393504. Typical Risk.

Neurology & Mental Health

Addiction & Reward

Nicotine Dependence. Evidence: 5/10. Source: PMID 29196725. Typical.

Organ Systems

Respiratory Health

Lung Function. Evidence: 10/10. Source: PMID 26634245. Typical.

Chronic Lung Disease. Evidence: 10/10. Source: PMID 39024449. Typical Risk.

Showing effects for C/G genotype

Lung Cancer. Evidence: 10/10. Source: PMID 27393504. ~1.26x Higher Risk.

Nicotine Dependence. Evidence: 5/10. Source: PMID 29196725. Increased Risk.

Lung Function. Evidence: 10/10. Source: PMID 26634245. Slightly Reduced.

Chronic Lung Disease. Evidence: 10/10. Source: PMID 39024449. Increased Risk.

Showing effects for G/G genotype

Lung Cancer. Evidence: 10/10. Source: PMID 27393504. ~1.5x Higher Risk.

Lung Function. Evidence: 10/10. Source: PMID 26634245. Reduced.

What CC Genotype Means

What this genotype means for the people who carry it

Sample genotype: CC (Homozygous)

Two C alleles are associated with a typical, baseline risk of developing lung cancer [1]. Susceptibility to nicotine dependence is generally lower compared to G allele carriers [2]. Better baseline lung function, characterized by higher FEV1/FVC ratios, is also common with this genotype [3]. Furthermore, a lower risk of chronic lung diseases and other respiratory conditions is observed [4]. The C allele is linked to higher expression of the functional CHRNA5 subunit in lung tissues, which supports normal nicotinic receptor signaling [5]. While this genotype is protective relative to G carriers, maintaining a smoke-free lifestyle remains essential for overall lung health.

Typical baseline risk of lung cancer; Lower susceptibility to nicotine dependence; Better baseline lung function.

What CG Genotype Means

Sample genotype: CG (Heterozygous)

A single copy of the G allele is associated with a moderate increase in the risk of lung cancer [1]. Nicotine dependence is also moderately higher, which can influence smoking habits and the difficulty of smoking cessation [2]. Lung function measurements, such as the FEV1/FVC ratio, tend to be slightly lower compared to the typical C/C genotype [3]. The presence of one G allele is also linked to a slightly elevated risk of chronic respiratory diseases [4]. These effects are mediated by altered nicotinic receptor subunit expression in the respiratory tract [5]. Minimizing exposure to cigarette smoke and other environmental pollutants is highly beneficial for maintaining respiratory health.

Moderately higher risk of lung cancer; Slightly increased nicotine dependence; Slightly reduced lung function.

What GG Genotype Means

Sample genotype: GG (Homozygous)

Inheriting two copies of the G allele significantly increases the risk of developing lung cancer, with studies showing an odds ratio of approximately 1.26 or higher [1]. Nicotine dependence is also strongly elevated, making smoking cessation more challenging [2]. Research indicates that the G allele is linked to lower baseline lung function, as measured by the FEV1/FVC ratio [3]. Susceptibility to chronic lung diseases and other respiratory conditions is also higher with this genotype [4]. The biological mechanism involves altered expression of the CHRNA5 gene in lung tissues, which affects nicotinic receptor function [5]. Avoiding tobacco smoke exposure is the most critical preventive measure for maintaining respiratory health.

Significantly higher risk of lung cancer; Increased susceptibility to nicotine dependence; Reduced baseline lung function.

Related Variants

Variants with shared genetic architecture

rs17486278 · CHRNA5 Gene · Chr 15 · Lung Disease Risk

rs16969968 · CHRNA5 Gene · Chr 15 · Nicotine Dependence Risk

rs2036527 · CHRNA5 Gene · Chr 15 · Smoking and Lung Cancer Risk

Sources

Pharmacogenetic study of seven polymorphisms in three nicotinic acetylcholine receptor subunits in smoking-cessation therapies.

Multiple isoforms and differential allelic expression of CHRNA5 in lung tissue and lung adenocarcinoma.

Large-scale association analysis identifies new lung cancer susceptibility loci and heterogeneity in genetic susceptibility across histological subtypes.

In vitro and ex vivo analysis of CHRNA3 and CHRNA5 haplotype expression.

A genome-wide association study identifies risk loci for spirometric measures among smokers of European and African ancestry.

Diversity and scale: Genetic architecture of 2068 traits in the VA Million Veteran Program.

Back to Variant Explorer

Content updated August 2026.

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