Background: Impulsivity is a multidimensional heritable phenotype that broadly refers to the tendency to act prematurely and is associated with multiple forms of psychopathology.
Methods: We performed genome-wide association studies (GWAS) of eight impulsive personality traits from the Barratt Impulsiveness Scale and the short UPPS-P Impulsive Personality Scale (N=123,509-133,517 23andMe research participants of European ancestry), and a measure of Drug Experimentation (N=130,684). Because these GWAS implicated the gene CADM2, we next performed a phenome-wide study (PheWAS) in a multi-ancestral 23andMe cohort (N=3,229,317, European; N=579,623, Latinx; N=199,663, African American). Finally, we produced Cadm2 knock-out mice and tested them using a battery of behavioral impulsivity tasks.
Results: In humans, impulsive personality traits showed modest chip-heritability (~6-10%), and moderate genetic correlations (rg=.20-.50) with other personality traits, and various psychiatric and medical traits. We replicated associations from earlier GWAS of these traits and found novel associations including DRD2, CRHR1, FOXP2, TCF4, PTPRF. PheWAS for CADM2 identified associations with 378 traits in European participants, and 47 traits in Latinx participants, replicating associations with risky behaviors, and revealing novel associations including allergies, anxiety, irritable bowel syndrome, and migraine. Cadm2 knock-out mice showed reduced impulsivity in the 5-choice serial reaction time task, while heterozygote mice showed lower risky behavior in the mouse Iowa gambling task.
Conclusions: Our results further establish the role of CADM2 in impulsivity and numerous other psychiatric and somatic traits across ancestries. Additionally, we demonstrate that deletion of Cadm2 in mice influences behavior in assays designed to measure impulsive and risky behavior.