Is Alcoholism Genetic? Understanding the Genetics of Alcoholism 23andMe Blog
Many factors are involved in the development of AUD, but having a relative, or relatives, living with AUD may account for almost one-half of your individual risk. There’s a lesser incidence of alcohol misuse in places where alcohol is very expensive or hard to buy. Inpiduals from families with an annual household income of more than $75,000 are more likely to become an alcoholic than those with lower means.
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Decades ago researchers began investigating the widely observed tendency of persons from Chinese, Japanese or other East Asian backgrounds to become “flushed” when they drank an alcoholic beverage. Blood tests on subjects displaying this effect showed increased levels of acetaldehyde, a breakdown product of alcohol, which resulted in an uncomfortable sensation what are whippets of warmth in the skin, palpitations and weakness. By the 1980s investigators traced the reaction to an enzyme involved in alcohol metabolism, aldehyde dehydrogenase, and eventually to the gene that encodes it, ALDH1. The enzyme breaks down acetaldehyde, but slight variations in the gene’s DNA code in these subjects caused the enzyme to work more slowly.
DNA Regions Related to Symptoms of Alcoholism
- The study also included a large sample of control families that were randomly selected from the community.
- Genes can play an important role, however, by affecting processes in the body and brain that interact with one another and with an individual’s life experiences to produce protection or susceptibility.
- Fundamental to the detection of gene effects is also the understanding of the interplay between genes as well as genes/environment interactions.
The inclusion of data from different ancestral groups in this study cannot and should not be used to assign or categorize variable genetic risk for substance use disorder to specific populations. As genetic information is used to better understand human health and health inequities, fun substance abuse group activities expansive and inclusive data collection is essential. NIDA and other Institutes at NIH supported a recently released report on responsible use and interpretation of population-level genomic data, by the National Academies of Sciences, Engineering, and Medicine.
What gene is responsible for increased AUD risk?
1 This means that the samples of case and control subjects may not be sufficiently matched with respect to such factors as ethnicity or other population characteristics, which influence the prevalence of many gene variants or other factors that also may influence alcoholism risk. Based on these findings, heredity is one of the risk factors that predispose a person to AUD. He worked for many years in mental health and substance abuse facilities in Florida, as well as in home health (medical and psychiatric), and took care of people with medical and addictions problems at The Johns Hopkins Hospital in Baltimore.
Neurons that bear GABA receptors are especially abundant in the brain’s frontal cortex, where a generalized loss of inhibition can cause seizures, and seizure disorders are commonly treated with medications that boost GABA activity, promoting inhibition. A less generalized loss of GABA-induced inhibition, however, is thought to be involved in behavioral undercontrol or impulsivity, which is a feature of a number of psychiatric disorders, including bipolar affective disorder, substance abuse and chronic conduct problems. Studies by COGA consortium members have demonstrated that variants of the GABRA2 gene are linked to alcoholism, a finding that has since been confirmed by at least four groups. Interestingly, these variations in GABRA2 do not change the protein structure of the GABAA receptor; instead they seem to modify production of the affected protein subunit, perhaps reducing the total number of functioning receptors. As is true of many other human disorders, alcoholism does not have a single cause, nor is its origin entirely genetic.
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Living with inherited mental health conditions may increase the likelihood of developing alcohol use disorder. You may be more likely to develop this condition if you have a history of the condition in your family. The NIAAA points out that genes are only responsible for about half the risk of developing AUD. Environmental factors can also play a role in determining whether someone develops this condition.
Severe childhood stress and neglect increase vulnerability to alcoholism but also several alcoholism-related psychiatric diseases including ASPD, CD, anxiety and depression, with the risks of these common diseases being elevated several-fold in the stress-exposed [66,67]. However, not all subjects exposed to environmental stressors develop alcoholism or other psychiatric diseases, indicating that people differ widely in stress resiliency. Genetic variation is likely to account partially for much of the differential vulnerability. Gene × environment interaction (G × E) occurs when the effect of exposure to an environmental factor on a person’s health is conditional upon his or her genotype (for review see Caspi & Moffitt [68]).
For example, it has already provided a test of new methods for genetic analysis, as presented at the Genetic Analysis Workshop 11 (Begleiter et al. 1999). In addition, COGA researchers are currently re-interviewing participants as part of a 5-year followup. This strategy fun recovery games for groups will allow the investigators to increase the reliability of the data and to refine the phenotypes, which in turn will enhance the power of the genetic analyses. While genetic influence exists, Resurgence Behavioral Health believes in the power of recovery for everyone.
To date, GWAS havefocused on common variants, with allele frequencies of 5% or higher.Most GWAS are case-control studies or studies of quantitative traits inunrelated subjects, but family-based GWAS provide another approach. GWAS arebeginning to yield robust findings, although the experience in many diseases isthat very large numbers of subjects will be needed. To date, individual GWASstudies on alcohol dependence and related phenotypes have been relatively modestin size, and most do not reach genome-wide significance.
Another neurotransmitter highlighted in the development of alcoholism by the study of endophenotypes is acetylcholine, which, like GABA, affects neurons widely distributed through the central nervous system. Neurons that respond to acetylcholine–described as cholinergic neurons–also have an important role in modulating the overall balance between excitation and inhibition in the brain. Our measures of brain responses in COGA subjects uncovered a connection to the chromosomal region containing the CHRM2 gene, which encodes a particular type of cholinergic receptor known as the M2 muscarinic acetylcholine receptor (CHRM2).
Genes can play an important role, however, by affecting processes in the body and brain that interact with one another and with an individual’s life experiences to produce protection or susceptibility. Teasing these effects apart is challenging, and to date fewer than a dozen genes that influence one’s risk for alcoholism have been identified, although more surely exist. While there is overlap between alcohol use disorder and alcohol consumption, the researchers did further analysis and found a “distinct genetic architecture” differentiating alcohol abuse from alcohol consumption. And these distinctions will be important for identifying the genetics of addiction, the researchers said. One study used a staged meta-analysis to explore comorbid alcoholand nicotine dependence and detected genome-wide evidence of association withSNPs spanning a region on chromosome 5 that includes both IPO11(importin 11) and HTR1A (5-hydroxytryptamine (serotonin)receptor 1A, G protein-coupled)78.
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