Genetics of Alcohol Use Disorder National Institute on Alcohol Abuse and Alcoholism NIAAA

Anecdotal evidence shows that alcohol misuse can result from genetic factors. Today, studies have demonstrated that genes could predispose a person to alcohol dependence. Research like this could help identify people who have a higher risk of misusing alcohol so it can be Genetics of Alcoholism mitigated and treated appropriately. However, even those with a high genetic risk to substance abuse must first be driven by a nonhereditary factor to do it. The catalyst that leads to alcohol abuse is very often an environmental factor, such as work-related stress.

It is now appreciated that a whole spectrum of allele frequencies and
effect sizes may play roles, from common variations with small effects through
rare variants of large effect. As whole exome and whole genome sequencing
technologies come down in cost, they are being applied to identifying rare
variants. For studies of rare variants, families are quite valuable for sorting
out true positives from the background of individual variations that we all
harbor. Two recent studies on the same large datasets used the maximum number of alcoholic drinks consumed in a 24-h period (MaxDrinks) as phenotypic measurement (Kapoor et al. 2013; Pan et al. 2013). Both studies found different genes from those identified by previous meta-analyses and the results from these two studies showed little, if any, overlap.

EARLY MOLECULAR GENETICS STUDIES

A comprehensive review by the University of Cambridge, which analyzed 12 studies involving twins and adopted children, found that genetics accounts for about half of the risk for alcoholism. When the person drinks alcohol, for example, they may feel relaxed and happy compared to the https://ecosoberhouse.com/article/alcohol-allergies-symptoms-and-signs/ stress they feel when they are sober. This reinforces the desire to use alcohol as a coping mechanism for stress. Those who have mental illnesses, especially anxiety, depression, bipolar disorder, and schizophrenia are very likely to struggle with co-occurring alcohol use disorder.

  • Some types of cancer and injuries common to alcoholics are also common in those who binge drink.
  • Can children inherit genetic materials from their parents that increase their vulnerability to alcohol?
  • Because of a wide range of wild symptoms that blend into each other, recognizing a dual diagnosis can be difficult.
  • It should not be used in place of the advice of your physician or other qualified healthcare providers.
  • As we’ve learned more about how genes play a role in our health, researchers have discovered that different factors can affect the expression of our genes.

The link between genotype and phenotype is likely also confounded by multidimensional gene-gene interactions, the magnitudes of which depend on allele frequencies (Mackay 2014). In addition, the genetic architectures that underlie different phenotypic manifestations of alcohol drinking behavior appear to be distinct. Nevertheless, different studies reveal different aspects of the genetic underpinnings of the physiological and behavioral effects of ethanol, while underscoring the underlying genomic complexity of the genotype-phenotype relationship. Combining and integrating information from experimentally tractable model systems with human genetic studies provides a powerful strategy to disentangle the genomic elements that contribute to alcohol-related phenotypes. Effects of alcohol range from sedation, characterized by decreased awareness and ability to function, to addiction.

Alcohol metabolism

By considering AD and abuse under single umbrella increased the number of diagnosed subjects, but this number was still not large enough to design powerful GWAS studies. Therefore, many genetic studies of alcoholism also concentrated on nonclinical phenotypes, such as alcohol consumption and Alcohol Use Disorders Identification Test (AUDIT)[17–19], from large population based cohorts. The AUDIT, a 10-item, self-reported test was developed by the World Health Organization as a screen for hazardous and harmful drinking and can be used as a total (AUDIT-T), AUDIT-Consumption (AUDIT-C) and AUDIT-Problems (AUDIT-P) sub-scores. Sensitivity to alcohol exposure varies among individuals within and across populations. From a genetics perspective, susceptibility to the inebriating effects of alcohol and alcohol addiction can be viewed as quantitative traits that result from the cumulative effects of multiple segregating genes and their interactions with the environment. This review integrates insights obtained from different model systems as well as human population studies to provide a comprehensive overview of the genetic factors that mediate sensitivity to alcohol.

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