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Indeed, several strains of animals have been generated that display differences in alcohol-related behaviors, such as animals with high or low sensitivity to various effect of alcohol or with high or low preference for alcohol 104. Kerns et al. 121 studied differences in basal or ethanol-responsive gene expression in the brains of two strains of mice that differ markedly in a number of behavioral responses to ethanol. Several genes that were expressed differentially in the two strains as well as several ethanol-regulated genes were found within brain regions that are involved in reward, including the nucleus accumbens, pre-frontal cortex and ventral tegmental area. Multiplex evaluation of gene expression by microrrays enables the exploration of gene networks. Tabakoff et al. 122 compared the mRNA expression profiles of mouse strains displaying marked differences in acute tolerance to alcohol and results from this study indicate the importance of a signal transduction cascade that involves the glutamatergic pathway. The research on epigenetics and alcohol is still developing, but some studies suggest there is a link.
We have since conducted several studies that have disentangled family history into elements of genetic liability, nurture and density of risk (e.g., References 23, 24, 25). We were also able to examine the risk posed by early initiation of alcohol use on later drinking milestones using several analytic paradigms (e.g., References 29, 30). More recently, our longitudinal design has facilitated characterizations of remission and recovery in AUD (e.g., References 31, 32, 33). A detailed description of these findings is outlined in the accompanying review (2. Sample and Clinical Data). With rapid advances over the past 10 years in technologies for discovering and analyzing the functions of genes, researchers are now increasingly able to get at the biological roots of complex disorders such as substance abuse and addiction. Complex epigenetic mechanisms that regulate gene activity without altering DNA code have been shown to produce long-lasting changes in gene expression essential https://ecosoberhouse.com/ to development and cellular differentiation and to adaptation to environmental changes.
The strongest and most consistent findings for GWAS for AUD are for alcohol metabolizing genes, as in a recent study in an East Asian (Korean) sample of alcoholics in which ALDH2 and ADH1B showed up as GWAS signals with genome-wide significance 68. Subsequent analysis showed that AUTS2 was implicated in alcohol consumption in mice and alcohol sensitivity in drosophila 69. Although alcoholism is often comorbid with other psychiatric disorders the heritability is largely disease specific 1. The exception is nicotine addiction with which there is a strong genetic correlation 1. PECRis located within broad linkage peaks for several alcohol-related traits,including alcoholism66,comorbid alcoholism and depression67, level of response to alcohol68, and amplitude of the P3(00)response69, 70.
The participation of all COGA investigators at these meetings also ensures that a legacy is in place for onboarding new scientists joining the group. Insight, Not DestinyThe coga project has been structured around families, but this type of research has also strengthened understanding of the relative importance of specific gene variants as risk factors in different ethnic groups. This is not to say that certain ethnicities are more prone to alcoholism; instead, like the ALDH1 gene version that makes many East Asians intolerant of alcohol, certain of the genetic variants that contribute to risk are much more prevalent in some ethnic groups than in others. The knowledge that such genes are likely to be influencing dependence in patients belonging to one of these populations is another tool that can be used to assess the nature of an individual’s problem and to tailor treatment accordingly. As is true of many other human disorders, alcoholism does not alcoholism have a single cause, nor is its origin entirely genetic. 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.
Heavy drinking strains the kidneys by impairing their ability to filter toxins and regulate bodily fluids. Alcohol can also lead to dehydration, which reduces kidney function and increases blood pressure, a key risk factor for kidney damage. The liver is also an affected organ—because chronic alcohol misuse impacts the liver, liver disease can further strain the kidneys and increase the risk of kidney failure.
Chronic alcohol consumption can produce nutritional deficiencies, particularly in zinc, biotin, and iron, which are essential for hair growth. AUD disrupts hormone levels, causing increased cortisol and changes in estrogen, both of which can trigger hair thinning or loss. Further, dehydration and poor scalp circulation caused by excessive alcohol intake harm hair health.
Alcohol is the most commonly used substance in the United States, with 84% of people 18 and older reporting lifetime use, according to data from the 2022 National Survey on Drug Use and Health. The intervening category, known as risky is alcoholic genetic drinking, includes heavy drinking as well as binge drinking.1 AUD is a chronic disease with significant medical, social, and psychological implications for the patient. AUD also significantly impacts the healthcare system, contributing to over 200,000 hospitalizations annually and 7.4% of emergency room visits.2 About 29.5 million people 12 and over have AUD in the United States; however, only 7.6% of this population receive treatment.NIAAA. AUD in the United States This large treatment gap allows clinicians to diagnose a prevalent medical condition with devastating health and societal consequences. Alcoholism is genetically complex, meaning that multiple genes are likely to be involved, and their interactions with one another and with an individual’s environment also have to be examined before a complete picture of the processes that can lead to the disorder is assembled.
Family, twin, and adoption studies have shown that alcoholism definitely has a genetic component. In 1990, Blum et al. proposed an association between the A1 allele of the DRD2 gene and alcoholism. The DRD2 gene was the first candidate gene that showed promise of an association with alcoholism. There is evidence that heavy episodic (binge) drinking, which results inexposure of tissues to high levels of alcohol, is particularly harmful81, 87, 88. Binge drinkingis generally defined as a man consuming 5 standard drinks within 2 hours; women are typically smaller and have a lower percentage of body water, so 4 standarddrinks can reach similar alcohol levels.
Attorney Bartis was born and raised in Hollis, New Hampshire.
He attended Plymouth State College where he earned a Bachelor’s
Degree in History with a minor in Psychology. Read More
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