Alcohol and your health: Risks, benefits, and controversies

Wednesday, March 16, 2022

They are passed down from our parents, and they help to determine personal characteristics – but we still have a long way to go when it comes to how they influence our personality. Getting DNA testing can show your ancestry, but it doesn’t determine your character. The GI tract is exposed to very high levels of alcohol as it passes throughthe mouth, esophagus, stomach and intestinal tract, and most ethanol passes throughthe liver before entering the circulation. Alcohol levels in common drinks rangefrom approximately 5% (1.1 M) for beer, 11-15% for wine (∼3M) and 40% for spirits (∼9 M). The oral cavity and esophagus aredirectly exposed to those levels, and the liver is exposed to high levels from theportal circulation. Thus it is not surprising that diseases of the GI system,including cirrhosis, pancreatitis, and cancers of the upper GI tract are affected byalcohol consumption80-86.

is alcoholism inherited

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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. A comprehensive association study conducted jointly by the University of Washington and the University of Queensland meticulously tracked the lives of 5,889 male and female twins, Sober Houses Rules That You Should Follow delving deep into the genetics of alcohol use disorder. While genetic influence exists, Resurgence Behavioral Health believes in the power of recovery for everyone.

Understanding Genetics

After alcohol intoxication, mice and rats increase their alcohol consumption, develop tolerance and even alcohol dependence. In addition to rapid tolerance, flies develop chronic tolerance after prolonged exposure to a low concentration of ethanol 43. Caenorhabditis elegans also exhibits tolerance after continuous ethanol exposure 44 and develops ethanol preference as a result of prolonged pre-exposure 45. Research has consistently shown that individuals with alcoholic parents are at a higher risk of developing alcoholism themselves. This increased risk may be attributed to both genetic and environmental factors.

Heritability of Alcoholism in Families

In addition, alcohol may reduce the risk of one condition (such as cardiovascular disease) while increasing the risk of another (such as cancer). So it’s hard to predict who might actually benefit and who may be harmed more than helped by alcohol consumption. And the balance of risk and benefit likely varies from person to person, based on individual factors such as genetics and lifestyle factors. Majority of genomic data for large alcohol consumption and AUD meta-analysis was either from UKBiobank or from Million Veterans Project. Several other cohorts from dbGAP also contributed to large sample size of alcohol consumption GWAS by Liu et al, 2019.

What we don’t know: The significant limitations of alcohol-related health research

While the D2 dopamine receptor gene did not have the effect expected on alcoholism, the study contributed to moving forward genetic research. “We know now that it was only a first step of a very long road of complex genetics,” said Renato Polimanti, a colleague of Gelernter at the Yale School of Medicine. In contrast to Angier’s conclusion that AUD is decided by the environment, scientists have since found multiple genetic players.

is alcoholism inherited

In the study of complex disorders, it has become apparent that quitelarge sample sizes are critical if robust association results are to beidentified which replicate across studies. Unfortunately, studies of alcoholdependence have not yet attained these sample sizes. Meta-analyses, whichcombine results across a number of studies in order to attain the criticalsample sizes needed, are being developed. The most robust finding for genetic influences on alcoholism remains with genes encoding ethanol metabolizing enzymes.

  • Results of GWAS suggest that numerous common variants with very small effect and potentially rare variants with large effects are likely to encode proteins within, or regulate, numerous biological pathways.
  • It involves both physical and psychological dependence and is a condition that generally gets worse over time if not addressed through alcohol addiction treatment.
  • However, there are many other factors that can determine if you become an alcoholic.
  • The long arm of Chromosome 7 contains the acetylcholine receptor gene CHRM2 (cholinergic muscarinic 2 receptor).
  • It affects millions of individuals worldwide, causing significant physical, psychological, and social harm.
  • In their study, the Yale team discovered that the risk genes were correlated to changes in certain brain regions.

And not so long ago there was general consensus that drinking in moderation also came with health advantages, including a reduced risk of cardiovascular disease and diabetes. In recovery, many people may find that their relationship to sleep changes, and they sleep much more. It’s also common for those with AUD to report sleeping challenges, such as insomnia. This is, in part, because alcohol use decreases REM sleep, and recovery increases it. In other words, if others in your family have struggled with drinking, you aren’t doomed. And if you have no genes for alcoholism whatsoever, you aren’t totally off the hook.

An experiment using rats at Linköping University in Sweden discovered that those with reduced expression of the gene GAT-3 become addicted to alcohol. People with enzyme variants that allow for the fast buildup of acetaldehyde from alcohol (ethanol) are at less risk for addiction compared to those who metabolize alcohol efficiently to acetate. This is because people with acetaldehyde buildup are more likely to have troublesome reactions.

A person is then less likely to resort to patterns of regular and problematic drinking. In this way, ADH1B and ALDH2 are hereditary factors that actually reduce the risk of developing alcoholism. Family history can indeed contribute to the onset of alcoholism, but this is not the whole story. Environmental factors, personal metabolism and biological aspects, and social influences can all contribute to the development of the https://thecinnamonhollow.com/a-guide-to-sober-house-rules-what-you-need-to-know/ disorder. In these situations, your hereditary behaviors interact with your environment forming the basis of your decisions.

Is Alcoholism Genetic? Understanding the Genetics of Alcoholism

  • The American Association for Cancer Research publishes that the Research Council on Problems of Alcohol was established to try and figure out a scientific link for the effects of alcohol on humans.
  • HapMap data and other studies 52 reveal moderate long distance linkage disequilibrium across GABRA2 and the closely adjacent gene GABRG1 raising the possibility that the functional locus is in GABRG1.
  • Can children inherit genetic materials from their parents that increase their vulnerability to alcohol?
  • Resurgence Behavioral Health emphasizes that while genetics contribute to alcoholism risk, environmental factors also play a significant role.
  • Although genes and family history seem to play a significant role in alcohol addiction, they are far from the only factors.

The center provides guidance, expertise, and unwavering support to navigate the complexities of genetic factors and achieve lasting freedom from alcoholism. Recognizing the genetic component, Resurgence Behavioral Health offers a holistic approach to alcoholism treatment. Combining evidence-based therapies, counseling, and support systems, the center addresses the full spectrum of an individual’s well-being. In addition to medication assisted treatment, a patient’s care can include substance abuse counseling, mental health therapy and psychiatry.

Thus, thegenes and SNPs found through GWAS have had little overlap with previous findingsbased on candidate genes/pathways and linkage analyses. Like many other complex traits, alcoholism appears to be clinically and etiologicaly hetrogenous13. This implies that there might be several steps and intermediate conditions in the development of AUD. Information about the underlying genetic factors that influence risk to AUD can be derived from multiple levels of AUD including amounts of drinks (Alcohol consumption), severity and symptoms of alcohol abuse and dependence.

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