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Alcoholism: Difference between revisions

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→‎Genetic variation: Added a brief subsection on the association of alcoholism and DNA damage.
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A [[genome-wide association study]] (GWAS) of more than 100,000 human individuals identified variants of the gene ''KLB'', which encodes the [[transmembrane protein]] β-[[Klotho (biology)|Klotho]], as highly associated with alcohol consumption. The protein β-Klotho is an essential element in [[cell surface receptor]]s for [[hormone]]s involved in modulation of appetites for [[Monosaccharide|simple sugars]] and alcohol.<ref>{{cite journal | vauthors = Schumann G, Liu C, O'Reilly P, Gao H, Song P, Xu B, Ruggeri B, Amin N, Jia T, Preis S, Segura Lepe M, Akira S, Barbieri C, Baumeister S, Cauchi S, Clarke TK, Enroth S, Fischer K, Hällfors J, Harris SE, Hieber S, Hofer E, Hottenga JJ, Johansson Å, Joshi PK, Kaartinen N, Laitinen J, Lemaitre R, Loukola A, Luan J, Lyytikäinen LP, Mangino M, Manichaikul A, Mbarek H, Milaneschi Y, Moayyeri A, Mukamal K, Nelson C, Nettleton J, Partinen E, Rawal R, Robino A, Rose L, Sala C, Satoh T, Schmidt R, Schraut K, Scott R, Smith AV, Starr JM, Teumer A, Trompet S, Uitterlinden AG, Venturini C, Vergnaud AC, Verweij N, Vitart V, Vuckovic D, Wedenoja J, Yengo L, Yu B, Zhang W, Zhao JH, Boomsma DI, Chambers J, Chasman DI, Daniela T, de Geus E, Deary I, Eriksson JG, Esko T, Eulenburg V, Franco OH, Froguel P, Gieger C, Grabe HJ, Gudnason V, Gyllensten U, Harris TB, Hartikainen AL, Heath AC, Hocking L, Hofman A, Huth C, Jarvelin MR, Jukema JW, Kaprio J, Kooner JS, Kutalik Z, Lahti J, Langenberg C, Lehtimäki T, Liu Y, Madden PA, Martin N, Morrison A, Penninx B, Pirastu N, Psaty B, Raitakari O, Ridker P, Rose R, Rotter JI, Samani NJ, Schmidt H, Spector TD, Stott D, Strachan D, Tzoulaki I, van der Harst P, van Duijn CM, Marques-Vidal P, Vollenweider P, Wareham NJ, Whitfield JB, Wilson J, Wolffenbuttel B, Bakalkin G, Evangelou E, Liu Y, Rice KM, Desrivières S, Kliewer SA, Mangelsdorf DJ, Müller CP, Levy D, Elliott P | display-authors = 6 | title = KLB is associated with alcohol drinking, and its gene product β-Klotho is necessary for FGF21 regulation of alcohol preference | journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 113 | issue = 50 | pages = 14372–14377 | date = December 2016 | pmid = 27911795 | pmc = 5167198 | doi = 10.1073/pnas.1611243113 | s2cid = 4060021 | doi-access = free }}</ref> Several large GWAS have found differences in the genetics of alcohol consumption and alcohol dependence, although the two are to some degree related.<ref name=":1">{{cite journal | vauthors = Walters RK, Polimanti R, Johnson EC, McClintick JN, Adams MJ, Adkins AE, Aliev F, Bacanu SA, Batzler A, Bertelsen S, Biernacka JM, Bigdeli TB, Chen LS, Clarke TK, Chou YL, Degenhardt F, Docherty AR, Edwards AC, Fontanillas P, Foo JC, Fox L, Frank J, Giegling I, Gordon S, Hack LM, Hartmann AM, Hartz SM, Heilmann-Heimbach S, Herms S, Hodgkinson C, Hoffmann P, Jan Hottenga J, Kennedy MA, Alanne-Kinnunen M, Konte B, Lahti J, Lahti-Pulkkinen M, Lai D, Ligthart L, Loukola A, Maher BS, Mbarek H, McIntosh AM, McQueen MB, Meyers JL, Milaneschi Y, Palviainen T, Pearson JF, Peterson RE, Ripatti S, Ryu E, Saccone NL, Salvatore JE, Sanchez-Roige S, Schwandt M, Sherva R, Streit F, Strohmaier J, Thomas N, Wang JC, Webb BT, Wedow R, Wetherill L, Wills AG, Boardman JD, Chen D, Choi DS, Copeland WE, Culverhouse RC, Dahmen N, Degenhardt L, Domingue BW, Elson SL, Frye MA, Gäbel W, Hayward C, Ising M, Keyes M, Kiefer F, Kramer J, Kuperman S, Lucae S, Lynskey MT, Maier W, Mann K, Männistö S, Müller-Myhsok B, Murray AD, Nurnberger JI, Palotie A, Preuss U, Räikkönen K, Reynolds MD, Ridinger M, Scherbaum N, Schuckit MA, Soyka M, Treutlein J, Witt S, Wodarz N, Zill P, Adkins DE, Boden JM, Boomsma DI, Bierut LJ, Brown SA, Bucholz KK, Cichon S, Costello EJ, de Wit H, Diazgranados N, Dick DM, Eriksson JG, Farrer LA, Foroud TM, Gillespie NA, Goate AM, Goldman D, Grucza RA, Hancock DB, Harris KM, Heath AC, Hesselbrock V, Hewitt JK, Hopfer CJ, Horwood J, Iacono W, Johnson EO, Kaprio JA, Karpyak VM, Kendler KS, Kranzler HR, Krauter K, Lichtenstein P, Lind PA, McGue M, MacKillop J, Madden PA, Maes HH, Magnusson P, Martin NG, Medland SE, Montgomery GW, Nelson EC, Nöthen MM, Palmer AA, Pedersen NL, Penninx BW, Porjesz B, Rice JP, Rietschel M, Riley BP, Rose R, Rujescu D, Shen PH, Silberg J, Stallings MC, Tarter RE, Vanyukov MM, Vrieze S, Wall TL, Whitfield JB, Zhao H, Neale BM, Gelernter J, Edenberg HJ, Agrawal A | display-authors = 6 | title = Transancestral GWAS of alcohol dependence reveals common genetic underpinnings with psychiatric disorders | journal = Nature Neuroscience | volume = 21 | issue = 12 | pages = 1656–1669 | date = December 2018 | pmid = 30482948 | pmc = 6430207 | doi = 10.1038/s41593-018-0275-1 }}</ref><ref name=":2" /><ref>{{Cite journal|last1=Zhou|first1=Hang|last2=Sealock|first2=Julia M.|last3=Sanchez-Roige|first3=Sandra|last4=Clarke|first4=Toni-Kim|last5=Levey|first5=Daniel F.|last6=Cheng|first6=Zhongshan|last7=Li|first7=Boyang|last8=Polimanti|first8=Renato|last9=Kember|first9=Rachel L.|last10=Smith|first10=Rachel Vickers|last11=Thygesen|first11=Johan H.|date=2020|title=Genome-wide meta-analysis of problematic alcohol use in 435,563 individuals yields insights into biology and relationships with other traits|journal=Nature Neuroscience|volume=23|issue=7|pages=809–818|doi=10.1038/s41593-020-0643-5|issn=1097-6256|pmc=7485556|pmid=32451486}}</ref>
 
===DNA damage===
 
Alcohol-induced [[DNA damage (naturally occurring)|DNA damage]], when not properly repaired, may have a key role in the neurotoxicity induced by alchohol<ref name = Kruman2012>Kruman II, Henderson GI, Bergeson SE. DNA damage and neurotoxicity of chronic alcohol abuse. Exp Biol Med (Maywood). 2012 Jul;237(7):740-7. doi: 10.1258/ebm.2012.011421. Epub 2012 Jul 24. PMID: 22829701; PMCID: PMC3685494</ref>. Metabolic conversion of ethanol to [[acetaldehyde]] can occur in the brain and the neurotoxic effects of ethanol appear to be associated with acetaldehyde induced DNA damages including DNA adducts and crosslinks<ref name = Kruman2012/>. In addition to acetaldehyde, alcohol metabolism produces potentially genotoxic [[reactive oxygen species]], which have been demonstrated to cause oxidative DNA damage<ref name = Kruman2012/>.
 
==Diagnosis==