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Genetic polymorphisms of ADH2, ADH3, CYP4502E1 Dra-I and Pst-I, and ALDH2 in Spanish men: lack of association with alcoholism and alcoholic liver disease.

BACKGROUND/AIMS: The relationship between polymorphisms at the alcohol dehydrogenase 2 (ADH(2)), ADH(3), CYP(450)2E1 and aldehyde dehydrogenase 2 (ALDH(2)) loci and the individual predisposition to alcoholism and alcoholic liver disease in Caucasians is controversial. METHODS: We determined the genotypes of ADH(2), ADH(3), CYP(450)2E1 (Pst-I and Dra-I) and ALDH(2) in 519 male Spaniards: 264 alcoholic subjects (47 without liver disease, 118 with non-cirrhotic liver disease and 99 with cirrhosis) and 255 non-alcoholic subjects (64 healthy controls, 110 with non-cirrhotic non-alcoholic liver disease and 81 with cirrhosis unrelated to alcohol). Genotyping was performed using PCR-RFLP methods on white cell DNA. RESULTS: The distribution of the allelic variants (allele *1 and allele *2) in the whole subjects analyzed was: ADH(2) 93.1% and 6.9%; ADH(3) 55.7 and 44.3%; CYP(450)2E1 Dra-I 11.2 and 88.8%; CYP(450)2E1 Pst-I 96.2 and 3.8% and ALDH2 100 and 0%, respectively. No differences were observed in the allelic distributions of the alcoholic and non-alcoholic subjects for the loci examined. Allele distribution in alcoholics with no liver disease, with alcoholic steatosis or hepatitis, and with cirrhosis was also similar. CONCLUSIONS: ADH(2), ADH(3), and CYP(450)2E1 Pst-I and Dra-I genetic variations are not related to alcoholism or susceptibility to alcoholic liver disease in our male population. ALDH(2) locus is monomorphic.

Adult↗

The effects of low Km aldehyde dehydrogenase (ALDH2) phenotype on drinking behavior in Japanese university students.

OBJECTIVE: The present study investigated the relationship between a history of a flushing reaction and drinking behavior in Japanese university students, adjusting for the effects of alcohol-related psychosocial factors including academic year, school division, club membership and housing situation. METHOD: In 1995, 419 men and 321 women at Kyoto University were enrolled in a study using informed consent. Subjects were classified as nonflushers or flushers by using a self-reported measure, the ALST (Alcohol Sensitivity Screening Test). Alcohol drinking behavior during the last year, including drinking frequency, alcohol intake per occasion and problem drinking behavior, was investigated. RESULTS: Compared with male flushers, male nonflushers showed a 1.8 times higher frequency of drinking with family members (p < .01) and drank significantly larger amounts of alcohol with family members (p < .05). Male nonflushers drank significantly larger amounts of alcohol with friends than did male flushers (p < .0001) and showed significantly heavier mean alcohol consumption per month than male flushers did (p < .001). Compared with male flushers, male nonflushers showed a 1.7 times higher rate of high-problem drinking (p < .01). In contrast, none of these drinking behaviors differed between female nonflushers and female flushers. CONCLUSIONS: Even after adjusting for aspects of alcohol-related psychosocial factors, flushing reactions among Japanese university students were significantly related to drinking behavior in men but not in women.

Alcohol Drinking↗

[ALDH2].

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Alcohol Drinking↗

[The ethanol elimination pharmacokinetics--the effects of genotypes of ALDH2 and CYP2E1 on the ethanol metabolism].

The effect of CYP2E1 upon the blood ethanol level was investigated. Blood ethanol concentrations in 4 volunteers whose ADH 2, ADH 3 and ALDH 2 genotypes were identical, were determined after intravenous administrations of 0.20 g/kg of ethanol by gas chromatography. The predicting 95% confidence bounds determined on regression analysis of these data suggested that after venous injection of ethanol, the blood ethanol concentration in a volunteer normal homozygous for CYP2E1 (C1/C1) is higher than that heterozygous (C1/C2). And beta 60 (the blood ethanol concentration-time curve) of the subject heterozygous for CYP2E1 (C1/C2) was higher than that normal homozygous (C1/C1). It is possible that the C2 allele corresponding to the higher CYP2E1 activity may affect the ethanol metabolism.

Aldehyde Dehydrogenase↗