Examining Alcohol Dependence and Its Correlates from a Genetically Informative Perspective

Total Page:16

File Type:pdf, Size:1020Kb

Examining Alcohol Dependence and Its Correlates from a Genetically Informative Perspective Virginia Commonwealth University VCU Scholars Compass Theses and Dissertations Graduate School 2012 Examining Alcohol Dependence and Its Correlates From A Genetically Informative Perspective Laura Hack Virginia Commonwealth University Follow this and additional works at: https://scholarscompass.vcu.edu/etd Part of the Medical Genetics Commons © The Author Downloaded from https://scholarscompass.vcu.edu/etd/547 This Dissertation is brought to you for free and open access by the Graduate School at VCU Scholars Compass. It has been accepted for inclusion in Theses and Dissertations by an authorized administrator of VCU Scholars Compass. For more information, please contact [email protected]. © Laura M. Hack, 2012 All Rights Reserved EXAMINING ALCOHOL DEPENDENCE AND ITS CORRELATES FROM A GENETICALLY INFORMATIVE PERSPECTIVE A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University by Laura Michele Hack Bachelor of Science, The College of William & Mary, 2006 Advisors: Brien P. Riley, Ph.D. Associate Professor, Departments of Psychiatry and Human and Molecular Genetics Kenneth S. Kendler, M.D. Distinguished Professor, Departments of Psychiatry and Human and Molecular Genetics Virginia Commonwealth University Richmond, Virginia September, 2012 Acknowledgement First, I’d like to express my sincere appreciation to my advisors, Drs. Brien Riley and Kenneth Kendler, for the enormous amount of time that they dedicated to mentoring me, guiding me through analytic challenges, and fostering my passion for research. I’d also like to acknowledge the other members of my committee, Drs. Danielle Dick, Jill Bettinger, and Tim York, as well as Drs. Todd Webb and Hermine Maes, for their time, guidance, and support. I want to recognize the research associates and post-docs at VIPBG, including Steve Aggen, Fazil Aliev, Jocilyn Dellava Bergin, Tim Bigdeli, Alexis Edwards, Chuck Gardner, John Myers, Elizabeth Prom- Wormley, and Brad Verhulst, for their countless hours aiding me with statistical analyses. Thank you to past and present members of the Riley lab, including Amy Adkins, Dave Brohawn, Rachel Elves, Gursharan Kalsi, Erik Loken, Cathy Siu, Dawn Thiselton, and Brandon Wormley for their personal and professional support and the good times! Additionally, I couldn’t have made it through my doctoral training without a great deal of assistance from the administrative and IT support staff. Thank you to all of my VIPBG and non-VIPBG friends for your wonderful friendship. I’d like to recognize Dr. Gordon Archer for the opportunity to do my MD-PhD training at VCU and for his guidance over the years. Thank you to Dr. John Griffin, my undergraduate research mentor, for providing me with my first research experience and inspiring me to continue to pursue research. Finally, I’d like to express my profound gratitude to my wonderful family and boyfriend whose endless support, encouragement, and love have been integral to my success. ii Table of Contents Acknowledgement .......................................................................................................................... ii List of Tables ...................................................................................................................................v List of Figures ............................................................................................................................... vii Abbreviations ............................................................................................................................... viii Clarification of Contributions ........................................................................................................ xi General Abstract ........................................................................................................................... xii CHAPTER 1: General Introduction Significance ............................................................................................................................. 1 Etiology ................................................................................................................................... 2 Phenotypes ............................................................................................................................... 3 Study Design............................................................................................................................ 5 Prior Evidence From Association Studies of AD ...................................................................10 Overview of Current Research ...............................................................................................15 CHAPTER 2: Exploring the Association between Education Level & Alcohol Related Phenotypes Using a Genetically Informative Design Abstract .................................................................................................................................. 16 Introduction ........................................................................................................................... 17 Methods ................................................................................................................................. 20 Results ................................................................................................................................... 27 Discussion .............................................................................................................................. 33 CHAPTER 3: Alcoholic Beverage Preference: An Epidemiological & Twin Study Abstract .................................................................................................................................. 37 Introduction ........................................................................................................................... 38 Methods ................................................................................................................................. 40 Results ................................................................................................................................... 47 Discussion .............................................................................................................................. 59 CHAPTER 4: Limited Associations of Dopamine System Genes with Alcohol Dependence and Related Traits in the Irish Affected Sib Pair Study of Alcohol Dependence Abstract .................................................................................................................................. 70 Introduction ....................................................................................................................................... 71 iii Methods ................................................................................................................................. 77 Results ................................................................................................................................... 83 Discussion .............................................................................................................................. 87 CHAPTER 5: Preliminary Genome-wide Association Studies of Alcohol Dependence, Symptom Count, and Externalizing Phenotype in an Irish Family Sample Abstract .................................................................................................................................. 93 Introduction ........................................................................................................................... 94 Methods ................................................................................................................................. 95 Results ......................................................................................................................................105 Discussion ................................................................................................................................112 CHAPTER 6: General Discussion Part I Summary, Future Directions, and Limitations ........................................................... 120 Part II Summary, Future Directions, and Limitations ......................................................... 122 Lessons on Study Design ..................................................................................................... 126 Literature Cited ............................................................................................................................131 Appendix: Supplemental Tables A.1 Marker information and nominal p-values for AD and ARPs for DA SNPs .................157 A.2 Maker information and nominal p-values for disinhibitory symptom counts and factor score for DA SNPs ................................................................................................................159 A.3 Association results for IASPSAD AD with q-values < 0.5 and COGA replication .......161 A.4 Association results for the joint meta-analysis of AD in the IASPSAD and COGA......178 A.5 Association results for the externalizing factor score in the IASPSAD .........................183 Vita .........................................................................................................................................186 iv List of Tables 2.1 Descriptive statistics for education and alcohol measures ......................................................27 2.2 Pearson correlations
Recommended publications
  • Identification of the Enzymatic Mechanism of Nitroglycerin Bioactivation
    Identification of the enzymatic mechanism of nitroglycerin bioactivation Zhiqiang Chen*†, Jian Zhang†, and Jonathan S. Stamler*†‡§ *Howard Hughes Medical Institute, Departments of †Medicine and §Biochemistry, Duke University Medical Center, Durham, NC 27710 Communicated by Irwin Fridovich, Duke University Medical Center, Durham, NC, April 15, 2002 (received for review March 26, 2002) Nitroglycerin (glyceryl trinitrate, GTN), originally manufactured by synthesized according to ref. 17 and purified by TLC. 1,2-GDN Alfred Nobel, has been used to treat angina and heart failure for and 1,3-GDN was prepared by hydrolysis of GTN and purified over 130 years. However, the molecular mechanism of GTN bio- by TLC (18). [2-14C] GTN (55 mCi͞mmol) was obtained from transformation has remained a mystery and it is not well under- American Radiolabeled Chemicals (St. Louis). Disulfiram, chlo- stood why ‘‘tolerance’’ (i.e., loss of clinical efficacy) manifests over ral hydrate, cyanamide, acetaldehyde, phenylephrine, sodium time. Here we purify a nitrate reductase that specifically catalyzes nitroprusside (SNP), Q-Sepharose, DEAE-cellulose, and butyl- the formation of 1,2-glyceryl dinitrate and nitrite from GTN, lead- Sepharose were obtained from Sigma. Hydroxyapatite and ing to production of cGMP and relaxation of vascular smooth protease inhibitor (mixture set III) were from CalBiochem. muscle both in vitro and in vivo, and we identify it as mitochondrial The cGMP assay (125I) kit was purchased from Amersham aldehyde dehydrogenase (mtALDH). We also show that mtALDH is Pharmacia. inhibited in blood vessels made tolerant by GTN. These results demonstrate that the biotransformation of GTN occurs predomi- Enzyme Purification. Mouse RAW264.7 cells (50-g pellet; Ϸ1010 nantly in mitochondria through a novel reductase action of cells) were disrupted by sonication in 30 mM phosphate buffer mtALDH and suggest that nitrite is an obligate intermediate in (KPi), pH 7.5 containing 1 mM DTT, 0.5 mM EDTA, and generation of NO bioactivity.
    [Show full text]
  • Addendum CSS 2021
    Addendum regarding: The 2021 Certified Specialist of Spirits Study Guide, as published by the Society of Wine Educators Note: This document outlines the substantive changes to the 2021 Study Guide as compared to the 2020 version of the CSW Study Guide. All page numbers reference the 2020 version. Please note that in addition to the information noted below, the tables concerning top-selling brands of particular types of spirits have been updated to reflect the most current statistics available. Page 10: The information regarding congeners was expanded to include the following: Congeners: The preceding explanation of distillation has been simplified by using the example of a solution made of only ethyl alcohol and water. However, many other compounds are created during fermentation and as a result, there are other compounds besides water and alcohol present in a fermented solution. Known as congeners, these compounds are responsible for much of the aroma and flavor—besides that of pure ethyl alcohol and water—of a fermented beverage or a distilled spirit. Specific congeners include the various acids, esters, aldehydes, fusel oils, and alcohols (other than ethanol) that are developed during fermentation. During distillation, congeners may vaporize and blend in with the ethanol–water vapors; however, each specific congener will react differently based on three factors: boiling point, solubility (in ethanol and water), and specific gravity. In addition, the heat of the distillation process—via a series of chemical changes known as pyrolysis—may cause some compounds to change form, creating new and different congeners that may be passed onto the finished product.
    [Show full text]
  • Information for Instructor
    Using a Single-Nucleotide Polymorphism to Predict Bitter-Tasting Ability 21 INFORMATION FOR INSTRUCTOR CONCEPTS AND METHODS This laboratory can help students understand several important concepts of modern biology: • The relationship between genotype and phenotype. • The use of single-nucleotide polymorphisms (SNPs) in predicting drug response (pharmacogenetics). • A number of SNPs are inherited together as a haplotype. • The movement between in vitro experimentation and in silico computation. The laboratory uses several methods for modern biological research: • DNA extraction and purification. • Polymerase chain reaction (PCR). • DNA restriction. • Gel electrophoresis. • Bioinformatics. LAB SAFETY The National Association of Biology Teachers recognizes the importance of laboratory activities using human body samples and has developed safety guidelines to minimize the risk of transmitting serious disease. ("The Use of Human Body Fluids and Tissue Products in Biology," News & Views, June 1996.) These are summarized below: • Collect samples only from students under your direct supervision. • Do not use samples brought from home or obtained from an unknown source. • Do not collect samples from students who are obviously ill or are known to have a serious communicable disease. • Have students wear proper safety apparel: latex or plastic gloves, safety glasses or goggles, and lab coat or apron. • Supernatants and samples may be disposed of in public sewers (down lab drains). • Have students wash their hands at the end of the lab period. • Do not store samples in a refrigerator or freezer used for food. The risk of spreading an infectious agent by this lab method is much less likely than from natural atomizing processes, such as coughing or sneezing.
    [Show full text]
  • A Research Agenda for DSM-V
    A Research Agenda for DSM-V Edited by David J. Kupfer, M.D. Michael B. First, M.D. Darrel A. Regier, M.D., M.P.H. Published by the American Psychiatric Association Washington, D.C. Note: The authors have worked to ensure that all information in this book is accu- rate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate as of the time of publication and consistent with stan- dards set by the U.S. Food and Drug Administration and the general medical com- munity. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a spe- cific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. The findings, opinions, and conclusions of this report do not necessarily represent the views of the officers, trustees, or all members of the American Psychiatric Asso- ciation. The views expressed are those of the authors of the individual chapters. Typeset in Adobe's Janson Text and Frutiger Copyright ã 2002 American Psychiatric Association ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 06 05 04 03 02 5 4 3 2 1 First Edition American Psychiatric Association 1400 K Street, N.W., Washington, DC 20005 www.psych.org Library of Congress Cataloging-in-Publication Data A research agenda for DSM-V / edited by David J.
    [Show full text]
  • Bitter Taste Perception in Neanderthals Through the Analysis of The
    View metadata, citation and similar papers Downloadedat core.ac.uk from http://rsbl.royalsocietypublishing.org/ on March 22, 2016 brought to you by CORE provided by Repositorio Institucional de la Universidad de Oviedo Biol. Lett. (2009) 5, 809–811 The most extensively studied taste variation in doi:10.1098/rsbl.2009.0532 humans is sensitivity to a bitter substance called phe- Published online 12 August 2009 nylthiocarbamide (PTC). Although approximately 75 Evolutionary biology per cent of the world population perceives this sub- stance as intensely bitter, it is virtually tasteless for the remaining 25 per cent of the population (Kim & Bitter taste perception in Drayna 2004). This is owing to a dominant ‘taster’ allele that shows a similar frequency to the recessive Neanderthals through the ‘non-taster’ allele. PTC itself is not found in any vegetable, but chemically similar substances that analysis of the TAS2R38 produce an identical response to PTC are present in gene many plant foods (including Brussels sprouts, cabbage, broccoli and others). It was discovered Carles Lalueza-Fox1,*, Elena Gigli1, (Kim et al. 2003) that most of the variation in PTC Marco de la Rasilla2, Javier Fortea2 sensitivity is related to polymorphisms at the and Antonio Rosas3 TAS2R38 gene, a single 1002 bp coding exon that encodes a 333-amino-acid, G-protein-coupled recep- 1Institut de Biologia Evolutiva, CSIC-UPF, Dr. Aiguader 88, 08003 Barcelona, Spain tor. The TAS2R38 gene has three amino-acid changes 2A´ rea de Prehistoria, Departamento de Historia, Universidad de Oviedo, in high frequencies that determine only five main hap- Teniente Alfonso Martı´nez s/n, 33011 Oviedo, Spain lotypes.
    [Show full text]
  • Computer Simulation Applied to Studying Continuous Spirit Distillation and Product Quality Control
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Food Control 22 (2011) 1592e1603 Contents lists available at ScienceDirect Food Control journal homepage: www.elsevier.com/locate/foodcont Computer simulation applied to studying continuous spirit distillation and product quality control Fabio R.M. Batista, Antonio J.A. Meirelles* Laboratory EXTRAE, Department of Food Engineering, Faculty of Food Engineering, University of Campinas e UNICAMP, Campinas, Brazil article info abstract Article history: This work aims to study continuous spirit distillation by computational simulation, presenting some Received 7 June 2010 strategies of process control to regulate the volatile content. The commercial simulator Aspen (Plus and Received in revised form dynamics) was selected. A standard solution containing ethanol, water and 10 minor components rep- 2 March 2011 resented the wine to be distilled. A careful investigation of the vaporeliquid equilibrium was performed Accepted 8 March 2011 for the simulation of two different industrial plants. The simulation procedure was validated against experimental results collected from an industrial plant for bioethanol distillation. The simulations were Keywords: conducted with and without the presence of a degassing system, in order to evaluate the efficiency of Spirits fi Distillation this system in the control of the volatile content. To improve the ef ciency of the degassing system, fl Simulation a control loop based on a feedback controller was developed. The results showed that re ux ratio and Aspen Plus product flow rate have an important influence on the spirit composition. High reflux ratios and spirit Degassing flow rates allow for better control of spirit contamination.
    [Show full text]
  • Building a Home Distillation Apparatus
    BUILDING A HOME DISTILLATION APPARATUS A Step by Step Guide Building a Home Distillation Apparatus i BUILDING A HOME DISTILLATION APPARATUS Foreword The pages that follow contain a step-by-step guide to building a relatively sophisticated distillation apparatus from commonly available materials, using simple tools, and at a cost of under $100 USD. The information contained on this site is directed at anyone who may want to know more about the subject: students, hobbyists, tinkers, pure water enthusiasts, survivors, the curious, and perhaps even amateur wine and beer makers. Designing and building this apparatus is the only subject of this manual. You will find that it confines itself solely to those areas. It does not enter into the domains of fermentation, recipes for making mash, beer, wine or any other spirits. These areas are covered in detail in other readily available books and numerous web sites. The site contains two separate design plans for the stills. And while both can be used for a number of distillation tasks, it should be recognized that their designs have been optimized for the task of separating ethyl alcohol from a water-based mixture. Having said that, remember that the real purpose of this site is to educate and inform those of you who are interested in this subject. It is not to be construed in any fashion as an encouragement to break the law. If you believe the law is incorrect, please take the time to contact your representatives in government, cast your vote at the polls, write newsletters to the media, and in general, try to make the changes in a legal and democratic manner.
    [Show full text]
  • Alcohol Hangover- Its Effects on Human Body: Review
    DOI: 10.26717/BJSTR.2018.04.001112 Loveleen Bajaj. Biomed J Sci & Tech Res ISSN: 2574-1241 Mini Review Open Access Alcohol Hangover- its Effects on Human Body: Review Loveleen Bajaj* and Ranjeet Singh Department of Food science & technology, Khalsa College, India Received: May 20 2018; Published: May 25, 2018 *Corresponding author: Loveleen Bajaj, Department of Food science & technology, Khalsa College, Amritsar, India Abstract A hangover is a syndrome of physical and mental symptoms that occurs after 8 to 16 hours of consumption with a zero level of alcohol. The objective of the study is to explore effects of the alcohol hangover. The impairing effects on memory functioning such as delayed recall, response to battle infection leading to unpleasant effects include nausea, vomiting, dizziness, fatigue and hormonal imbalance in the body. Dehydrationirritation, lack is ofbelieved concentration to be the and cause after ofacute hangover alcohol as intoxication. it leads to anti-diuresisNormally the state body in might the body.use cytokines The most to compelling trigger fever theory of inflammatory that, at the moment, is that hangover results from a buildup of acetaldehyde, a toxic compound in the body. The congener amount in the particular alcoholic beverage is believed to be increase the extent of severity of hangover. Methanol, found in highest levels in whiskey and red wine has received a larger amount of blame for showing that it can linger in the body after all alcohol has been eliminated, perhaps accounting for the enduring effects of hangover. Abbreviations: BAC: Blood Alcohol Concentration; AW: Alcohol Withdrawal; FASD: Fetal Alcohol Spectrum Disorders Introduction Anes and colleagues revealed that half of the interrogated workers during hangover were at the work.
    [Show full text]
  • G Protein-Coupled Receptors
    S.P.H. Alexander et al. The Concise Guide to PHARMACOLOGY 2015/16: G protein-coupled receptors. British Journal of Pharmacology (2015) 172, 5744–5869 THE CONCISE GUIDE TO PHARMACOLOGY 2015/16: G protein-coupled receptors Stephen PH Alexander1, Anthony P Davenport2, Eamonn Kelly3, Neil Marrion3, John A Peters4, Helen E Benson5, Elena Faccenda5, Adam J Pawson5, Joanna L Sharman5, Christopher Southan5, Jamie A Davies5 and CGTP Collaborators 1School of Biomedical Sciences, University of Nottingham Medical School, Nottingham, NG7 2UH, UK, 2Clinical Pharmacology Unit, University of Cambridge, Cambridge, CB2 0QQ, UK, 3School of Physiology and Pharmacology, University of Bristol, Bristol, BS8 1TD, UK, 4Neuroscience Division, Medical Education Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, UK, 5Centre for Integrative Physiology, University of Edinburgh, Edinburgh, EH8 9XD, UK Abstract The Concise Guide to PHARMACOLOGY 2015/16 provides concise overviews of the key properties of over 1750 human drug targets with their pharmacology, plus links to an open access knowledgebase of drug targets and their ligands (www.guidetopharmacology.org), which provides more detailed views of target and ligand properties. The full contents can be found at http://onlinelibrary.wiley.com/doi/ 10.1111/bph.13348/full. G protein-coupled receptors are one of the eight major pharmacological targets into which the Guide is divided, with the others being: ligand-gated ion channels, voltage-gated ion channels, other ion channels, nuclear hormone receptors, catalytic receptors, enzymes and transporters. These are presented with nomenclature guidance and summary information on the best available pharmacological tools, alongside key references and suggestions for further reading.
    [Show full text]
  • G Protein‐Coupled Receptors
    S.P.H. Alexander et al. The Concise Guide to PHARMACOLOGY 2019/20: G protein-coupled receptors. British Journal of Pharmacology (2019) 176, S21–S141 THE CONCISE GUIDE TO PHARMACOLOGY 2019/20: G protein-coupled receptors Stephen PH Alexander1 , Arthur Christopoulos2 , Anthony P Davenport3 , Eamonn Kelly4, Alistair Mathie5 , John A Peters6 , Emma L Veale5 ,JaneFArmstrong7 , Elena Faccenda7 ,SimonDHarding7 ,AdamJPawson7 , Joanna L Sharman7 , Christopher Southan7 , Jamie A Davies7 and CGTP Collaborators 1School of Life Sciences, University of Nottingham Medical School, Nottingham, NG7 2UH, UK 2Monash Institute of Pharmaceutical Sciences and Department of Pharmacology, Monash University, Parkville, Victoria 3052, Australia 3Clinical Pharmacology Unit, University of Cambridge, Cambridge, CB2 0QQ, UK 4School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, BS8 1TD, UK 5Medway School of Pharmacy, The Universities of Greenwich and Kent at Medway, Anson Building, Central Avenue, Chatham Maritime, Chatham, Kent, ME4 4TB, UK 6Neuroscience Division, Medical Education Institute, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY, UK 7Centre for Discovery Brain Sciences, University of Edinburgh, Edinburgh, EH8 9XD, UK Abstract The Concise Guide to PHARMACOLOGY 2019/20 is the fourth in this series of biennial publications. The Concise Guide provides concise overviews of the key properties of nearly 1800 human drug targets with an emphasis on selective pharmacology (where available), plus links to the open access knowledgebase source of drug targets and their ligands (www.guidetopharmacology.org), which provides more detailed views of target and ligand properties. Although the Concise Guide represents approximately 400 pages, the material presented is substantially reduced compared to information and links presented on the website.
    [Show full text]
  • 2 Water Distiller Instructions
    Water Distiller Checklist: (What you need for successful distilling) £ Test Jar £ Proof & Trail Hydrometer £ Distillers Activated Carbon £ Liquor Quik Super Yeast (makes 5 gallons of mash 20%) £ Liquor Quik Flavor Over 25 Flavors to choose from *Alcohol distillation is not legal in all countries. It is the responsibility of the user to abide by local laws. BrewersDirect Inc. does not accept responsibility for illegal use of any distillation apparatus. The Water Distiller The Water Distiller is a high quality, countertop distiller based on a very popular water distillation unit. The boiling vessel and cooling chamber are made of stainless steel. No cooling water is required, as the unit is fan cooled, making the distillation process virtually as simple as making coffee! For those in countries where alcohol distillation is legal, the unit can produce up to 60% product with virtually no off-tastes or smells on a single run. A second run can actually improve this to nearly 90%! Just as with many countertop water distillers, activated carbon filtration can take place inline, on the way to the collection container, completing the entire distillation and filtration processes in a single step. The Process It is almost as simple as adding 4L of liquid to the boiling chamber, plugging the unit it, and collecting your distillate. Water Distillation Remove the top of the unit, add 4L of water to the boiling chamber and replace the top of the unit. Plug in the water distiller. Place an activated carbon pouch in the plastic carbon holder and place this on top of the collection bottle.
    [Show full text]
  • Treatment of Chronic Alcoholism: an Integrated Approach Hemangi Rajput* Integrative Health Care Practitioner, Essence Natural Health Clinic, Canada
    Integrati & ve e M iv t e a d n i c r i e n t l e A Alternative & Integrative Medicine Rajput, Altern Integ Med 2014, 3:2 ISSN: 2327-5162 DOI: 10.4172/2327-5162.1000152 Review Article Open Access Treatment of Chronic Alcoholism: An Integrated Approach Hemangi Rajput* Integrative Health care Practitioner, Essence Natural Health Clinic, Canada Abstract Alternative medicine coupled with conventional and psychosocial therapies has been shown to be greatly effective in treating chronic alcoholism with positive treatment outcomes. Herbs like Kudzu, Tangerine Peel, Gentian and Bupleurum have been used efficaciously to treat chronic alcoholism and reduce liver toxicity. This article reviews the herbs Kudzu, Tangerine Peel, Gentian and Bupleurum with respect to their actions on the enzymes alcohol and acetaldehyde dehydrogenase. We further explore the genetic and pathophysiological basis of alcoholism while unraveling genetic polymorphisms in the genes involved in metabolic and effector action pathways that have an important bearing on why some individuals are addicted to alcohol, have severe withdrawal response and increased tendency to relapse. In this article we mainly discuss the role of alternative medicine, specifically in context with the above mentioned herbs for their role in inhibiting production of acetaldehyde dehydrogenase, suppressing craving, regulating blood glucose balance and reducing hepatotoxicity in chronic alcoholics. Keywords: Acetaldehyde dehydrogenase; Alternative medicine; Alternative treatment with herbs has shown to be effective in Bupleurum; Chronic alcoholism; Gentian; Integrated medicine; ameliorating the side-effects of withdrawal, restore optimal homeostasis Kudzu; Tangerine Peel and decrease psychological dependence in chronic alcoholics. Background Pathophysiology of Chronic Alcoholism Alcoholism has been described as early as 1700 BC in “The book To treat alcoholism, we need to understand how ethanol is of Anni” where Egyptians described excessive intoxication in humans.
    [Show full text]