URL:
http://www.mapinc.org/drugnews/v99/n350/a14.html
Newshawk: Dave Haans
Votes: 2
Pubdate: Friday, March 26, 1999
Source: Toronto Star (Canada)
Pages: C1, C2
Copyright: 1999, The Toronto Star
Contact:
[email protected]
Website:
http://www.thestar.com/
Author: Ronald Kotulak, Special to The Star
STUDY LINKS GENETICS AND ADDICTION
Drug addiction has become a pervasive and pernicious problem, not simply because of the wide availability of drugs, but also because nearly everyone inherits a vulnerability for addiction to mind-altering chemicals, according to new research.
Just as certain genes make some people more prone to heart disease, cancer or Alzheimer's disease, scientists now believe that other genes may make them more susceptible to becoming addicted to heroin, marijuana or other compounds that affect the brain's natural reward system.
``It appears that the genetic vulnerability for substance and alcohol abuse is fairly general in our society,'' says Dr. David Goldman, chief of neuro-genetics at the U.S. National Institute on Alcohol Abuse and Alcoholism.
In underscoring the roles that genes and environment play in causing addiction, the new findings open the possibility of developing the first effective prevention and treatment strategies for drug abuse.
The findings reveal the inherited biology that turns some people into alcoholics and debunk long-held beliefs, such as the notion that marijuana use puts an individual on the slippery slope to cocaine or heroin use.
Western cultures tend to view addiction as a sin to be condemned or as a disease to be treated, Goldman says.
``The fact that we have failed too often with either approach suggests that a better understanding of the origins of addiction could be useful to help people make better decisions,'' he says.
A study of identical and fraternal twins found that, in general, genetic influences account for one-third of addiction, family another third, and peers, friends and co-workers the remaining third.
But all types of addiction are not equal when it comes to the impact of genes.
The study, which appears in the Archives Of General Psychiatry, found that genes accounted for more than half of the risk of heroin addiction, but only 26 per cent of the addiction to psychedelics.
The biggest factor influencing addiction to psychedelics is the non-family environment, including friends, schoolmates and co-workers, which accounts for 53 per cent.
For marijuana addiction, the non-family environment has the biggest influence, accounting for 38 per cent, while genes account for 33 per cent.
``Some of these addictions - for example, alcohol and opioid abuse - are more heritable than susceptibility to coronary artery disease or obesity,'' Goldman says.
Although addiction-predisposing genes are not yet known, finding them has become a major goal of the U.S. National Institute on Drug Abuse. Early success by researchers in linking some genes to alcoholism has convinced the institute to do the same thing for addiction genes.
The ability to diagnose genes that make a person more susceptible to specific addictions could result in lifestyle changes to prevent addiction or the development of medicines that block the individual action of each drug of abuse.
``Drug addictions join a series of other conditions - for example, lung cancer, cardiovascular disease, acquired immunodeficiency syndrome and alcoholism - that are recognized as common, complex, genetically influenced diseases,'' Goldman says.
``Each of these disorders can be profoundly influenced both by inherited genes and by such life choices as smoking, diet, exercise, condom use and abstinence from alcohol.''
The study, headed by Harvard's Dr. Ming Tsuang, also overturns the old belief that the use of less-addictive drugs such as marijuana, sets people on the path to becoming hooked on cocaine or heroin.
While some people abuse every drug they can, because these drugs affect a major chemical path in their reward system, others have genes that make them addicted to one type of drug that affects only a very specific part of the reward mechanism.
``There are genetic effects that make some people predisposed to substance abuse,'' says Dr. Jack Goldberg of the University of Illinois at Chicago School of Public Health.
``It doesn't mean that addiction is predetermined by genes. It just means that some of us are more susceptible than others to abusing drugs if we try them,'' says Goldberg, who participated in the study.
``If you're not genetically predisposed to drug abuse, but are in an environment where everyone uses drugs, and you do too, you might become addicted.''
Abused drugs tend to alter levels of natural chemicals called neurotransmitters, such as serotonin and dopamine, which are involved in impulse control and the ability of the brain's reward system to dole out sensations ranging from pleasure to euphoria.
``Nobody gets addicted the first time they use a drug; that's a myth,'' says Dr. Alan Leshner, director of the drug abuse institute. ``But people do become addicted at different rates. The problem is that you as an individual have no idea how susceptible you are to being addicted.
``At its core, addiction is about changed brains. We need to be looking at genes to see whose brain is more or less susceptible to being changed.''
Researchers recently found a gene that is linked to antisocial alcoholism. It is a mutant form of a gene known as HTR1B, which lowers levels of serotonin and increases the risk of impulsive aggression.
The mutant gene was discovered through genetic analysis of Finnish alcoholic criminal offenders and a Southwest American Indian tribe with a high rate of alcoholism.
``These drugs talk directly to the brain in a way a therapist never can,'' Goldman says. ``Once somebody becomes addicted to a drug, it appears that the brain is forever changed. They have a greater vulnerability for relapse.''
Discovering the genes that predispose to addiction will help scientists track chemical pathways in the brain, allowing them to devise counter-measures to block a drug's ability to cause a ``high.'' Learning what behaviours in families and among friends induce people to try drugs and to abuse them will also help to derail environmental risks.
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