Treating Alcoholism With Gene Therapy
Introduction: Alcoholism is a complex disease affecting hundreds of millions of people worldwide (1). Despite having devastating consequences on physical and mental health, and indirectly impacting families and society, treatment options are limited and often ineffective (2). Current evidence suggests that environmental and genetic factors both equally influence an individual’s susceptibility to alcoholism (3). Genetics of alcohol metabolism Interestingly, people with certain genotypes are significantly less likely to become alcoholic, likely due to unpleasant, aversive effects they experience when consuming alcohol (4-7). The most well-understood examples are variants of alcohol dehydrogenase (ADH) and aldehyde dehydrogenase (ALDH) genes. These enzymes are sequentially involved in metabolizing ethanol to acetaldehyde and then acetate. Individuals who carry mutations in these ALDH genes can accumulate acetaldehyde in the blood after ethanol consumption producing strong effects, inc...