The researchers have looked at the role played by genes when a person year after year drinks such large amounts of alcohol, that he or she ends up experiencing serious psychological, social and health damage.

The question of the role of genes is central because, in the majority of social circles, problematic alcohol use is one of the most significant causes of disease, early death and social problems.

For this reason, researchers have spent years attempting to identify what are known as risk genes behind problematic alcohol use - among other things in the hope of being able to develop new forms of treatment for alcohol dependence.

Until now, science has been aware of ten genetic variants that have been seen as risk genes in relation to problematic alcohol use. That number has now increased to 29 thanks to the new study, which has just been published in Nature Neuroscience. The study was carried out by a group of international researchers from the USA, UK, Germany, Sweden and Denmark.

The genetic data from 435,000 people stored in three databases - UK Biobank, the US Million Veteran Program, and with the International Research Forum Psychiatric Genetics Consortium – used for the study.

"DNA from all of the 435,000 people was systematically analysed. Millions of different DNA variants, that's to say, special versions of certain genes, was compared between individuals with and without problematic alcohol use.

The purpose of this was to pinpoint which gene variants were more frequently found among participants with problematic alcohol than in the general population.

The pattern of these risk genes was compared with the pattern of risk genes for other diseases, after which the researchers could see that problematic alcohol use is genetically closely related to a range of psychiatric diseases and also that problematic alcohol use is also closely related to drug abuse and smoking.

The fact that there was a correlation became clear once the researchers completed their calculations. The genetic overlap with mental disease is interesting, because this relationship is not found for alcohol consumption in general, pinpointing important differences between alcohol consumption and problematic alcohol use says the author:

"In more general terms, we're now beginning to see the outline of a genetic architecture. A form of relationship between alcohol abuse and the abuse of other substances - and between alcohol abuse and psychiatric disorders such as ADHD and depression. In other words, there is a genetic component in play here, but the study also shows that the genes are not the entire story and that they alone don't determine the outcome as a whole. Other factors such as environment can also contribute to a great extent," says the author.

The risk genes identified by the research group provide new insight into the biological mechanisms that are involved in the development of problematic alcohol use. The hope is for this knowledge to contribute to the development of new medicines in the long term, and that these can significantly dampen - and ideally completely extinguish - alcohol dependency in humans.

It is still unclear whether there are candidates for medications of this calibre among the 29 risk genes behind problematic alcohol use that have now been mapped. But the study in Nature Neuroscience does show that 16 of them are actually drug targets, which means that they can be affected by already known pharmaceutical drugs.

The study also shows that problematic alcohol use is genetically related to insomnia.

https://www.nature.com/articles/s41593-020-0643-5