Japanese Alcohol Response Categorized into Three Distinct Groups

A groundbreaking study reveals that Japanese people's responses to alcohol can be grouped into three distinct categories based on genetic factors. This research could lead to improved identification of individuals at risk for alcohol dependence and related health issues. Source: https://medicalxpress.com/news/2025-07-japanese-drinkers-response-alcohol-distinct.html
Recent research conducted by the RIKEN Center for Integrative Medical Sciences in Japan has unveiled that individuals' responses to alcohol can be grouped into three clear categories. This study, published in Neuropsychopharmacology, employed genetic analysis and experimental methods to identify how Japanese people perceive and react to alcohol consumption.
The research involved 429 healthy young Japanese participants, whose genomes were sequenced to investigate genetic factors influencing alcohol sensitivity. Participants received alcohol intravenously over several hours to maintain consistent blood-alcohol levels. Every 30 minutes, they reported feelings such as intoxication, sedation, or uncoordinated behavior, which are typical of drunkenness.
Analysis revealed that responses to alcohol could be classified into three groups:
- Individuals who experience rapid effects,
- Those whose effects develop gradually,
- Participants who show a high tolerance.
These response patterns correlated with variations in key genes involved in alcohol metabolism, particularly ADH1B and ALDH2. Many individuals carry gene variants that lead to swift production of acetaldehyde, a substance responsible for hangover discomfort, and some have genetic differences making it harder to break down acetaldehyde, resulting in the so-called 'Asian flush.'|
Interestingly, the study showed that the complex interplay of different genetic variants could be simplified into just three response profiles, which could help predict how individuals react to alcohol. The findings suggest that genetic testing might eventually identify those at higher risk for alcohol-related health problems, such as dependence or liver issues.
Dr. Keiko Hikino, the lead author, emphasized that although the common genetic variations in ALDH2 and ADH1B were known to influence alcohol sensitivity, their combined effects could be categorized into three main patterns. The researchers hope to extend this work to better understand how these genetic factors contribute to alcohol dependence and related disorders.
Overall, this study enhances our understanding of the biological basis for alcohol experiences among Japanese individuals. It provides a foundation for more personalized approaches to managing alcohol consumption and preventing related health issues in East Asian populations.
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