Alcohol flush reaction

Alcohol flush reaction

Genetics: Added peer-reviewed citation for evidence of regional differences in China in prevalence of genes associated with flush reaction.

← Previous revision Revision as of 18:24, 20 April 2026
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Around 20–30% of East Asians carry the rs671 (ALDH2*2) allele on chromosome 12, which results in a less functional [[acetaldehyde dehydrogenase]] enzyme, responsible for the breakdown of acetaldehyde, and accounts for most incidents of alcohol flush reaction worldwide. According to the analysis by [[HapMap]] project, 20% to 30% of people of Chinese, Japanese, and Korean ancestry have at least one ''ALDH2*2'' allele, while it is rare among Europeans and sub-Saharan Africans.{{cite web|url=https://www.snpedia.com/index.php/Rs671|title=rs671 is a classic SNP (Single Nucleotide Polymorphism)|publisher=SNPedia|date=18 November 2020|archive-date=2018-10-22|archive-url=https://web.archive.org/web/20181022030021/https://www.snpedia.com/index.php/Rs671|url-status=live}}
Around 20–30% of East Asians carry the rs671 (ALDH2*2) allele on chromosome 12, which results in a less functional [[acetaldehyde dehydrogenase]] enzyme, responsible for the breakdown of acetaldehyde, and accounts for most incidents of alcohol flush reaction worldwide. According to the analysis by [[HapMap]] project, 20% to 30% of people of Chinese, Japanese, and Korean ancestry have at least one ''ALDH2*2'' allele, while it is rare among Europeans and sub-Saharan Africans.{{cite web|url=https://www.snpedia.com/index.php/Rs671|title=rs671 is a classic SNP (Single Nucleotide Polymorphism)|publisher=SNPedia|date=18 November 2020|archive-date=2018-10-22|archive-url=https://web.archive.org/web/20181022030021/https://www.snpedia.com/index.php/Rs671|url-status=live}}


The rs671 allele is native to [[East Asia]] and most common in southeastern China. Analysis correlates the rise and spread of rice cultivation in [[South China]] with the spread of the allele. The reasons for this positive selection are not known, but it has been hypothesized that elevated concentrations of acetaldehyde may have conferred protection against certain parasitic infections, such as ''[[Entamoeba histolytica]]''.{{cite journal | vauthors = Oota H, Pakstis AJ, Bonne-Tamir B, Goldman D, Grigorenko E, Kajuna SL, Karoma NJ, Kungulilo S, Lu RB, Odunsi K, Okonofua F, Zhukova OV, Kidd JR, Kidd KK | title = The evolution and population genetics of the ALDH2 locus: random genetic drift, selection, and low levels of recombination | journal = Annals of Human Genetics | volume = 68 | issue = Pt 2 | pages = 93–109 | date = March 2004 | pmid = 15008789 | doi = 10.1046/j.1529-8817.2003.00060.x | author-link14 = Kenneth Kidd | publisher = Wiley | s2cid = 31026948 }}
The rs671 allele is native to [[East Asia]] and most common in southeastern China. Analysis correlates the rise and spread of rice cultivation in [[South China]] with the spread of the allele.> A study in China found that genes associated with the flush reaction are more common in areas with a history of rice farming than areas with a history of wheat farming or herding.{{Cite journal |last=Zhu |first=Chen |last2=Talhelm |first2=Thomas |last3=Li |first3=Yingxiang |last4=Chen |first4=Gang |last5=Zhu |first5=Jiong |last6=Wang |first6=Jun |date=2021-08 |title=Relationship between rice farming and polygenic scores potentially linked to agriculture in China |url=https://royalsocietypublishing.org/doi/10.1098/rsos.210382 |journal=Royal Society Open Science |language=en |volume=8 |issue=8 |pages=210382 |doi=10.1098/rsos.210382 |issn=2054-5703 |pmc=8371358 |pmid=34457340}}> The reasons for this positive selection are not known, but it has been hypothesized that elevated concentrations of acetaldehyde may have conferred protection against certain parasitic infections, such as ''[[Entamoeba histolytica]]''.{{cite journal | vauthors = Oota H, Pakstis AJ, Bonne-Tamir B, Goldman D, Grigorenko E, Kajuna SL, Karoma NJ, Kungulilo S, Lu RB, Odunsi K, Okonofua F, Zhukova OV, Kidd JR, Kidd KK | title = The evolution and population genetics of the ALDH2 locus: random genetic drift, selection, and low levels of recombination | journal = Annals of Human Genetics | volume = 68 | issue = Pt 2 | pages = 93–109 | date = March 2004 | pmid = 15008789 | doi = 10.1046/j.1529-8817.2003.00060.x | author-link14 = Kenneth Kidd | publisher = Wiley | s2cid = 31026948 }}


Additionally, in around 80% of [[East Asian people|East Asians]], the rapid accumulation of acetaldehyde is worsened by another gene variant; in this case the allele ''[[ADH1B|ADH1B*2]],'' which results in the [[alcohol dehydrogenase]] [[enzyme]] converting alcohol to toxic [[acetaldehyde]] more quickly than other gene variants common outside East Asia.{{cite journal | vauthors = Eng MY, Luczak SE, Wall TL | title = ALDH2, ADH1B, and ADH1C genotypes in Asians: a literature review | journal = Alcohol Research & Health | volume = 30 | issue = 1 | pages = 22–27 | date = 2007 | pmid = 17718397 | pmc = 3860439 }}
Additionally, in around 80% of [[East Asian people|East Asians]], the rapid accumulation of acetaldehyde is worsened by another gene variant; in this case the allele ''[[ADH1B|ADH1B*2]],'' which results in the [[alcohol dehydrogenase]] [[enzyme]] converting alcohol to toxic [[acetaldehyde]] more quickly than other gene variants common outside East Asia.{{cite journal | vauthors = Eng MY, Luczak SE, Wall TL | title = ALDH2, ADH1B, and ADH1C genotypes in Asians: a literature review | journal = Alcohol Research & Health | volume = 30 | issue = 1 | pages = 22–27 | date = 2007 | pmid = 17718397 | pmc = 3860439 }}