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Table 1 Composition of five genotypes of alcohol-metabolizing enzymes and the health risks (supervised by National Hospital Organization Kurihama Medical Center. Partial excerpt) [1]

From: Study protocol of brief intervention using gene polymorphism information for excessive drinking among Japanese college students and adults aged 20–30 years: a randomized controlled trial

Aldehyde dehydrogenase

Alcohol dehydrogenase

Type classification of this research

Comments on constitution and health risks

ALDH2 *1/ *1 (activity)

ADH1B *1/ *1 (low activity)

A (3%)

The highest risk of alcohol addiction

ADH1B *1/ *2 (activity)

B (50%)

Decomposition of alcohol and acetaldehyde is fast. Be careful not to drink too much for your health.

ADH1B *2/ *2 (high activity)

ALDH2 *1/ *2 (low activity)

ADH1B *1/ *1

C (3%)

The decomposition of alcohol and acetaldehyde is slow, and the cancer risk is high, owing to acetaldehyde.

ADH1B *1/ *2

D (40%)

Face turns reddish immediately. Nausea and other discomfort can occur. Symptoms and health problems are likely to occur.

ADH1B *2/ *2

ALDH2 *2/ *2 (Inactive)

ADH1B *1/ *1

E (4%)

Drinking is intolerable because aldehyde cannot be decomposed.

Very small amounts of alcohol are prone to unpleasant symptoms such as hot flushes, drowsiness, palpitation, and nausea.

Even a small amount of alcohol is at risk of acute alcohol intoxication.

ADH1B *1/*2

ADH1B *2/ *2