OKLAHOMA CITY - In the field of addiction research, one question looms large: Why do some people face a higher risk than others for alcoholism and drug abuse? A researcher at the OU College of Medicine, William R. Lovallo, Ph.D., recently published one of the field's few studies focused on how a person's genes contribute to addiction. Lovallo's research showed that a tiny genetic mutation can put people at higher risk for alcohol or drug addiction. His research was published in the world's leading journal on alcoholism, Alcoholism: Clinical and Experimental Research.

Many people ask whether addiction is caused by person's genes or their family environment. The short answer is that it's both. However, Lovallo's research zeroes in on specific gene and how it responds to a person's environment.

COMT is the name of a gene that helps the body manage dopamine, a chemical that is released when a person drinks alcohol or takes a drug like amphetamine. Lovallo's research focused on a small mutation of COMT. What he discovered demonstrates the interplay between a person's genetic makeup and adversity during childhood. People with this mutation of the COMT gene are more vulnerable to the effects of stress in their early lives, such as divorce or emotionally distant parents. That heightened vulnerability often leads to consumption of alcohol and drugs younger than age 15, which is one of the biggest independent predictors of addiction.

"Early-life adversity doesn't make everyone an alcoholic," Lovallo said. "But this study showed that people with this genetic mutation are going to have a higher risk for addiction when they had a stressful life growing up."

Because the COMT gene is involved with how well dopamine works in the brain, the behavior of the genetic mutation is especially revealing.

"This one random mutation makes a difference in how the COMT gene works fine in one person but not as well in another person," Lovallo said. "There is no such thing as a gene for addiction, but there are genes that respond to our environment in ways that put us at risk. You have to have the right combination to develop the risk factors."

Lovallo's discovery is a top achievement in his 20 years of well-funded research in this area. As a senior research career scientist at the VA Medical Center, he has conducted studies on veterans with alcohol addiction. However, those studies, like many others, concentrated on people after they became addicted to a substance. He knew he wanted to shift his research toward understanding the causes of addiction and how to prevent it.

"Many of us know people who drink alcohol moderately and never have any problems. And we know people who drink a little and then go down the path toward alcoholism," he said. "What's the difference between going down that path and not going down that path? Now we have a better understanding that it's not just exposure to alcohol or drugs that leads to problems; there is a genetic component.

"Addiction is a real health problem, and to be making progress toward understanding it is one of the most exciting and worthwhile things I've ever done," he said.

###

Lovallo, senior author on the study, is also a professor in the Department of Psychiatry and Behavioral Sciences in the OU College of Medicine. He published the research paper in collaboration with several other OU colleagues: Andrew J. Cohoon, Ph.D., from the Department of Psychiatry and Behavioral Sciences; Kristen H. Sorocco, Ph.D., from the Department of Geriatric Medicine; and Andrea S. Vincent, Ph.D., director of the Cognitive Science Research Center on the Norman campus. They had other collaborators at the University of Arkansas for Medical Sciences and the National Institute on Alcohol Abuse and Alcoholism. OU COLLEGE OF MEDICINE

Founded in 1910, the University of Oklahoma College of Medicine trains the next generation of healthcare professionals. With campuses in Oklahoma City and Tulsa, the College of Medicine offers the state's only Doctor of Medicine degree program and a nationally competitive Physician Assistant program. For more information, visit oumedicine.com/collegeofmedicine.

OU MEDICINE

OU Medicine -- along with its academic partner, the University of Oklahoma Health Sciences Center -- is the state's only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Medicine is home to Oklahoma's largest physician network with a complete range of specialty care. OU Medicine serves Oklahoma and the region with the state's only freestanding children's hospital, the only National Cancer Institute-Designated Stephenson Cancer Center and Oklahoma's flagship hospital, which serves as the state's only Level 1 trauma center. OU Medicine's mission is to lead healthcare in patient care, education and research. To learn more, visit oumedicine.com.