As noted above, the best documented genetic heterogeneity for addictions comes from the chromosome 4 major gene effects found in poorly-alcohol-metabolizing (“flushing”) Asian individuals [61–63, 67]. The best documented substance-specific influence comes from the chromosome 15 nicotinic acetylcholinergic receptor gene cluster. There are likely to be other examples of between-locus genetic heterogeneity and of genes whose variants exert substance-specific effects on use and/or dependence that have yet to be elucidated.