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Chunk #24 — Conclusions

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The impact of gene-environment interaction on alcohol use disorders.
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Another important area for future research is an expansion of the molecular studies of gene–environment interaction beyond a small number of polymorphisms from a handful of genes that are widely studied in the psychological literature (i.e., 5-HTT, MAOA, and DRD2). The existent studies have been based on small samples, and results have been inconsistent. Although a focus on single genes may help advance theoretical models about particular biological pathways of risk, they face the same challenge (and currently have been met with the same fate) as studies of main effects of individual genes. That is, they have been notoriously difficult to replicate consistently. This is in contrast to the generally robust gene–environment interaction effects that have emerged from studies of latent genetic influences and, previous to that, the robustness of heritability estimates. This likely reflects the difference between studying overall genetic effects, versus specific genes in a complex polygenic system. The field of genetics has moved toward creating polygene scores that aggregate across many genes and show predictive power in cases where individual genes cannot be detected (Purcell et al.