Some find it harder to quit than
others |
Some
people who find it hard to give up smoking may have a good excuse -
it's down to their genetic make-up.
Scientists have found that people who carry a version of one
particular gene may find it harder to give up their habit.
However, there may be an upside. It seems that the same variant
may protect people from developing lung disease.
The gene in question - dubbed CYP2A6 - plays a role in processing
nicotine in the body.
People
with the gene could be warned about it and it might help
dissuade some from starting to smoke. 
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However, there
are at least three versions of the gene. One, called del, is less
active than the others.
A team of researchers from Keio University in Tokyo took DNA
samples from 203 current or ex-smokers suspected of having
respiratory disease, and compared them with samples from 123 healthy
non-smokers.
They found that current smokers were more likely to carry the del
version of the gene than people who had managed to quit.
Nicotine levels
This may be due to their inability to break down nicotine in
their bloodstream. Hence, levels are constantly high, and the
process of giving up - which would see nicotine levels fall - would
be more of a shock to the system than in other smokers more easily
able to regulate nicotine levels in their blood.
However, smokers who did carry the del variant were less likely
to consume large amounts of tobacco - possibly because they need
less to keep nicotine levels topped up.
Tests on participants' lungs also seemed to indicate that
carrying the del gene seemed to help to protect against the
respiratory disease pulmonary emphysema.
Why this should be is not clear, but the researchers believe the
gene may play a role in breaking down, or blocking production of
other substances that may trigger inflammation, and thus disease.
Writing in the journal Thorax, the researchers say: "These
findings suggest that determination of the genotype will be useful
in efficiently withdrawing patients from nicotine dependence in
smoking cessation protocols with nicotine containing materials."
Lead researcher Dr Hidetoshi Nakamura told BBC News Online that
the del version of the gene was particularly common among Asian
people - it is carried by about 30% of Japanese.
Deborah Arnott, director of the anti-smoking ASH, said: "This
research could be useful as people with the gene could be warned
about it and it might help dissuade some from starting to smoke.
"It could also enable the tailoring of smoking cessation
treatment which may need to be different for people with this
genetic history."
However, she added: "While the gene may provide some protection
against emphysema, people need to realise this is only one of the
many diseases caused by smoking which kills 50% of those who smoke
long term, not just through emphysema but also through lung cancer,
coronary heart disease and stroke."