“…For individuals with AFR, toxic acetaldehyde build-up can occur from the first sip of alcohol (Price et al, 2004) which is extremely dangerous as acetaldehyde build-up has been classified as a Group 1 human carcinogen by the International Agency for Research on Cancer of the World Health Organization (Salaspuro, 2011). Low-activity ALDH2 has been uniformly associated with various cancers including esophageal (Brooks et al, 2009, Cui et al, 2009, Gu et al, 2012, Liu et al, 2017, Matsuo et al, 2001, Wu et al, 2013, Yang et al, 2007, Yang et al, 2010, Yu et al, 2018, Zhang et al, 2010, gastric (Chen et al, 2016, Duell et al, 2012, Ghosh et al, 2017, Hidaka et al, 2015, Ishioka et al, 2018, Jiang et al, 2017, Wang et al, 2014, colorectal (Crous-Bou et al, 2013, Guo et al, 2013, Matsuo et al, 2006, Xinhua and Yanfei, 2017, Yang et al, 2009, Zhao et al, 2016, Zhong et al, 2016, and stomach (Matsuo et al, 2013).…”