Association study and a systematic meta-analysis of the VNTR polymorphism in the 3′-UTR of dopamine transporter gene and attention-deficit hyperactivity disorder
Open accessAbstract
Attention-deficit hyperactivity disorder (ADHD) has been postulated to associate with dopaminergic dysfunction, including the dopamine transporter (DAT1). Several meta-analyses showed small but significant association between the 10-repeat allele in the DAT1 gene in 3'-untranslated region variant number tandem repeat polymorphism and child and adolescent ADHD, whereas in adult ADHD the 9-repeat allele was suggested to confer as risk allele. Interestingly, recent evidence indicated that the long-allele variants (10 repeats and longer) might confer to lower expression of the transporter in comparison to the short-allele. Therefore, we assessed here the association in samples consisting of families with child and adolescent ADHD as well as a case-control sample, using either the 10- versus 9-repeat or the long- versus short-allele approach. Following, we conducted a systematic review and meta-analysis, including family and case-control studies, using the two aforementioned approaches as well as stratifying to age and ethnicity. The first approach (10-repeat) resulted in nominal significant association in child and adolescent ADHD (OR 1.1050 p = 0.0128), that became significant stratifying to European population (OR 1.1301 p = 0.0085). The second approach (long-allele) resulted in significant association with the whole ADHD population (OR 1.1046 p = 0.0048), followed by significant association for child and adolescent ADHD (OR 1.1602 p = 0.0006) and in Caucasian and in European child and adolescent ADHD (OR 1.1310 p = 0.0114; OR 1.1661 p = 0.0061; respectively). We were not able to confirm the association reported in adults using both approaches. In conclusion, we found further indication for a possible DAT1 gene involvement; however, further studies should be conducted with stringent phenotyping to reduce heterogeneity, a limitation observed in most included studies.
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Variants within the dopamine transporter gene (DAT1/SLC6A3) and the dopamine D4 receptor gene (DRD4, especially the 7-repeat allele) are repeatedly associated with increased ADHD risk.
“Variants within the dopamine transporter gene (DAT1/SLC6A3) and the dopamine D4 receptor gene (DRD4, especially the 7-repeat allele) were repeatedly associated with increased ADHD risk”
From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [60]
The Introduction and Results report associations between DAT1/SLC6A3 variants and ADHD, particularly the 10-repeat allele in children and adolescents, while noting small effects and heterogeneity. The paper does not report a repeated association between the DRD4 7-repeat allele and increased ADHD risk; DRD4 appears in reference titles, not in the paper’s findings. (LLM, conf=0.88)
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Faraone, S. V., Banaschewski, T., Coghill, D., Zheng, Y., Biederman, J., Bellgrove, M. A., Newcorn, J. H., Gignac, M., Al Saud, N. M., Manor, I., et al. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.01.022 · Cited by 1,545 · see citing works
“These genes are ANKK1 (Pan et al., 2015) DAT1 (Grunblatt et al., 2019b), LRP5 and LRP6 (Grunblatt et al., 2019a), SNAP25 (Liu et al., 2017b), ADGRL3 (Bruxel et al., 2020) DRD4 and BAIAP2 (Bonvicini et al., 2020, 2016).”
Self-citationThe dopamine transporter gene SLC6A3: multidisease risks
Reith, M. E. A., Kortagere, S., Wiers, C. E., Sun, H., Kurian, M. A., Galli, A., Volkow, N. D., & Lin, Z. (2021) · Molecular Psychiatry · doi:10.1038/s41380-021-01341-5 · Cited by 114 · see citing works
ADHD: Reviewing the Causes and Evaluating Solutions
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A systematic meta-review of systematic reviews on attention deficit hyperactivity disorder
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A Potential Role for Neuroinflammation in ADHD
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Dysregulated proteostasis network in neuronal diseases
Tseng, C.-S., Chao, Y.-W., Liu, Y.-H., Huang, Y., & Chao, H. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1075215 · Cited by 28 · see citing works
Variable number tandem repeats – Their emerging role in sickness and health
Marshall, J. N. G., Lopez, A. I., Pfaff, A. L., Kõks, S., Quinn, J. P., & Bubb, V. J. (2021) · Experimental Biology and Medicine · doi:10.1177/15353702211003511 · Cited by 26 · see citing works
Approach to Evaluating and Managing Adult Attention-Deficit/Hyperactivity Disorder in Primary Care
Huang, H. Y., Huang, H., Spottswood, M., & Ghaemi, S. N. (2020) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000248 · Cited by 25 · see citing works
The SLC6A3 gene polymorphism is related to the development of attentional functions but not to ADHD
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A Neurodevelopmental Model of Combined Pyrethroid and Chronic Stress Exposure
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Using fNIRS to evaluate ADHD medication effects on neuronal activity: A systematic literature review
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Adult ADHD: it is old and new at the same time – what is it?
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Bogdańska-Chomczyk, E., Majewski, M. K., & Kozłowska, A. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms262211020 · Cited by 15 · see citing works
“Variants within the dopamine transporter gene (DAT1/SLC6A3) and the dopamine D4 receptor gene (DRD4, especially the 7-repeat allele) were repeatedly associated with increased ADHD risk [59,60].”
Selective Visual Attention in ADHD: A Narrative Review
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- Authors
- Grünblatt, E., Werling, A. M., Roth, A., Romanos, M., & Walitza, S.
- Affiliations
- University of Zurich (CH)
- Universitätsklinikum Würzburg (DE)
- Corresponding author
- Grünblatt, Edna
- Venue
- Journal of Neural Transmission
- Published
- 2019-03-28
- Volume
- 126
- Issue
- 4
- Pages
- 517-529
- ISSN
- 0300-9564 (ISSN-L)
- 1435-1463
- PMC
- PMC6456487
- OpenAlex
- W2932105875
- Cited by
- 39
- References
- 117
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 4 · 2023: 13 · 2022: 5 · 2021: 5 · 2020: 3 · 2019: 1
- FWCI
- 0.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Neural Transmission (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich)
- Funders
- Universität Zürich (Filling the Gap)
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (320030-130237)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- attention deficit hyperactivity disorder, dopamine transporter gene, DAT1, 3' untranslated region, VNTR polymorphism, long allele, adult ADHD, dopaminergic dysfunction, genetic association, European populations
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Male, Polymorphism, Genetic, Minisatellite Repeats, Genetic Predisposition to Disease, 3' Untranslated Regions, Dopamine Plasma Membrane Transport Proteins, Genome-Wide Association Study
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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