Effect of candidate gene polymorphisms on the course of attention deficit hyperactivity disorder
Open accessAbstract
The main aim of this study was to examine the association between attention-deficit hyperactivity disorder (ADHD)-associated genes and the course of ADHD. Subjects were derived from identically designed case-control family studies of boys and girls with ADHD and a genetic linkage study of families with children with ADHD. Caucasian probands and family members with ADHD and with available genetic data were included in this analysis (N=563). The course of ADHD was compared in subjects with and without putative risk alleles (DRD4 7-repeat allele, DAT1 10-repeat allele, and 5HTTLPR long allele). The persistence of ADHD (full or subthreshold diagnosis in the last month) was plotted using Kaplan-Meier survival functions and tested with Cox proportional hazard models. Survival analyses revealed that by 25 years of age 76% of subjects with a DRD4 7-repeat allele were estimated to have significantly more persistent ADHD compared with 66% of subjects without the risk allele. In contrast, there were no significant associations between the course of ADHD and the DAT1 10-repeat allele (P=0.94) and 5HTTLPR long allele. Our findings suggest that the DRD4 7-repeat allele is associated with a more persistent course of ADHD.
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Evidence on the association of the DRD4 7-repeat allele with persistent ADHD is inconsistent, with some studies finding an association and others finding that patients with persistent ADHD symptoms were less likely to have the allele.
“Some studies have found that the DRD4 7-repeat (7R) allele was associated with persistent ADHD (Biederman et al., 2009; Langley et al., 2009), while other studies found that the patients with persistent ADHD symptoms were less likely have DRD4 7R allele (Shaw et al., 2007).”
From A Review of Heterogeneity in Attention Deficit/Hyperactivity Disorder (ADHD) (2019) · cites this paper as Biederman et al., 2009
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- Authors
- Biederman, J., Petty, C. R., Ten Haagen, K. S., Small, J., Doyle, A. E., Spencer, T., Mick, E., Monuteaux, M. C., Smoller, J. W., & Faraone, S. V.
- Affiliations
- Massachusetts General Hospital (US)
- SUNY Upstate Medical University (US)
- Corresponding author
- Biederman, Joseph
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2009-12
- Volume
- 170
- Issue
- 2-3
- Pages
- 199-203
- ISSN
- 0165-1781 (ISSN-L)
- PMC
- PMC3752702
- OpenAlex
- W2117716763
- Cited by
- 38
- References
- 38
- Citations by year
- 2025: 2 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 6 · 2014: 7 · 2013: 6 · 2012: 3
- FWCI
- 2.26
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (R01HD036317, R01HD037694, R01HD037999, R01MH050657, R01MH066877)
- 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, candidate gene polymorphisms, risk alleles
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Family Health, Female, Gene Frequency, Genotype, Humans, Longitudinal Studies, Male, Polymorphism, Genetic, Linkage Disequilibrium, Survival Analysis, Case-Control Studies, Minisatellite Repeats, Genetic Predisposition to Disease, Dopamine Plasma Membrane Transport Proteins, Serotonin Plasma Membrane Transport Proteins, Receptors, Dopamine D4, Kaplan-Meier Estimate, Young Adult
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