Pharmacogenetics of methylphenidate in childhood attention-deficit/hyperactivity disorder: long-term effects
Open accessAbstract
Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in which a significant proportion of patients do not respond to treatment. The objective of this study was to examine the role of genetic risk variants in the response to treatment with methylphenidate (MPH). The effectiveness of MPH was evaluated based on variations in the CGI-S and CGAS scales over a 12-month treatment period using linear mixed effects models. A total of 208 ADHD patients and 34 polymorphisms were included in the analysis. For both scales, the response was associated with time, extended-release MPH/both formulations, and previous MPH treatment. For the CGI-S scale, response was associated with SLC6A3 rs2550948, DRD4 promoter duplication, SNAP25 rs3746544, and ADGRL3 rs1868790. Interactions between the response over time and SLC6A3 and DRD2 were found in the CGI-S and CGAS scales, respectively. The proportion of the variance explained by the models was 18% for the CGI-S and 22% for the CGAS. In this long-term study, the effects of SLC6A3, DRD4, SNAP25, and ADGRL3 on response to treatment reflect those observed in previous studies. In addition, 2 previously unreported interactions with response to treatment over a 12-month period were found (SLC6A3 and DRD2).
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Several biological pathways have been suggested to potentially affect MPH mechanisms through patient genotype, mostly concerning monoamine pathways.
“several biological pathways have been suggested to potentially affect MPH mechanisms through patient genotype, mostly concerning monoamine pathways [43–48].”
From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [45]
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- Authors
- Gomez-Sanchez, C. I., Carballo, J. J., Riveiro-Alvarez, R., Soto-Insuga, V., Rodrigo, M., Mahillo-Fernandez, I., Abad-Santos, F., Dal-Ré, R., & Ayuso, C.
- Affiliations
- Centre for Biomedical Network Research on Rare Diseases (ES)
- Hospital Universitario Fundación Jiménez Díaz (ES)
- Corresponding author
- Ayuso, Carmen
- Venue
- Scientific Reports
- Published
- 2017-09-04
- Volume
- 7
- Issue
- 1
- Pages
- 10391-10391
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC5583388
- OpenAlex
- W2752587112
- Cited by
- 24
- References
- 54
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 2 · 2020: 4 · 2019: 3
- FWCI
- 1.57
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Fundación Alicia Koplowitz
- Instituto de Salud Carlos III (PT13/0010/0012, 06/07/0036)
- European Regional Development Fund
- 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 › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Keywords
- methylphenidate, attention deficit hyperactivity disorder, pharmacogenetics, treatment response, genetic risk variants, dopamine transporter, DRD4, SNAP-25, ADGRL3, DRD2, CGI-S, cGAS, sustained-release formulation, childhood ADHD, drug-gene interactions
- MeSH terms
- Pharmacogenomic Variants, Adolescent, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Delayed-Action Preparations, Female, Humans, Male, Methylphenidate, Linear Models, Treatment Outcome, Receptors, Peptide, Polymorphism, Single Nucleotide, Receptors, G-Protein-Coupled, Dopamine Plasma Membrane Transport Proteins, Receptors, Dopamine D4, Synaptosomal-Associated Protein 25
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