Serotonergic system and attention deficit hyperactivity disorder (ADHD): a potential susceptibility locus at the 5-HT1B receptor gene in 273 nuclear families from a multi-centre sample
Abstract
Attention deficit hyperactivity disorder (ADHD) is a highly heritable and heterogeneous disorder, which usually becomes apparent during the first few years of childhood. Imbalance in dopamine neurotransmission has been suggested as a factor predisposing to ADHD. However, evidence has suggested an interaction between dopamine and serotonin systems in the pathophysiology of the disorder. Studies using selective agonists of the different 5-HT receptors microinjected into selected brain structures have shown a positive modulating effect on the functional activities of the mesotelencephalic dopaminergic system. This suggests that some of the genetic predisposition to ADHD might be due to DNA variation at serotonin system genes. In this study, we investigated polymorphisms in HTR(1B) and HTR(2A) (which encode the serotonin receptors 5-HT(1B) and 5-HT(2A) respectively) in a European ADHD sample. Using haplotype based haplotype relative risk (HHRR) and transmission disequilibrium test (TDT) analyses, we observed significant preferential transmission of the allele 861G of the HTR(1B) in the total sample (for HHRR; chi(2) = 7.4, P = 0.0065 and TDT; (chi(2) = 6.4, P = 0.014). Analysis of HTR(2A) failed to reveal evidence of association or linkage between the His452Tyr polymorphism and ADHD in the total sample. However, a significantly increased transmission of the allele 452His was observed in the Irish sample alone (chi(2) = 4.9, P = 0.026). These preliminary data suggest an important…
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The imbalance of excitatory serotonin function has also been related to ADHD development.
“The imbalance of excitatory serotonin function has also been related to ADHD development [89, 90].”
From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [90]
Serotonin regulates DA activity through its receptors 5-HTR1B or 5-HTR2A; dysfunction of these receptors can lead to problems of serotonin-DA dynamics, resulting in ADHD symptoms.
“Moreover, serotonin regulates DA activity through its receptors 5-hydroxytryptamine receptor 1B (5-HTR1B) or 5-hydroxytryptamine receptor 2A (5-HTR2A). The dysfunction of these receptors can lead to problems of serotonin–DA dynamics, resulting in ADHD symptoms [89, 90].”
From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [90]
Other proteins related to 5-HT metabolism, such as TPH2 and NOS-1, which reduces SERT cell surface localization increasing the levels of extracellular serotonin, might be involved in the pathophysiology of ADHD.
“In addition, other proteins related to 5-HT metabolism, such as tryptophan 5-hydroxylase 2 (TPH2) and nitrous oxide synthase 1 (NOS-1), which reduces the serotonin transporter (SERT or SLC6A4) cell surface localization increasing the levels of extracellular serotonin, might be involved in the pathophysiology of ADHD [90, 92].”
From Molecular Characterisation of the Mechanism of Action of Stimulant Drugs Lisdexamfetamine and Methylphenidate on ADHD Neurobiology: A Review (2022) · cites this paper as [90]
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- Authors
- Hawi, Z., Dring, M., Kirley, A., Foley, D., Kent, L., Craddock, N., Asherson, P., Curran, S., Gould, A., Richards, S., Lawson, D., Pay, H., Turic, D., Langley, K., Owen, M., O'Donovan, M., Thapar, A., Fitzgerald, M., & Gill, M.
- Affiliations
- Trinity College Dublin (IE)
- University of Birmingham (GB)
- Cardiff University (GB)
- Corresponding author
- Hawi, Z
- Venue
- Molecular Psychiatry
- Published
- 2002-08-01
- Volume
- 7
- Issue
- 7
- Pages
- 718-725
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- OpenAlex
- W2096311792
- Cited by
- 175
- References
- 0
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 7 · 2012: 10
- FWCI
- 8.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- Funders
- Medical Research Council
- 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, serotonergic system, 5-HT1B receptor, 5-HT2A receptor, HTR2A, genetic susceptibility, single nucleotide polymorphisms, haplotype relative risk, transmission disequilibrium test, serotonin-dopamine interaction, nuclear family, Irish population
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Child, Family Health, United Kingdom, Haplotypes, Humans, Ireland, Receptors, Serotonin, Risk Factors, Linkage Disequilibrium, Genetic Predisposition to Disease, Receptor, Serotonin, 5-HT1B, Receptor, Serotonin, 5-HT2A
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