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Alpha-2 Adrenergic Receptor Agonists for the Treatment of Attention-Deficit/Hyperactivity Disorder: Emerging Concepts from New Data
Abstract
Recent developments in the field of neuroscience have illuminated the understanding of the neural circuits impaired in attention-deficit/hyperactivity disorder (ADHD) and the mechanism of action of treatments used to treat this condition. There is an exciting confluence between emerging studies in basic neurobiology and the genetic, neuroimaging, and neuropsychological analyses of ADHD. The following provides a brief review of this field, explaining how compounds like guanfacine and the traditional stimulant medications can reduce the core symptoms of ADHD by optimizing the neurochemical environment in the prefrontal cortex (PFC). Knowledge of these basic mechanisms may inform our medication choices and facilitate treatment of ADHD and related disorders.
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“…blockade of (cid:2) 2 receptors in the PFC of monkeys erodes delay-related cell firing and recreates all symptoms of ADHD: poor impulse control (Ma et al., 2003), locomotor hyperactivity (Ma et al., 2005), and impaired working memory (Li and Mei, 1994) underlying increased distractibility.”
Self-citationAssociation and linkage of α-2A adrenergic receptor gene polymorphisms with childhood ADHD
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Self-citationNeurochemical Modulation of Prefrontal Cortical Function in Humans and Animals
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Self-citationLack of effects of guanfacine on executive and memory functions in healthy male volunteers
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“…blockade of (cid:2) 2 receptors in the PFC of monkeys erodes delay-related cell firing and recreates all symptoms of ADHD: poor impulse control (Ma et al., 2003), locomotor hyperactivity (Ma et al., 2005), and impaired working memory (Li and Mei, 1994) underlying increased distractibility.”
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All three ?2-adrenoceptor types serve as autoreceptors in postganglionic sympathetic neurons
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Different Affinities of α2-Agonists for Imidazoline and α2-Adrenergic Receptors
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Cited by
Neural mechanisms of selective visual attention.
Moore, T., & Zirnsak, M. (2017) · Annual Review of Psychology · doi:10.1146/annurev-psych-122414-033400 · Cited by 471
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Metadata
- Authors
- Arnsten, A. F., Scahill, L., & Findling, R. L.
- Venue
- Journal of Child and Adolescent Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2007-08
- Volume
- 17
- Issue
- 4
- Pages
- 393-406
- ISSN
- 1044-5463 (ISSN-L)
- 1557-8992
- OpenAlex
- W1972551153
- Cited by
- 307
- References
- 125
- FWCI
- 5.64
- Type
- journal article
- Language
- en
- Open access
- closed
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.