Abstract
Both attention-deficit/hyperactivity disorder (ADHD) and catechol-O-methyltransferase (COMT) genotype have been linked to altered dopaminergic transmission and possible impairment in frontal lobe functioning. This study offers an investigation of a possible interaction between ADHD diagnosis and COMT genotype on measures of working memory and executive function. Thirty-five adults with ADHD, who were recruited from the ADHD outpatient clinic at the Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, and thirty-five matched healthy controls completed the Digit Span test and the Stroop Color Word Test. While there were no main effects of ADHD or COMT, the two factors interacted on both Digit Span subtests with the two groups’ met/met carriers showing significantly different performance on the Digit Span Forward subtest and the val/val carriers showing significantly different performance on the Digit Span Backward subtest. Findings provide preliminary support for a differential impact of COMT genotype on working memory measures in adult patients with ADHD compared to healthy controls.
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References
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Publishing, Arlington
Aster M, Neubauer A, Horn R (2006) Wechsler Intelligenztest für Erwachsene (WIE). Deutschsprachige Bearbeitung und Adaptation des WAIS-III von David Wechsler. London, Harcourt Assessment
Axelrod J (1957) O-Methylation of epinephrine and other catechols in vitro and in vivo. Science 126(3270):400–401
Barkley RA (1997) Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 121(1):65–94. doi:10.1037/0033-2909.121.1.65
Barnett JH, Scoriels L, Munafo MR (2008) Meta-analysis of the cognitive effects of the catechol-O-methyltransferase gene val158/108met polymorphism. Biol Psychiatry 64(2):137–144. doi:10.1016/j.biopsych.2008.01.005
Bäumler G (1985) Farbe-Wort-Interferenztest (FWIT) nach J. R. Stroop - Handanweisung. Göttingen, Verlag für Psychologie
Bellgrove MA, Domschke K, Hawi Z, Kirley A, Mullins C, Robertson IH et al (2005) The methionine allele of the COMT polymorphism impairs prefrontal cognition in children and adolescents with ADHD. Exp Brain Res 163(3):352–360. doi:10.1007/s00221-004-2180-y
Bertolino A, Caforio G, Petruzzella V, Latorre V, Rubino V, Dimalta S et al (2006) Prefrontal dysfunction in schizophrenia controlling for COMT Val(158)Met genotype and working memory performance. Psychiatry Res Neuroimaging 147(2–3):221–226. doi:10.1016/j.pscychresns.2006.04.001
Biehl SC, Ehlis AC, Müller LD, Niklaus A, Pauli P, Herrmann MJ (2013) The impact of task relevance and degree of distraction on stimulus processing. BMC Neurosci 14:107. doi:10.1186/1471-2202-14-107
Bilder RM, Volavka J, Lachman HM, Grace AA (2004) The catechol-O-methyltransferase polymorphism: relations to the tonic-phasic dopamine hypothesis and neuropsychiatric phenotypes. Neuropsychopharmacology 29(11):1943–1961. doi:10.1038/sj.npp.1300542
Boonstra AM, Oosterlaan J, Sergeant JA, Buitelaar JK (2005) Executive functioning in adult ADHD: a meta-analytic review. Psychol Med 35(8):1097–1108. doi:10.1017/s003329170500499x
Boonstra AM, Kooij JJS, Buitelaar JK, Oosterlaan J, Sergeant JA, Heister JGAMA et al (2008) An exploratory study of the relationship between four candidate genes and neurocognitive performance in adult ADHD. Am J Med Genet B Neuropsychiatr Genet 147B(3):397–402. doi:10.1002/ajmg.b.30595
Bruder GE, Keilp JG, Xu HY, Shikhman M, Schori E, Gorman JM et al (2005) Catechol-O-methyltransferase (COMT) genotypes and working memory: associations with differing cognitive operations. Biol Psychiatry 58(11):901–907. doi:10.1016/j.biopsych.2005.05.010
Caylak E (2012) Biochemical and genetic analyses of childhood attention deficit/hyperactivity disorder. Am J Med Genet B Neuropsychiatr Genet 159B(6):613–627. doi:10.1002/ajmg.b.32077
Chen JS, Lipska BK, Halim N, Ma QD, Matsumoto M, Melhem S et al (2004) Functional analysis of genetic variation in catechol-O-methyltransferase (COMT): effects on mRNA, protein, and enzyme activity in postmortem human brain. Am J Hum Genet 75(5):807–821. doi:10.1086/425589
Conners CK, Erhardt D, Sparrow EP (1999) Conners’ Adult ADHD Rating Scales (CAARS). Multi-Health Systems, North Tonawanda
Corbisiero S, Buchli-Kammermann J, Stieglitz RD (2010) Reliability and validity of the Wender-Reimherr-Interview (WRI)—an instrument for the diagnostic of the ADHD in adulthood. Zeitschrift für Psychiatrie, Psychologie und Psychotherapie 58(4):323–331. doi:10.1024/1661-4747/a000043
Diaz-Asper CM, Goldberg TE, Kolachana BS, Straub RE, Egan MF, Weinberger DR (2008) Genetic variation in catechol-O-methyltransferase: effects on working memory in schizophrenic patients, their siblings, and healthy controls. Biol Psychiatry 63(1):72–79. doi:10.1016/j.biopsych.2007.03.031
Dickinson D, Elvevag B (2009) Genes, cognition and brain through a COMT lens. Neuroscience 164(1):72–87. doi:10.1016/j.neuroscience.2009.05.014
Durstewitz D, Seamans JK (2008) The dual-state theory of prefrontal cortex dopamine function with relevance to catechol-O-methyltransferase genotypes and schizophrenia. Biol Psychiatry 64(9):739–749. doi:10.1016/j.biopsych.2008.05.015
Egan MF, Goldberg TE, Kolachana BS, Callicott JH, Mazzanti CM, Straub RE et al (2001) Effect of COMT val(108/158) met genotype on frontal lobe function and risk for schizophrenia. Proc Natl Acad Sci USA 98(12):6917–6922. doi:10.1073/pnas.111134598
Goldberg TE, Egan MF, Gscheidle T, Coppola R, Weickert T, Kolachana BS et al (2003) Executive subprocesses in working memory—relationship to catechol-O-methyltransferase Val158Met genotype and schizophrenia. Arch Gen Psychiatry 60(9):889–896. doi:10.1001/archpsyc.60.9.889
Grace AA (1991) Phasic versus tonic dopamine release and the modulation of dopamine system responsivity—a hypothesis for the etiology of schizophrenia. Neuroscience 41(1):1–24. doi:10.1016/0306-4522(91)90196-U
Gschwendtner KM, Biehl SC, Mühlberger A, Sommer C, Kübler A, Reif A et al (2012) The relationship between valence, task difficulty, and the COMT val(158)met polymorphism in disengagement processes. J Psychophysiol 26(3):124–131. doi:10.1027/0269-8803/a000075
Hamilton M (1959) The assessment of anxiety-states by rating. Br J Med Psychol 32(1):50–55
Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23(1):56–62. doi:10.1136/jnnp.23.1.56
Kebir O, Joober R (2011) Neuropsychological endophenotypes in attention-deficit/hyperactivity disorder: a review of genetic association studies. Eur Arch Psychiatry Clin Neurosci 261(8):583–594. doi:10.1007/s00406-011-0207-5
Kebir O, Tabbane K, Sengupta S, Joober R (2009) Candidate genes and neuropsychological phenotypes in children with ADHD: review of association studies. J Psychiatry Neurosci 34(2):88–101
Kessler RC, Adler L, Ames M, Delmer O, Faraone S, Hiripi E et al (2005) The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med 35(2):245–256. doi:10.1017/S0033291704002892
Kratzmeier H, Horn R (1988) Standard progressive matrices. Beltz Test Gesellschaft, Weinheim
Krause KH, Dresel SH, Krause J, Kung HF, Tatsch K (2000) Increased striatal dopamine transporter in adult patients with attention deficit hyperactivity disorder: effects of methylphenidate as measured by single photon emission computed tomography. Neurosci Lett 285(2):107–110. doi:10.1016/S0304-3940(00)01040-5
Krause KH, Dresel SH, Krause J, la Fougere C, Ackenheil M (2003) The dopamine transporter and neuroimaging in attention deficit hyperactivity disorder. Neurosci Biobehav Rev 27(7):605–613. doi:10.1016/j.neubiorev.2003.08.012
Lachman HM, Papolos DF, Saito T, Yu YM, Szumlanski CL, Weinshilboum RM (1996) Human catechol-O-methyltransferase pharmacogenetics: description of a functional polymorphism and its potential application to neuropsychiatric disorders. Pharmacogenetics 6(3):243–250. doi:10.1097/00008571-199606000-00007
Levy F (2007) What do dopamine transporter and catechol-o-methyltransferase tell us about attention deficit-hyperactivity disorder? Pharmacogenomic implications. Aust N Z J Psychiatry 41(1):10–16. doi:10.1080/00048670601050432
Lewis DA, Sesack SR, Levey AI, Rosenberg DR (1997) Dopamine axons in primate prefrontal cortex: specificity of distribution, synaptic targets, and development. Adv Pharmacol 42:703–706
Lewis DA, Melchitzky DS, Sesack SR, Whitehead RE, Auh S, Sampson A (2001) Dopamine transporter immunoreactivity in monkey cerebral cortex: regional, laminar, and ultrastructural localization. J Comp Neurol 432(1):119–136. doi:10.1002/cne.1092
Lotta T, Vidgren J, Tilgmann C, Ulmanen I, Melen K, Julkunen I et al (1995) Kinetics of human soluble and membrane-bound catechol O-methyltransferase: a revised mechanism and description of the thermolabile variant of the enzyme. Biochemistry 34(13):4202–4210. doi:10.1021/bi00013a008
Martinussen R, Hayden J, Hogg-Johnson S, Tannock R (2005) A meta-analysis of working memory impairments in children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 44(4):377–384. doi:10.1097/01.chi.0000153228.72591.73
Mattay VS, Goldberg TE, Fera F, Hariri AR, Tessitore A, Egan MF et al (2003) Catechol O-methyltransferase val(158)-met genotype and individual variation in the brain response to amphetamine. Proc Natl Acad Sci USA 100(10):6186–6191. doi:10.1073/pnas.0931309100
Matthews N, Vance A, Cummins TDR, Wagner J, Connolly A, Yamada J et al (2012) The COMT val158 allele is associated with impaired delayed-match-to-sample performance in ADHD. Behav Brain Funct 8:25. doi:10.1186/1744-9081-8-25
Meyer-Lindenberg A, Weinberger DR (2006) Intermediate phenotypes and genetic mechanisms of psychiatric disorders. Nat Rev Neurosci 7(10):818–827. doi:10.1038/nrn1993
Mills S, Langley K, Van den Bree M, Street E, Turic D, Owen MJ et al (2004) No evidence of association between catechol-O-methyltransferase (COMT) val(158)met genotype and performance on neuropsychological tasks in children with ADHD: a case-control study. BMC Psychiatry 4:15. doi:10.1186/1471-244x-4-15
Palmatier MA, Kang AM, Kidd KK (1999) Global variation in the frequencies of functionally different catechol-O-methyltransferase alleles. Biol Psychiatry 46(4):557–567. doi:10.1016/s0006-3223(99)00098-0
Prescott P, Shahlaee R (1999) The analysis of ranked data in blocked factorial experiments. Metrika 50:37–54. doi:10.1007/s001840050034
Shirley EAC (1987) Applications of ranking methods of multiple comparison procedures and factorial experiments. Appl Stat, 205–213. doi:10.2307/2347552
Sonuga-Barke EJS (2005) Causal models of attention-deficit/hyperactivity disorder: from common simple deficits to multiple developmental pathways. Biol Psychiatry 57(11):1231–1238. doi:10.1016/j.biopsych.2004.09.008
Taerk E, Grizenko N, Amor LB, Lageix P, Mbekou V, Deguzman R et al (2004) Catechol-O-methyltransferase (COMT) val108/158 met polymorphism does not modulate executive function in children with ADHD. BMC Med Genet 5(1):30
Tunbridge EM, Bannerman DM, Sharp T, Harrison PJ (2004) Catechol-O-methyltransferase inhibition improves set-shifting performance and elevates stimulated dopamine release in the rat prefrontal cortex. J Neurosci 24(23):5331–5335. doi:10.1523/jneurosci.1124-04.2004
Ward MF, Wender PH, Reimherr FW (1993) The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder. Am J Psychiatry 150(6):885–890
Weinshilboum RM, Otterness DM, Szumlanski CL (1999) Methylation pharmacogenetics: catechol O-methyltransferase, thiopurine methyltransferase, and histamine N-methyltransferase. Ann Rev Pharmacol Toxicol 39:19–52. doi:10.1146/annurev.pharmtox.39.1.19
Willcutt EG, Doyle AE, Nigg JT, Faraone SV, Pennington BF (2005) Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review. Biol Psychiatry 57(11):1336–1346. doi:10.1016/j.biopsych.2005.02.006
Wittchen H-U, Zaudig M, Fydrich T (1997) SKID—Strukturiertes Klinisches Interview für DSM-IV. Hogrefe, Achse I und II. Göttingen
Acknowledgments
The authors wish to thank Inge Gröbner for coordinating the patient appointments. This work was supported by the Deutsche Forschungsgemeinschaft (DFG; Grants HE 4531/1-1 and RTG 1253/1).
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The authors declare that they have no conflict of interest.
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Ethical approval was obtained through the Ethical Review Board of the Medical Faculty of the University of Würzburg; all procedures involved were in accordance with the 2008 Declaration of Helsinki. Participants gave written informed consent after full explanation of procedures.
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Biehl, S.C., Gschwendtner, K.M., Guhn, A. et al. Does adult ADHD interact with COMT val 158 met genotype to influence working memory performance?. ADHD Atten Def Hyp Disord 7, 19–25 (2015). https://doi.org/10.1007/s12402-014-0148-8
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DOI: https://doi.org/10.1007/s12402-014-0148-8