Abstract
The Transcription Factor Activating Protein-2β (TFAP-2β) gene has been shown to influence monoaminergic neurotransmission, and several genes important for monoaminergic function have binding sites for TFAP-2β. Familial studies of attention deficit hyperactivity disorder (ADHD) suggest a hereditary-determined subtype of ADHD with comorbid depression. We examined a functional variation of the TFAP-2β gene in the context of co-occurring symptoms of ADHD and depression in two independent population-based samples of adolescents (Group A, n = 175 and Group B, n = 1,506) from Sweden. Results indicated 6.1 to 7.8 % of adolescents screened positively for ADHD and depression symptoms. Symptoms of depression were more common among girls who screened positively for ADHD and did not carry the nine-repeat allele of the TFAP-2β intron 1 Variable Number Tandem Repeat (VNTR) polymorphism. The presence of the nine-repeat variant of the TFAP-2β intron 1 VNTR appears to protect girls with ADHD symptoms from the co-expression of symptoms of depression.
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Angold A, Costello EJ, Erkanli A (1999) Co-morbidity. J Child Psychol Psychiatry 40(1):57–87
Sonnby K, Aslund C, Leppert J, Nilsson KW (2010) Symptoms of ADHD and depression in a large adolescent population: co-occurring symptoms and associations to experiences of sexual abuse. Nord J Psychiatry 65(5):315–322. doi:10.3109/08039488.2010.545894
Cole J, Ball HA, Martin NC, Scourfield J, McGuffin P (2009) Genetic overlap between measures of hyperactivity/inattention and mood in children and adolescents. J Am Acad Child Adolesc Psychiatry 48(11):1094–1101
Spatola CA, Fagnani C, Pesenti-Gritti P, Ogliari A, Stazi MA, Battaglia M (2007) A general population twin study of the CBCL/6-18 DSM-oriented scales. J Am Acad Child Adolesc Psychiatry 46(5):619–627
Mick E, Biederman J, Santangelo S, Wypij D (2003) The influence of gender in the familial association between ADHD and major depression. J Nerv Ment Dis 191(11):699–705. doi:10.1097/01.nmd.0000095121.16728.26
Biederman J, Ball SW, Monuteaux MC, Mick E, Spencer TJ, McCreary M, Cote M, Faraone SV (2008) New insights into the comorbidity between ADHD and major depression in adolescent and young adult females. J Am Acad Child Adolesc Psychiatry 47(4):426–434
Mick E, Todorov A, Smalley S, Hu X, Loo S, Todd RD, Biederman J, Byrne D, Dechairo B, Guiney A, McCracken J, McGough J, Nelson SF, Reiersen AM, Wilens TE, Wozniak J, Neale BM, Faraone SV (2010) Family-based genome-wide association scan of attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 49 (9):898-905.e893. doi:10.1016/j.jaac.2010.02.014
Muglia P, Tozzi F, Galwey NW, Francks C, Upmanyu R, Kong XQ, Antoniades A, Domenici E, Perry J, Rothen S, Vandeleur CL, Mooser V, Waeber G, Vollenweider P, Preisig M, Lucae S, Muller-Myhsok B, Holsboer F, Middleton LT, Roses AD (2010) Genome-wide association study of recurrent major depressive disorder in two European case-control cohorts. Mol Psychiatry 15(6):589–601. doi:10.1038/mp.2008.131
(2013) Identification of risk loci with shared effects on five major psychiatric disorders: a genome-wide analysis. Lancet doi:10.1016/S0140-6736(12)62129-1
Karg K, Burmeister M, Shedden K, Sen S (2011) The serotonin transporter promoter variant (5-HTTLPR), stress, and depression meta-analysis revisited: evidence of genetic moderation. Arch Gen Psychiatry 68(5):444–454. doi:10.1001/archgenpsychiatry.2010.189
Gizer IR, Ficks C, Waldman ID (2009) Candidate gene studies of ADHD: a meta-analytic review. Hum Genet 126(1):51–90. doi:10.1007/s00439-009-0694-x
Langley K, Heron J, O’Donovan MC, Owen MJ, Thapar A (2010) Genotype link with extreme antisocial behavior: the contribution of cognitive pathways. Arch Gen Psychiatry 67(12):1317–1323. doi:10.1001/archgenpsychiatry.2010.16367/12/1317
Williams NM, Franke B, Mick E, Anney RJ, Freitag CM, Gill M, Thapar A, O’Donovan MC, Owen MJ, Holmans P, Kent L, Middleton F, Zhang-James Y, Liu L, Meyer J, Nguyen TT, Romanos J, Romanos M, Seitz C, Renner TJ, Walitza S, Warnke A, Palmason H, Buitelaar J, Rommelse N, Vasquez AA, Hawi Z, Langley K, Sergeant J, Steinhausen HC, Roeyers H, Biederman J, Zaharieva I, Hakonarson H, Elia J, Lionel AC, Crosbie J, Marshall CR, Schachar R, Scherer SW, Todorov A, Smalley SL, Loo S, Nelson S, Shtir C, Asherson P, Reif A, Lesch KP, Faraone SV (2012) Genome-wide analysis of copy number variants in attention deficit hyperactivity disorder: the role of rare variants and duplications at 15q13.3. Am J Psychiatry 169(2):195–204
Stergiakouli E, Hamshere M, Holmans P, Langley K, Zaharieva I, Hawi Z, Kent L, Gill M, Williams N, Owen MJ, O’Donovan M, Thapar A (2012) Investigating the contribution of common genetic variants to the risk and pathogenesis of ADHD. Am J Psychiatry 169(2):186–194
Damberg M (2005) Transcription factor AP-2 and monoaminergic functions in the central nervous system. J Neural Transm 112(10):1281–1296
Damberg M, Eller M, Tonissaar M, Oreland L, Harro J (2001) Levels of transcription factors AP-2α and AP-2β in the brainstem are correlated to monoamine turnover in the rat forebrain. Neurosci Lett 313(1–2):102–104
Hong SJ, Lardaro T, Oh MS, Huh Y, Ding Y, Kang UJ, Kirfel J, Buettner R, Kim KS (2008) Regulation of the noradrenaline neurotransmitter phenotype by the transcription factor AP-2β. J Biol Chem 283(24):16860–16867
Nilsson KW, Sjoberg RL, Leppert J, Oreland L, Damberg M (2009) Transcription factor AP-2β genotype and psychosocial adversity in relation to adolescent depressive symptomatology. J Neural Transm 116(3):363–370
Ivorra JL, D’Souza UM, Jover M, Arranz MJ, Williams BP, Henry SE, Sanjuan J, Molto MD (2011) Association between neonatal temperament, SLC6A4, DRD4 and a functional polymorphism located in TFAP2B. Genes Brain Behav 10(5):570–578. doi:10.1111/j.1601-183X.2011.00696.x
Maeda S, Tsukada S, Kanazawa A, Sekine A, Tsunoda T, Koya D, Maegawa H, Kashiwagi A, Babazono T, Matsuda M, Tanaka Y, Fujioka T, Hirose H, Eguchi T, Ohno Y, Groves CJ, Hattersley AT, Hitman GA, Walker M, Kaku K, Iwamoto Y, Kawamori R, Kikkawa R, Kamatani N, McCarthy MI, Nakamura Y (2005) Genetic variations in the gene encoding TFAP2B are associated with type 2 diabetes mellitus. J Hum Genet 50(6):283–292
Tsukada S, Tanaka Y, Maegawa H, Kashiwagi A, Kawamori R, Maeda S (2006) Intronic polymorphisms within TFAP2B regulate transcriptional activity and affect adipocytokine gene expression in differentiated adipocytes. Mol Endocrinol 20(5):1104–1111
Nilsson KW (2006) Gene-Environment Interaction in Adolescent Deviant Behaviour. Uppsala University, Uppsala
Nilsson KW, Sjoberg RL, Damberg M, Alm PO, Ohrvik J, Leppert J, Lindstrom L, Oreland L (2005) Role of the serotonin transporter gene and family function in adolescent alcohol consumption. Alcohol Clin Exp Res 29(4):564–570
Rodriguez A, Ginsberg Y, Fernholm A, Nyberg L (2007) ADHD difficult to diagnose in adults. ASRS v1.1 Self-report scales valuable help–now translated to Swedish. Lakartidningen 104(18):1398–1400
Kessler RC, Adler L, Ames M, Demler O, Faraone S, Hiripi E, Howes MJ, Jin R, Secnik K, Spencer T, Ustun TB, Walters EE (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
Svanborg P, Ekselius L (2003) Self-assessment of DSM-IV criteria for major depression in psychiatric out- and inpatients. Nord J Psychiatry 57(4):291–296
APA (2000) The diagnostic statistical manual of psychiatric disorders. American Psychiatric Association, Washington, DC
Fleiss JL (1986) Design and Analysis of Clinical Experiments. John Wiley and Sons, New York
Ioannidis JP, Ntzani EE, Trikalinos TA, Contopoulos-Ioannidis DG (2001) Replication validity of genetic association studies. Nat Genet 29(3):306–309
Perneger TV (1998) What’s wrong with Bonferroni adjustments. BMJ 316(7139):1236–1238
Moser M, Imhof A, Pscherer A, Bauer R, Amselgruber W, Sinowatz F, Hofstadter F, Schule R, Buettner R (1995) Cloning and characterization of a second AP-2 transcription factor: AP-2β. Development 121(9):2779–2788
Damberg M, Garpenstrand H, Hallman J, Oreland L (2001) Genetic mechanisms of behavior–don’t forget about the transcription factors. Mol Psychiatry 6(5):503–510
Brummett BH, Boyle SH, Kuhn CM, Siegler IC, Williams RB (2008) Associations among central nervous system serotonergic function and neuroticism are moderated by gender. Biol Psychiatry 78:200–203
Brummett BH, Boyle SH, Siegler IC, Kuhn CM, Ashely-Koch A, Jonassaint CR, Zücher S, Collins A, Williams RB (2008) Effects of environmental stress and gender on associations among symptoms of depression and the serotonin transporter gene linked polymorphic region (5-HTTLPR). Behav Genet 38:34–43
Sjoberg RL, Nilsson KW, Nordquist N, Ohrvik J, Leppert J, Lindstrom L, Oreland L (2006) Development of depression: sex and the interaction between environment and a promoter polymorphism of the serotonin transporter gene. Int J Neuropsychopharmacol 9(4):443–449. doi:10.1017/S1461145705005936
Schwandt ML, Lindell SG, Sjoberg RL, Chisholm KL, Higley JD, Suomi SJ, Heilig M, Barr CS (2009) Gene-environment interactions and response to social intrusion in male and female rhesus macaques. Biol Psychiatry 67(4):323–330
Skounti M, Philalithis A, Galanakis E (2007) Variations in prevalence of attention deficit hyperactivity disorder worldwide. Eur J Pediatr 166(2):117–123
Kessler RC, Adler L, Barkley R, Biederman J, Conners CK, Demler O, Faraone SV, Greenhill LL, Howes MJ, Secnik K, Spencer T, Ustun TB, Walters EE, Zaslavsky AM (2006) The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry 163(4):716–723
Pescosolido BA, Jensen PS, Martin JK, Perry BL, Olafsdottir S, Fettes D (2008) Public knowledge and assessment of child mental health problems: findings from the National Stigma Study-Children. J Am Acad Child Adolesc Psychiatry 47(3):339–349. doi:10.1097/CHI.0b013e318160e3a0
Bauermeister JJ, Shrout PE, Chavez L, Rubio-Stipec M, Ramirez R, Padilla L, Anderson A, Garcia P, Canino G (2007) ADHD and gender: are risks and sequela of ADHD the same for boys and girls? J Child Psychol Psychiatry 48(8):831–839
Merikangas KR, He JP, Burstein M, Swendsen J, Avenevoli S, Case B, Georgiades K, Heaton L, Swanson S, Olfson M (2011) Service utilization for lifetime mental disorders in U.S. adolescents: results of the National Comorbidity Survey-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 50(1):32–45. doi:10.1016/j.jaac.2010.10.006
Biederman J, Ball SW, Mick E, Monuteaux MC, Kaiser R, Bristol E, Faraone SV (2007) Informativeness of maternal reports on the diagnosis of ADHD: an analysis of mother and youth reports. J Atten Disord 10(4):410–417
Lauth B, Levy SR, Juliusdottir G, Ferrari P, Petursson H (2008) Implementing the semi-structured interview Kiddie-SADS-PL into an in-patient adolescent clinical setting: impact on frequency of diagnoses. Child Adolesc Psychiatry Ment Health 2(1):14. doi:10.1186/1753-2000-2-14
Olsson GI, von Knorring AL (1999) Adolescent depression: prevalence in Swedish high-school students. Acta Psychiatr Scand 99(5):324–331
Rushton JL, Forcier M, Schectman RM (2002) Epidemiology of depressive symptoms in the National Longitudinal Study of Adolescent Health. J Am Acad Child Adolesc Psychiatry 41(2):199–205
Wade TJ, Cairney J, Pevalin DJ (2002) Emergence of gender differences in depression during adolescence: national panel results from three countries. J Am Acad Child Adolesc Psychiatry 41(2):190–198
Boyce WT, Ellis BJ (2005) Biological sensitivity to context: I. an evolutionary-developmental theory of the origins and functions of stress reactivity. Dev Psychopathol 17:271–301
Comasco E, Aslund C, Oreland L, Nilsson KW (2013) Three-way interaction effect of 5-HTTLPR, BDNF Val66Met, and childhood adversity on depression: a replication study. Eur Neuropsychopharmacol. doi:10.1016/j.euroneuro.2013.01.010
Cahill L (2006) Why sex matters for neuroscience. Nat Rev Neurosci 7(6):477–484. doi:10.1038/nrn1909
Gillies GE, McArthur S (2010) Estrogen actions in the brain and the basis for differential action in men and women: a case for sex-specific medicines. Pharmacol Rev 62(2):155–198. doi:10.1124/pr.109.002071
Cosgrove KP, Mazure CM, Staley JK (2007) Evolving knowledge of sex differences in brain structure, function, and chemistry. Biol Psychiatry 62(8):847–855. doi:10.1016/j.biopsych.2007.03.001
Savic I (ed) (2010) Sex differences in the human brain, their underpinnings and implications, vol 186. Prog Brain Res, Elsevier B.V. doi:10.1016/B978-0-444-53630-3.00017-8
Nilsson KW, Comasco E, Aslund C, Nordquist N, Leppert J, Oreland L (2011) MAOA genotype, family relations and sexual abuse in relation to adolescent alcohol consumption. Addict Biol 16(2):347–355. doi:10.1111/j.1369-1600.2010.00238.xADB238
Nilsson KW, Sjoberg RL, Damberg M, Leppert J, Ohrvik J, Alm PO, Lindstrom L, Oreland L (2006) Role of monoamine oxidase A genotype and psychosocial factors in male adolescent criminal activity. Biol Psychiatry 59(2):121–127
Nilsson KW, Sjoberg RL, Wargelius HL, Leppert J, Lindstrom L, Oreland L (2007) The monoamine oxidase A (MAO-A) gene, family function and maltreatment as predictors of destructive behaviour during male adolescent alcohol consumption. Addiction 102(3):389–398
Nilsson KW, Wargelius H-L, Sjöberg RL, Leppert J, Oreland L (2008) The MAOA gene, platelet MAO-B activity and psychosocial environment in adolescent female and alcohol-related problem behaviour. Drug Alcohol Depend 93:51–62
Sjoberg RL, Nilsson KW, Nordquist N, Öhrvik J, Leppert J, Lindström L, Oreland L (2006) Development of depression—sex and the interaction between environment and promoter polymorphism of the serotonin transporter gene. Int J Neuropsychopharmacol 9(4):443–449
Sjoberg RL, Nilsson KW, Wargelius HL, Leppert J, Lindstrom L, Oreland L (2007) Adolescent girls and criminal activity: role of MAOA-LPR genotype and psychosocial factors. Am J Med Genet B Neuropsychiatr Genet 144B(2):159–164. doi:10.1002/ajmg.b.30360
Åslund C, Leppert J, Comasco E, Nordquist N, Oreland L, Nilsson KW (2009) Impact of the interaction between the 5HTTLPR polymorphism and maltreatment on adolescent depression. A population based study. Behav Genet 39:524–531
Åslund C, Nordquist N, Comasco E, Leppert J, Oreland L, Nilsson KW (2010) Maltreatment, MAOA, and delinquency: sex differences in gene-environment interaction in a large population-based cohort of adolescents. Behavior Genetics (E-pub)
Acknowledgments
Grants from the following funds and organizations are acknowledged: The Swedish research Council, The Swedish Council for Working Life and Social Research (FAS), Systembolagets råd för alkoholforskning (SRA), Swedish Brain Foundation, AFA Insurance, Olle Engkvist Byggmästare, The Uppsala and Örebro Regional Research Council, Fredrik and Ingrid Thurings Foundation, the County Council of Västmanland, König-Söderströmska Foundation, The Swedish Psychiatric Foundation, and the Svenska Spel Research Foundation. The sponsors had no role in the study design, data collection, data analysis, data interpretation, or writing of the report.
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Nilsson, K.W., Sonnby, K., Nordquist, N. et al. Transcription Factor Activating Protein-2β (TFAP-2β) genotype and symptoms of attention deficit hyperactivity disorder in relation to symptoms of depression in two independent samples. Eur Child Adolesc Psychiatry 23, 207–217 (2014). https://doi.org/10.1007/s00787-013-0450-6
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DOI: https://doi.org/10.1007/s00787-013-0450-6