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Family-based association study of serotonergic candidate genes and attention-deficit/hyperactivity disorder in a German sample

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Summary

Alterations in the serotonergic pathway have been implicated in the pathogenesis of attention-deficit/hyperactivity disorder (ADHD). The aim of this study was to investigate seven genetic variants in three genes (serotonin transporter (5-HTT), serotonin receptor 1B (5-HTR1B) and serotonin receptor 2A (5-HTR2A)), which have previously been shown to be associated with ADHD. The polymorphisms under investigation were the 5-HTTLPR, the VNTR in intron 2 and the 3′UTR SNP in 5-HTT, the 5-HTR1B variations 861G>C and 102T>C, and the 5-HTR2A variations His452Tyr and 1438G>A. We genotyped these variants in a sample of 102 families with 229 children with ADHD according to DSM-IV criteria. Among the affected children, 69% fulfilled criteria for the combined type, 27% for the predominantly inattentive type, and 4% for the predominantly hyperactive-impulsive type. Associations were tested by the pedigree transmission disequilibrium test (PDT). All investigated polymorphisms in serotonergic candidate genes showed no association to ADHD in our sample. Earlier studies of these polymorphisms had also shown inconsistent results, with some studies reporting significant associations and others demonstrating no association. This discordance between studies may reflect variation in patient ascertainment criteria, genetic heterogeneity, too low statistical power for the expected effects or false positive results in the initial reports. We cannot rule out the possibility that other variations in the investigated genes contribute to the etiology of ADHD.

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Abbreviations

5-HTT:

5-hydroxytryptamine (=serotonin) transporter

5-HTR:

serotonin receptor

aa:

amino acid

ADHD:

attention-deficit/hyperactivity disorder

bp:

base pair

c–c:

case control

CD:

conduct disorder

chr:

chromosome

COMT:

catechol-O-methyltransferase

DAT1:

dopamine transporter 1 (solute carrier family 6, member 3 (SLC6A3))

DBH:

dopamine β-hydroxylase

DRD:

dopamine receptor

DSM-IV:

Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition

duo:

one affected child and one parent (mostly mother)

EDTD:

extended transmission disequilibrium test

Fam:

family-based association study

HHRR:

haplotype-based haplotype relative risk

HRR:

haplotype relative risk

LOD:

logarithm of the odds

MAOA:

monoamine oxidase A

MAOB:

monoamine oxidase B

MPH:

methlyphenidate

n.a.:

not applicable

n.s.:

not significant

ODD:

oppositional defiant disorder

quartett:

two affected children and both parents

quintett:

three affected children and both parents

SNPs:

single nucleotide polymorphisms

TDT:

transmission disequilibrium test

TPH:

tryptophan hydroxylase

trio:

one affected child and both parents

VNTR:

variable number tandem repeat

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Heiser, P., Dempfle, A., Friedel, S. et al. Family-based association study of serotonergic candidate genes and attention-deficit/hyperactivity disorder in a German sample. J Neural Transm 114, 513–521 (2007). https://doi.org/10.1007/s00702-006-0584-5

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