Abstract
Despite its high heritability, genetic association studies of attention deficit-hyperactivity disorder (ADHD) have often resulted in somewhat small, inconsistent effects. Refining the ADHD phenotype beyond a dichotomous diagnosis and testing associations with continuous information from the underlying symptom dimensions may result in more consistent genetic findings. This study further examined the association between ADHD and the DRD4, DAT1, and 5HTT genes by testing their association with multivariate phenotypes derived from continuous measures of ADHD symptom severity. DNA was collected in 202 families consisting of at least one ADHD proband and at least one parent or sibling. VNTR polymorphisms of the DRD4 and DAT1 genes were significantly associated with the continuous ADHD phenotype. The association with DRD4 was driven by both inattentive and hyperactive symptoms, while the association with DAT1 was driven primarily by inattentive symptoms. These results use novel methods to build upon important connections between dopamine genes and their final behavioral manifestation as symptoms of ADHD.
Similar content being viewed by others
References
Abecasis G, Cherny S, Cookson WO, Cardon LR (2002) Merlin-rapid analysis of dense genetic maps using sparse gene flow trees. Nat Genet 30:97–101
Anderson BM, Schnetz-Boutaud N, Bartlett J, Wright HH, Abramson RK, Cuccaro ML, Gilbert JR, Pericak-Vance MA, Haines JL (2008) Examination of association to autism of common genetic variationin genes related to dopamine. Autism Res 1(6):364–369
Asghari V, Schoots O, van Kats S, Ohara K, Jovanovic V, Guan HC, Bunzow JR, Petronis A, Van Tol HH (1994) Dopamine D4 receptor repeat: analysis of different native and mutant forms of the human and rat genes. Mol Pharmacol 46(2):364–373
Barkley RA and Murphy K (1998) Attention-deficit hyperactivity disorder: a clinical workbook, 2nd edn. Guilford Press, New York
Bidwell LC, Willcutt EG, DeFries JC, Pennington BF (2007) Testing for neuropsychological endophenotypes in siblings discordant for ADHD. Biol Psychiatry 62:991–998
Chang FM, Kidd JR, Livak KJ, Pakstis AJ, Kidd KK (1996) The world-wide distribution of allele frequencies at the human dopamine D4 receptor locus. Hum Genet 98:91–101
D’Souza UM, Russ C, Tahir E, Mill J, McGuffin P, Asherson PJ, Craig IW (2004) Functional effects of a tandem duplication polymorphism in the 5′ flanking region of the DRD4 gene. Biol Psychiatry 56(9):691–697
DeFries JC, Filipek PA, Fulker DW, Olson RK, Pennington BF, Smith SD, Wise BW (1997) Colorado learning disabilities research center. Learn Disabil A Multidiscip J 8:7–19
Dolan M, Park I (2002) The neuropsychology of antisocial personality disorder. Psychol Med 32:417–427
Dunn LM, Markwardt FC (1970) Examiner’s manual: Peabody individual achievement test. American Guidance Service, Circle Pines, MN
DuPaul GJ, Anastopoulos AD, McGoey KE, Power TJ, Reid R, Ikeda MJ (1997) Teacher ratings of attention deficit hyperactivity disorder symptoms: factor structure and normative data. Psychol Assess 9:436–444
DuPaul GJ, Power TP, Anastopoulos AD, Reid R (1998) ADHD rating scale—IV. Guilford, New York
Faraone SV, Doyle AE (2001) The nature and heritability of attention-deficit/hyperactivity disorder. Child Adolesc Psychiatr Clin N Am. 10:299–316
Faraone SV, Khan SA (2006) Candidate gene studies of attention-deficit/hyperactivity disorder. J Clin Psychiatry 67(Suppl 8):13–20
Fossella J, Sommer T, Fan J, Wu Y, Swanson JM, Pfaff DW, Posner MI (2002) Assessing the molecular genetics of attention networks. BMC Neurosci 3:14
Fuke S, Suo S, Takahashi N, Koike H, Sasagawa N, Ishiura S (2001) The VNTR polymorphism of the human dopamine transporter (DAT1) gene affects gene expression. Pharmacogenom J 1(2):152–156
Gainetdinov RR, Wetsel WC, Jones SR, Levin ED, Jaber M, Caron MG (1999) Role of serotonin in the paradoxical calming effect of psychostimulants on hyperactivity. Science 283:397–401
Giros B, Jaber M, Jones SR, Wightman RM, Caron MG (1996) Hyperlocomotion and indifference to cocaine and amphetamine in mice lacking the dopamine transporter. Nature 379:606–612
Gizer IR, Ficks C, Waldman ID (2009) Candidate gene studies of ADHD: a meta-analytic review. Hum Genet 126(1):51–90
Halperin JM, Newcorn JH, Schwartz ST, Sharma V, Siever LJ, Koda VH, Gabriel S (1997) Age-related changes in the association between serotonergic function and aggression in boys with ADHD. Biol Psychiatry 6:682–689
Halperin JM, Kalmar JH, Schulz KP, Marks DJ, Sharma V, Newcorn JH (2006) Elevated childhood serotonergic function protects against adolescent aggression in disruptive boys. J Am Acad Child Adolesc Psychiatry 45:833–840
Heils A, Teufel A, Petri S, Stöber G, Riederer P, Bengel D, Lesch KP (1996) Allelic variation of human serotonin transporter gene expression. J Neurochem 6:2621–2624
Heiser P, DempXe A, Friedel S, Konrad K, Hinney A, KieX H, Walitza S, Bettecken T, Saar K, Linder M, Warnke A, Herpertz-Dahlmann B, Schäfer H, Remschmidt H, Hebebrand J (2007) Family-based association study of serotonergic candidate genes and attention deficit/hyperactivity disorder in a German sample. J Neural Transm 114:513–521
Hollingshead A (1975) Two-factor index of social status. Unpublished manuscript
Hsiung GY, Kaplan BJ, Petryshen TL, Lu S, Field LL (2004) A dyslexia susceptibility locus (DYX7) linked to dopamine D4 receptor (DRD4) region on chromosome 11p15.5. Am J Med Genet B Neuropsychiatr Genet 125B(1):122–129
Hu XZ, Lipsky RH, Zhu G, Akhtar LA, Taubman J, Greenberg BD, Xu K, Arnold PD, Richter MA, Kennedy JL, Murphy DL, Goldman D (2006) Serotonin transporter promoter gain-of-function genotypes are linked to obsessive-compulsive disorder. Am J Hum Genet 78(5):815–826
Jovanovic V, Guan HC, Van Tol HH (1999) Comparative pharmacological and functional analysis of the human dopamine D4.2 and D4.10 receptor variants. Pharmacogenetics 9:561–568
Kazmi MA, Snyder LA, Cypess AM, Graber SG, Sakmar TP (2000) Selective reconstitution of human D4 dopamine receptor variants with Gi subtypes. Biochemistry 39:3734–3744
Lahey BB, Willcutt EG (2002). Validity of the diagnosis and dimensions of attention deficit hyperactivity disorder. In: Jensen PS, Cooper JR (eds) Attention deficit hyperactivity disorder: state of the science. Civic Research Institute, New York, pp 1-1–1-23
Lahey BB, Applegate B, McBurnett K, Biederman J, Greenhill L, Hynd GW et al (1994) DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents. Am J Psychiatry 151:1673–1685
Laird NM, Lange C (2006) Family-based designs in the age of large-scale gene-association studies. Nat Rev Genet 7(5):385–394
Lasky-Su J, Lange C, Biederman J, Tsuang M, Doyle AE, Smoller JW, Laird N, Faraone S (2008a) Family-based association analysis of statistically derived quantitative traits for ADHD reveal an association in DRD4 with inattentive symptoms in ADHD individuals. Am J Med Genet (Neuropsychiatr Genet) 147B(1):100–106
Lasky-Su J, Lyon HN, Emilsson V, Heid IM, Molony C, Raby BA, Lazarus R, Klanderman B, Soto-Quiros ME, Avila L, Silverman EK, Thorleifsson G, Thorsteinsdottir U, Kronenberg F, Vollmert C, Illig T, Fox CS, Levy D, Laird N, Ding X, McQueen MB, Butler J, Ardlie K, Papoutsakis C, Dedoussis G, O’Donnell CJ, Wichmann HE, Celedón JC, Schadt E, Hirschhorn J, Weiss ST, Stefansson K, Lange C (2008b) On the replication of genetic associations: timing can be everything! Am J Hum Genet 82(4):849–858
Lesch KP, Bengel D, Heils A, Sabol SZ, Greenberg BD, Petri S et al (1996) Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science 274:1527–1531
Levy F, Hay D, McLaughlin M, Wood K, Waldman I (1997) Attention-deficit hyperactivity disorder: a category or a continuum? Genetic analysis of a large-scale twin study. J Am Acad Child Adolesc Psychiatry 36:737–744
Li J, Wang Y, Zhou R, Zhang H, Yang L, Wang B et al (2005) Serotonin 5-HT1B receptor gene and attention deficit hyperactivity disorder in Chinese Han subjects. Am J Med Genet B Neuropsychiatr Genet 1:59–63
McCracken JT, Smalley SL, McGough JJ, Crawford L, Del’Homme M, Cantor RM, Liu A, Nelson SF (2000) Evidence for linkage of a tandem duplication polymorphism upstream of the dopamine D4 receptor gene (DRD4) with attention deficit hyperactivity disorder (ADHD). Mol Psychiatry 5(5):531–536
Miller GM, Madras BK (2002) Polymorphisms in the 3′-untranslated region of human and monkey dopamine transporter genes affect reporter gene expression. Mol Psychiatry 7(1):44–55
Mitchell RJ, Howlett S, Earl L, White NG, McComb J, Schanfield MS et al (2000) Distribution of the 3′ VNTR polymorphism in the human dopamine transporter gene in world populations. Hum Biol 72(2):295–304
Park L, Nigg JT, Waldman ID, Nummy KA, Huang-Pollock C, Rappley M, Friderici KH (2005) Association and linkage of alpha-2A adrenergic receptor gene polymorphisms with childhood ADHD. Mol Psychiatry 10:572–580
Paterson AD, Sunohara GA, Kennedy JL (1999) Dopamine D4 receptor gene: novelty or nonsense? Neuropsychopharmacology 21(1):3–16
Pelham WE, Gnagy EM, Greenslade KE, Milich R (1992) Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorders. J A Acad Child Adolesc Psychiatry 31:210–218
Plomin R, DeFries JC, McClearn GE, McGuffin P (2008) A primer of behavioral genetics, 5th edn. San Francisco, Worth
Posner MI, Petersen SE (1990) The attention system of the human brain. Annu Rev Neurosci 13:25–42
Puumala T, Sirviö J (1998) Changes in activities of dopamine and serotonin systems in the frontal cortex underlie poor choice accuracy and impulsivity of rats in an attention task. Neurosci 83:489–499
Rubia K, Overmeyer S, Taylor E, Brammer M, Williams SC, Simmons A, Bullmore ET (1999) Hypofrontality in attention deficit hyperactivity disorder during higher-order motor control: a study with functional MRI. Am J Psychiatry 156:891–896
Ruotsalainen S, Sirviö J, Jäkälä P, Puumala T, MacDonald E, Riekkinen P Sr (1997) Differential effects of three 5-HT receptor antagonists on the performance of rats in attentional and working memory tasks. Eur Neuropsychopharmacol 7:99–108
Sesack SR, Hawrylak VA, Guido MA, Levey AI (1998) Cellular and subcellular localization of the dopamine transporter in rat cortex. Adv Pharmacol 42:171–174
Steffens DC, Svenson I, Marchuk DA, Levy RM, Hays JC, Flint EP, Krishnan KRR, Siegler IC (2002) Allelic differences in the serotonin transporter-linked polymorphic region in geriatric depression. Am J Geriatr Psychiatry 10(2):185–191
Tanaka K, Shintani N, Hashimoto H, Kawagishi N, Ago Y, Matsuda T, Hashimoto R et al (2006) Psychostimulant-induced attenuation of hyperactivity and prepulse inhibition deficits in Adcyap1-deficient mice. J Neurosci 26:5091–5097
Van Tol HHM, Wu CM, Guan HC, Ohara K, Bunzow JR, Civelli O et al (1992) Multiple dopamine D4 receptor variants in the human population. Nature 358:149–152
Vandenbergh DJ, Persico AM, Hawkins AL et al (1992) Human dopamine transporter gene (DAT1) maps to chromosome 5p15.3 and displays a VNTR. Genomics 14(4):1104–1106
Volkow ND, Wang GJ, Fowler JS, Gatley SJ, Logan J, Ding YS, Hitzemann R, Pappas N (1998) Dopamine transporter occupancies in the human brain induced by therapeutic doses of oral methylphenidate. Am J Psychiatry 155(10):1325–1331
Waldman ID, Nigg JT, Gizer IR, Park L, Rappley MD, Friderici K (2006) The adrenergic receptor alpha-2A gene (ADRA2A) and neuropsychological executive functions as putative endophenotypes for childhood ADHD. Cog Aff Behav Neurosci 6:18–30
Wechsler D (1974) Examiner’s manual: Wechsler intelligence scale for children—revised. The Psychological Corporation, New York
Wechsler D (1981) Manual for the Wechsler adult intelligence scale—revised. The Psychological Corporation, San Antonio
Wigg KG, Takhar A, Ickowicz A, Tannock R, Kennedy JL, Pathare T, Malone M, Schachar R, Barr CL (2006) Gene for the serotonin transporter and ADHD. No association with two functional polymorphisms. Am J Med Genet B 141B:566–570
Willcutt EG, Carlson CL (2005) Diagnostic validity of attention-deficit/hyperactivity disorder. Clin Neuro Rev 5:219–232
Willcutt EG, Chhabildas N, Pennington BF (2001) Validity of the DSM-IV subtypes of ADHD. ADHD Rep 9:2–5
Willcutt EG, DeFries JC, Pennington BF, Olson RK, Smith SD, Cardon LR (2003) Genetic etiology of comorbid reading difficulties and ADHD. In: Plomin R, DeFries JC, McGuffin P, Craig I (eds) Behavioral genetics in a postgenomic era. American Psychological Association, Washington, DC, pp 227–246
Xu X, Mill J, Chen CK, Brookes K, Taylor E, Asherson P (2005) Family-based association study of serotonin transporter gene polymorphisms in attention deficit hyperactivity disorder: no evidence for association in UK and Taiwanese samples. Am J Med Genet B 139B:11–13
Young (1995) Genetic analysis system, genetic analysis system http://users.ox.ac.uk/~ayoung/gas.html
Jacobsen LK, Staley JK, Zoghbi, SS, Seibyl JP, Kosten TR, Innis RB, Gelernter J (2000) Prediction of dopamine transporter binding availability by genotype: a preliminary report. Am J Psychiatry 157(10):1700–1703
Acknowledgements
This research was supported by NICHD center grant P50 HD-27802 (Center Director: R. K. Olson). The first author was also supported in part during the preparation of this manuscript by NIH grants R01 MH62120, and R01 MH63941 (E.G. Willcutt) and F31 MH078514 (L.C. Bidwell). We extend our deepest gratitude to the Colorado Learning Disabilities Research Center staff and the school personnel and families that participated in the study.
Author information
Authors and Affiliations
Corresponding author
Additional information
Edited by Elena Grigorenko and Brett Miller.
Rights and permissions
About this article
Cite this article
Bidwell, L.C., Willcutt, E.G., McQueen, M.B. et al. A Family Based Association Study of DRD4, DAT1, and 5HTT and Continuous Traits of Attention-Deficit Hyperactivity Disorder. Behav Genet 41, 165–174 (2011). https://doi.org/10.1007/s10519-010-9437-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10519-010-9437-y