Abstract
Attention-deficit hyperactivity disorder (ADHD) is a highly heritable neurodevelopmental disorder often persisting in adulthood. Genetic studies of ADHD mainly focused on the Dopamine Transporter (DAT1) and the Dopamine Receptor 4 (DRD4) genes. Nevertheless, polymorphisms of these genes explain only a small fraction of the assigned risk, suggesting that intermediate dimensions and environmental factors should also be considered. We investigated in 77 adult ADHD subjects compared to 474 controls, how polymorphisms within the genes coding for DAT1 (40-bp VNTR in 3′UTR), the Dopamine Receptor 2 (DRD2) (rs1799732) and DRD4 (48-bp VNTR in exon 3), may modulate the expression of the disorder. By genotyping DAT1, we detected a new 9.5R allele showing a deletion of 40 bp and also an insertion of 19 bp compared to the 10R allele. This novel allele was found to be significantly protective for ADHD (p < 0.0001). Another significant difference was found in the distribution of DRD4 48-bp VNTR 6R allele when comparing patients and controls (p = 0.0007). In addition significant results were also found for DAT1 9.5R allele, which was associated with impulsiveness (p = 1.98 × 10−4) and trait anger scores (p = 7.66 × 10−4). Moreover, impulsiveness scores were partly modulated by an interaction between the DRD4 48-bp VNTR 6R allele and childhood maltreatment (p = 0.01), however, this result did not resist correction for multiple comparisons. Altogether, our results show the putative involvement of DAT1 and DRD4 genes in the aetiology of ADHD with a main role in modulation of key dimensions of the disorder.
Similar content being viewed by others
References
Bush G (2010) Attention-deficit/hyperactivity disorder and attention networks. Neuropsychopharmacology 35(1):278–300. doi:10.1038/npp.2009.120
Simon V, Czobor P, Balint S, Meszaros A, Bitter I (2009) Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysis. Br J Psychiatry 194(3):204–211. doi:10.1192/bjp.bp.107.048827
Stergiakouli E, Thapar A (2010) Fitting the pieces together: current research on the genetic basis of attention-deficit/hyperactivity disorder (ADHD). Neuropsychiatr Dis Treat 6:551–560. doi:10.2147/NDT.S11322
Barkley RA (1997) Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychol Bull 121(1):65–94
Gau SS, Shang CY (2010) Executive functions as endophenotypes in ADHD: evidence from the Cambridge neuropsychological test battery (CANTAB). J Child Psychol Psychiatry 51(7):838–849. doi:10.1111/j.1469-7610.2010.02215.x
Martel MM (2009) Research review: a new perspective on attention-deficit/hyperactivity disorder: emotion dysregulation and trait models. J Child Psychol Psychiatry 50(9):1042–1051. doi:10.1111/j.1469-7610.2009.02105.x
Hofvander B, Stahlberg O, Nyden A, Wentz E, Innocenti A, Billstedt E, Forsman A, Gillberg C, Nilsson T, Rastam M, Anckarsater H (2011) Life history of aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients. Psychiatry Res 185(1–2):280–285. doi:10.1016/j.psychres.2010.05.008
Shaw P, Stringaris A, Nigg J, Leibenluft E (2014) Emotion dysregulation in attention deficit hyperactivity disorder. Am J Psychiatry 171(3):276–293. doi:10.1176/appi.ajp.2013.13070966
Villemonteix T, Purper-Ouakil D, Romo L (2014) Is emotional dysregulation a component of attention-deficit/hyperactivity disorder (ADHD)? Encephale. doi:10.1016/j.encep.2013.12.004
De Sanctis VA, Nomura Y, Newcorn JH, Halperin JM (2012) Childhood maltreatment and conduct disorder: independent predictors of criminal outcomes in ADHD youth. Child Abuse Negl 36(11–12):782–789. doi:10.1016/j.chiabu.2012.08.003
Prada P, Hasler R, Baud P, Bednarz G, Ardu S, Krejci I, Nicastro R, Aubry JM, Perroud N (2014) Distinguishing borderline personality disorder from adult attention deficit/hyperactivity disorder: a clinical and dimensional perspective. Psychiatry Res 217(1–2):107–114. doi:10.1016/j.psychres.2014.03.006
Briscoe-Smith AM, Hinshaw SP (2006) Linkages between child abuse and attention-deficit/hyperactivity disorder in girls: behavioral and social correlates. Child Abuse Negl 30(11):1239–1255. doi:10.1016/j.chiabu.2006.04.008
Miller CJ, Miller SR, Newcorn JH, Halperin JM (2008) Personality characteristics associated with persistent ADHD in late adolescence. J Abnorm Child Psychol 36(2):165–173. doi:10.1007/s10802-007-9167-7
Turic D, Swanson J, Sonuga-Barke E (2010) DRD4 and DAT1 in ADHD: functional neurobiology to pharmacogenetics. Pharmgenomics Pers Med 3:61–78
Prince J (2008) Catecholamine dysfunction in attention-deficit/hyperactivity disorder: an update. J Clin Psychopharmacol 28(3 Suppl 2):S39–S45. doi:10.1097/JCP.0b013e318174f92a
Thapar A, Cooper M, Jefferies R, Stergiakouli E (2012) What causes attention deficit hyperactivity disorder? Arch Dis Child 97(3):260–265. doi:10.1136/archdischild-2011-300482
Swanson JM, Flodman P, Kennedy J, Spence MA, Moyzis R, Schuck S, Murias M, Moriarity J, Barr C, Smith M, Posner M (2000) Dopamine genes and ADHD. Neurosci Biobehav Rev 24(1):21–25
Congdon E, Lesch KP, Canli T (2008) Analysis of DRD4 and DAT polymorphisms and behavioral inhibition in healthy adults: implications for impulsivity. Am J Med Genet B Neuropsychiatr Genet 147B(1):27–32. doi:10.1002/ajmg.b.30557
Cornish KM, Manly T, Savage R, Swanson J, Morisano D, Butler N, Grant C, Cross G, Bentley L, Hollis CP (2005) Association of the dopamine transporter (DAT1) 10/10-repeat genotype with ADHD symptoms and response inhibition in a general population sample. Mol Psychiatry 10(7):686–698. doi:10.1038/sj.mp.4001641
Albrecht B, Brandeis D, von Sandersleben HU, Valko L, Heinrich H, Xu X, Drechsler R, Heise A, Kuntsi J, Muller UC, Asherson P, Steinhausen HC, Rothenberger A, Banaschewski T (2014) Genetics of preparation and response control in ADHD: the role of DRD4 and DAT1. J Child Psychol Psychiatry. doi:10.1111/jcpp.12212
Preisig M, Fenton BT, Matthey ML, Berney A, Ferrero F (1999) Diagnostic interview for genetic studies (DIGS): inter-rater and test-retest reliability of the French version. Eur Arch Psychiatry Clin Neurosci 249(4):174–179
Adler LA, Spencer T, Faraone SV, Kessler RC, Howes MJ, Biederman J, Secnik K (2006) Validity of pilot adult ADHD self- report scale (ASRS) to rate adult ADHD symptoms. Ann Clin Psychiatry 18(3):145–148. doi:10.1080/10401230600801077
Bayle FJ, Krebs MO, Martin C, Bouvard MP, Wender P (2003) French version of Wender Utah rating scale (WURS). Can J Psychiatry 48(2):132
Patton JH, Stanford MS, Barratt ES (1995) Factor structure of the Barratt impulsiveness scale. J Clin Psychol 51(6):768–774
Spielberger CD (1988) State-trait anger expression inventory, research edn. Professional Manual Psychological Assessment Resources, Odessa
Coccaro EF, Berman ME, Kavoussi RJ (1997) Assessment of life history of aggression: development and psychometric characteristics. Psychiatry Res 73(3):147–157
Bernstein DPFL (1998) Childhood trauma questionnaire. A retrospective self-report. The Psychological Corporation, San Antonio
Perroud N, Baud P, Mouthon D, Courtet P, Malafosse A (2011) Impulsivity, aggression and suicidal behavior in unipolar and bipolar disorders. J Affect Disord 134(1–3):112–118. doi:10.1016/j.jad.2011.05.048
Qian Q, Wang Y, Zhou R, Yang L, Faraone SV (2004) Family-based and case-control association studies of DRD4 and DAT1 polymorphisms in Chinese attention deficit hyperactivity disorder patients suggest long repeats contribute to genetic risk for the disorder. Am J Med Genet B Neuropsychiatr Genet 128B(1):84–89. doi:10.1002/ajmg.b.30079
Dudbridge F (2008) Likelihood-based association analysis for nuclear families and unrelated subjects with missing genotype data. Hum Hered 66(2):87–98. doi:10.1159/000119108
Mill J, Asherson P, Craig I, D’Souza UM (2005) Transient expression analysis of allelic variants of a VNTR in the dopamine transporter gene (DAT1). BMC Genet 6:3. doi:10.1186/1471-2156-6-3
Madras BK, Miller GM, Fischman AJ (2005) The dopamine transporter and attention-deficit/hyperactivity disorder. Biol Psychiatry 57(11):1397–1409. doi:10.1016/j.biopsych.2004.10.011
Barkley RA, Smith KM, Fischer M, Navia B (2006) An examination of the behavioral and neuropsychological correlates of three ADHD candidate gene polymorphisms (DRD4 7+, DBH TaqI A2, and DAT1 40 bp VNTR) in hyperactive and normal children followed to adulthood. Am J Med Genet B Neuropsychiatr Genet 141B(5):487–498. doi:10.1002/ajmg.b.30326
Smith GP (1976) Evolution of repeated DNA sequences by unequal crossover. Science 191(4227):528–535
Murray J, Buard J, Neil DL, Yeramian E, Tamaki K, Hollies C, Jeffreys AJ (1999) Comparative sequence analysis of human minisatellites showing meiotic repeat instability. Genome Res 9(2):130–136
Ding YC, Chi HC, Grady DL, Morishima A, Kidd JR, Kidd KK, Flodman P, Spence MA, Schuck S, Swanson JM, Zhang YP, Moyzis RK (2002) Evidence of positive selection acting at the human dopamine receptor D4 gene locus. Proc Natl Acad Sci USA 99(1):309–314. doi:10.1073/pnas.012464099
Biederman J, Petty CR, Ten Haagen KS, Small J, Doyle AE, Spencer T, Mick E, Monuteaux MC, Smoller JW, Faraone SV (2009) Effect of candidate gene polymorphisms on the course of attention deficit hyperactivity disorder. Psychiatry Res 170(2–3):199–203. doi:10.1016/j.psychres.2008.12.016
Muglia P, Jain U, Macciardi F, Kennedy JL (2000) Adult attention deficit hyperactivity disorder and the dopamine D4 receptor gene. Am J Med Genet 96(3):273–277
Li D, Sham PC, Owen MJ, He L (2006) Meta-analysis shows significant association between dopamine system genes and attention deficit hyperactivity disorder (ADHD). Hum Mol Genet 15(14):2276–2284. doi:10.1093/hmg/ddl152
Malloy-Diniz L, Fuentes D, Leite WB, Correa H, Bechara A (2007) Impulsive behavior in adults with attention deficit/hyperactivity disorder: characterization of attentional, motor and cognitive impulsiveness. J Int Neuropsychol Soc 13(4):693–698. doi:10.1017/S1355617707070889
Bari A, Robbins TW (2013) Inhibition and impulsivity: behavioral and neural basis of response control. Prog Neurobiol. doi:10.1016/j.pneurobio.2013.06.005
Conflict of interest
The authors declare no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
10072_2014_2051_MOESM1_ESM.docx
Supplementary Figure S1 Visualisation of new repeat allele 9.5R (454 bp) together with allele 9R (435 bp) and allele 10R (475 bp) on a 1.5 % agarose gel with a 50-bp DNA ladder on the left and a 100-bp DNA ladder on the right. (PPTX 45 kb)
Rights and permissions
About this article
Cite this article
Hasler, R., Salzmann, A., Bolzan, T. et al. DAT1 and DRD4 genes involved in key dimensions of adult ADHD. Neurol Sci 36, 861–869 (2015). https://doi.org/10.1007/s10072-014-2051-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10072-014-2051-7