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Mutational analysis of the nicotinic acetylcholine receptor alpha 4 subunit gene in attention deficit/hyperactivity disorder: evidence for association of an intronic polymorphism with attention problems

Abstract

Recent studies suggest the presence of genetically distinct subtypes of attention deficit/hyperactivity disorder (ADHD) and that attention problems can be treated with receptor subtype selective nicotine agonists. In this study, individuals with two independent familial subtypes of ADHD defined by latent class analysis were systematically screened for sequence variations in the coding regions and intron/exon junctions of the nicotinic acetylcholine receptor alpha 4 subunit gene (CHRNA4). Common polymorphisms were used for transmission disequilibrium test (TDT) analyses. A significant association was found for a 5′ intron 2 single nucleotide polymorphism and severe inattention problems (P=0.007, effect size=4, 95% CI 1.3–14.1). The location of the polymorphism is compatible with it affecting pre-mRNA stability or splicing.

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References

  1. Todd RD, Rasmussen EK, Neuman RJ, Reich W, Hudziak JJ, Bucholz KK et al. Familiality and heritability of subtypes of ADHD in a population sample of female twins. Am J Psychiatry 2001; 158: 1891–1898.

    Article  CAS  PubMed  Google Scholar 

  2. Barkley RA . ADHD and the Nature of Self-Control. The Guilford Press: New York/London, 1997.

    Google Scholar 

  3. Todd RD . Genetics of attention deficit/hyperactivity disorder: are we ready for molecular genetic studies? Am J Med Genet (Neuropsychiatr Genet) 2000; 96: 241–243.

    Article  CAS  Google Scholar 

  4. Todd RD, Botteron KN . Is attention deficit/hyperactivity disorder an energy deficiency syndrome? Biol Psychiatry 2001; 50: 151–158.

    Article  CAS  PubMed  Google Scholar 

  5. LaHoste GH, Swanson JM, Wigal SB, Glabe C, Wigal T, King N et al. Dopamine D4 receptor gene polymorphism is associated with attention deficit hyperactivity disorder. Mol Psychiatry 1996; 1: 121–124.

    CAS  PubMed  Google Scholar 

  6. Cook Jr EH, Stein MA, Krasowski MD, Cox NJ, Olkon DM, Kieffer JE et al. Association of attention-deficit disorder and the dopamine transporter gene. Am J Hum Genet 1995; 56: 993–998.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Comings DE, Gade-Andavolu R, Gonzalez N, Wu S, Muhleman D, Blake H et al. Multivariate analysis of associations of 42 genes in ADHD, ODD and conduct disorder. Clin Genet 2000; 58: 31–40.

    Article  CAS  PubMed  Google Scholar 

  8. Daly G, Hawi Z, Fitzgerald M, Gill M . Mapping susceptibility loci in attention deficit hyperactivity disorder: preferential transmission of parental alleles at DAT1, DBH and DRD5 to affected children. Mol Psychiatry 1999; 4: 192–196.

    Article  CAS  PubMed  Google Scholar 

  9. Faraone SV, Doyle AE, Mick E, Biederman J . Meta-analysis of the association between the 7-repeat allele of the dopamine D4 receptor gene and attention deficit hyperactivity disorder. Am J Psychiatry 2001; 158: 1052–1057.

    Article  CAS  PubMed  Google Scholar 

  10. Grady S, Marks MJ, Wonnacott S, Collins AC . Characterization of nicotinic receptor-mediated [3H] dopamine release from synaptosomes prepared from mouse striatum. J Neurochem 1992; 59: 848–856.

    Article  CAS  PubMed  Google Scholar 

  11. Levin ED, Conners CK, Sparrow E, Hinton SC, Erhardt D, Meek WH et al. Nicotine effects on adults with attention-deficit/hyperactivity disorder. Psychopharmacologia 1996; 123: 55–63.

    Article  CAS  Google Scholar 

  12. Levin ED, Conners CK, Silva D, Hinton SC, Meek WH, March J et al. Transdermal nicotine effects on attention. Psychopharmacologia 1998; 140: 135–141.

    Article  CAS  Google Scholar 

  13. Levin ED, Rezvani AH . Development of nicotinic drug therapy for cognitive disorders. Eur J Pharmacol 2000; 393: 141–146.

    Article  CAS  PubMed  Google Scholar 

  14. Levin ED, Conners CK, Silva D, Canu W, March J . Effects of chronic nicotine and methylphenidate in adults with attention deficit/hyperactivity disorder. Exp Clin Psychopharmacol 2001; 9: 83–90.

    Article  CAS  PubMed  Google Scholar 

  15. Mancuso G, Warburton DM, Melen M, Sherwood N, Tirelli E . Selective effects of nicotine on attentional processes. Psychopharmacology (Berl) 1999; 146: 199–204.

    Article  CAS  Google Scholar 

  16. Grottick AJ, Higgins GA . Effect of subtype selective nicotinic compounds on attention as assessed by the five-choice serial reaction time task. Behav Brain Res 2000; 117: 197–208.

    Article  CAS  PubMed  Google Scholar 

  17. Wada E, Wada K, Boulter J, Deneris E, Heinemann S, Patrick J et al. Distribution of Alpha2, Alpha3, Alpha4, and Beta2 neuronal nicotinic receptor subunit mRNAs in the central nervous system: a hybridization histochemical study in the rat. J Comp Neurol 1989; 284: 314–335.

    Article  CAS  PubMed  Google Scholar 

  18. Charpantier E, Barnéoud P, Moser P, Besnard F, Sgard F . Nicotinic acetylcholine subunit mRNA expression in dopaminergic neurons of the rat substantia nigra and ventral tegmental area. Mol Neurosci 1998; 9: 3097–3101.

    CAS  Google Scholar 

  19. Hudziak JJ, Rudiger LP, Neale MC, Heath AC, Todd RD . A twin study of inattentive, aggressive and anxious/depressed behaviors. J Am Acad Child Adolesc Psychiatry 2000; 39: 469–476.

    Article  CAS  PubMed  Google Scholar 

  20. Reich W . Diagnostic interview for children and adolescents (DICA). J Am Acad Child Adolesc Psychiatry 2000; 39: 59–66.

    Article  CAS  PubMed  Google Scholar 

  21. Rasmussen ER, Neuman RJ, Heath AC, McStephen M, Hay DA, Levy F et al. Replication of the latent class structure of attention-deficit/hyperactivity disorder (ADHD) subtypes in a sample of Australian twins. J Child Psychol Psychiatry 2002; 43: 1018–1028.

    Article  PubMed  Google Scholar 

  22. Todd RD, Neuman RJ, Lobos EA, Jong E-JI, Reich W, Heath AC . Lack of association of dopamine D4 receptor gene polymorphisms with ADHD subtypes in a population sample of twins. Am J Med Genet (Neuropsychiatr Genet) 2001; 105: 432–438.

    Article  CAS  Google Scholar 

  23. Todd RD, Jong YI, Lobos EA, Reich W, Heath AC, Neuman RJ . No association of the dopamine transporter gene 3′ VNTR polymorphism with ADHD subtypes in a population sample of twins. Am J Med Genet (Neuropsychiatr Genet) 2001; 105: 745–748.

    Article  CAS  Google Scholar 

  24. Todd RD, Lobos EA . Mutation screening of the dopamine D2 receptor gene in attention deficit/hyperactivity disorder subtypes: preliminary report of a research strategy. Am J Med Genet (Neuropsychiatr Genet) 2002; 114: 34–41.

    Article  Google Scholar 

  25. Sham PC, Curtis D . An extended transmission/disequilibrium test (TDT) for multiallele marker loci. Ann Hum Genet 1995; 59: 323–336.

    Article  CAS  PubMed  Google Scholar 

  26. Kent L, Middle F, Hawi Z, Fitzgerald M, Gill M, Feehan C et al. Nicotinic acetylcholine receptor alpha4 subunit gene polymorphism and attention deficit hyperactivity disorder. Psychiatr Genet 2001; 11: 37–40.

    Article  CAS  PubMed  Google Scholar 

  27. Wilens TE, Biederman J, Spencer T, Bostic J, Prince J, Monuteaux MC et al. A pilot controlled clinical trial of ABT-418 a cholinergic agonist in the treatment of adults with attention deficit hyperactivity disorder. Am J Psychiatry 1999; 12: 1931–1937.

    Google Scholar 

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Acknowledgements

This work was supported by NIH Grants MH52813 and NS 43762.

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Todd, R., Lobos, E., Sun, LW. et al. Mutational analysis of the nicotinic acetylcholine receptor alpha 4 subunit gene in attention deficit/hyperactivity disorder: evidence for association of an intronic polymorphism with attention problems. Mol Psychiatry 8, 103–108 (2003). https://doi.org/10.1038/sj.mp.4001257

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