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PMID: 16869226 Published · ppublish English Comparative Study Journal Article Research Support, N.I.H., Extramural

The adrenergic receptor alpha-2A gene (ADRA2A) and neuropsychological executive functions as putative endophenotypes for childhood ADHD.

Cognitive, affective & behavioral neuroscience ·Vol. 6 ·No. 1 ·2006-03-00 ·Pages 18-30

Waldman ID, Nigg JT, Gizer IR, Park L, Rappley MD, Friderici K

Abstract

There is resurgent interest in the psychiatric literature in endophenotypes, variables thought to more strongly reflect the effects of candidate genes than do manifest disorders. In a sample of 176 children with attention deficit hyperactivity disorder (ADHD) and 52 of their siblings, we examined the validity of several putative endophenotypes for ADHD that represent commonly used clinical measures of multiple cognitive/neuropsychological domains of executive functions (EFs). We review their distributional normality, their relations to ADHD symptoms in probands and unaffected siblings relative to nonADHD controls, and their correlation in siblings. We also tested theEF measures' associations with the ADRA2A gene and whether they mediated or moderated the associations between ADHD and ADRA2A. Several EF measures showed association with ADRA2A, as well as moderation, but not mediation, of its association with ADHD. Implications of the results for evaluating the validity and utility of putative endophenotype measures and for finding candidate gene effects on ADHD are discussed.

MeSH Terms
Attention Deficit Disorder with Hyperactivity/genetics,physiopathology Child, Preschool Choice Behavior/physiology DNA Mutational Analysis/methods Diagnostic and Statistical Manual of Mental Disorders Family Health Female Gene Frequency Genetic Predisposition to Disease Humans Male Neuropsychological Tests/statistics & numerical data Phenotype Polymorphism, Single-Stranded Conformational Problem Solving/physiology Reaction Time/genetics Receptors, Adrenergic, alpha-2/genetics Reproducibility of Results
Chemicals
ADRA2A protein, human Receptors, Adrenergic, alpha-2
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Waldman Irwin D
Department of Psychology, Emory University, Atlanta, Georgia 30322, USA. [email protected]
Nigg Joel T
Gizer Ian R
Park Leeyoung
Rappley Marsha D
Friderici Karen
References (58)
58 references, click to expand
  1. Attention-deficit/hyperactivity disorder in a population isolate: linkage to loci at 4q13.2, 5q33.3, 11q22, and 17p11.
    Am J Hum Genet. 2004 Dec;75(6):998-1014 PMID: 15497111
  2. The unity and diversity of executive functions and their contributions to complex "Frontal Lobe" tasks: a latent variable analysis.
    Cogn Psychol. 2000 Aug;41(1):49-100 PMID: 10945922
  3. The ADHD response-inhibition deficit as measured by the stop task: replication with DSM-IV combined type, extension, and qualification.
    J Abnorm Child Psychol. 1999 Oct;27(5):393-402 PMID: 10582840
  4. Tower of London procedure: a standard method and developmental data.
    J Clin Exp Neuropsychol. 1994 Dec;16(6):840-50 PMID: 7890819
  5. Neuroscience of attention-deficit/hyperactivity disorder: the search for endophenotypes.
    Nat Rev Neurosci. 2002 Aug;3(8):617-28 PMID: 12154363
  6. On inhibition/disinhibition in developmental psychopathology: views from cognitive and personality psychology and a working inhibition taxonomy.
    Psychol Bull. 2000 Mar;126(2):220-46 PMID: 10748641
  7. Catecholamines in attention-deficit hyperactivity disorder: current perspectives.
    J Am Acad Child Adolesc Psychiatry. 1996 Mar;35(3):264-72 PMID: 8714313
  8. Catecholamine modulation of prefrontal cortical cognitive function.
    Trends Cogn Sci. 1998 Nov 1;2(11):436-47 PMID: 21227275
  9. Clinical practice. Attention deficit-hyperactivity disorder.
    N Engl J Med. 2005 Jan 13;352(2):165-73 PMID: 15647579
  10. The Trail Making Test: a study in focal lesion patients.
    Psychol Assess. 2001 Jun;13(2):230-9 PMID: 11433797
  11. Genetics of childhood disorders: XVIII. ADHD, Part. 2: Norepinephrine has a critical modulatory influence on prefrontal cortical function.
    J Am Acad Child Adolesc Psychiatry. 2000 Sep;39(9):1201-3 PMID: 10986819
  12. Clinical, imaging, lesion, and genetic approaches toward a model of cognitive control.
    Dev Psychobiol. 2002 Apr;40(3):237-54 PMID: 11891636
  13. Stop-signal inhibition disrupted by damage to right inferior frontal gyrus in humans.
    Nat Neurosci. 2003 Feb;6(2):115-6 PMID: 12536210
  14. Molecular genetics of attention-deficit/hyperactivity disorder.
    Biol Psychiatry. 2005 Jun 1;57(11):1313-23 PMID: 15950004
  15. Are endophenotypes based on measures of executive functions useful for molecular genetic studies of ADHD?
    J Child Psychol Psychiatry. 2005 Jul;46(7):774-803 PMID: 15972070
  16. The attention system of the human brain.
    Annu Rev Neurosci. 1990;13:25-42 PMID: 2183676
  17. Attention deficit/hyperactivity disorder children with a 7-repeat allele of the dopamine receptor D4 gene have extreme behavior but normal performance on critical neuropsychological tests of attention.
    Proc Natl Acad Sci U S A. 2000 Apr 25;97(9):4754-9 PMID: 10781080
  18. fMri studies of Stroop tasks reveal unique roles of anterior and posterior brain systems in attentional selection.
    J Cogn Neurosci. 2000 Nov;12(6):988-1000 PMID: 11177419
  19. Attention-deficit hyperactivity disorder: a category or a continuum? Genetic analysis of a large-scale twin study.
    J Am Acad Child Adolesc Psychiatry. 1997 Jun;36(6):737-44 PMID: 9183127
  20. Inhibition of motor responses in siblings concordant and discordant for attention deficit hyperactivity disorder.
    Am J Psychiatry. 2005 Jun;162(6):1076-82 PMID: 15930055
  21. Frontal and parietal participation in problem solving in the Tower of London: fMRI and computational modeling of planning and high-level perception.
    Neuropsychologia. 2003;41(12):1668-82 PMID: 12887991
  22. Prefrontal cortex cognitive deficits in children treated early and continuously for PKU.
    Monogr Soc Res Child Dev. 1997;62(4):i-v, 1-208 PMID: 9421921
  23. The endophenotype concept in psychiatry: etymology and strategic intentions.
    Am J Psychiatry. 2003 Apr;160(4):636-45 PMID: 12668349
  24. Method for using complete and incomplete trios to identify genes related to a quantitative trait.
    Genet Epidemiol. 2004 Jul;27(1):33-42 PMID: 15185401
  25. Validity of the executive function theory of attention-deficit/hyperactivity disorder: a meta-analytic review.
    Biol Psychiatry. 2005 Jun 1;57(11):1336-46 PMID: 15950006
  26. Categorical versus dimensional models of mental disorder: the taxometric evidence.
    Aust N Z J Psychiatry. 2003 Dec;37(6):696-704 PMID: 14636384
  27. Transmission test for linkage disequilibrium: the insulin gene region and insulin-dependent diabetes mellitus (IDDM).
    Am J Hum Genet. 1993 Mar;52(3):506-16 PMID: 8447318
  28. Attention-deficit/hyperactivity disorder (ADHD) as a noradrenergic disorder.
    Biol Psychiatry. 1999 Nov 1;46(9):1234-42 PMID: 10560028
  29. Neuropsychological functioning, motor speed, and language processing in boys with and without ADHD.
    J Abnorm Child Psychol. 1996 Aug;24(4):481-98 PMID: 8886944
  30. Half a century of research on the Stroop effect: an integrative review.
    Psychol Bull. 1991 Mar;109(2):163-203 PMID: 2034749
  31. The contribution of alpha 2-noradrenergic mechanisms of prefrontal cortical cognitive function. Potential significance for attention-deficit hyperactivity disorder.
    Arch Gen Psychiatry. 1996 May;53(5):448-55 PMID: 8624188
  32. Psychological mechanisms in hyperactivity: II. The role of genetic factors.
    J Child Psychol Psychiatry. 2001 Feb;42(2):211-9 PMID: 11280417
  33. A pilot twin study of psychological measures of attention deficit hyperactivity disorder.
    Behav Genet. 2002 Nov;32(6):389-95 PMID: 12467337
  34. Linkage study of the alpha2A adrenergic receptor in attention-deficit hyperactivity disorder families.
    Am J Med Genet. 2001 Mar 8;105(2):159-62 PMID: 11304829
  35. Executive functions and developmental psychopathology.
    J Child Psychol Psychiatry. 1996 Jan;37(1):51-87 PMID: 8655658
  36. An integrative theory of attention-deficit/ hyperactivity disorder based on the cognitive and affective neurosciences.
    Dev Psychopathol. 2005 Summer;17(3):785-806 PMID: 16262992
  37. Neuropsychological executive functions and DSM-IV ADHD subtypes.
    J Am Acad Child Adolesc Psychiatry. 2002 Jan;41(1):59-66 PMID: 11800208
  38. Association and linkage of alpha-2A adrenergic receptor gene polymorphisms with childhood ADHD.
    Mol Psychiatry. 2005 Jun;10(6):572-80 PMID: 15520832
  39. DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents.
    Am J Psychiatry. 1994 Nov;151(11):1673-85 PMID: 7943460
  40. Endophenotypes as quantitative risk factors for psychiatric disease: rationale and study design.
    Am J Med Genet. 2001 Jan 8;105(1):42-4 PMID: 11424994
  41. Meta-analysis of genetic association studies supports a contribution of common variants to susceptibility to common disease.
    Nat Genet. 2003 Feb;33(2):177-82 PMID: 12524541
  42. A whole-genome scan in 164 Dutch sib pairs with attention-deficit/hyperactivity disorder: suggestive evidence for linkage on chromosomes 7p and 15q.
    Am J Hum Genet. 2003 May;72(5):1251-60 PMID: 12679898
  43. Replication validity of genetic association studies.
    Nat Genet. 2001 Nov;29(3):306-9 PMID: 11600885
  44. A unified approach to adjusting association tests for population admixture with arbitrary pedigree structure and arbitrary missing marker information.
    Hum Hered. 2000 Jul-Aug;50(4):211-23 PMID: 10782012
  45. A genomewide scan for attention-deficit/hyperactivity disorder in an extended sample: suggestive linkage on 17p11.
    Am J Hum Genet. 2003 May;72(5):1268-79 PMID: 12687500
  46. Executive functioning deficits in attention-deficit/hyperactivity disorder are independent of oppositional defiant or reading disorder.
    J Am Acad Child Adolesc Psychiatry. 1999 Sep;38(9):1148-55 PMID: 10504814
  47. Horse-race model simulations of the stop-signal procedure.
    Acta Psychol (Amst). 2003 Feb;112(2):105-42 PMID: 12521663
  48. Imaging Cognition: An Empirical Review of PET Studies with Normal Subjects.
    J Cogn Neurosci. 1997 Jan;9(1):1-26 PMID: 23968177
  49. Results from 2 proof-of-concept, placebo-controlled studies of atomoxetine in children with attention-deficit/hyperactivity disorder.
    J Clin Psychiatry. 2002 Dec;63(12):1140-7 PMID: 12523874
  50. Is the alpha-2A adrenergic receptor gene (ADRA2A) associated with attention-deficit/hyperactivity disorder?
    Am J Med Genet B Neuropsychiatr Genet. 2003 Jul 1;120B(1):116-20 PMID: 12815749
  51. A "line item" approach to the identification of genes involved in polygenic behavioral disorders: the adrenergic alpha2A (ADRA2A) gene.
    Am J Med Genet B Neuropsychiatr Genet. 2003 Apr 1;118B(1):110-4 PMID: 12627476
  52. Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD.
    Psychol Bull. 1997 Jan;121(1):65-94 PMID: 9000892
  53. Evaluating the endophenotype model of ADHD neuropsychological deficit: results for parents and siblings of children with ADHD combined and inattentive subtypes.
    J Abnorm Psychol. 2004 Nov;113(4):614-25 PMID: 15535793
  54. Deficient inhibition as a marker for familial ADHD.
    Am J Psychiatry. 2001 Nov;158(11):1884-90 PMID: 11691696
  55. The genetics of attention deficit hyperactivity disorder.
    Clin Psychol Rev. 2006 Aug;26(4):396-432 PMID: 16513236
  56. Statistical approaches to complex phenotypes: evaluating neuropsychological endophenotypes for attention-deficit/hyperactivity disorder.
    Biol Psychiatry. 2005 Jun 1;57(11):1347-56 PMID: 15950007
  57. Is ADHD a disinhibitory disorder?
    Psychol Bull. 2001 Sep;127(5):571-98 PMID: 11548968
  58. Additive effect of three noradrenergic genes (ADRA2a, ADRA2C, DBH) on attention-deficit hyperactivity disorder and learning disabilities in Tourette syndrome subjects.
    Clin Genet. 1999 Mar;55(3):160-72 PMID: 10334470
Article Info
Journal
Cognitive, affective & behavioral neuroscience
Abbr.
Cogn Affect Behav Neurosci
ISSN
1530-7026
Published
2006-03-00
Pages
18-30
Language
English
Region
United States
NLM ID
101083946
Subset
IM
Grants
NIMH NIH HHS · F31-MH0072083 · United States
NIMH NIH HHS · K01-MH01818 · United States
NIMH NIH HHS · R01-MH070004 · United States
NIMH NIH HHS · R01-MH59105 · United States
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