Xu Xiaohui, Mill Jonathan, Sun Bo, Chen Chih-Ken, Huang Yu-Shu, Wu Yu-Yu, Asherson Philip
MRC Social, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London, UK.
BMC Psychiatry. 2009 Feb 5;9:3. doi: 10.1186/1471-244X-9-3.
Attention deficit hyperactivity disorder (ADHD) is a complex neurobehavioral disorder. The dopamine transporter gene (DAT1/SLC6A3) has been considered a good candidate for ADHD. Most association studies with ADHD have investigated the 40-base-pair variable number of tandem repeat (VNTR) polymorphism in the 3'-untranslated region of DAT1. Only few studies have reported association between promoter polymorphisms of the gene and ADHD.
To investigate the association between the polymorphisms -67A/T (rs2975226) and -839C/T (rs2652511) in promoter region of DAT1 in ADHD, two samples of ADHD patients from the UK (n = 197) and Taiwan (n = 212) were genotyped, and analysed using within-family transmission disequilibrium test (TDT).
A significant association was found between the T allele of promoter polymorphism -67A/T and ADHD in the Taiwanese population (P = 0.001). There was also evidence of preferential transmission of the T allele of -67A/T polymorphism in combined samples from the UK and Taiwan (P = 0.003). No association was detected between the -839C/T polymorphism and ADHD in either of the two populations.
The finding suggests that genetic variation in the promoter region of DAT1 may be a risk factor in the development of ADHD.
注意力缺陷多动障碍(ADHD)是一种复杂的神经行为障碍。多巴胺转运体基因(DAT1/SLC6A3)被认为是ADHD的一个良好候选基因。大多数关于ADHD的关联研究都调查了DAT1基因3'-非翻译区40个碱基对的可变串联重复序列(VNTR)多态性。只有少数研究报道了该基因启动子多态性与ADHD之间的关联。
为了研究ADHD患者中DAT1基因启动子区域多态性-67A/T(rs2975226)和-839C/T(rs2652511)之间的关联,对来自英国(n = 197)和台湾(n = 212)的两个ADHD患者样本进行基因分型,并使用家系内传递不平衡检验(TDT)进行分析。
在台湾人群中,启动子多态性-67A/T的T等位基因与ADHD之间存在显著关联(P = 0.001)。在来自英国和台湾的合并样本中,也有证据表明-67A/T多态性的T等位基因存在优先传递(P = 0.003)。在两个人群中,均未检测到-839C/T多态性与ADHD之间的关联。
该发现表明DAT1基因启动子区域的遗传变异可能是ADHD发生发展的一个危险因素。