Liu Lu, Gao Qian, Li Haimei, Wang Yi, Yang Li, Sun Li, Qian Qiujin, Wang Yufeng
Peking University Sixth Hospital/Institute of Mental Health, Key Laboratory of Ministry of Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China.
Peking University Sixth Hospital/Institute of Mental Health, Key Laboratory of Ministry of Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China; Email:
Zhonghua Yi Xue Za Zhi. 2015 Nov 3;95(41):3351-6.
To explore the association between the SNP rs3785143 of NET1 gene and attention-deficit/hyperactivity disorder (ADHD) with and without oppositional defiant disorder (ODD).
Five hundreds and eighty-seven ADHD children with ODD, 1228 ADHD children without ODD and 554 healthy children were recruited from child psychiatric clinics of Peking University Sixth Hospital/Institute of Mental Health and included for genotyping of rs3785143. Comparisons of allelic and genotypic distribution among these groups were conducted.
In ADHD children with ODD, the genotypic distribution was significantly different from controls (P=0.008), showing higher TT frequency in ADHD with ODD (4.3% vs 1.6%, P=0.009). In ADHD children without ODD, the C allele (0.859 vs 0.821, P=0.005) and CC genotype (73.4% vs 65.9%, P=0.001) showed higher frequencies than controls. After controlling the potential influence of age and gender, those associations were retained. To further exclude the potential effect of other comorbidities, we repeated above analyses in pure ADHD and pure ADHD with ODD. In pure ADHD, the C allele (0.870 vs 0.821, P=0.003) and CC genotype (75.8% vs 65.9%, P=0.001) showed higher frequencies than controls; while in pure ADHD with ODD, the TT genotype showed higher frequency than controls (5.1% vs 1.6%, P=0.006).
We replicate the association between the SNP rs3785143 of NET1 gene and ADHD by case-control study.There may be different genetic mechanisms between ADHD with and without ODD.
探讨NET1基因单核苷酸多态性(SNP)rs3785143与伴或不伴对立违抗性障碍(ODD)的注意力缺陷多动障碍(ADHD)之间的关联。
从北京大学第六医院/精神卫生研究所儿童精神科门诊招募了587例伴ODD的ADHD儿童、1228例不伴ODD的ADHD儿童和554例健康儿童,对rs3785143进行基因分型。比较这些组之间的等位基因和基因型分布。
在伴ODD的ADHD儿童中,基因型分布与对照组有显著差异(P = 0.008),伴ODD的ADHD中TT基因型频率较高(4.3%对1.6%,P = 0.009)。在不伴ODD的ADHD儿童中,C等位基因(0.859对0.821,P = 0.005)和CC基因型(73.4%对65.9%,P = 0.001)频率高于对照组。在控制年龄和性别的潜在影响后,这些关联仍然存在。为了进一步排除其他共病的潜在影响,我们在单纯ADHD和伴ODD的单纯ADHD中重复上述分析。在单纯ADHD中,C等位基因(0.870对0.821,P = 0.003)和CC基因型(75.8%对65.9%,P = 0.001)频率高于对照组;而在伴ODD的单纯ADHD中,TT基因型频率高于对照组(5.1%对1.6%,P = 0.006)。
我们通过病例对照研究重复了NET1基因SNP rs3785143与ADHD之间的关联。伴或不伴ODD的ADHD可能存在不同的遗传机制。