Cetin Ihsan, Simsek Seref
Department of Nutrition and Dietetics, School of Health, Batman University, Batman, Turkey.
Department of Child and Adolescent Psychiatry, School of Medicine, Dicle University, Diyarbakır, Turkey.
Indian J Clin Biochem. 2017 Jul;32(3):285-291. doi: 10.1007/s12291-016-0602-9. Epub 2016 Aug 3.
Neurodegenerative molecules play an important role in maintaining a supply for synaptic vesicles; and they are also likely to help regulate the dopamine release which is the primary mechanism of action in pharmacological treatments for attention deficit hyperactivity disorder (ADHD). It is suggested that there could be interactions between α-synuclein and tau in cytoskeletal disorganization and synaptic dystrophy. Therefore, we aim to determine the serum levels of neurodegenerative molecules such as α-synuclein and tau in children with ADHD. The study group consisted of 25 children, aged 6-10, diagnosed with ADHD according to DSM-IV criteria and who appeared at Dicle University, Faculty of Medicine, and Department of Child Psychiatry in Diyarbakır, Turkey. 25 children, having no psychiatric disorders and medical illnesses, were selected as healthy control group. Serum α-synuclein and tau concentrations were determined by Enzyme-Linked Immuno Sorbent Assay. The α-synuclein levels of ADHD were not significantly different than those of controls. The tau levels of ADHD were found to be statistically significantly higher than those of controls. Moreover, α-synuclein levels showed a statistically significantly positive correlation with tau levels in children with ADHD. The results of our preliminary study can suggest that ADHD might possibly share a common disease mechanism with other diseases in terms of tau pathology. Increased serum tau level may be an indication of disturbance of microtubule transportation in the brains of children with ADHD.
神经退行性分子在维持突触小泡的供应中发挥着重要作用;它们也可能有助于调节多巴胺释放,而多巴胺释放是注意力缺陷多动障碍(ADHD)药物治疗的主要作用机制。有人提出,α-突触核蛋白和tau蛋白在细胞骨架紊乱和突触营养不良方面可能存在相互作用。因此,我们旨在测定ADHD患儿血清中α-突触核蛋白和tau蛋白等神经退行性分子的水平。研究组由25名6至10岁的儿童组成,这些儿童根据DSM-IV标准被诊断为ADHD,他们来自土耳其迪亚巴克尔的迪克莱大学医学院儿童精神病学系。选择25名无精神疾病和内科疾病的儿童作为健康对照组。采用酶联免疫吸附测定法测定血清α-突触核蛋白和tau蛋白浓度。ADHD患儿的α-突触核蛋白水平与对照组无显著差异。发现ADHD患儿的tau蛋白水平在统计学上显著高于对照组。此外,ADHD患儿的α-突触核蛋白水平与tau蛋白水平呈统计学上的显著正相关。我们初步研究的结果表明,ADHD在tau蛋白病理学方面可能与其他疾病有共同的发病机制。血清tau蛋白水平升高可能表明ADHD患儿大脑中微管运输受到干扰。