Dopamine transporter gene, response to methylphenidate and cerebral blood flow in attention-deficit/hyperactivity disorder: A pilot study

被引:51
作者
Rohde, LA
Roman, T
Szobot, C
Cunha, RD
Hutz, MH
Biederman, J
机构
[1] Univ Fed Rio Grande Sul, Serv Psiquiat Infancia & Adolescencia, Hosp Clin Porto Alegre, ADHD Outpatient Clin, BR-90035003 Porto Alegre, RS, Brazil
[2] Univ Fed Rio Grande Sul, Dept Genet, BR-90035003 Porto Alegre, RS, Brazil
[3] Hosp Clin Porto Alegre, Nucl Med Serv, Porto Alegre, RS, Brazil
[4] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Pediat Psychopharmacol Unit, Boston, MA USA
关键词
ADHD; DAT1; gene; SPECT; methylphenidate;
D O I
10.1002/syn.10186
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The homozygosity of the 10-repeat allele at dopamine transporter gene (DAT1) seems to be associated with a poor response to methylphenidate (MPH),in children with attention-deficit/hyperactivity disorder (ADHD). This pilot study aimed to simultaneously assess polymorphisms at DAT1, response to MPH, and neuroimaging. Only ADHD children with at least a moderate response to MPH were included. Significantly higher regional cerebral blood flows assessed by single photon emission computerized tomography (SPECT) were detected in medial frontal and left basal ganglia areas in children with homozygosity for the 10-repeat allele at DAT1 gene (n = 4) than in children without this genotype (n = 4) (P < 0.05). These findings provide a preliminary connection between pharmacogenetics and neurobiological investigations on stimulant treatment of ADHD. (C) 2003 Wiley-Liss, Inc.
引用
收藏
页码:87 / 89
页数:3
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