Interaction between DRD4 and MAOA genetic polymorphisms on static and dynamic regional coherence in the prefrontal cortex of drug-naive children with ADHD.

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Journal of affective disorders Pub Date : 2025-12-01 Epub Date: 2025-08-05 DOI:10.1016/j.jad.2025.120014
Shuangli Chen, Beihui Xue, Ronghui Zhou, Xueqin Bai, Shiwei Zhang, Yitong Cheng, Qiuyue Li, Andan Qian, Chuang Yang, Xiaoqi Huang, Meihao Wang
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引用次数: 0

Abstract

Objectives: The aim of this study was to explore the genetic association between DRD4 and MAOA genotypes and local functional connectivity in drug-naive children with ADHD.

Methods: We investigated the effects of individual genotypes and gene × gene interactions between DRD4 and MAOA variants on local functional connectivity in 94 children with ADHD, using both the mean static regional homogeneity (sReHo) and the coefficient of variation (CV) of dynamic ReHo (dReHo). Additionally, correlation and mediation analyses were conducted to explore the relationships between dopamine-related genes, regional brain function, and neurocognitive alterations.

Results: There was a significant genetic epistasis between DRD4 and MAOA variants affecting both sReHo and dReHo in the right orbital part of the middle frontal gyrus (MFG.R), belonging to prefrontal cortex (PFC). Post-hoc pairwise analysis revealed the altered intrinsic brain connectivity related to DRD4 varied according to MAOA genotype. Furthermore, the sReHo value in MFG.R was negatively correlated with the Hyperactivity index of the Conners scale in ADHD group. Mediation analysis suggested that the relationship between the DRD4 × MAOA gene interaction and the Hyperactivity index was mediated by the regional coherence of MFG.R in the PFC.

Conclusion: These results suggest that alterations in the dopamine system in ADHD may contribute to abnormalities in both static and dynamic local functional connectivity. Disruptions in DA homeostasis within the synaptic cleft of the prefrontal cortex could lead to changes in intrinsic regional neural coherence. Our findings may help clarify the genetic basis of dopaminergic mechanisms underlying prefrontal dysfunction in ADHD.

DRD4和MAOA基因多态性对未用药ADHD儿童前额叶皮层静态和动态区域一致性的相互作用
目的:本研究的目的是探讨DRD4和MAOA基因型与未用药儿童ADHD局部功能连通性之间的遗传关系。方法:采用平均静态区域均匀性(sReHo)和动态区域均匀性(dReHo)变异系数(CV),研究了94例ADHD儿童的个体基因型以及DRD4和MAOA变异之间的基因间相互作用对局部功能连通性的影响。此外,我们还进行了相关分析和中介分析,以探讨多巴胺相关基因、脑区域功能和神经认知改变之间的关系。结果:影响中额回(MFG.R)右侧眶部(属于前额皮质(PFC)) sReHo和dReHo的DRD4和MAOA变异之间存在显著的遗传上位性。事后两两分析显示,与DRD4相关的内在脑连通性的改变因MAOA基因型而异。此外,MFG中的sReHo值。R与ADHD组Conners量表多动指数呈负相关。中介分析表明,DRD4 × MAOA基因互作与多动症指数之间的关系是由MFG的区域一致性介导的。结论:这些结果提示ADHD患者多巴胺系统的改变可能导致静态和动态局部功能连通性的异常。前额叶皮层突触间隙内DA稳态的破坏可能导致内在区域神经一致性的改变。我们的发现可能有助于阐明ADHD患者前额叶功能障碍背后的多巴胺能机制的遗传基础。
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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