High sibling correlation on methylphenidate response but no association with DAT1-10R homozygosity in Dutch sibpairs with ADHD
Article first published online: 22 SEP 2005
Journal of Child Psychology and Psychiatry
Volume 46, Issue 10, pages 1074–1080, October 2005
How to Cite
van der Meulen, E. M., Bakker, S. C., Pauls, D. L., Oteman, N., Kruitwagen, C. L.J.J., Pearson, P. L., Sinke, R. J. and Buitelaar, J. K. (2005), High sibling correlation on methylphenidate response but no association with DAT1-10R homozygosity in Dutch sibpairs with ADHD. Journal of Child Psychology and Psychiatry, 46: 1074–1080. doi: 10.1111/j.1469-7610.2005.01521.x
- Issue published online: 22 SEP 2005
- Article first published online: 22 SEP 2005
- Manuscript accepted 5 April 2005
Background: A minority of patients with attention-deficit hyperactivity disorder (ADHD) do not respond favorably to methylphenidate. This has been partially associated with homozygosity for the Dopamine transporter (DAT1) 10-repeat allele and the presence of one or two Dopamine D4 receptor (DRD4) 7-repeat alleles. This study examined the sibling correlation of methylphenidate response rate and the possible association between response rate and these risk alleles.
Methods: A sample of 82 Dutch children with ADHD, from 54 families, (including 30 singletons and 28 sib pairs), who used methylphenidate, was phenotyped according to DSM-IV criteria. Patients were members of affected sib pairs and were genotyped for DAT1 and DRD4. The sibling Intraclass Correlation Coefficient for methylphenidate response rate was calculated. The association between individual response rates and the risk alleles was examined using linear regression techniques.
Results: The Intraclass Correlation Coefficient was significant (r = .563, p = .001). No evidence was found establishing an association between methylphenidate response and DAT1-homozygosity. There was a positive trend towards association with the presence of one or two DRD4-7R alleles.
Conclusions: The sibling correlation may indicate a familial clustering of methylphenidate response. This response is possibly associated with the presence of one or two alleles at the DRD4-7R locus, but not with DAT1-10R homozygosity in the Dutch population.