High Loading of Polygenic Risk for ADHD in Children With Comorbid Aggression

• Published in: The American journal of psychiatry Vol. 170; no. 8; pp. 909 - 916
• Main Authors: Hamshere, Marian L., Langley, Kate, Martin, Joanna, Agha, Sharifah Shameem, Stergiakouli, Evangelia, Anney, Richard J.L., Buitelaar, Jan, Faraone, Stephen V., Lesch, Klaus-Peter, Neale, Benjamin M., Franke, Barbara, Sonuga-Barke, Edmund, Asherson, Philip, Merwood, Andrew, Kuntsi, Jonna, Medland, Sarah E., Ripke, Stephan, Steinhausen, Hans-Christoph, Freitag, Christine, Reif, Andreas, Renner, Tobias J., Romanos, Marcel, Romanos, Jasmin, Warnke, Andreas, Meyer, Jobst, Palmason, Haukur, Vasquez, Alejandro Arias, Lambregts-Rommelse, Nanda, Roeyers, Herbert, Biederman, Joseph, Doyle, Alysa E., Hakonarson, Hakon, Rothenberger, Aribert, Banaschewski, Tobias, Oades, Robert D., McGough, James J., Kent, Lindsey, Williams, Nigel, Owen, Michael J., Holmans, Peter, O’Donovan, Michael C., Thapar, Anita
• Format: Journal Article
• Language: English
• Published: Arlington, VA American Psychiatric Association 01.08.2013
• Subjects: Aggression - psychology; Aggressiveness; Anxiety Disorders - diagnosis; Anxiety Disorders - genetics; Anxiety Disorders - psychology; Attention Deficit Disorder with Hyperactivity - diagnosis; Attention Deficit Disorder with Hyperactivity - genetics; Attention Deficit Disorder with Hyperactivity - psychology; Attention deficit disorders. Hyperactivity; Attention deficit hyperactivity disorder; Biological and medical sciences; Child; Child & adolescent psychiatry; Child clinical studies; Child, Preschool; Comorbidity; Conduct Disorder - diagnosis; Conduct Disorder - genetics; Conduct Disorder - psychology; Depressive Disorder - diagnosis; Depressive Disorder - genetics; Depressive Disorder - psychology; Female; Genetic Predisposition to Disease - genetics; Genetic Variation - genetics; Genotype & phenotype; Humans; Male; Medical sciences; Multifactorial Inheritance - genetics; New Research; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Risk factors; Systematic review; United Kingdom; Human; Concomitant disease; Aggression; Polygenic; Risk factor; Genetics; Attention disorder with hyperactivity; Genetic determinism; Child
• ISSN: 0002-953X; 1535-7228; 1535-7228
• DOI: 10.1176/appi.ajp.2013.12081129

ObjectiveAlthough attention deficit hyperactivity disorder (ADHD) is highly heritable, genome-wide association studies (GWAS) have not yet identified any common genetic variants that contribute to risk. There is evidence that aggression or conduct disorder in children with ADHD indexes higher genetic loading and clinical severity. The authors examine whether common genetic variants considered en masse as polygenic scores for ADHD are especially enriched in children with comorbid conduct disorder.MethodPolygenic scores derived from an ADHD GWAS meta-analysis were calculated in an independent ADHD sample (452 case subjects, 5,081 comparison subjects). Multivariate logistic regression analyses were employed to compare polygenic scores in the ADHD and comparison groups and test for higher scores in ADHD case subjects with comorbid conduct disorder relative to comparison subjects and relative to those without comorbid conduct disorder. Association with symptom scores was tested using linear regression.ResultsPolygenic risk for ADHD, derived from the meta-analysis, was higher in the independent ADHD group than in the comparison group. Polygenic score was significantly higher in ADHD case subjects with conduct disorder relative to ADHD case subjects without conduct disorder. ADHD polygenic score showed significant association with comorbid conduct disorder symptoms. This relationship was explained by the aggression items.ConclusionsCommon genetic variation is relevant to ADHD, especially in individuals with comorbid aggression. The findings suggest that the previously published ADHD GWAS meta-analysis contains weak but true associations with common variants, support for which falls below genome-wide significance levels. The findings also highlight the fact that aggression in ADHD indexes genetic as well as clinical severity.