Neurobiology
- Impaired white matter integrity in ADHD
Risk Genes
ST3GAL3
- Golgi enzyme: beta-galactoside-alpha-2,3,-sialyltransferase-III
- Terminal sialylation of glycoproteins involved in myelination and some gangliosides
- Risk gene for intellectual disability
- Decreased oligodendrocyte progenitor cells & hypomyelination in ST3GAL3-deficient mice
- ST3GAL3 initiates polysiaylation of NCAM1
NCAM1
- Promotes cell-cell & cell-extracellular matrix (ECM) adhesion via homophilic and heterophilic interactions
- Expressed in both neurons and glia
- Involved in:
- Brain development (cell proliferation/migration, neurite outgrowth, pathfinding, synaptogenesis)
- Adult brain (synaptic plasticity, learning & memory)
MEF2C
- Myocyte enhancer factor 2C
- Risk gene for intellectual disability, featuring deficits in white matter integrity and myelination
- Negatively regulates dendritic spines
LPHN3
- Paisa: Genetic isolate of Europeans in Antioquia, Columbia
- Linkage study ADHD risk haplotype of LPHN3
- Mediates synapse specificity
- Discovery of its function
- Latrodectism by the black widow causes massive release of neurotransmitters
- OG treatment is a dance called tarantella which starts slowly and then accelerates to sweat out the venom
- Morpholino injection in zebrafish can knock out LPHN3 and then study embryos, locomotor behavior, and neuroanatomy
- Latrodectism by the black widow causes massive release of neurotransmitters
Neuropeptide Y
- Abundant in the brain
- 7p15.2-15.3 duplication causes ADHD and obesity
Systems-level
Frontostriatal dysfunction
- Hippocampus, SN, VTA, amygdala, NAc, dSTR, and PFC interactions are disrupted in ADHD
Interneuron-myelination interplay and excitation/inhibition (E/I) balance
- Glutamatergic overdrive (PYR increase)
Environmental Factors
- Maternal stress
- Alcohol, smoking, drug consumption during pregnancy (meth…)
- Environmental toxins (organophosphates, polychlorinated biphenyls (PCBs), lead)
- Preterm birth, low birth weight
- Unfavorable psychosocial conditions (severe early-childhood deprivation, maternal hostility, physical abuse)
Epigenetic Profiling
- ST3GAL3 is differentially methylated in ADHD
Involved Regions
- Basal ganglia, prefrontal cortex, hippocampus, cerebellum