New research
Meta-Analysis of Genome-Wide Association Studies of Attention-Deficit/Hyperactivity Disorder

https://doi.org/10.1016/j.jaac.2010.06.008Get rights and content

Objective

Although twin and family studies have shown attention-deficit/hyperactivity disorder (ADHD) to be highly heritable, genetic variants influencing the trait at a genome-wide significant level have yet to be identified. As prior genome-wide association studies (GWAS) have not yielded significant results, we conducted a meta-analysis of existing studies to boost statistical power.

Method

We used data from four projects: a) the Children's Hospital of Philadelphia (CHOP); b) phase I of the International Multicenter ADHD Genetics project (IMAGE); c) phase II of IMAGE (IMAGE II); and d) the Pfizer-funded study from the University of California, Los Angeles, Washington University, and Massachusetts General Hospital (PUWMa). The final sample size consisted of 2,064 trios, 896 cases, and 2,455 controls. For each study, we imputed HapMap single nucleotide polymorphisms, computed association test statistics and transformed them to z-scores, and then combined weighted z-scores in a meta-analysis.

Results

No genome-wide significant associations were found, although an analysis of candidate genes suggests that they may be involved in the disorder.

Conclusions

Given that ADHD is a highly heritable disorder, our negative results suggest that the effects of common ADHD risk variants must, individually, be very small or that other types of variants, e.g., rare ones, account for much of the disorder's heritability.

Section snippets

Samples

Our total data set comprises four projects: a) the Children's Hospital of Philadelphia (CHOP); b) phase I of the International Multisite ADHD Genetics Project (IMAGE); c) phase II of IMAGE (IMAGE II); and d) the Pfizer-funded study from the University of California, Los Angeles, Washington University, and Massachusetts General Hospital (PUWMa). Each of these datasets has been described elsewhere.10, 12, 13, 15 For this meta-analysis, we attempted to include the same individual-level data as

Genome-Wide Results

The full distribution of results can be seen in the QQ plot in Figure 1. Under the null hypothesis of no association, these points should fall along the diagonal line. The dotted line plots the 95% confidence interval. The QQ plot and the lambda statistic (1.025) show no appreciable inflation of the test statistic. The lambdas for each individual study are 1.085 for IMAGE II, 1.012 for IMAGE, 0.970 for PUWMa, and 1.047 for CHOP, which yields an expected lambda of 1.028 based on the average

Discussion

We have presented the first meta-analysis of genome-wide association datasets for childhood ADHD, including a total of 2,064 trios, 896 cases, and 2,455 controls. Genome-wide significant effects still elude detection for this disorder, suggesting that the effect sizes for the common variants influencing risk for ADHD are likely to be very small. However, these results include a number of promising regions, for which replication is an essential next step. Moreover, our analysis of candidate

References (39)

  • G. McLoughlin et al.

    Genetic support for the dual nature of attention deficit hyperactivity disorder: Substantial genetic overlap between the inattentive and hyperactive-impulsive components

    J Abnorm Child Psychol

    (2007)
  • D. Li et al.

    Meta-analysis shows significant association between dopamine system genes and attention deficit hyperactivity disorder (ADHD)

    Hum Mol Genet

    (2006)
  • B.M. Neale et al.

    Genome-wide association scan of attention deficit hyperactivity disorder

    Am J Med Genet B Neuropsychiatr Genet

    (2008)
  • J. Lasky-Su et al.

    Genome-wide association scan of the time to onset of attention deficit hyperactivity disorder

    Am J Med Genet B Neuropsychiatr Genet

    (2008)
  • E. Mick et al.

    Family-based genome-wide association scan of attention-deficit/hyperactivity disorder

    J Am Acad Child Adolesc Psychiatry

    (2010)
  • I.I. Consortium

    Case control genome-wide association of attention deficit/hyperactivity disorder

    J Am Acad Child Adolesc Psychiatry

    (2010)
  • K.P. Lesch et al.

    Molecular genetics of adult ADHD: Converging evidence from genome-wide association and extended pedigree linkage studies

    J Neural Transm

    (2008)
  • J. Elia et al.

    Rare structural variants found in attention-deficit hyperactivity disorder are preferentially associated with neurodevelopmental genes

    Mol Psychiatry

    (2010)
  • B.M. Neale et al.

    Genome-wide association scan of attention deficit hyperactivity disorder

    Am J Med Genet B Neuropsychiatr Genet

    (2008)
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    This article is discussed in an editorial by Drs. James J. Hudziak and Stephen V. Faraone on page 729 of the August 2010 issue.

    This article was reviewed under and accepted by Ad Hoc Editor Robert Althoff, M.D., Ph.D.

    This project was supported by the following grants: US National of Institute of Health GrantsR13MH059126, R01MH62873, U01MH085518 and R01MH081803 to S.V. Faraone, U01MH085515 to M. Daly K23MH066275-01 to J. Elia; and R01MH58277 to S. Smalley; Institutional Development Award to the Center for Applied Genomics from the Children's Hospital of Philadelphia to H. Hakonarson. Affymetrix Power Award, 2007 to B. Franke; NHMRC (Australia) and Sidney Sax Public Health Fellowship (443036) to S.E. Medland; Wellcome Trust, UK for sample collection to L Kent. UMC Utrecht Genvlag Grant and Internal Grant of Radboud University, Nijmegen Medical Centre to J. Buitelaar, the Deutsche Forschungsgemeinschaft (KFO 125, SFB 581, GRK 1156 to K.P. Lesch, ME 1923/5-1, ME 1923/5-3, GRK 1389 to C. Freitag and J. Meyer, SCHA 542/10-3 to H. Schäfer) and the Bundesministerium für Bildung und Forschung (BMBF 01GV0605 to K.P. Lesch). Additional analytical support was from Foundation for the NIH and R01MH080403 (PI Sullivan). All computational work was conducted on the Genetic Cluster Computer (the Netherlands) which is funded by an NWO Medium Investment grant (480-05-003, PI Posthuma), the Faculty of Psychology and Education of VU University (Amsterdam), and by the Dutch Brain Foundation (PI Ophoff) and is hosted by the Dutch National Computing and Networking Services.

    This is one of several articles published in the August and September issues of the Journal of the American Academy of Child and Adolescent Psychiatry that explores the intersection of genetics and mental health disorders in children and adolescents. The editors invite the reader to investigate the additional articles on this burgeoning area of developmental psychopathology.

    The Psychiatric GWAS Consortium: ADHD Subgroup consists of: Writing team: Benjamin M. Neale, Ph.D. (team leader), Sarah E. Medland, Ph.D., Stephan Ripke, M.D., Philip Asherson, M.R.C.Psych., Ph.D., Barbara Franke, Ph.D., Klaus-Peter Lesch, M.D., Stephen V. Faraone, Ph.D.; Data Analysis team: Sarah E. Medland, Ph.D. (team leader), Stephan Ripke, M.D., Thuy Trang Nguyen, Dipl. Math. oec, Helmut Schäfer, Ph.D., Peter Holmans, Ph.D., Mark Daly, Ph.D., Benjamin M. Neale, Ph.D. (chair); Data Collection Team: Hans-Christoph Steinhausen, M.D., Ph.D., D.M.Sc., Klaus-Peter Lesch, M.D., Christine Freitag, M.D., M.A.; Andreas Reif, M.D., Tobias J. Renner, M.D., Marcel Romanos, M.D., Jasmin Romanos, M.D., Susanne Walitza, M.D., Andreas Warnke, M.D., Ph.D., Thuy Trang Nguyen, Dipl. Math. oec, Helmut Schäfer, Ph.D., Jobst Meyer, Ph.D., Haukur Palmason, Ph.D., Jan Buitelaar, M.D., Barbara Franke, Ph.D., Alejandro Arias Vasquez, Ph.D., Nanda Lambregts-Rommelse, Ph.D., Michael Gill, Mb B.Ch. B.A.O., M.D., M.R.C.Psych., F.T.C.D., Richard J.L. Anney, Ph.D., Kate Langely, Ph.D., Michael O'Donovan, F.R.C.Psych., Ph.D., Nigel Williams, Ph.D., Peter Holmans, Ph.D., Michael Owen, Ph.D., F.R.C.Psych., Anita Thapar, M.D., Lindsey Kent, M.D., Ph.D., Joseph Sergeant, Ph.D., Herbert Roeyers, M.D., Ph.D., Philip Asherson, M.R.C.Psych., Ph.D., Eric Mick, Sc.D, Joseph Biederman, M.D., Alysa Doyle, Ph.D., Susan Smalley, Ph.D., Sandra Loo, Ph.D., Hakon Hakonarson, M.D., Ph.D., Josephine Elia, M.D., Alexandre Todorov, Ph.D., Ana Miranda, M.D., Fernando Mulas, M.D., Ph.D., Richard P. Ebstein, Ph.D., Aribert Rothenberger, M.D., Ph.D., Tobias Banaschewski, M.D., Ph.D., Robert D. Oades, Ph.D., Edmund Sonuga-Barke, Ph.D., James McGough, M.D., Laura Nisenbaum, Ph.D., Stephen V. Faraone, Ph.D. (Chair); Molecular Genetics team: Frank Middleton, Ph.D., Xiaolan Hu, Ph.D., Stan Nelson, M.D.; Project Management team: Anita Thapar, M.D., James McGough, M.D., Eric Mick, Sc.D, Benjamin M. Neale, Ph.D., Stephen V. Faraone, Ph.D. (Chair); Statistical experts: Benjamin M. Neale, Ph.D. Mark Daly, Ph.D.

    Disclosure: Dr. Buitelaar has, in the past 3 years, served as a consultant to, member of the advisory board, and/or served on the speakers' bureau for Janssen Cilag BV, Eli Lilly and Co., Bristol-Myers Squibb, Organon/Shering Plough, UCB, Shire, Medice, and Servier. Dr. Faraone has, in the past year, received consulting fees and has served on advisory boards for Eli Lilly and Co., Ortho-McNeil, and Shire Development, and has received research support from Eli Lilly and Co., Pfizer, Shire, and the National Institutes of Health. In previous years, Dr. Faraone has received consulting fees, served on advisory boards, or been a speaker for Shire, McNeil, Janssen, Novartis, Pfizer, and Eli Lilly and Co. In previous years he has received research support from Eli Lilly and Co., Shire, Pfizer, and the National Institutes of Health. Dr. Banaschewski has served on the Advisory Board or as a consultant for Desitin, Eli Lilly and Co., Medice, Novartis, Pfizer, Shire, UCB, and Viforpharma. He received conference attendance support or served on the speakers' bureau for Eli Lilly and Co., Janssen McNeil, Medice, Novartis, and UCB. He is or has been involved in clinical trials conducted by Eli Lilly and Co., Shire, and Novartis. The present work is unrelated to the above grants and relationships. Dr. M. Romanos, in the past three years, has served on the speakers' bureau for Janssen-Cilag. In previous years he has served on the speakers' bureau for Medice. Dr. Freitag, in the past 3 years, has served on the speakers' bureau for Eli-Lilly and Co., Shire, Novartis, and Janssen-Cilag. Dr. Mick receives research support from Ortho-McNeil Janssen Scientific Affairs, Pfizer, and Shire Pharmaceuticals, and has been an advisory board member for Shire Pharmaceuticals. Dr. Biederman receives research support from Alza, AstraZeneca, Bristol Myers Squibb, Eli Lilly and Co., Janssen Pharmaceuticals Inc., McNeil, Merck, Organon, Otsuka, Shire, the National Institute of Mental Health, and the National Institute of Child Health and Human Development. In 2009, Dr. Biederman served on the speakers' bureau for Fundacion Areces, Medice Pharmaceuticals, and the Spanish Child Psychiatry Association. In previous years, Dr. Biederman has received research support, consultation fees, or speaker's fees for/from Abbott, AstraZeneca, Celltech, Cephalon, Eli Lilly and Co., Esai, Forest, Glaxo, Gliatech, Janssen, McNeil, the National Alliance for Research on Schizophrenia and Depression, the National Institute on Drug Abuse, New River, Novartis, Noven, Neurosearch, Pfizer, Pharmacia, the Prechter Foundation, Shire, the Stanley Foundation, UCB Pharma, Inc., and Wyeth. Dr. Sergeant has served on the advisory boards for Eli Lilly and Co. and Shire. He has received research grant support from Eli Lilly and Co. and served on the speakers' bureau for Shire, Eli Lilly and Co., Janssen-Cilag, and Novartis. Dr. Oades has received research support from UCB GmbH, Janssen-Cilag, and Shire. Dr. Schäfer has served as a consultant for Daiichi Sankyo, served on the speakers' bureau for the European School of Oncology, and receives research grants from the German Federal Government and the German Research Foundation. Drs. Neale, Medland, Ripke, Asherson, Franke, Lesch, Nguyen, Holmans, Daly, Steinhausen, Reif, Renner, J. Romanos, Walitza, Warnke, Meyer, Palmason, Vasquez, Lambregts-Rommelse, Gill, Anney, Langely, O'Donovan, Williams, Owen, Thapar, Kent, Roeyers, Doyle, Smalley, Loo, Hakonarson, Elia, Todorov, Miranda, Mulas, Ebstein, Rothenberger, Sonuga-Barke, McGough, Nisenbaum, Middleton, Hu, and Nelson report no biomedical financial interests or potential conflicts of interest.

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