Showing posts with label adhd and autism. Show all posts
Showing posts with label adhd and autism. Show all posts

Friday, November 21, 2014

Researching darting mice could help study ADHD, autism, and bipolar disorder

A study of mice with darting behavior could help research ADHD, autism, and bipolar disorder in humans.

A darting mouse may hold an important clue in the development of Attention Deficit Hyperactivity Disorder (ADHD), autism and bipolar disorder, according to a study by a Vanderbilt University-led research team recently published in the Proceedings of the National Academy of Sciences.
The transgenic mouse, into which was inserted a rare human genetic variation in the dopamine transporter (DAT), could lead to improvements in the diagnosis and treatment of these all-too-common brain disorders, said Randy Blakely, Ph.D., the report's senior author.
The mutation, which has been found in people with ADHD, autism and bipolar disorder, affects the function of DAT, a protein that regulates the brain's supply of the neurotransmitter by removing excess dopamine from the synapse, or the space between nerve cells.
The DAT mutation causes the transporter to become "leaky" and spew out dopamine like "a vacuum cleaner in reverse," said Blakely, Allan D. Bass Professor of Pharmacology.
While mice with leaky DAT proteins have too much dopamine hanging around their synapses, surprisingly they aren't particularly hyperactive, possibly because DAT can still remove some of the dopamine.
But the mice exhibit an unusual "darting behavior." While their wild-type littermates are docile and quite unresponsive when researchers pick them up, those with the mutation "take off."
"Early on," Blakely said, "we could tell which ones carried the mutation by observing this response." Heightened anxiety does not appear to be the cause.
Blakely and his colleagues wonder whether this behavior is a form of "impulsivity." Rather than acting on their memories of being picked up a lot, the mice are opting for an inappropriate escape strategy.
Normal mice also stand up a lot to explore their cage. This "rearing" behavior is exacerbated by stimulant drugs. But not in these mice.
"We wonder whether this may be a sign that their behavior is driven less by searching for clues to appropriate behavior versus acting on innate impulses," Blakely said.
Other, better tests of impulsivity that evaluate premature decision-making can be applied in rodents and humans. "These tests are next on our docket," he said.
The actions of amphetamine and methylphenidate (Ritalin) are also affected by the mutation. In normal animals and people without ADHD, the stimulants flood the synapse with dopamine, eliciting hyperactivity.
But when given to the mutant animals, the drug demonstrates a "blunted" effect on both dopamine release and on locomotor activation compared to normal animals.
Blakely wonders whether stimulants like Adderall and Ritalin quell hyperactive and impulsive behaviors in some children with ADHD by reducing inappropriate dopamine leak. "These mice may give us much better clues as to how these drugs are acting," he said.
To that end, Blakely recently received a five-year, $2-million grant from the National Institutes of Health (NIH grant number MH109054) to pursue explorations of these mice.
"Dopamine has classically been implicated in reward and the ability to detect novelty and to respond to pleasure and to engage in effective social interactions," he continued. The darting mice thus might shed light on a much broader spectrum of behaviors.
"We've got a lot to do," he said, "a lot of needy people (to help)."
Read more here

Sunday, September 01, 2013

Study claims children with ADHD had more common and more severe autistic traits

A study showed that children who have ADHD not only are more likely to have autistic traits, but that their autistic traits are more severe.

Children with attention deficit hyperactivity disorder (ADHD) were more likely than controls to have autistic traits, and those traits were generally more severe, researchers found.
Compared with children who did not have ADHD, those with the disorder were significantly more likely to show a positive autism trait profile (18% versus 0.87%,P<0.001), according to Joseph Biederman, MD, of Massachusetts General Hospital in Boston, and colleagues.
Children with ADHD and autistic traits were significantly more impaired in psychopathology, interpersonal, school, family, and cognitive domains than those with autistic traits and without ADHD, they wrote online in the journal Pediatrics.
Other research has shown a shared heritability of ADHD and autism spectrum disorders and that autism spectrum disorders or autistic traits co-occur in 20% to 30% of children with ADHD. Those studies have also shown that children with both conditions are more impaired, particularly in interpersonal communication and empathy, though these results have not been replicated.
A 2011 study from the CDC and Maternal and Child Health Bureau found that rates of autism and ADHD were on the rise from 1997 to 2008.
Researchers have long sought to better understand the workings of social behavior "and it's interesting that we have clear ideas of what kids shouldn't do socially, but often we don't know what they should do," noted Catherine Lord, PhD, of Weill Cornell Medical College in White Plains, N.Y.
"We need to find out more what it is that these kids were having trouble with, how does it overlap with autism, and what we can do to help them," Lord said in an interview withMedPage Today.
The study "reinforces the long-standing idea that children referred for evaluation of ADHD may have a more complex picture," added David Urion, MD, of Boston Children's Hospital.
"The main aim of the current study was to examine the prevalence and correlates of [autism traits] in youth with ADHD," according to the report, through an analysis of 469 children.
Participants were gathered through other longitudinal, case-control family studies at Massachusetts General Hospital and patients attending the pediatric medical clinic and included those ages 6 to 18, with a mean age of 11.3. Control patients were not excluded for having other psychiatric disorders.
Nearly all of the participants were white (99%). Roughly half (52%) required tutoring (61% of those with ADHD and 22% of controls), repeated a grade (25% of those with ADHD and 7% of controls), or took a special class (26% of those with ADHD and 2% of controls).
Among controls, a third of the 27% who had academic difficulties met criteria for one or more psychiatric disorders, versus 28% of those without academic difficulty. For those with ADHD, three quarters had academic difficulty, 81% of which met criteria for one or more psychiatric disorders; among those not having academic problems, 73% met the criteria for psychiatric disorders.
"These numbers suggest that the presence of a psychiatric illness may account for the increased prevalence of academic functioning difficulties," they wrote.
Researchers interviewed participants ages 12 and older through the Kiddie Schedule for Affective Disorders and Schizophrenia-Epidemiologic Version, and interviewed participants' mothers for those younger than 12. Participants were also evaluated for social withdrawal, social problems, thought problems, anxiety and depression, aggression, social disability, family functioning, and intellectual functioning.
More children with ADHD had autistic traits than did children without ADHD. Those with autistic traits and ADHD had higher rates of additional ADHD-related symptoms, including clumsiness, equal parts inattention and hyperactivity, hyperactivity, peer fighting, and rejection by peers, compared with those who only had ADHD.
Those with ADHD overall had a significantly higher prevalence of all comorbid psychiatric conditions, including disruptive behavior disorders, mood disorders, multiple anxiety disorders, language disorders, elimination disorders, and substance use disorders (P<0.001 for all).
Those who also had autistic traits had a higher prevalence of disruptive behaviors (P=0.001), mood disorders (P<0.001), multiple anxiety disorders (P<0.001), and language disorders (P=0.01). They also had more impaired scores in all child behavior checklist clinical and composite scales than those with ADHD alone (P<0.001).
Rates of social disability were higher in both groups with ADHD than control, but higher in those with autistic traits than in those with ADHD alone. Those with autistic traits also had significantly impaired scores in school behavior, spare time problems, activities and problems with peers, and problems with siblings and parents.
Despite a number of methodological problems, the study "raises the interesting point that there is a significant overlap in people being referred for evaluation and treatment of ADHD and those who have some features of autism," Urion told MedPage Today.
He added that future research should evaluate children under the new DSM-5 criteria for autism.
The study was limited by a lack of comparison with those diagnosed with autism spectrum disorders, potential missed diagnosis of autism spectrum disorder in the sample, and generalizability.
Read more here