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Reduced platelet monoamine oxidase type B activity and lymphocyte muscarinic receptor binding in unmedicated children with attention deficit hyperactivity disorder.

Abstract
Several lines of evidence support the role of monoaminergic and cholinergic dysregulation in attention deficit hyperactivity disorder (ADHD) and the concept that peripheral blood neurotransmission indices may represent valuable surrogate CNS markers. We determined platelet MAO-B activity (p-MAO-B) and lymphocyte muscarinic cholinergic receptor binding (l-MR) in 44 unmedicated ADHD children (aged 9.1 +/- 2.87 years) and in 26 age-matched controls for comparison. Lower levels of p-MAO-B (approximately 35%) and l-MR (approximately 55%) in ADHD were observed compared with controls. Differences were gender-dependent: p-MAO-B was reduced in males only (5.20 +/- 2.99 vs 8.46 +/- 5.1 nmol mg(-1) protein h(-1) in ADHD and controls, respectively) and l-MR in females only (ADHD vs control: 6.63 +/- 1.75 and 15.30 +/- 8.35 fmol 10(-6) cells). The clinical significance was corroborated by the correlation between these markers and severity of specific symptoms: lower p-MAO-B associated with increased inattention scores (Conners' teacher-rating scale); lower l-MR associated with increased score for oppositional-defiant disorder (ODD) (SNAP-IV); and trend towards correlation between increased inattention (SNAP-IV) and lower l-MR.
AuthorsTeresa Coccini, Alessandro Crevani, Giorgio Rossi, Francesca Assandri, Umberto Balottin, Roberta Di Nardo, Luigi Manzo
JournalBiomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals (Biomarkers) Vol. 14 Issue 7 Pg. 513-22 (Nov 2009) ISSN: 1366-5804 [Electronic] England
PMID19863190 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers
  • Receptor, Muscarinic M1
  • Monoamine Oxidase
Topics
  • Attention Deficit Disorder with Hyperactivity (blood, psychology)
  • Binding, Competitive
  • Biomarkers (blood)
  • Blood Platelets (enzymology)
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Lymphocytes (metabolism)
  • Male
  • Monoamine Oxidase (blood)
  • Psychiatric Status Rating Scales
  • Receptor, Muscarinic M1 (blood, metabolism)
  • Sex Factors

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