DNA methylation profiles at birth and child ADHD symptoms
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Updated: May 5, 2026

Optimized Analysis of DNA Methylation and Gene Expression from Small, Anatomically-defined Areas of the Brain
Published on: July 12, 2012
Nina H van Mil1, Régine P M Steegers-Theunissen2, Marieke I Bouwland-Both3
1The Generation R Study Group, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands; Department of Child and Adolescent Psychiatry, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands; Department of Obstetrics & Gynecology, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 50, 3015 GE Rotterdam, The Netherlands.
Insights
Newborn DNA methylation patterns in specific genes are linked to childhood Attention Deficit/Hyperactivity Disorder (ADHD) symptoms. Lower methylation at birth correlated with higher ADHD symptom scores later in childhood.
Area of Science:
- Neuroscience
- Genetics
- Developmental Psychology
Background:
- Attention Deficit/Hyperactivity Disorder (ADHD) is a prevalent psychiatric disorder with high heritability.
- Environmental factors in early life also contribute to ADHD development.
- DNA methylation is a key epigenetic mechanism potentially linking genetic and environmental influences.
Purpose of the Study:
- To investigate the association between newborn DNA methylation patterns of candidate genes and childhood ADHD symptoms.
- To explore if DNA methylation mediates the interplay between genetic predisposition and environmental exposures in ADHD.
Main Methods:
- Analysis of DNA methylation levels in cord blood from 426 children in a Dutch population-based cohort.
- Measurement of methylation in 11 regions across 7 candidate genes.
- Statistical analysis using linear mixed models to correlate methylation levels with ADHD symptoms at age 6.
Main Results:
- Overall negative association found between DNA methylation levels and ADHD symptom scores.
- The association was primarily driven by methylation patterns in the DRD4 and 5-HTT gene regions.
- Lower DNA methylation at birth was associated with increased ADHD symptoms at age 6.
Conclusions:
- Newborn DNA methylation of specific genes, particularly DRD4 and 5-HTT, is associated with ADHD symptoms in childhood.
- These findings suggest a potential epigenetic role for DNA methylation in ADHD etiology.
- Further research is warranted to elucidate the underlying mechanisms and confirm these associations.
Abstract:
Attention deficit/hyperactivity disorder (ADHD) is a common and highly heritable psychiatric disorder. In addition, early life environmental factors contribute to the occurrence of ADHD. Recently, DNA methylation has emerged as a mechanism potentially mediating genetic and environmental effects. Here, we investigated whether newborn DNA methylation patterns of selected candidate genes involved in psychiatric disorders or fetal growth are associated with ADHD symptoms in childhood. Participants were 426 children from a large population based cohort of Dutch national origin. Behavioral data were obtained at age 6 years with the Child Behavior Checklist. For the current study, 11 regions at 7 different genes were selected. DNA methylation levels of cord blood DNA were measured for the 11 regions combined and for each region separately. We examined the association between DNA methylation levels at different regions and ADHD symptoms with linear mixed models. DNA methylation levels were negatively associated with ADHD symptom score in the overall analysis of all 11 regions. This association was largely explained by associations of DRD4 and 5-HTT regions. Other candidate genes showed no association between DNA methylation levels and ADHD symptom score. Associations between DNA methylation levels and ADHD symptom score were attenuated by co-occurring Oppositional defiant disorder and total symptoms. Lower DNA methylation levels of the 7 genes assessed at birth, were associated with more ADHD symptoms of the child at 6 years of age. Further studies are needed to confirm our results and to investigate the possible underlying mechanism.
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