Upregulated GABA Inhibitory Function in ADHD Children with Child Behavior Checklist-Dysregulation Profile:
Shinichiro Nagamitsu1, Yushiro Yamashita1, Hitoshi Tanigawa2
1Department of Pediatrics and Child Health, Kurume University School of Medicine , Fukuoka , Japan.
Insights
GABA inhibitory neurons may be crucial in attention deficit/hyperactivity disorder (ADHD) with dysregulation. Brain imaging revealed differences in GABAergic activity in children with ADHD and a significant Child Behavior Checklist-Dysregulation Profile (CBCL-DP).
Area of Science:
- Neuroscience
- Child Psychiatry
- Neuroimaging
Background:
- The Child Behavior Checklist-Dysregulation Profile (CBCL-DP) signifies elevated scores in attention problems, aggression, and anxiety/depression.
- Attention deficit/hyperactivity disorder (ADHD) is often associated with behavioral dysregulation.
Purpose of the Study:
- To explore the role of GABA inhibitory neurons in children diagnosed with ADHD and exhibiting dysregulation.
- To correlate brain imaging findings with behavioral assessments in pediatric ADHD.
Main Methods:
- Brain single photon emission computed tomography (SPECT) was conducted on 35 children with ADHD.
- 123I-iomazenil, a benzodiazepine receptor ligand, was used to assess GABAergic activity.
- Iomazenil binding was analyzed in relation to the CBCL-DP threshold and its subscales, controlling for age, sex, and maltreatment history.
Main Results:
- Children with ADHD and a significant CBCL-DP showed higher iomazenil binding in the posterior cingulate cortex (PCC).
- The Anxiety/Depression subscale of the CBCL significantly correlated with increased iomazenil binding in the left superior frontal, middle frontal, temporal regions, and PCC.
Conclusions:
- GABAergic inhibitory neurons appear to play a significant role in the neurobiology of the CBCL-DP in children with ADHD.
- These findings highlight potential neurobiological underpinnings of behavioral dysregulation in pediatric ADHD.
Abstract:
The child behavior checklist-dysregulation profile (CBCL-DP) refers to a pattern of elevated scores on the attention problems, aggression, and anxiety/depression subscales of the child behavior checklist. The aim of the present study was to investigate the potential role of GABA inhibitory neurons in children with attention deficit/hyperactivity disorder (ADHD) and dysregulation assessed with a dimensional measure. Brain single photon emission computed tomography (SPECT) was performed in 35 children with ADHD using 123I-iomazenil, which binds with high affinity to benzodiazepine receptors. Iomazenil binding activities were assessed with respect to the presence or absence of a threshold CBCL-DP (a score ≥210 for the sum of the three subscales: Attention Problems, Aggression, and Anxiety/Depression). We then attempted to identify which CBCL-DP subscale explained the most variance with respect to SPECT data, using "age," "sex," and "history of maltreatment" as covariates. Significantly higher iomazenil binding activity was seen in the posterior cingulate cortex (PCC) of ADHD children with a significant CBCL-DP. The Anxiety/Depression subscale on the CBCL had significant effects on higher iomazenil binding activity in the left superior frontal, middle frontal, and temporal regions, as well as in the PCC. The present brain SPECT findings suggest that GABAergic inhibitory neurons may play an important role in the neurobiology of the CBCL-DP, in children with ADHD.
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