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Published on: December 7, 2018
Clinical and cognitive profile of nigral iron content in children with ADHD
Hugo A E Morandini1, Sjoerd B Vos2, Ranila Bhoyroo3
1Complex Attention and Hyperactivity Disorders Service, Child and Adolescent Health Service, Nedlands, WA, Australia; Division of Psychiatry, UWA Medical School, Faculty of Health & Medical Sciences, The University of Western Australia, Australia.
Insights
This study found no difference in substantia nigra iron content between children with ADHD and neurotypical children. However, higher iron in ADHD patients correlated with fewer attention problems, while in neurotypical children, it linked to better inhibitory control.
Area of Science:
- Neuroscience
- Child Psychology
- Biochemistry
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is linked to dopamine pathway dysfunction.
- Brain iron is crucial for dopamine synthesis, with the substantia nigra (SN) being a key dopamine source.
- This study examines SN iron levels in children with ADHD and their correlation with symptom severity and cognitive function.
Purpose of the Study:
- To investigate substantia nigra (SN) iron content in medication-naïve children diagnosed with ADHD compared to neurotypical (NT) children.
- To explore the relationship between SN iron levels and ADHD symptom severity.
- To assess the association between SN iron content and cognitive performance, specifically working memory and inhibitory control.
Main Methods:
- Utilized neuroimaging and phenotypical data from the Healthy Brain Network dataset.
- Included 54 medication-naïve children with ADHD and 44 NT children, aged 8-12 years.
- Assessed ADHD symptoms using the Child Behavior Checklist (CBCL) and cognitive functions (working memory, inhibitory control) via the NIH Toolbox.
Main Results:
- No significant difference in SN iron content was observed between children with ADHD and NT children.
- In the ADHD group, higher left and right SN iron content correlated with lower attention problem scores on the CBCL.
- In the NT group, higher left SN iron content was associated with better inhibitory control.
Conclusions:
- Despite no group differences in SN iron, findings suggest a complex role for iron in ADHD.
- Increased SN iron may be linked to reduced attention problems in children with ADHD.
- In neurotypical children, higher SN iron is associated with enhanced inhibitory control.
Background:
ADHD has been associated with impaired central nervous dopaminergic pathways. Brain iron is an essential cofactor for the synthesis of dopamine and the substantia nigra (SN) is a significant pool of dopaminergic neurons playing a central role in the activity of the nigrostriatal pathway. The present study investigated SN iron content in children with ADHD, its relationship with ADHD symptom severity and cognitive performance.
Methods:
Neuroimaging and phenotypical data were extracted from the Healthy Brain Network dataset. After initial screening, 54 medication-naïve children with ADHD and 44 neurotypical (NT) children (8-12 year) were included. ADHD symptom severity was extracted from the Child Behavior Checklist (CBCL) Parent report and working memory (WM) and inhibitory control scores from the National Institute of Health toolbox.
Results:
A mixed between-within subjects ANOVA revealed no significant difference in SN iron content between medication-naïve children with ADHD and NT (partial eta squared = 0.001, p = .79). In the ADHD group, Spearman's correlation revealed a significant inverse relationship between left (r = -0.38; p < .01) and right (r = -0.33; p = .01) SN iron content and CBCL Attention Problems T score, while in the NT group left SN iron content significantly correlated with inhibitory control (r = 0.36; p = .02).
Conclusions:
Although there was no difference in nigral iron content between both groups, higher SN iron content was associated with lower attention problems in children with ADHD and higher SN iron content was associated with better inhibitory control in NT children.
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