Dopamine-Derived Oxidative Stress in Attention-Deficit/Hyperactivity Disorder: A Narrative Review of Molecular...

Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in which dopaminergic dysfunction plays a central role. Beyond its neurotransmitter function, dopamine is a redox-active molecule capable of generating reactive oxygen species and toxic intermediates, particularly when cytosolic dopamine accumulates because of altered vesicular storage or transporter imbalance. This review examines whether dopamine-derived oxidative stress may represent a biologically plausible and testable framework for ADHD by integrating current evidence on dopamine metabolism, oxidative stress, and neuronal dysfunction, while distinguishing direct evidence from indirect and translational findings. A structured literature search was conducted in PubMed, Scopus, and Web of Science for relevant English-language studies published between January 2000 and March 2026. The available evidence suggests that dopamine-derived oxidative stress may help link disturbed dopamine handling to protein modification, lipid peroxidation, mitochondrial dysfunction, synaptic inefficiency, and circuit-level abnormalities in ADHD. Although direct in vivo evidence remains limited, this framework may help distinguish dopamine-derived oxidative stress from more general oxidative imbalance in ADHD and may guide future biomarker-based, experimental, and translational research.