Polygenic Inheritance of Tourette Syndrome, Stuttering, Attention Deficit Hyperactivity, Conduct, and Oppositional Defiant Disorder: The Additive and Subtractive Effect of the Three Dopaminergic Genes - DRD2, DβH, and DAT1

David E. Comings, S. Wu, Connie Chiu, Robert H. Ring, Radhika Gade, Chul Ahn, James P. MacMurray, George Dietz, Donn Muhleman

Research output: Contribution to journalArticlepeer-review

247 Scopus citations

Abstract

Polymorphisms of three different dopaminergic genes, dopamine D2 receptor (DRD2), dopamine β-hydroxylase (DβH), and dopamine transporter (DAT1), were examined in Tourette syndrome (TS) probands, their relatives, and controls. Each gene individually showed a significant correlation with various behavioral variables in these subjects. The additive and subtractive effects of the three genes were examined by genotyping all three genes in the same set of subjects. For 9 of 20 TS associated comorbid behaviors there was a significant linear association between the degree of loading for markers of three genes and the mean behavior scores. The behavior variables showing the significant associations were, in order, attention deficit hyperactivity disorder (ADHD), stuttering, oppositional defiant, tics, conduct, obsessive-compulsive, mania, alcohol abuse, and general anxiety - behaviors that constitute the most overt clinical aspects of TS. For 16 of the 20 behavior scores there was a linear progressive decrease in the mean score with progressively lesser loading for the three gene markers. These results suggest that TS, ADHD, stuttering, oppositional defiant and conduct disorder, and other behaviors associated with TS, are polygenic, due in part to these three dopaminergic genes, and that the genetics of other polygenic psychiatric disorders may be deciphered using this technique.

Original languageEnglish (US)
Pages (from-to)264-288
Number of pages25
JournalAmerican Journal of Medical Genetics - Seminars in Medical Genetics
Volume67
Issue number3
DOIs
StatePublished - May 31 1996

Keywords

  • ADHD
  • Attention deficit hyperactivity disorder
  • Conduct disorder
  • DAT1
  • DRD2
  • Dopamine
  • DβH
  • Polygenic
  • Tourette syndrome
  • Transporter

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)

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