Association of DRD4 polymorphism with severity of oppositional defiant disorder, separation anxiety disorder and repetitive behaviors in children with autism spectrum disorder

Eur J Neurosci. 2010 Sep;32(6):1058-65. doi: 10.1111/j.1460-9568.2010.07382.x. Epub 2010 Aug 22.

Abstract

The objective was to examine whether a common polymorphism in the dopamine D4 receptor gene (DRD4) might be a potential biomarker for behavioral variation within the autism spectrum disorder clinical phenotype. Children (N=66) were evaluated with a validated mother- and teacher-completed DSM-IV-referenced rating scale. Partial eta-squared (ηp(2) ) was used to gauge the magnitude of group differences: 0.01-0.06=small, 0.06-0.14=moderate and >0.14=large. Children who were 7-repeat allele carriers had more severe oppositional defiant disorder behaviors according to mothers' (ηp(2)=0.10) and teachers' (ηp(2)=0.06) ratings than noncarriers, but the latter was marginally significant (P=0.07). Children who were 7-repeat allele carriers also obtained more severe maternal ratings of tics (ηp(2)=0.07) and obsessions-compulsions (ηp(2)=0.08). Findings for maternal ratings of separation anxiety were marginally significant (P=0.08, ηp(2) =0.05). Analyses of combined DRD4 and dopamine transporter gene (DAT1) genotypes approached significance (P=0.05) for teachers' ratings of oppositional behavior and mothers' ratings of tics. DRD4 allelic variation may be a prognostic biomarker for challenging behaviors in children with autism spectrum disorder, but these exploratory findings remain tentative pending replication with larger independent samples.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Alleles
  • Anxiety, Separation / genetics*
  • Anxiety, Separation / psychology
  • Attention Deficit and Disruptive Behavior Disorders / genetics*
  • Attention Deficit and Disruptive Behavior Disorders / psychology
  • Child
  • Child Development Disorders, Pervasive / genetics*
  • Child Development Disorders, Pervasive / psychology
  • Child, Preschool
  • Female
  • Genetic Association Studies / methods
  • Humans
  • Male
  • Polymorphism, Genetic / genetics
  • Receptors, Dopamine D4 / genetics*
  • Severity of Illness Index*
  • Tic Disorders / genetics*
  • Tic Disorders / psychology

Substances

  • Receptors, Dopamine D4