PMID- 21733227 OWN - NLM STAT- MEDLINE DCOM- 20120730 LR - 20161020 IS - 1469-5111 (Electronic) IS - 1461-1457 (Linking) VI - 14 IP - 10 DP - 2011 Nov TI - Val/Val genotype of brain-derived neurotrophic factor (BDNF) Val(6)(6)Met polymorphism is associated with a better response to OROS-MPH in Korean ADHD children. PG - 1399-410 LID - 10.1017/S146114571100099X [doi] AB - Research on psychostimulants, analysis of animal models and genetic association studies all suggest that the brain-derived neurotrophic factor gene (BDNF) may be a good candidate for pharmacogenetic studies of attention deficit hyperactivity disorder (ADHD). Yet to date there have been no pharmacogenetic studies of BDNF in ADHD. A total of 102 drug-naive ADHD children (8.7+/-2.1 yr) were treated with osmotic release oral system-methylphenidate (OROS-MPH) for 12 wk, and four kinds of response criteria were applied, based first, on a combined threshold of the ADHD Rating Scale - IV (ARS) and the Clinical Global Impression - Improvement scale (CGI-I); second, on scores of 1 or 2 vs. 3-7 on the CGI - Severity scale; third, on a >50% reduction in ARS scores; and fourth, on satisfaction of all of the aforementioned criteria. The Val(6)(6)Met polymorphism of BDNF and six single nucleotide polymorphisms from the SLC6A2, ADRA2A and NTF-3 genes were tested for association with each criterion. Relative to other genotypes, homozygosity for the Val allele of the BDNF Val(6)(6)Met polymorphism was associated with a greater relative frequency of good response under all four response criteria (after controlling for baseline ARS score, age, gender, final dose (mg/kg) of OROS-MPH at 12 wk, and level of academic functioning). This association was significant at the uncorrected level for the first and third response criteria (p=0.013 and p=0.018, respectively) and significant at a Bonferroni-corrected level for the second and fourth response criteria (p=0.0002, p=0.0003, respectively). Our findings support an association between homozygosity for the Val allele of BDNF and better response to OROS-MPH in Korean ADHD children as assessed by four different response criteria. FAU - Kim, Bung-Nyun AU - Kim BN AD - Division of Child and Adolescent Psychiatry, Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Korea. FAU - Cummins, Tarrant D R AU - Cummins TD FAU - Kim, Jae-Won AU - Kim JW FAU - Bellgrove, Mark A AU - Bellgrove MA FAU - Hong, Soon-Beom AU - Hong SB FAU - Song, Sook-Hyung AU - Song SH FAU - Shin, Min-Sup AU - Shin MS FAU - Cho, Soo-Churl AU - Cho SC FAU - Kim, Ji-Hoon AU - Kim JH FAU - Son, Jung-Woo AU - Son JW FAU - Shin, Yun-Mi AU - Shin YM FAU - Chung, Un-Sun AU - Chung US FAU - Han, Doug-Hyun AU - Han DH LA - eng SI - ClinicalTrials.gov/NCT01012622 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110628 PL - England TA - Int J Neuropsychopharmacol JT - The international journal of neuropsychopharmacology JID - 9815893 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Central Nervous System Stimulants) RN - 0 (Delayed-Action Preparations) RN - 207ZZ9QZ49 (Methylphenidate) RN - HG18B9YRS7 (Valine) SB - IM MH - Administration, Oral MH - Age Factors MH - Analysis of Variance MH - Attention Deficit Disorder with Hyperactivity/diagnosis/*drug therapy/*genetics/psychology MH - Brain-Derived Neurotrophic Factor/*genetics MH - Central Nervous System Stimulants/*administration & dosage MH - Chi-Square Distribution MH - Child MH - Child Behavior/*drug effects MH - Delayed-Action Preparations MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Homozygote MH - Humans MH - Male MH - Methylphenidate/*administration & dosage MH - Pharmacogenetics MH - Phenotype MH - *Polymorphism, Single Nucleotide MH - Prospective Studies MH - Psychiatric Status Rating Scales MH - Regression Analysis MH - Republic of Korea MH - Time Factors MH - Treatment Outcome MH - Valine EDAT- 2011/07/08 06:00 MHDA- 2012/07/31 06:00 CRDT- 2011/07/08 06:00 PHST- 2011/07/08 06:00 [entrez] PHST- 2011/07/08 06:00 [pubmed] PHST- 2012/07/31 06:00 [medline] AID - S146114571100099X [pii] AID - 10.1017/S146114571100099X [doi] PST - ppublish SO - Int J Neuropsychopharmacol. 2011 Nov;14(10):1399-410. doi: 10.1017/S146114571100099X. Epub 2011 Jun 28.