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Proinflammatory mediators and their associations with medication and comorbid traits in children and adults with ADHD
- Source :
- European Neuropsychopharmacology. 41:118-131
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Peripheral immune activation can influence neurodevelopment and is increased in autism, but is less explored in attention deficit hyperactivity disorder (ADHD). Patients with ADHD often display comorbid autism traits and gastrointestinal (GI) symptoms. Plasma protein levels of two acute phase reactants, C-reactive protein (CRP) and serum amyloid A (SAA), and two endothelial adhesion molecules, soluble intercellular adhesion molecule 1 (sICAM-1) and soluble vascular cell adhesion molecule 1 (sVCAM-1), which share important roles in inflammation, were analyzed in 154 patients with ADHD and 61 healthy controls. Their associations with ADHD diagnosis, severity, medication and comorbid autistic symptoms, emotion dysregulation and GI symptoms were explored. The ADHD patients had increased levels of sICAM-1 and sVCAM-1 compared to healthy controls (p = 8.6e–05, p = 6.9e–07, respectively). In children with ADHD, the sICAM-1 and sVCAM-1 levels were higher among those with ADHD medication than among children (p = 0.0037, p = 0.0053, respectively) and adults (p = 3.5e–09, p = 1.9e–09, respectively) without ADHD medication. Among the adult ADHD patients, higher sICAM-1 levels were associated with increased comorbid autistic symptoms in the domains attention to detail and imagination (p = 0.0081, p = 0.00028, respectively), and higher CRP levels were associated with more GI symptoms (p = 0.014). sICAM-1 and sVCAM-1 levels were highly correlated with each other, and so were CRP and SAA levels. To conclude, vascular inflammatory activity may be overrepresented in ADHD, with elevated sICAM-1 and sVCAM-1 levels and this may in children be a consequence of current ADHD medication, and in adults relate to increased comorbid autistic symptoms. Replication is warranted.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Gastrointestinal Diseases
Inflammation
Comorbidity
Proinflammatory cytokine
Young Adult
03 medical and health sciences
0302 clinical medicine
Internal medicine
mental disorders
medicine
Humans
Attention deficit hyperactivity disorder
Pharmacology (medical)
Serum amyloid A
Autistic Disorder
Child
Biological Psychiatry
Melatonin
Sweden
Pharmacology
business.industry
Acute-phase protein
Middle Aged
medicine.disease
Anti-Bacterial Agents
030227 psychiatry
Psychiatry and Mental health
Neurology
Attention Deficit Disorder with Hyperactivity
Case-Control Studies
Child, Preschool
Autism
Central Nervous System Stimulants
Female
Neurology (clinical)
Inflammation Mediators
medicine.symptom
business
Biomarkers
030217 neurology & neurosurgery
Immune activation
Autistic symptoms
Subjects
Details
- ISSN :
- 0924977X
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- European Neuropsychopharmacology
- Accession number :
- edsair.doi.dedup.....05db0e0c88c32ecae8b3153ac1e70eaf