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Variation in an Iron Metabolism Gene Moderates the Association Between Blood Lead Levels and Attention-Deficit/Hyperactivity Disorder in Children
Journal article   Open access   Peer reviewed

Variation in an Iron Metabolism Gene Moderates the Association Between Blood Lead Levels and Attention-Deficit/Hyperactivity Disorder in Children

Joel T Nigg, Alexis L Elmore, Neil Natarajan, Karen H Friderici and Molly A Nikolas
Psychological science, Vol.27(2), pp.257-269
02/2016
DOI: 10.1177/0956797615618365
PMCID: PMC4919074
PMID: 26710823
url
https://doi.org/10.1177/0956797615618365View
Published (Version of record) Open Access

Abstract

Although attention-deficit/hyperactivity disorder (ADHD) is a heritable neurodevelopmental condition, there is also considerable scientific and public interest in environmental modulators of its etiology. Exposure to neurotoxins is one potential source of perturbation of neural, and hence psychological, development. Exposure to lead in particular has been widely investigated and is correlated with neurodevelopmental outcomes, including ADHD. To investigate whether this effect is likely to be causal, we used a Mendelian randomization design with a functional gene variant. In a case-control study, we examined the association between ADHD symptoms in children and blood lead level as moderated by variants in the hemochromatosis (HFE) gene. The HFE gene regulates iron uptake and secondarily modulates lead metabolism. Statistical moderation was observed: The magnitude of the association of blood lead with symptoms of ADHD was altered by functional HFE genotype, which is consistent with a causal hypothesis.
Attention Deficit Disorder with Hyperactivity - blood Genetic Predisposition to Disease Genetic Association Studies Lead Poisoning - blood Humans Male Iron - metabolism Case-Control Studies Validation Studies as Topic Attention Deficit Disorder with Hyperactivity - genetics Lead - blood Hemochromatosis Protein - genetics Adolescent Female Lead Poisoning - genetics Polymorphism, Single Nucleotide Child

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