Attention-deficit hyperactivity disorder (ADHD) and glial integrity: S100B, cytokines and kynurenine metabolism – effects of medication
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Background: Children with attention-deficit/hyperactivity disorder (ADHD) show a marked temporal variability in their
display of symptoms and neuropsychological performance. This could be explained in terms of an impaired glial
supply of energy to support neuronal activity.
Method: We pursued one test of the idea with measures of a neurotrophin reflecting glial integrity (S100B) and the
influences of 8 cytokines on the metabolism of amino-acids, and of tryptophan/kynurenine to neuroprotective or
potentially toxic products that could modulate glial function. Serum samples from 21 medication-naïve children with
ADHD, 21 typically-developing controls, 14 medicated children with ADHD and 7 healthy siblings were analysed in this
preliminary exploration of group differences and associations.
Results: There were no marked group differences in levels of S100B, no major imbalance in the ratios of pro- to antiinflammatory
interleukins nor in the metabolism of kynurenine to toxic metabolites in ADHD. However, four trends are
described that may be worthy of closer examination in a more extensive study. First, S100B levels tended to be lower in
ADHD children that did not show oppositional/conduct problems. Second, in medicated children raised interleukin
levels showed a trend to normalisation. Third, while across all children the sensitivity to allergy reflected increased
levels of IL-16 and IL-10, the latter showed a significant inverse relationship to measures of S100B in the ADHD group.
Fourthly, against expectations healthy controls tended to show higher levels of toxic 3-hydroxykynurenine (3 HK) than
those with ADHD.
Conclusions: Thus, there were no clear signs (S100B) that the glial functions were compromised in ADHD. However,
other markers of glial function require examination. Nonetheless there is preliminary evidence that a minor imbalance
of the immunological system was improved on medication. Finally, if lower levels of the potentially toxic 3 HK in ADHD
children were confirmed this could reflect a reduction of normal pruning processes in the brain that would be
consistent with delayed maturation (supported here by associations with amino-acid metabolism) and a reduced
metabolic source of energy.
Lesezeichen:
Dokumententyp:
Wissenschaftliche Texte » Artikel, Aufsatz
Fakultät / Institut:
Medizinische Fakultät / Universitätsklinikum » Rheinische Kliniken Essen » Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters
Dewey Dezimal-Klassifikation:
600 Technik, Medizin, angewandte Wissenschaften » 610 Medizin und Gesundheit » 610 Medizin und Gesundheit
Sprache:
Englisch
Kollektion / Status:
E-Publikationen / Dokument veröffentlicht
Dateien geändert am:
19.08.2011
Medientyp:
Text
Rechtliche Vermerke:
© 2010 Oades et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons
Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in
any medium, provided the original work is properly cited.
Quelle:
Behavioral and Brain Functions, 6(2010), 29
