Evidence map›Paper›PMID 26710823›Full record

ArticlePsychological science2016

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, Molly A Nikolas

Abstract read
In one paragraph

Article in Psychological science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The Evolving ADHD Phenotype in the Externalizing Context.The American journal of psychiatry · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Annual Research Review: Perspectives on progress in ADHD science - from characterization to cause.Journal of child psychology and psychiatry, and allied disciplines · 2023
    Review
  9. Considerations toward an epigenetic and common pathways theory of mental disorder.Journal of psychopathology and clinical science · 2023
    Article
  10. Dynamic Thiol/Disulfide Homeostasis and Oxidative DNA Damage in Adult Attention Deficit Hyperactivity Disorder.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2021
    Article
  11. ADHD: Reviewing the Causes and Evaluating Solutions.Journal of personalized medicine · 2021
    Review
  12. Development of ADHD: Etiology, Heterogeneity, and Early Life Course.Annual review of developmental psychology · 2020
    Article
  13. Review
  14. Attention-deficit hyperactivity disorder.Lancet (London, England) · 2020
    Review
  15. Article
  16. Article
  17. Article
  18. Childhood Lead Exposure and Adult Neurodegenerative Disease.Journal of Alzheimer's disease : JAD · 2018
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Joel T NiggDepartment of Psychiatry, Oregon Health & Science University Department of Behavioral Neuroscience, Oregon Health & Science University niggj@ohsu.edu.
Alexis L ElmoreDepartment of Psychological & Brain Sciences, University of Iowa.
Neil NatarajanDepartment of Psychiatry, Oregon Health & Science University.
Karen H FridericiDepartment of Microbiology and Molecular Genetics, Michigan State University.
Molly A NikolasDepartment of Microbiology and Molecular Genetics, Michigan State University.
Michigan State University · USOregon Health & Science University · USUniversity of Iowa · US

Funding

ADHD heterogeneity, mechanisms, and risk profileR37MH059105 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIGG, JOEL T · 2014 to 2023
$7.0M
ADHD biotypes using genetic and imaging approachesR01MH099064 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIGG, JOEL T · 2013 to 2017
$3.2M
Genetics of ADHD: Haplotype and Endophenotype ApproachesR01MH070004 · NIMH · MICHIGAN STATE UNIVERSITY · PI FRIDERICI, KAREN H. · 2005 to 2009
$2.1M
NIMH NIH HHS R01 MH070004NIMH NIH HHS R01-MH070004NIMH NIH HHS R01 MH099064NIMH NIH HHS R01-MH099064NIMH NIH HHS R37 MH059105NIMH NIH HHS R37-MH59015
6 · The paper itself

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.

Indexed as

AdolescentAttention Deficit Disorder with HyperactivityCase-Control StudiesChildFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHemochromatosis ProteinHumansIronLeadLead PoisoningMalePolymorphism, Single NucleotideValidation Studies as TopicHemochromatosis ProteinHFE protein, humanIronLeadattentionchildhood developmentpsychopathology

Identifiers

PMID26710823
PMCPMC4919074
OpenAlexW2263639229

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.