Evidence map›Paper›PMID 38997333›Full record

ArticleNature communications2024

Rare de novo damaging DNA variants are enriched in attention-deficit/hyperactivity disorder and implicate risk genes.

Emily Olfson, Luis C Farhat, Wenzhong Liu, Lawrence A Vitulano, Gwyneth Zai, Monicke O Lima, Justin Parent, Guilherme V Polanczyk, Carolina Cappi, James L Kennedy and 1 more

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Common and rare genetic variants explain distinct diagnostic variance in pediatric attention deficit hyperactivity disorder.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  10. Article
  11. Review
  12. Journal of mood and anxiety disorders · 2025
    Article
  13. Rare Variant Analyses in Ancestrally Diverse Cohorts Reveal Novel ADHD Risk Genes.medRxiv : the preprint server for health sciences · 2025
    Article
  14. 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

11 authors.

Emily OlfsonChild Study Center, Yale University, New Haven, CT, USA. emily.olfson@yale.edu.ORCID 0000-0002-6438-0079
Luis C FarhatChild Study Center, Yale University, New Haven, CT, USA.
Wenzhong LiuChild Study Center, Yale University, New Haven, CT, USA.
Lawrence A VitulanoChild Study Center, Yale University, New Haven, CT, USA.
Gwyneth ZaiTanenbaum Centre, Molecular Brain Sciences Department, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Monicke O LimaDivision of Child & Adolescent Psychiatry, Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Justin ParentUniversity of Rhode Island, Kingston, RI, USA.ORCID 0000-0002-1659-8188
Guilherme V PolanczykDivision of Child & Adolescent Psychiatry, Department of Psychiatry, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.ORCID 0000-0003-2311-3289
Carolina CappiDepartment of Psychiatry at Icahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.ORCID 0000-0001-6661-3756
James L KennedyTanenbaum Centre, Molecular Brain Sciences Department, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.ORCID 0000-0002-8733-3806
Thomas V FernandezChild Study Center, Yale University, New Haven, CT, USA. thomas.fernandez@yale.edu.ORCID 0000-0003-0830-022X

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Youth suicide risk: interplay of sleep behavior and circadian timing with self-critical rumination and self- reassuranceP20GM139743 · NIGMS · EMMA PENDLETON BRADLEY HOSPITAL · PI Sarah Ann Thomas · 2021 to 2026
$13.0M
Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
Neurogenomic Investigations of Trichotillomania and Excoriation DisorderK08MH128665 · NIMH · YALE UNIVERSITY · PI Emily Hunt Olfson · 2022 to 2026
$1.0M
Genomics of OCD in Latin American CommunitiesR00MH128540 · NIMH · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI Carolina Cappi · 2025 to 2026
$498k
Genomics of OCD in Latin American CommunitiesK99MH128540 · NIMH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI CAPPI, CAROLINA · 2023 to 2024
$252k
NCATS NIH HHS UL1 TR001863NIGMS NIH HHS P20 GM139743NIMH NIH HHS K08 MH128665NIMH NIH HHS K99 MH128540NIMH NIH HHS R00 MH128540NIMH NIH HHS R25 MH077823
6 · The paper itself

Abstract

Research demonstrates the important role of genetic factors in attention-deficit/hyperactivity disorder (ADHD). DNA sequencing of families provides a powerful approach for identifying de novo (spontaneous) variants, leading to the discovery of hundreds of clinically informative risk genes for other childhood neurodevelopmental disorders. This approach has yet to be extensively leveraged in ADHD. We conduct whole-exome DNA sequencing in 152 families, comprising a child with ADHD and both biological parents, and demonstrate a significant enrichment of rare and ultra-rare de novo gene-damaging mutations in ADHD cases compared to unaffected controls. Combining these results with a large independent case-control DNA sequencing cohort (3206 ADHD cases and 5002 controls), we identify lysine demethylase 5B (KDM5B) as a high-confidence risk gene for ADHD and estimate that 1057 genes contribute to ADHD risk. Using our list of genes harboring ultra-rare de novo damaging variants, we show that these genes overlap with previously reported risk genes for other neuropsychiatric conditions and are enriched in several canonical biological pathways, suggesting early neurodevelopmental underpinnings of ADHD. This work provides insight into the biology of ADHD and demonstrates the discovery potential of DNA sequencing in larger parent-child trio cohorts.

Indexed as

Attention Deficit Disorder with HyperactivityExome SequencingGenetic Predisposition to DiseaseCase-Control StudiesChildFemaleHistone DemethylasesHumansMaleMutationRisk FactorsHistone Demethylases

Identifiers

PMID38997333
PMCPMC11245598

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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.