Upregulated GABA inhibitory function in ADHD children with child behavior checklist-dysregulation profile: 123i-iomazenil SPECT study

Shinichiro Nagamitsu, Yushiro Yamashita, Hitoshi Tanigawa, Hiromi Chiba, Hayato Kaida, Masatoshi Ishibashi, Tatsuyuki Kakuma, Paul E Croarkin, Toyojiro Matsuishi

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The child behavior checklist-dysregulation profile (CBCL-DP) refers to a pattern of elevated scores on the attention problems, aggression, and anxiety/depression subscales of the child behavior checklist. The aim of the present study was to investigate the potential role of GABA inhibitory neurons in children with attention deficit/hyperactivity disorder (ADHD) and dysregulation assessed with a dimensional measure. Brain single photon emission computed tomography (SPECT) was performed in 35 children with ADHD using 123I-iomazenil, which binds with high affinity to benzodiazepine receptors. Iomazenil binding activities were assessed with respect to the presence or absence of a threshold CBCL-DP (a score ≥210 for the sum of the three subscales: Attention Problems, Aggression, and Anxiety/Depression). We then attempted to identify which CBCL-DP subscale explained the most variance with respect to SPECT data, using "age," "sex," and "history of maltreatment" as covariates. Significantly higher iomazenil binding activity was seen in the posterior cingulate cortex (PCC) of ADHD children with a significant CBCL-DP. The Anxiety/Depression subscale on the CBCL had significant effects on higher iomazenil binding activity in the left superior frontal, middle frontal, and temporal regions, as well as in the PCC. The present brain SPECT findings suggest that GABAergic inhibitory neurons may play an important role in the neurobiology of the CBCL-DP, in children with ADHD.

Original languageEnglish (US)
Article number84
JournalFrontiers in Psychiatry
Volume6
Issue numberJUN
DOIs
StatePublished - 2015

Fingerprint

Child Behavior
Attention Deficit Disorder with Hyperactivity
Single-Photon Emission-Computed Tomography
Checklist
gamma-Aminobutyric Acid
GABAergic Neurons
Anxiety
Gyrus Cinguli
Depression
Aggression
Neurobiology
Brain
GABA-A Receptors
Temporal Lobe
iomazenil

Keywords

  • ADHD
  • CBCL-dysregulation profile
  • GABA
  • Iomazenil

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Upregulated GABA inhibitory function in ADHD children with child behavior checklist-dysregulation profile : 123i-iomazenil SPECT study. / Nagamitsu, Shinichiro; Yamashita, Yushiro; Tanigawa, Hitoshi; Chiba, Hiromi; Kaida, Hayato; Ishibashi, Masatoshi; Kakuma, Tatsuyuki; Croarkin, Paul E; Matsuishi, Toyojiro.

In: Frontiers in Psychiatry, Vol. 6, No. JUN, 84, 2015.

Research output: Contribution to journalArticle

Nagamitsu, Shinichiro ; Yamashita, Yushiro ; Tanigawa, Hitoshi ; Chiba, Hiromi ; Kaida, Hayato ; Ishibashi, Masatoshi ; Kakuma, Tatsuyuki ; Croarkin, Paul E ; Matsuishi, Toyojiro. / Upregulated GABA inhibitory function in ADHD children with child behavior checklist-dysregulation profile : 123i-iomazenil SPECT study. In: Frontiers in Psychiatry. 2015 ; Vol. 6, No. JUN.
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