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Biomedical Journal of Scientific & Technical Research

December, 2019, Volume 23, 3, pp 17464-17465

Mini Review

Mini Review

Development of Adult Forms of Attention Deficit Hyperactivity Disorder are Based on the Synaptic Disturbances During Brain Maturation: A Hypothesis

Uzbekov M* and Zabludovsky A

Author Affiliations

Department of Brain Pathology, Moscow Research Institute of Psychiatry, Moscow, Russia

Received: November 26, 2019 | Published: December 03, 2019

Corresponding author: Uzbekov M, Department of Brain Pathology, Moscow Research Institute of Psychiatry, Moscow, Russia

DOI: 10.26717/BJSTR.2019.23.003910

Introduction

Some time ago we have put a question why about 20 – 30% of children Attention Deficit Hyperactivity Disorder (ADHD) transformed in adult forms with problems related to social adjustment and functioning (substance abuse and personality disorder) together with psychiatric problems [1,2]. We decided to shed some light on this problem using an animal model of ADHD. Earlier it was shown by us that prenatally alcoholic rat can serve as an adequate model for investigating of ADHD pathogenesis [3]. Our and literature data have shown that monoaminergic systems are integral components of pathogenetic mechanisms of ADHD. Proceed from this assumption we wanted to investigate the synaptic mechanisms involvement in these processes.

Aim

The aim of the study was to investigate postnatal developmental dynamics of the state of postsynaptic serotonergic receptors (5-HT1-R) and Synaptic Plasma Membrane (SPM) phosphorylation in prenatally alcoholised rat offspring.

Material and Methods

Experiments were performed on prenatally alcoholic rat offspring of dams which throughout the gestational period received a 10% solution of ethanol as a sole source of liquid (alcoholised offspring). Each dam received approximately 5.5 – 6.0 g of ethanol/1 kg per day [4]. Alcoholised offspring were taken into the experiment on the 30th, 60th and 90th Postnatal Days (PD). Serotonin binding with 5-HT1- R was measured using 3H-serotonin and SPM phosphorylation - using 32P-γ-ATP in hippocampus and cerebral cortex [5].

Results

3H-serotonin binding was increased in hippocampus significantly only at PD 60 and 90 by 27 and 36% (p=0.05 both), respectively and in cerebral cortex only at PD 90 by 62% (p=0.01). Inhibition of SPM phosphorylation was revealed only at postnatal day 90 and was decreased significantly for 54 and 65% (p=0.01) in hippocampus and cerebral cortex, respectively, as compared with controls.

Discussion

We found that prenatal alcoholisation resulted in changes of serotonin binding and SPM phosphorylation parameters in synaptic structures in different brain regions only at the late stages of postnatal development (early adulthood). We hypothesized that the delayed manifestation of neurochemical impairments in alcoholised rat offspring (ADHD model) proved that the brain could not manage the demands placed on it. We believe that there are a number of “masked” or “silent” disturbances in ADHD children that manifest themselves later in life. These disturbances are compensated by different adaptive brain mechanisms. Early adulthood is a critical period of human life. There appear the new demands for the brain – endogenous, environmental and social. If these demands exceed the threshold of compensation capabilities, then the adaptive mechanisms become broken. When different maturational factors influence on the brain in the state of disorganized developmental and metabolic processes that can facilitate the expression of the qualitatively new symptoms of ADHD: antisocial behavior, psychopathy and drug abuse [1-3].

Conclusion

We hypothesize that our findings of synaptic disturbances in ADHD model that revealed after 90 postnatal days can serve as a basis of pathological events that take place in adult ADHD subjects.

References

Mini Review

Development of Adult Forms of Attention Deficit Hyperactivity Disorder are Based on the Synaptic Disturbances During Brain Maturation: A Hypothesis

Uzbekov M* and Zabludovsky A

Author Affiliations

Department of Brain Pathology, Moscow Research Institute of Psychiatry, Moscow, Russia

Received: November 26, 2019 | Published: December 03, 2019

Corresponding author: Uzbekov M, Department of Brain Pathology, Moscow Research Institute of Psychiatry, Moscow, Russia

DOI: 10.26717/BJSTR.2019.23.003910

Abstract

Some time ago we have put a question why about 20 – 30% of children Attention Deficit Hyperactivity Disorder (ADHD) transformed in adult forms with problems related to social adjustment and functioning (substance abuse and personality disorder) together with psychiatric problems [1,2]. We decided to shed some light on this problem using an animal model of ADHD. Earlier it was shown by us that prenatally alcoholic rat can serve as an adequate model for investigating of ADHD pathogenesis [3]. Our and literature data have shown that monoaminergic systems are integral components of pathogenetic mechanisms of ADHD. Proceed from this assumption we wanted to investigate the synaptic mechanisms involvement in these processes.