The stress–Wnt-signaling axis: a hypothesis for attention-deficit hyperactivity disorder and therapy approaches

Cristine M Yde Ohki, Leoni Grossmann, Emma Alber, Tanushree Dwivedi, Gregor Berger, Anna M. Werling, Susanne Walitza, Edna Grünblatt
2020
Attention-deficit hyperactivity disorder (ADHD) is one of the most common psychiatric neurodevelopmental disorders in children and adolescents. Although ADHD has been studied for nearly a century, the cause and pathophysiology of ADHD is yet largely unknown. However, findings from previous studies have resulted in the formation of a new hypothesis: Apart from the well-known multifactorial etiology of ADHD, recent evidence suggests that the interaction between genetic and environmental factors
more » ... d especially Wnt-and mTOR-signaling pathways might have an important role in the pathophysiology of ADHD. The Wnt-signaling pathway is known to orchestrate cellular proliferation, polarity, and differentiation, and the mTOR pathway is involved in several significant processes of neurodevelopment and synaptic plasticity. As a result, dysregulations of these pathways in a time-dependent manner could lead to neurodevelopmental delays, resulting in ADHD phenotype. This review presents further evidence supporting our hypothesis by combining results from studies on ADHD and Wnt-or mTOR-signaling and the influence of genetics, methylphenidate treatment, Omega-3 supplementation, and stress.
doi:10.3929/ethz-b-000442898 fatcat:u67ps5lqejfh7jd5mcd7nkvqny