Sex differences in dopamine receptors and their relevance to ADHD.

Abstract:

:Gender differences in ADHD may be attributable to gender differences in dopamine receptor density. Striatal male D2 receptor density increases 144+/-26% between 25 and 40 days (the onset of puberty), while female D2 receptor density increases only 31+/-7%. Male receptor density is then sharply eliminated by 55% by adulthood. Periadolescent females show little overproduction and pruning of striatal D1 and D2 receptors, though adult density is similar to males. The rise of male, but not female, striatal dopamine receptors parallels the early developmental appearance of motor symptoms of ADHD and may explain why prevalence rates are 2-4 fold higher in men than women. Pruning of striatal dopamine receptors coincides with the estimated 50-70% remission rate by adulthood. Transient lateralized D2, dopamine receptors (left > right) in male striatum may increase vulnerability to ADHD. More persistent attentional problems may be associated with the overproduction and delayed pruning of dopamine receptors in prefrontal cortex. Differences in D1 receptor density in nucleus accumbens may have implications for increased substance abuse in males.

journal_name

Neurosci Biobehav Rev

authors

Andersen SL,Teicher MH

doi

10.1016/s0149-7634(99)00044-5

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

137-41

issue

1

eissn

0149-7634

issn

1873-7528

pii

S0149-7634(99)00044-5

journal_volume

24

pub_type

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