Imperial College London

Emeritus ProfessorJohnWarner

Faculty of MedicineNational Heart & Lung Institute

Emeritus in Paediatrics
 
 
 
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Contact

 

j.o.warner

 
 
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Location

 

246Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Stevenson:2010:10.1176/appi.ajp.2010.09101529,
author = {Stevenson, J and Sonuga-Barke, E and McCann, D and Grimshaw, K and Parker, KM and Rose-Zerilli, MJ and Holloway, JW and Warner, JO},
doi = {10.1176/appi.ajp.2010.09101529},
journal = {AMERICAN JOURNAL OF PSYCHIATRY},
pages = {1108--1115},
title = {The Role of Histamine Degradation Gene Polymorphisms in Moderating the Effects of Food Additives on Children's ADHD Symptoms},
url = {http://dx.doi.org/10.1176/appi.ajp.2010.09101529},
volume = {167},
year = {2010}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Objective: Food additives can exacerbate ADHD symptoms and cause non-immunoglobulin E-dependent histamine release from circulating basophils. However, children vary in the extent to which their ADHD symptoms are exacerbated by the ingestion of food additives. The authors hypothesized that genetic polymorphisms affecting histamine degradation would explain the diversity of responses to additives.Method: In a double-blind, placebo-controlled crossover trial, challenges involving two food color additive and sodium benzoate (preservative) mixtures in a fruit drink were administered to a general community sample of 3-year-old children (N=153) and 8/9-year-old children (N=144). An aggregate ADHD symptom measure (based on teacher and parent blind ratings of behavior, blind direct observation of behavior in the classroom, and-for 8/9-year-old children only-a computerized measure of attention) was the main outcome variable.Results: The adverse effect of food additives on ADHD symptoms was moderated by histamine degradation gene polymorphisms HNMT T939C and HNMT Thr105Ile in 3- and 8/9-year-old children and by a DAT1 polymorphism (short versus long) in 8/9-year-old children only. There was no evidence that polymorphisms in catecholamine genes COMT Val108Met, ADRA2A C1291G, and DRD4-rs7403703 moderated the effect on ADHD symptoms.Conclusions: Histamine may mediate the effects of food additives on ADHD symptoms, and variations in genes influencing the action of histamine may explain the inconsistency between previous studies. Genes influencing a range of neurotransmitter systems and their interplay with environmental factors, such as diet, need to be examined to understand genetic influences on ADHD symptoms.
AU - Stevenson,J
AU - Sonuga-Barke,E
AU - McCann,D
AU - Grimshaw,K
AU - Parker,KM
AU - Rose-Zerilli,MJ
AU - Holloway,JW
AU - Warner,JO
DO - 10.1176/appi.ajp.2010.09101529
EP - 1115
PY - 2010///
SN - 0002-953X
SP - 1108
TI - The Role of Histamine Degradation Gene Polymorphisms in Moderating the Effects of Food Additives on Children's ADHD Symptoms
T2 - AMERICAN JOURNAL OF PSYCHIATRY
UR - http://dx.doi.org/10.1176/appi.ajp.2010.09101529
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=000281794200018&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
VL - 167
ER -