Maternal stress, cord blood zinc and attention deficit hyperactivity disorder

Abstract Zinc regulates dopaminergic signaling, and reduced serum zinc levels have been reported in individuals with ADHD. However, genetic associations between zinc and ADHD remain unclear. We examined this link using large-scale GWAS and molecular analyses across three cohorts: iPSYCH (14,584 ADHD...

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Main Authors: Nagahide Takahashi, Tomoko Nishimura, Akemi Okumura, Toshiki Iwabuchi, Taeko Harada, Md Shafiur Rahman, Yoko Nomura, Jeffrey H. Newcorn, Kenji J. Tsuchiya
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:npj Mental Health Research
Online Access:https://doi.org/10.1038/s44184-025-00149-3
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author Nagahide Takahashi
Tomoko Nishimura
Akemi Okumura
Toshiki Iwabuchi
Taeko Harada
Md Shafiur Rahman
Yoko Nomura
Jeffrey H. Newcorn
Kenji J. Tsuchiya
author_facet Nagahide Takahashi
Tomoko Nishimura
Akemi Okumura
Toshiki Iwabuchi
Taeko Harada
Md Shafiur Rahman
Yoko Nomura
Jeffrey H. Newcorn
Kenji J. Tsuchiya
author_sort Nagahide Takahashi
collection DOAJ
description Abstract Zinc regulates dopaminergic signaling, and reduced serum zinc levels have been reported in individuals with ADHD. However, genetic associations between zinc and ADHD remain unclear. We examined this link using large-scale GWAS and molecular analyses across three cohorts: iPSYCH (14,584 ADHD cases and 22,492 controls), FAMHES (n = 1798), and the Hamamatsu Birth Cohort (n = 726). Two-sample Mendelian randomization revealed bidirectional associations between low serum zinc levels and ADHD diagnosis. Genetic correlation and polygenic risk score analyses supported this association. In the birth cohort, lower cord blood zinc were associated with higher ADHD symptom scores at ages 8–9. Zinc levels negatively correlated with IL-6 and maternal depressive symptoms. Directed acyclic graph analysis indicated that maternal stress increased IL-6, which reduced fetal zinc levels, linking to ADHD symptoms. These findings suggest low prenatal zinc may contribute to ADHD pathophysiology in genetically vulnerable children, potentially mediated by maternal stress and inflammation.
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institution Kabale University
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series npj Mental Health Research
spelling doaj-art-a8aa8c372f674d628efd55efdb8c61de2025-08-20T03:46:25ZengNature Portfolionpj Mental Health Research2731-42512025-08-01411410.1038/s44184-025-00149-3Maternal stress, cord blood zinc and attention deficit hyperactivity disorderNagahide Takahashi0Tomoko Nishimura1Akemi Okumura2Toshiki Iwabuchi3Taeko Harada4Md Shafiur Rahman5Yoko Nomura6Jeffrey H. Newcorn7Kenji J. Tsuchiya8Department of Developmental Disorders, National Center of Neurology and PsychiatryResearch Center for Child Mental Development, Hamamatsu University School of MedicineResearch Center for Child Mental Development, Hamamatsu University School of MedicineResearch Center for Child Mental Development, Hamamatsu University School of MedicineResearch Center for Child Mental Development, Hamamatsu University School of MedicineResearch Center for Child Mental Development, Hamamatsu University School of MedicineQueens College and Graduate Center, City University of New YorkDepartment of Child and Adolescent Psychiatry, Ichan School of Medicine at Mount SinaiResearch Center for Child Mental Development, Hamamatsu University School of MedicineAbstract Zinc regulates dopaminergic signaling, and reduced serum zinc levels have been reported in individuals with ADHD. However, genetic associations between zinc and ADHD remain unclear. We examined this link using large-scale GWAS and molecular analyses across three cohorts: iPSYCH (14,584 ADHD cases and 22,492 controls), FAMHES (n = 1798), and the Hamamatsu Birth Cohort (n = 726). Two-sample Mendelian randomization revealed bidirectional associations between low serum zinc levels and ADHD diagnosis. Genetic correlation and polygenic risk score analyses supported this association. In the birth cohort, lower cord blood zinc were associated with higher ADHD symptom scores at ages 8–9. Zinc levels negatively correlated with IL-6 and maternal depressive symptoms. Directed acyclic graph analysis indicated that maternal stress increased IL-6, which reduced fetal zinc levels, linking to ADHD symptoms. These findings suggest low prenatal zinc may contribute to ADHD pathophysiology in genetically vulnerable children, potentially mediated by maternal stress and inflammation.https://doi.org/10.1038/s44184-025-00149-3
spellingShingle Nagahide Takahashi
Tomoko Nishimura
Akemi Okumura
Toshiki Iwabuchi
Taeko Harada
Md Shafiur Rahman
Yoko Nomura
Jeffrey H. Newcorn
Kenji J. Tsuchiya
Maternal stress, cord blood zinc and attention deficit hyperactivity disorder
npj Mental Health Research
title Maternal stress, cord blood zinc and attention deficit hyperactivity disorder
title_full Maternal stress, cord blood zinc and attention deficit hyperactivity disorder
title_fullStr Maternal stress, cord blood zinc and attention deficit hyperactivity disorder
title_full_unstemmed Maternal stress, cord blood zinc and attention deficit hyperactivity disorder
title_short Maternal stress, cord blood zinc and attention deficit hyperactivity disorder
title_sort maternal stress cord blood zinc and attention deficit hyperactivity disorder
url https://doi.org/10.1038/s44184-025-00149-3
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