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Are DRD and NET Gene Variants Linked to ADHD? 

Research in molecular genetics has revealed that certain gene variants can influence the development of ADHD. Two key genes, dopamine receptor genes (DRD) and norepinephrine transporter genes (NET), are particularly important in regulating the neurotransmitters dopamine and norepinephrine, which play a crucial role in attention, focus, and impulse control. Variants in these genes can impact how these neurotransmitters function, potentially contributing to the development and severity of ADHD symptoms. 

DRD Gene Variants: Impact on Dopamine Regulation 

DRD gene variants affect dopamine receptor function, influencing signalling efficiency and contributing to attention, motivation, and behavioural regulation difficulties in ADHD. 

Dopamine Receptor Genes

Dopamine is a critical neurotransmitter involved in attention, motivation, and behaviour. DRD4 and DRD5, two of the most studied dopamine receptor genes, play a vital role in dopamine signalling in the brain. Specific polymorphisms in these genes, particularly in DRD4, have been linked to ADHD. For example, the 7-repeat allele of the DRD4 gene is commonly associated with ADHD, affecting how dopamine receptors respond to dopamine in the brain, and influencing attention and behaviour regulation. 

ADHD and Dopamine Dysfunction

Variations in dopamine receptor genes can lead to inefficient dopamine signalling, which may contribute to symptoms like inattention, hyperactivity, and impulsivity. These genetic differences help explain why some individuals may be more susceptible to ADHD, as dopamine plays a crucial role in regulating the brain’s executive functions. 

NET Gene Variants: Modulating Norepinephrine Activity 

Norepinephrine Transporter Genes

The NET gene encodes the norepinephrine transporter, which is responsible for the reuptake of norepinephrine in the brain. Norepinephrine is vital for regulating attention, arousal, and stress responses. Variants in the NET gene can affect the reuptake of norepinephrine, altering its availability in certain brain regions. These imbalances can contribute to the symptoms of ADHD, including difficulties with focus, emotional regulation, and impulse control. 

The Role of NET in ADHD  

Norepinephrine transporter gene variations can disrupt the balance of norepinephrine, potentially exacerbating the core symptoms of ADHD. Since norepinephrine is key for maintaining alertness and concentration, changes in its regulation can significantly affect attention and executive function, which are often impaired in individuals with ADHD. 

Molecular Genetics and ADHD Treatment 

Understanding the connection between DRD and NET gene variants and ADHD provide important insights into potential treatments. These genetic variants influence how individuals respond to ADHD medications, particularly those that target dopamine and norepinephrine, such as stimulants and non-stimulants like atomoxetine. By identifying specific genetic variants, healthcare providers could tailor ADHD treatments more precisely to an individual’s genetic profile, improving treatment outcomes. 

Visit providers like ADHD Certify for personal consultations to explore how DRD and NET gene variants can influence ADHD and guide more effective treatment strategies.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Dopamine and norepinephrine systems.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.