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How do RNA biomarkers interact with genetic variants in ADHD? 

Author: Victoria Rowe, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

In the growing field of ADHD RNA genetics, scientists are uncovering how gene–RNA interaction plays a key role in the expression and regulation of ADHD symptoms. RNA biomarkers offer valuable insights into how genetic variants, such as those in dopamine-related genes, influence gene expression, which can, in turn, affect behaviour, cognition, and response to treatment. 

The relationship between genetic variants and RNA expression 

Genetic variants can influence RNA expression by altering how genes are transcribed, spliced, or regulated, shaping the molecular pathways linked to ADHD symptoms. 

Genetic variants influencing RNA levels  

Genes linked to ADHD, such as DAT1, DRD4, and COMT, have specific variants that can affect how much of a particular RNA (or gene product) is produced. These variations, called polymorphisms, may lead to under or overexpression of genes critical for attention, impulse control, and emotional regulation. 

Epigenetic regulation 

It is not just the genetic code that matters epigenetic modifications (like DNA methylation and histone modifications) can also impact RNA expression. Environmental factors, such as stress or diet, can influence these processes, further complicating how genetic variants lead to ADHD symptoms. Essentially, genetics provides the “blueprint,” while RNA expression determines how that blueprint is read. 

RNA biomarkers as mediators 

RNA biomarkers, including microRNAs and long non-coding RNAs, can help explain how these genetic variants impact brain function. For example, certain microRNAs can regulate dopamine receptor genes, potentially affecting an individual’s response to ADHD treatment. If we can map these biomarkers to specific genetic variants, we could more accurately predict which treatments are most likely to work. 

Why this interaction matters for ADHD diagnosis and treatment 

Personalising treatment  

Understanding how RNA expression is shaped by genetic variants helps clinicians tailor treatments to an individual’s unique biology. For example, individuals with specific dopamine-related gene variants might benefit more from one type of medication than another, based on their RNA expression profile. 

Tracking disease progression  

RNA biomarkers offer the potential for non-invasive monitoring of ADHD symptoms. By regularly measuring RNA levels, we could better track disease progression and the effectiveness of treatment, adjusting therapy as needed. 

Early diagnosis Identifying gene RNA interactions in ADHD may lead to earlier and more accurate diagnoses, even before behavioural symptoms fully manifest. This could lead to interventions that are both more timely and more effective. 

Understanding how ADHD RNA genetics works opens a new era of personalised medicine for ADHD. It underscores the need for comprehensive approaches that account for both genetic and environmental influences. Visit providers like ADHD Certify for personal consultations that incorporate the latest insights into gene RNA interactions.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Genetic studies and biomarkers.

Victoria Rowe, MSc
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
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. 

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