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Mitigating aggressiveness through education? The monoamine oxidase A genotype and mental health in general population

Published online by Cambridge University Press:  18 July 2013

Evelyn Kiive*
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
Kariina Laas
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
Kirsti Akkermann
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
Erika Comasco
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
Lars Oreland
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
Toomas Veidebaum
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
Jaanus Harro
Affiliation:
Department of Psychology, Estonian Centre of Behavioural and Health Sciences, University of Tartu, Tiigi 78, Tartu 50410, Estonia
*
Evelyn Kiive, Department of Psychology, University of Tartu, Tiigi 78, Tartu 50410, Estonia. Tel: +372 7 375 908; Fax: +372 7 375 900; E-mail: evelyn.kiive@ut.ee

Abstract

Objective

Monoamine oxidase A (MAOA) gene promoter region includes a variable number of tandem repeat (VNTR) associated with antisocial behaviour in adverse environment. We have examined the effect of the MAOA-uVNTR on mental health and academic success by using a population representative sample and a longitudinal design.

Methods

The data of the older cohort (n = 593, aged 15 years at the original sampling) of the longitudinal Estonian Children Personality, Behaviour and Health Study (ECPBHS) were used. Follow-ups were conducted at ages 18 and 25 years. Aggressiveness, inattention and hyperactivity were reported by class teachers or, at older age, self-reported. Stressful life events, psychological environment in the family and interactions between family members were self-reported. Data of general mental abilities and education were obtained at the age of 25, and lifetime psychiatric disorder assessment was carried out with the Mini-International Neuropsychiatric Interview (MINI) interview.

Results

MAOA-uVNTR genotype had no independent effect on aggressiveness, hyperactive and inattentive symptoms, and neither was there a genotype interaction with adverse life events. Interestingly, the proportion of male subjects with higher education by the age of 25 was significantly larger among those with MAOA low-activity alleles (χ2 = 7.13; p = 0.008). Logistic regression revealed that MAOA low-activity alleles, higher mental abilities, occurrence of anxiety disorders and absence of substance-use disorder were significant independent predictors for higher education in male subjects.

Conclusions

In a population representative sample of young subjects, the MAOA-uVNTR ‘risk genotype’ predicted better life outcomes as expressed in higher level of education.

Type
Original Articles
Copyright
Copyright © Scandinavian College of Neuropsychopharmacology 2013 

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References

1.Shih, JC, Chen, K, Ridd, MJ. Monoamine oxidase: from genes to behavior. Annu Rev Neurosci 1999;22:197217.Google Scholar
2.Brunner, HG, Nelen, M, Breakefield, XO, Ropers, HH, van Oost, BA. Abnormal behavior associated with a point mutation in the structural gene for monoamine oxidase A. Science 1993;262:578580.CrossRefGoogle ScholarPubMed
3.Deckert, J, Catalano, M, Syagailo, YVet al. Excess of high activity monoamine oxidase A gene promoter alleles in female patients with panic disorder. Hum Mol Genet 1999;8:621624.Google Scholar
4.Sabol, SZ, Hu, S, Hamer, D. A functional polymorphism in the monoamine oxidase A gene promoter. Hum Genet 1998;103:273279.Google Scholar
5.Meyer-Lindenberg, A, Buckholtz, JW, Kolachana, Bet al. Neural mechanisms of genetic risk for impulsivity and violence in humans. Proc Natl Acad Sci USA 2006;103:62696274.Google Scholar
6.Huang, YY, Cate, SP, Battistuzzi, C, Oquendo, MA, Brent, D, Mann, JJ. An association between a functional polymorphism in the monoamine oxidase a gene promoter, impulsive traits and early abuse experiences. Neuropsychopharmacology 2004;29:14981505.Google Scholar
7.Oreland, L, Nilsson, K, Damberg, M, Hallman, J. Monoamine oxidases- activities, genotypes and the shaping of behaviour. J Neural Transm 2007;14:817822.Google Scholar
8.McDermott, R, Tingley, D, Cowden, J, Frazetto, G, Johnson, DP. Monoamine oxidase A gene (MAOA) predicts behavioral aggression following provocation. Proc Natl Acad Sci USA 2009;106:21182123.CrossRefGoogle ScholarPubMed
9.Fowler, T, Langley, K, Rice, Fet al. Psychopathy trait scores in adolescents with childhood ADHD: the contribution of genotypes affecting MAOA, 5HTT and COMT activity. Psychiatr Genet 2009;19:312319.Google Scholar
10.Beaver, KM, Delisi, M, Vaughn, MG, Barnes, JC. Monoamine oxidase A genotype is associated with gang membership and weapon use. Compr Psychiatry 2010;51:130134.CrossRefGoogle ScholarPubMed
11.Ducci, F, Enoch, MA, Hodgkinson, Cet al. Interaction between a functional MAOA locus and childhood sexual abuse predicts alcoholism and antisocial personality disorder in adult women. Mol Psychiatry 2008;13:334347.Google Scholar
12.Tikkanen, R, Ducci, F, Goldman, Det al. MAOA alters the effects of heavy drinking and childhood physical abuse on risk for severe impulsive acts of violence among alcoholic violent offenders. Alcohol Clin Exp Res 2010;34:853860.Google Scholar
13.Manuck, SB, Flory, JD, Ferrell, REet al. A regulatory polymorphism of the monoamine oxidase-A gene may be associated with variability in aggression, impulsivity, and central nervous system serotonergic responsivity. Psychiatry Res 2000;95:923.Google Scholar
14.Schulze, TG, Muller, DJ, Krauss, Het al. Association between a functional polymorphism in the monoamine oxidase A gene promoter and major depressive disorder. Am J Med Genet 2000;96:801803.Google Scholar
15.Rivera, M, Gutierrez, B, Molina, Eet al. High-acting variants of the uMAOA polymorphism increase the risk for depression in a large primary care sample. Am J Med Genet 2008;150B:395402.Google Scholar
16.Reif, A, Weber, H, Domschke, Ket al. Meta-analysis argues for a female-specific role of MAOA-uVNTR in panic disorder in four European populations. Am J Med Genet B Neuropsychiatr Genet 2012;159B:786793.Google Scholar
17.Manor, I, Tyano, S, Mel, Eet al. Family-based and association studies of monoamine oxidase A and attention deficit hyperactivity disorder (ADHD): preferential transmission of the long promoter-region repeat and its association with impaired performance on a continuous performance test (TOVA). Mol Psychiatry 2002;7:626632.Google Scholar
18.Gizer, IR, Ficks, C, Waldman, ID. Candidate gene studies of ADHD: a meta-analytic review. Hum Genet 2009;126:5190.Google Scholar
19.Stoltenberg, SF, Christ, CC, Highland, KB. Serotonin system gene polymorphisms are associated with impulsivity in a context dependent manner. Prog Neuropsychopharmacol Biol Psychiatry 2012;39:182191.Google Scholar
20.Kuepper, Y, Grant, P, Wielpuetz, c, Hennig, j. Maoa-uVNtr genotype predicts interindividual differences in experimental aggressiveness as a function of the degree of provocation. Behav Brain Res 2013;247:7378.Google Scholar
21.Taylor, A, Kim-Cohen, J. Meta-analysis of gene–environment interactions in developmental psychopathology. Dev Psychopathol 2007;19:10291037.Google Scholar
22.Weder, N, Yang, BZ, Douglas-Palumberi, Het al. MAOA genotype, maltreatment, and aggressive behavior: the changing impact of genotype at varying levels of trauma. Biol Psychiatry 2009;65:417424.Google Scholar
23.Fergusson, DM, Boden, JM, Horwood, LJ, Miller, A, Kennedy, MA. Moderating role of the MAOA genotype in antisocial behaviour. Br J Psychiatry 2012;200:116123.Google Scholar
24.Kieling, C, Hutz, MH, Genro, JPet al. Gene–environment interaction in externalizing problems among adolescents: evidence from the Pelotas 1993 Birth Cohort Study. J Child Psychol Psychiatry 2013;54:298304.Google Scholar
25.Frydman, C, Camerer, C, Bossaerts, B, Rangel, A. MAOA-L carriers are better at making optimal financial decisions under risk. Proc R Soc B 2011;278:20532059.Google Scholar
26.Chen, H, Pine, DS, Ernst, Met al. The MAOA gene predicts happiness in women. Prog Neuropsychopharmacol Biol Psychiatry 2013;40:122125.Google Scholar
27.Caspi, A, McClay, J, Moffit, TEet al. Role of genotype in the cycle of violence in maltreated children. Science 2002;297:851854.CrossRefGoogle ScholarPubMed
28.Kim-Cohen, J, Caspi, A, Taylor, Aet al. MAOA, maltreatment, and gene–environment interaction predicting children's mental health: new evidence and a metaanalysis. Mol Psychiatry 2006;11:903913.Google Scholar
29.Sjöberg, RL, Nilsson, KW, Wargelius, HL, Leppert, J, Lindstrom, L, Oreland, L. Adolescent girls and criminal activity: role of MAOA-LPR genotype and psychosocial factors. Am J Med Genet B Neuropsychiatr Genet 2007;144B:159164.Google Scholar
30.Åslund, C, Nordquist, N, Comasco, E, Leppert, J, Oreland, L, Nilsson, KW. Maltreatment, MAOA, and delinquency: sex differences in gene–environment interaction in a large population-based cohort of adolescents. Behav Genet 2011;41:262272.Google Scholar
31.Harro, M, Eensoo, D, Kiive, Eet al. Platelet monoamine oxidase in healthy 9- and 15-years old children: the effect of gender, smoking and puberty. Prog Neuropsychopharmacol Biol Psychiat 2001;25:14971511.Google Scholar
32.Tomson, K, Merenäkk, L, Loit, HM, Mäestu, J, Harro, J. The relationship between serotonin transporter gene promoter polymorphism and serum lipid levels at young age in a longitudinal population-representative study. Prog Neuropsychopharmacol Biol Psychiat 2011;35:18571862.Google Scholar
33.Reif, A, Kiive, E, Kurrikoff, Tet al. A functional NOS1 promoter polymorphism interacts with adverse environment on functional and dysfunctional impulsivity. Psychopharmacology 2011;214:239248.Google Scholar
34.Kurrikoff, T, Lesch, KP, Kiive, Eet al. Association of a functional variant of the nitric oxide synthase1 gene with personality, anxiety, and depressiveness. Dev Psychopathol 2012;24:12251235.Google Scholar
35.Raven, J, Raven, JC, Court, JH. Manual for Raven's Progressive Matrices and Vocabulary Scales. Section 1: General Overview. San Antonio: Harcourt Assessment, 2003.Google Scholar
36.Kiive, E, Kurrikoff, T, Mäestu, J, Harro, J. Effect of alpha2A-adrenoceptor C-1291G genotype and maltreatment on hyperactivity and inattention in adolescents. Prog Neuropsychopharmacol Biol Psychiatry 2010;34:219224.Google Scholar
37.Kessler, RC, Adler, L, Ames, Met al. The World Health Organization Adult ADHD Self-Report Scale (ASRS): a short screening scale for use in the general population. Psychol Med 2005;35:245256.Google Scholar
38.Sheehan, DV, Lecrubier, Y, Sheehan, KHet al. The Mini International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-VI and ICD-10. J Clin Psychiatry 1998;59:2233.Google Scholar
39.Shlik, J, Aluoja, A, Kihl, E. MINI 5.0.0. Mini rahvusvaheline neuropsühhiaatriline intervjuu DSM-IV. Eesti versioon. 1999.Google Scholar
40.Fossella, J, Sommer, T, Fan, Jet al. Assessing the molecular genetics of attention networks. BMC Neurosci 2002;3:14. URL http://www.biomedcentral.com/1471-2202/3/14.Google Scholar
41.Fan, J, Fossella, J, Sommer, T, Wu, Y, Posner, MI. Mapping the genetic variation of executive attention onto brain activity. Proc Natl Acad Sci U S A 2003;100:74067411.Google Scholar
42.Enge, S, Fleischhauer, M, Lesch, KP, Reif, A, Strobel, A. Serotonergic modulation in executive functioning: linking genetic variations to working memory performance. Neuropsychologia 2011;49:37763785.Google Scholar
43.Lee, BT, Ham, BJ. Monoamine oxidase A-uVNTR genotype affects limbic brain activity in response to affective facial stimuli. Neuroreport 2008;19:515519.Google Scholar
44.Buckholtz, JW, Callicott, JH, Kolachana, Bet al. Genetic variation in MAOA modulates ventromedial prefrontal circuitry mediating individual differences in human personality. Mol Psychiatry 2008;13:313324.Google Scholar
45.Elsky, J, Jonassaint, C, Pluess, M, Stanton, M, Brummett, B, Williams, R. Vulnerability genes or plasticity genes? Mol Psychiatry 2009;14:746754.Google Scholar
46.Kiive, E, Harro, J. The effect of serotonin transporter gene promoter polymorphism on adolescent and adult ADHD symptoms and educational attainment: a longitudinal study. Eur Psychiatry 2012, doi: 10.1016/j.eurpsy.2012.04.004.Google Scholar
47.Lesch, KP, Bengel, D, Heils, Aet al. Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science 1996;274:15271531.Google Scholar
48.Hariri, AR, Mattay, VS, Tessitore, Aet al. Serotonin transporter genetic variation and the response of the human amygdala. Science 2002;297:400403.Google Scholar
49.Harro, J. Inter-individual differences in neurobiology as vulnerability factors for affective disorders: Implications for psychopharmacology. Pharmacol Ther 2010;125:402422.Google Scholar
50.Harro, J, Kiive, E. Droplets of black bile? Development of vulnerability and resilience to depression in young age. Psychoneuroendocrinology 2011;36:380392.Google Scholar
51.Kendler, KS. Decision making in the pathway from genes to psychiatric and substance use disorders. Mol Psychiatry 2013;18:640645.CrossRefGoogle ScholarPubMed
52.Huisman, J, Santiagop, , Högselius, P, Lemaitre, MJ, Thorm, W. OECD Reviews of Tertiary Education – Estonia. OECD Publications: Paris, France, 2007.Google Scholar
53.Carrel, RJ, Willard, HF. X-inactivation profile reveals extensive variability in X-linked gene expression in females. Nature 2005;434:400404.Google Scholar
54.Laas, K, Reif, A, Kiive, Eet al. A functional NPSR1 gene variant and environment shape personality and impulsive action: a longitudinal study. J Psychopharmacol 2013, doi: 10.1177/0269881112472562.Google Scholar