[The Genetic Basis of ADHD - An Update]

The Genetic Basis of ADHD - An Update Abstract. Genetic risks play an important role in the etiology of attention-deficit/hyperactivity disorder (ADHD). This review presents the current state of knowledge concerning the genetic basis of the disorder. It discusses the results of twin- and family-based studies, linkage and association studies as well as recent findings resulting from Genome Wide Association Studies (GWAS). Furthermore, it elaborates on the relevance of polygenic risk scores, rare variants, and epigenetic alterations, especially in light of findings on genetic pleiotropy in the context of frequent psychiatric comorbidities in patients with ADHD.

[Nutrition and mental health - how findings from genetic studies can support the identification of dietary effects]

Nutrition and mental health - how findings from genetic studies can support the identification of dietary effects Abstract. Introduction: Numerous studies indicate that dietary interventions could be an important approach to the prevention and treatment of mental disorders. However, conventional nutritional epidemiological approaches (e. g., observational studies and randomized controlled trials, RCTs) have specific limitations to consider when interpreting the results. This article examines whether genetic studies could help to establish a link between diet and the prevention of mental disorders. Furthermore, it examines whether it is possible to draw conclusions about causal relationships. Methods: This narrative review describes various approaches of genetic cross-phenotype studies and presents examples of their applications in nutritional psychiatry. In addition, it discusses specific requirements as well as the strengths and limitations of the respective approaches. Results: To date, in the context of nutritional psychiatry, genetic correlation analyses, look-up analyses, and Mendelian randomization (MR) studies have been used for genetic crossphenotype analyses. Genetic correlation and look-up analyses provide initial evidence of possible overlap between specific mental disorders and metabolic pathways or specific nutrients. MR studies are used for detailed analyses that aim to identify causal relationships. However, MR is based on specific assumptions that must be met and considered when results are interpreted. Conclusion: Genetic cross-phenotype analyses are a useful amendment to conventional nutritional epidemiological research. In particular, positive results from MR studies provide an important fundament for identifying and developing suitable dietary interventions, which in turn increases the chance of success upon testing in subsequent RCTs. Accordingly, genetic cross-phenotype analyses are important instruments for increasing the efficiency in nutritional psychiatric research.

Archetypes and the 'Impoverished Genome' argument: updates from evolutionary genetics

Throughout his career, Jung felt the psyche had 'ancestral layers' that contained elements of an individual's species history, and clinical experience has shown that this idea can be an aid to psychological healing and emotional well-being. Thus, some later thinkers have attempted to link such theoretical constructs to the genome, as Jung had little knowledge of genetics in his day. But in the early 2000s, genome studies suggested that the genome might contain too little content to be capable of encoding symbolic information. This opinion gave rise to an oft-repeated 'impoverished genome' argument, i.e. that the genome could not provide a significant contribution to the collective unconscious, prompting theorists to propose other sources for it, or to argue that it doesn't exist. Today, however, developments in evolutionary neurogenetics calls the impoverished genome argument into question for a number of independent reasons. These developments re-open the idea that the genome may be worth reconsidering as the biological substrate for the collective unconscious.

Early life predictors of callous-unemotional and psychopathic traits

Psychopathy is a disorder that occurs primarily in males. Offenders with psychopathic traits are responsible for a disproportionate amount of crime in society, particularly violent crime. Early childhood is a time when individual differences in empathy and guilt-key indicators of the construct of psychopathy-are first evident. A growing number of longitudinal studies have begun to investigate how factors in infancy and early childhood predict psychopathic-like traits in later childhood, adolescence, and adulthood. These studies have suggested that parenting styles during infancy (parental sensitivity, maternal harsh intrusion, commenting on the emotional state of the child) as well as attachment styles are predictive of later psychopathic-like traits. In addition, child characteristics such as temperament and the functioning of biological systems such as the autonomic nervous system and hypothalamic-pituitary-adrenal axis are predictive. Overall, studies have suggested that at least some of the origins of psychopathic traits are present in infancy and early childhood, which is consistent with the perspective of psychopathy as a neurodevelopmental disorder. A recent evolutionary-developmental model provides hypotheses regarding how psychopathy may develop and why it is more common in males than females. This model, and its implications for intervention, is discussed in the context of the longitudinal studies that have been conducted on psychopathy.

[Not Available]

Zusammenfassung. Hohe Lp(a)-Konzentrationen sind mit koronarer Herzkrankheit (KHK) und Aortenstenosen assoziiert. Dieser Zusammenhang ist mit hoher Wahrscheinlichkeit kausal und wurde durch genetische und epidemiologische Studien und zum Teil auch interventionelle Daten sehr eindrücklich untermauert. Die therapeutischen Möglichkeiten sind zwar bis auf Ausnahmen momentan noch beschränkt, es gibt aber begründete Hoffnung für die nächsten Jahre. Das Wissen, dass sich hinter einer KHK nicht selten ein erhöhter Lp(a)-Spiegel versteckt, ist zurzeit leider noch zu wenig im klinischen Alltag angekommen. Das «Dornröschen» Lp(a) muss für die klinische Diagnostik dringend wachgeküsst werden. Bei Feststellung hoher Konzentrationen sind ein strenges Management anderer Risikofaktoren und die Beobachtung des Patienten gefordert. Dies schliesst auch die Beratung und Beobachtung eventueller direkter Familienangehöriger mit ein. Damit kann oft die für die Patienten quälende Frage nach dem «Warum» beantwortet und unnötiges weiteres Leid vermieden werden.

[Sport, is it really so good for health?]

Physical activity is necessary for life and is one of the greatest opportunities to improve the health of populations, although it is sometimes mixed up with sports which can cause injuries or acute cardiac events. Nevertheless, some sedentaries can present with metabolic adverse responses after initiation of a well-planned, health-enhancing physical activity program. This sort of exercise intolerance has some genetic roots and does not necessarily imply that all physical activity should be stopped, but rather must be considered as a side effect of therapy that needs optimizing. Individualization of exercise prescription will always consider follow-up and has to be dynamic according to observations made with the patient.

[Genomics and personalized medicine]

Personalized medicine has a substantial potential to transform the way diseases will be predicted, prevented and treated. The field will greatly benefit from novel DNA sequencing technologies, in particular commoditization of individual whole genome sequencing. This evolution cannot be stopped, and the medical and scientific community, as well as the society at large, have the responsibility to anticipate the expected benefits from this revolution, but also the potential risks associated with it. Massive investments will be needed for the potential of personalized medicine to be realized, and for the field to come to maturity. In particular, a paradigm change in the way clinical research is done is needed. Switzerland and its Western part pro-actively anticipate these changes.