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4. Copy number variations as gene candidates in ADHD

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4. Copy number variations as gene candidates in ADHD

Copy number variants (CNVs) are genetic variations that include deletions and duplications of chromosome segments. CNVs occur in less than 1% of the total population. However, they have a major impact on the risk of1

  • ADHD234
  • ASS
  • mental disability
  • Schizophrenia
  • physical illnesses

4. Copy number variations (CNV), which appear to be involved in the development of ADHD

Gene databases:
omim.org and http://www.uniprot.org/

4.1. 22Q11.2 Duplication / deletion

The 22q11.2-deletion syndrome Occurs once in 2150 births, the prevalence of ADHD at 22q11.2Del is around 6% to 37%.5

The 22q11.2-duplication syndrome Occurs once in 1600 births, the ADHD prevalence at 22q11.2Dup is around 18.2 % to 44 %.5

More on this under Monogenetic causes of ADHD.

4.2. 2P16.3 (NRXN1)

Exonic NRXN1 deletions occur in 0.039 to 0.07% of all people and are associated with a 10 to 20% risk of ADHD and an up to 20-fold increased risk of other psychiatric disorders.
More on this under Monogenetic causes of ADHD.

4.3. 15Q11.2 (BP4)

Deletion.2

4.4. 15Q13.3 (BP4.5-BP5)

Deletion.2

4.5. 22Q11.21 (COMT)

Deletion.2

Duplication.2

4.6. 1Q21.1 distal

Duplication.2

1q21.1 (BP 3-4) loss/gain
Duplication.
HR: 2.656

4.7. 16P11.2 proximal

Duplication.2

4.8. 16P13.11

Duplication.2
16p13.11 (BP 2-3) HR: 2.016

16p13.11 (BP 2-3)
Deletion.
HR: 2.266

4.9. 16P13.2

Source:7

4.10. 17Q12 (HNF1B) loss/gain

Deletion.
HR: 4.246

Duplication.
HR: 4.196

4.11. 16P12.1 (EEF2K, CDR2)

Deletion.
HR: 1.866

4.12. 15Q13.3 (BP 4-5)

Deletion.
HR: 2.516

4.13. 15Q11.2 (BP 1-2)

Deletion.
HR: 1.436

Duplication.
HR: 1.426

4.14. 2Q11.2 (A-B) loss/gain

Duplication.
HR: 2.616

4.15. 16P11.2 (BP 4-5) loss/gain

Duplication.
HR: 2.636

4.16. TAR (BP 2-3) loss

Duplication.
HR: 1.766

4.17. PWAS (BP 2-3) loss/gain

Duplication.
HR: 3.646

4.18. 16P11.2 (BP 4-5) loss/gain

Duplication.
HR: 2.636


  1. Dennison CA, Martin J, Shakeshaft A, Riglin L, Powell V, Kirov G, Owen MJ, O’Donovan MC, Thapar A (2025): Early manifestations of neurodevelopmental copy number variants in children: A population-based investigation. Biol Psychiatry. 2025 Mar 14:S0006-3223(25)01050-9. doi: 10.1016/j.biopsych.2025.03.004. PMID: 40090564.

  2. Gudmundsson, Walters, Ingason, Johansson, Zayats, Athanasiu, Sonderby, Gustafsson, Nawaz, Jonsson, Jonsson, Knappskog, Ingvarsdottir, Davidsdottir, Djurovic, Knudsen, Askeland, Haraldsdottir, Baldursson, Magnusson, Sigurdsson, Gudbjartsson, Stefansson, Andreassen, Haavik, Reichborn-Kjennerud, Stefansson (2019): Attention-deficit hyperactivity disorder shares copy number variant risk with schizophrenia and autism spectrum disorder. Transl Psychiatry. 2019 Oct 17;9(1):258. doi: 10.1038/s41398-019-0599-y.

  3. Ramos-Quiroga JA, Sánchez-Mora C, Casas M, Garcia-Martínez I, Bosch R, Nogueira M, Corrales M, Palomar G, Vidal R, Coll-Tané M, Bayés M, Cormand B, Ribasés M (2014): Genome-wide copy number variation analysis in adult attention-deficit and hyperactivity disorder. J Psychiatr Res. 2014 Feb;49:60-7. doi: 10.1016/j.jpsychires.2013.10.022. PMID: 24269040.

  4. Williams NM, Zaharieva I, Martin A, Langley K, Mantripragada K, Fossdal R, Stefansson H, Stefansson K, Magnusson P, Gudmundsson OO, Gustafsson O, Holmans P, Owen MJ, O’Donovan M, Thapar A (2010): Rare chromosomal deletions and duplications in attention-deficit hyperactivity disorder: a genome-wide analysis. Lancet. 2010 Oct 23;376(9750):1401-8. doi: 10.1016/S0140-6736(10)61109-9. PMID: 20888040; PMCID: PMC2965350.

  5. Sauter C, Romanos M, Radtke, F (2024): Deletions- und Duplikationssyndrom 22q11.2 und ADHS, neue AKZENTE Nr. 129 3/2024, 10

  6. Vaez M, Montalbano S, Calle Sánchez X, Georgii Hellberg KL, Dehkordi SR, Krebs MD, Meijsen J, Shorter J, Bybjerg-Grauholm J, Mortensen PB, Børglum AD, Hougaard DM, Nordentoft M, Geschwind DH, Buil A, Schork AJ, Helenius D, Raznahan A, Thompson WK, Werge T, Ingason A; iPSYCH Investigators (2024): Population-Based Risk of Psychiatric Disorders Associated With Recurrent Copy Number Variants. JAMA Psychiatry. 2024 Oct 1;81(10):957-966. doi: 10.1001/jamapsychiatry.2024.1453. PMID: 38922630; PMCID: PMC11209205.

  7. Gregersen NO, Lydersen LN, Biskopstø M, Zachariasen JF, Jespersen RF, Stórá T, Andorsdóttir G, Wang AG (2024): Whole-exome sequencing implicates 16p13.2 as a risk locus for attention-deficit/hyperactivity disorder in the Faroese population. Psychiatr Genet. 2024 Aug 1;34(4):91. doi: 10.1097/YPG.0000000000000370. PMID: 38958187.

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