ADHDと肥満・糖尿病をつなぐ新たな生物学的関連を発見 ~ADHDの病態にアディポネクチンが関与~

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2026-08-19 国立精神・神経医療研究センター,浜松医科大学,大阪大学

出生コホート531組の母子を対象とした研究で、出生時の臍帯血中アディポネクチン濃度が低い子どもほど、6~9歳時のADHD症状が強く、症状が増悪する群にも入りやすいことが示された。さらに大規模ゲノムデータの解析から、ADHDとアディポネクチン濃度には遺伝的相関があり、ADHD発症リスクに関わる遺伝的変化を多く持つほどアディポネクチンが低下しやすいことが判明した。アディポネクチン低下は炎症マーカーの上昇とも関連していた。これらの結果は、ADHDと肥満、2型糖尿病、心血管疾患などの身体疾患を、代謝・炎症系を介して結び付ける生物学的経路の存在を示唆する。ADHDを神経発達だけでなく全身的な代謝・炎症との関連から捉える新たな視点を提供する成果である。

ADHDと肥満・糖尿病をつなぐ新たな生物学的関連を発見 ~ADHDの病態にアディポネクチンが関与~

<関連情報>

注意欠陥多動性障害の生物学におけるアディポネクチンの関与 Involvement of adiponectin in the biology of attention deficit hyperactivity disorder

Nagahide Takahashi,Toshiki Iwabuchi,Tomoko Nishimura,Akemi Okumura,Taeko Harada,Md Shafiur Rahman & Kenji J. Tsuchiya
European Child & Adolescent Psychiatry  Published:14 July 2026
DOI:https://doi.org/10.1007/s00787-026-03114-3

Abstract

We investigated the involvement of adiponectin in the development of attention-deficit/hyperactivity disorder (ADHD), using a multi-pronged approach integrating cord blood adiponectin concentrations, polygenic risk scores derived from publicly available GWAS summary statistics, and Mendelian randomization. This study aimed to evaluate both upstream genetic influences and downstream adiponectin-level associations. Using a combination of longitudinal cord blood data (N = 531) and genome-wide association studies of ADHD (N = 55,374) and adiponectin (N = 46,434), we examined observational, genetic, and associations linking adiponectin with ADHD. Lower cord blood adiponectin levels were associated with higher ADHD symptoms at ages 5–6 and 8–9, and predicted membership in the increasing-symptom trajectory group. Gene-set analysis demonstrated pathway-level overlap between ADHD and adiponectin regulation. Genetic correlation analysis showed a significant negative correlation between ADHD and adiponectin levels. Mendelian randomization provided stronger evidence for an association of ADHD on adiponectin levels. Polygenic risk score analysis also demonstrated a negative association between genetic liability for ADHD and cord blood adiponectin levels. Additionally, lower adiponectin levels were found to be associated with elevated inflammatory markers in the cord blood samples obtained from the cohort study, which may provide a potential explanation for the higher prevalence of metabolic comorbidities observed in individuals with ADHD. These findings suggest that adiponectin may be associated with the biologyof ADHD and targeting adiponectin regulation may offer a novel approach for managing ADHD and its related health risks.

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