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Chunk #26 — Discussion

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Investigating the contribution of common genetic variants to the risk and pathogenesis of ADHD.
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In a sample of 727 children with ADHD and 5,081 comparison subjects, there was no evidence of genome-wide significant association with any SNP. In keeping with previous results from a subsample of the present study, we found an increased burden of large and rare CNVs. Analysis of our top 100 SNPs in the ADHD genetics consortium meta-analysis and deCODE data sets yielded no significant evidence of association, after allowing for testing of individual SNPs, when the 100 SNPs were considered together and when the discovery GWAS data were combined with those from the other data sets. These results add to the four published GWAS studies of ADHD (6–10) that include meta-analyses in which no genome-wide significant findings had been found. The lack of significant GWAS findings could simply reflect sample sizes that are inadequate for the multiple testing burden, and it may be that when much larger samples are assembled for extended meta-analyses, common risk variants will be detected. That more sets of genes were significantly enriched for subthreshold association signals is consistent with this hypothesis, as it implies that the distribution of the association signals with respect to genes is not random.