RT Journal Article SR Electronic T1 A genetic investigation of sex bias in the prevalence of attention deficit hyperactivity disorder JF bioRxiv FD Cold Spring Harbor Laboratory SP 154088 DO 10.1101/154088 A1 Joanna Martin A1 Raymond K. Walters A1 Ditte Demontis A1 Manuel Mattheisen A1 S. Hong Lee A1 Elise Robinson A1 Isabell Brikell A1 Laura Ghirardi A1 Henrik Larsson A1 Paul Lichtenstein A1 Nicholas Eriksson A1 23andme Research Team A1 Psychiatric Genomics Consortium: ADHD Subgroup, iPSYCH-Broad ADHD Workgroup A1 Thomas Werge A1 Preben Bo Mortensen A1 Marianne Giørtz Pedersen A1 Ole Mors A1 Merete Nordentoft A1 David M. Hougaard A1 Jonas Bybjerg-Grauholm A1 Naomi Wray A1 Barbara Franke A1 Stephen V. Faraone A1 Michael C. O’Donovan A1 Anita Thapar A1 Anders D. Børglum A1 Benjamin M. Neale YR 2017 UL http://biorxiv.org/content/early/2017/06/23/154088.abstract AB Attention-deficit/hyperactivity disorder (ADHD) shows substantial heritability and is 2-7 times more common in males than females. We examined two putative genetic mechanisms underlying this sex bias: sex-specific heterogeneity and higher burden of risk in female cases. We analyzed genome-wide common variants from the Psychiatric Genomics Consortium and iPSYCH Project (20,183 cases, 35,191 controls) and Swedish population-registry data (N=77,905 cases, N=1,874,637 population controls). We find strong genetic correlation for ADHD across sex and no mean difference in polygenic burden across sex. In contrast, siblings of female probands are at an increased risk of ADHD, compared to siblings of male probands. The results also suggest that females with ADHD are at especially high risk of comorbid developmental conditions. Overall, this study supports a greater familial burden of risk in females with ADHD and some clinical and etiological heterogeneity. However, autosomal common variants largely do not explain the sex bias in ADHD prevalence.