ASD Flashcards
What is the aetiology of ASD?
Is heterogeneous therefore cannot pin down single, involves changes in: cell proliferation, neurogenesis, migration, laminar organisation, neurite outgrowth, synaptogenesis etc.
How is the cell cycle altered in ASD?
Shortened G1 and S phase:
G1) growth phase
S) DNA synthesis phase
This means overall cell cycle is accelerated and leads to massive overproliferation of neurons = larger and denser brain.
In ASD how are neurons altered in brain size and structure?
ASD: more neurons with fewer synaptic connections (less mature/developed). The neurons are more compact.
The more severe the ASD the more these brain changes can be seen (more dense, more synapses)
What are hcASD genes?
high confidence ASD genes: recurrent and reported accross multiple independent samples.
They are not present in typical population.
Thought to be over 100
Courchesne et al., 2020
How do hcASD genes support idea of ASD being a multi organ disorder?
Mouse models of hcASD genes (Chd8) show wide spread expression during organogenesis. Gut, thyroid, heart and eyes as well as cerebellum and neocortex.
Leads to: microbiome changes, arterial maldevelopment and whole body overgrowth.
Courchesne et al., 2020
Give 2 examples of hcASD genes.
Chd8: allelic variants associated with ASD, regulation of transcription, proliferation facilitation and RNA synthesis regulation.
FMR1: encodes FMRP (fragile X) and impacts AMPAR and therefore synaptic plasticity. Pathways regulated are found to be dysfunctional in ASD patients and there is also comorbidity.
Give evidence for or against ASD starting pre-natally.
FOR
94% of hcASD genes expressed in prenatal development.
Courchesne et al., 2020
What are Epoch 1 genes in ASD?
Genes implicated in 1-3rd trimesters of pregnancy.
Generally regulatory and cortex building genes = cell proliferation, neurogenesis, migration.
What are Epoch 2 genes in ASD?
Genes implicated in 3rd trimester and early postnatal life.
Generally regulatory and impact synaptogenesis, neurite growth etc.
How is layered strucure of the cortex changed in ASD?
Cortical minicolumns are more tightly packed.
Reduced neuronal size (esp layer V).
Layer VI is output layer and not significantly diff in ASD
What are Von Economo Neurons
Neurons only found in humans, gorillas, whales and elephants = highly social animals that can self recognise in a mirror.
Thought to have evolved to speed up communication around big brains and implicated in fast intuitive evaluation of complex social situations.
Found in frontal insula and ACC.
Outline how VENs are changed in ASD
Overexpressed with higher ratio of VEN to pyramidal neurons ( Santos et al., 2011) in layer V of frontal insula in post mortem.
Thought to underlie heightened interoception (physical sensation in body such as hunger) that has been described clinically.
Also shown to be morphologically different: swollen somata, corkskrew dendrites as well as being surrounded by oligodendrocytes = abnormal functioning.
NB: also shown that VENs are both over and under expressed in ACC… this complicates things.
Outline role of Neuroligins and neurexins
Synaptic cell adhesion molecules that work by binding to each other or intracellular proteins. Essential for neuronal function as in KO mice there are deficits in synaptic transmission.
Outline neuroligin mutation in ASD
NLgn3 gene mutation: increased excitatory synaptic activity esp in CA1 region of hippocampus. More dendritic branching.
KO mice show reduced brain volume and mutation mice also show reduced brain volume. There may be compensatory mechanisms at play.
NB: more branches goes against less branches seen autism brains, shows that this is not the full picture.
How was the neuroligin mutation identified and why is this significant?
Family where sons both had ASD. Inherited mutation from asymptomatic mum.
Despite same mutation brothers presented differently: classical and asperger’s. This heterogeneity reflects ASD and esp implicated developmental differences.
Outline neurexin mutation present in ASD
NRXN1: presents with intellectual disability, developmental delay, hypotonia, facial dymorphism and risk for schizophrenia.
Mutation (or loss) = fewer PV+ (Parvalbumin, fast spiking) GABA cells and increased pyramidal cell density.
What is the role of Shank3 in ASD?
Shank3 is a post synaptic densitiy protein that interacts with glutamate receptors (AMPAr) and links them to actin cytoskeleton (holds them in place).
mutation = Loss of SH3, synapse lose in CA1 (decreased spine density) and deletion shows increased dendritic complexity distal to soma and reduced spine density. Mice have reduced NMDAr expression in PFC.
In ASD: more NMDA and AMPA than normal.
How does valproic acid cause ASD?
Valproic acid: inhibits histone H3 and H4 deacetylation, adds COO- group to charged lysine residues.
Acetylation neutralises positive charge on histone proteins which decreases interaction of N termini of histones with negative phosphate group = euchromatin, increased gene transcription.
Therefore, causes increased gene expression seen in ASD.
VPA also alters GSK3 activity
inhibits GABA transaminase which deactivates GABA: GABA is excitatory in development so lack of deactivation means excess excitation in developing brain.
Changes to GABA in ASD in developed brain
GABA interneurons “the parvalbumin (PV)+ Chandelier (Ch) and PV+ Baskets cells (Bsk) cells, are decreased in the prefrontal cortex in autism.
VPA rats see same effects in cerebral cortex (Liu et al., 2018)
Outline valproic acid animal model for ASD
400mg/kg exposure causes 3 behavioural characteristic ASD traits (Chaliha et al., 2020)
1) reduced social behaviours
2) increased repetitive, stereotyped movement
3) increase in behaviours that reflect cognitive rigidity
Also increased tactile sensation and have sleep abnormalities.
Is VPA model valid?
Yes: face validity (behaviours - sleep, social) and construct (children exposed to VPA suffer fetal valproate syndrome with some developing ASD - mimics single aetiology, VPA is antiepileptic).
No: only representitive of single aetiology, ASD is heterogenic. Male VPA rodents show more robust social impairments and more stereotypies whereas females spend more time in social interaction than control (is this skewed towards men?).
pharmacological? ( not possible as no drug to treat ASD… however, korean red ginseng has been shown to improve social behaviour in rats)
VPA and social novelty
VPA rodents have decreased preference for novelty in both social and object domains.
This is similar to humans and may reflect rigidity, also hypothesised to be due to memory impairment. Eg - spatial learning and neuronal loss found in VPA rodents.
CA1 is changed in ASD
Chaliha et al., 2020
What drugs are used to treat VPA?
0 FDA approved to treat autism but antipsychotics
“aripiprazole and risperidone, principally target the accessory traits of irritability and aggressiveness”
VPA and gut microbiome
VPA: reduced fecal microbiome richness (diversity) and changed gut micro composition as well as altering metabolite potential of fecal as seen in ASD patients.
Lack of micro (rodent experiments in germ free) = differential gene expression, lack of preference for spending time with other mouse vs alone.
Similar to ASD as: differential effects in males and females, ASD suffer gastointestinal probs and changed gut microbiome due to increased permeability of BBB.