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“Healing Autism: No Finer a Cause on the Planet”

February 5, 2002         News Morgue Search  www.feat.org/search/news.asp

RESEARCH

[These abstracts are synopsis of medical research that are peer reviewed.  Some contain highly technical language not intended for the lay reader. ]

·        Functional Neuroimaging And Childhood Autism

·        Impaired Categorical Perception Of Facial Expressions

·        Secretin Study

·        Understanding of Others’ Intentions In Children With Autism

·        Causes of Death In Autism.

·        On Biological Defects In Autism

·        Towards a Primate Model Of Autistic Symptomology

·        The Abnormal Regulation Of Gene Expression In Autistic Brain

Tissue

·        Study of Hippocampal Neurotransmitter Receptors In Autism

·        Dysregulation of Reelin

·        Current Investigations In Autism Brain Tissue Research.

·        Chromosome 22q11 Deletion Syndrome (CATCH 22):

 

 

Functional Neuroimaging And Childhood Autism

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11819054&dopt=Abstract <- - address ends here.  Boddaert N, Zilbovicius M.

Service Hospitalier Frederic Joliot, DRM, DSV, CEA, Orsay, France,

Boddaert@free.fr

Childhood autism is now widely viewed as being of developmental neurobiological origin. Yet, localised structural and functional brain correlates of autism have to be established. Structural brain-imaging studies performed in autistic patients have reported abnormalities such as increased total brain volume and cerebellar abnormalities. However, none of these abnormalities fully account for the full range of autistic symptoms.

Functional brain imaging, such as positron emission tomography (PET), single photon emission computed tomography (SPECT) and functional MRI (fMRI) have added a new perspective to the study of normal and pathological brain functions. In autism, functional studies have been performed at rest or during activation. However, first-generation functional imaging devices were not sensitive enough to detect any consistent dysfunction.

Recently, with improved technology, two independent groups have reported bilateral hypoperfusion of the temporal lobes in autistic children.  In addition, activation studies, using perceptive and cognitive paradigms, have shown an abnormal pattern of cortical activation in autistic patients.

These results suggest that different connections between particular cortical regions could exist in autism. The purpose of this review is to present the main results of rest and activation studies performed in autism.

PMID: 11819054 [PubMed - in  process]

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Impaired Categorical Perception Of Facial Expressions In High-Functioning Adolescents With Autism.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11815876&dopt=Abstract <- - address ends here.  Teunisse JP, de Gelder B.

Department of Psychology, University Medical Centre St. Radboud, Nijmegen,

The Netherlands

Categorical perception of facial expressions is studied in high-functioning adolescents with autism, using three continua of facial expressions obtained by morphing. In contrast to the results of normal adults, the performance on the identification task in autistic subjects did not predict performance on the discrimination task, an indication that autistic individuals do not perceive facial expressions categorically.

Performance of autistic subjects with low social intelligence was more impaired than that of subjects with higher social IQ scores on the expression recognition of unmanipulated photographs. It is suggested that autistic subjects with higher social intelligence may use compensatory strategies that they have acquired in social training programs This may camouflage the deficits of this subgroup in the perception of facial expressions.

PMID: 11815876 [PubMed - in  process]

* * *

 

Secretin Study

‘Secretin self-assembles and interacts spontaneously with phospholipids in vitro.’

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814635&dopt=Abstract <- - address ends here.  Gandhi S, Rubinstein I, Tsueshita T, Onyuksel H.

Department of Bioengineering, University of Illinois at Chicago, 60612,

Chicago, IL, USA

Secretin, a 27-amino acid neuropeptide, is a member of the secretin/glucagon/vasoactive intestinal polypeptide (VIP) superfamily of amphipathic peptides. The peptide modulates gastrointestinal and neuronal function and is currently being evaluated for the treatment of autism.  However, as most peptides, it has a short circulation half-life. Previously, we have shown that VIP self-assembles in aqueous environment and interacts with a biomimetic phospholipid membrane. These in vitro characteristics increase VIP half-life and bioactivity in vivo.

The purpose of this study was to investigate whether secretin exhibits similar properties in vitro by forming micelles in aqueous solution and interacting with phospholipids.

Results of this study demonstrated that secretin self-assembles to form micelles in HEPES buffer at 25ntries, a strong indication for the presence of several new species among the isolates.a], therefore, relies on the abrogation of both Pro and Asn hydroxylation, which during normoxia occur at the degradation and COOH-terminal transactivation domains, respC above [approximate]0.4 [mu]M. Additionally, secretin interacts with a biomimetic phospholipid membrane as indicated from a significant increase in membrane surface pressure (from 25.5 [plus minus] 1.3 to 32.5 [plus minus] 3.0, P < 0.05). Importantly, the peptide undergoes conformational transition from predominantly random coil in saline to [alpha]-helix in the presence of phospholipid, distearoyl-phosphatidylcholine-poly(ethylene) glycol (mol mass 2000) micelles. We suggest that these distinct biophysical attributes could modulate secretin bioactivity in vivo.

PMID: 11814635 [PubMed - as supplied by publisher]

* * *

 

Understanding of Others’ Intentions In Children With Autism.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814270&dopt=Abstract <- - address ends here.            Carpenter M, Pennington BF, Rogers SJ.

Max Planck Institute for Evolutionary Anthropology, Leipzig, Germany.

carpenter@eva.mpg.de

Many studies have shown that children with autism have difficulty understanding the thoughts and beliefs of other people. However, little research has been conducted on what these children understand about simpler mental states such as intentions. The current study tested the understanding of others’ intentions in 2 ½- to 5-year-old children with autism and a control group of children with other developmental delays. We used Meltzoff’s (1995) test of understanding of others’ unfulfilled intentions in an imitation context, with an additional “End State” condition.

We found no significant between-group differences on any measure involving the understanding of others’ intentions. Although within-group patterns suggested that children with autism may have a slightly less complex understanding of others’ intentions than do other children, it was clear that any deficits these children showed in this area were not as marked as those they typically show on traditional theory of mind tasks.

PMID: 11814270 [PubMed - in  process]

 

 

 

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Causes of Death In Autism.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814268&dopt=Abstract <- - address ends here.  Shavelle RM, Strauss DJ, Pickett J.

Life Expectancy Project, San Francisco, California, USA.

The objective of this study was to determine which causes of death are more frequent in persons with autism, and by how much, compared with the general population. Subjects were 13,111 ambulatory Californians with autism, followed between 1983 and 1997. The units of study were person-years, each linked to the subject’s age, sex, and cause of death (if any) for the specific year.

Observed numbers of cause-specific deaths were compared with numbers expected according to general population mortality rates. Standardized mortality rates (SMRs) were computed for each mental retardation level.  Elevated death rates were observed for several causes, including seizures and accidents such as suffocation and drowning; elevated mortality due to respiratory disease was observed among persons with severe mental retardation.

Overall, excess mortality was especially marked for persons with severe mental retardation, but life expectancy is reduced even for persons who are fully ambulatory and who have only mild mental retardation.

PMID: 11814268 [PubMed - in process]

* * *

 

On Biological Defects In Autism

‘Proteomic approach for the elucidation of biological defects in autism.’

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814266&dopt=Abstract <- - address ends here.  Junaid MA, Pullarkat RK.

Department of Developmental Biochemistry, New York State Institute for Basic Research in Developmental Disabilities, Staten Island 10314, USA.

Proteomic-based approaches, which examine expressed proteins in tissues or cells, have great potential in the elucidation of biological defects in heterogeneous neurodevelopmental disorders such as autism. In this approach, tissue or cellular proteins from control and affected subjects are separated on two-dimensional (2-D) polyacrylamide gel electrophoresis, and those proteins that show marked changes in the concentration between control and affected subjects are identified by mass spectroscopy.

This method has been successfully applied in the elucidation of the molecular biological defect in classic late-infantile neuronal ceroid lipofuscinosis (Sleat et al., 1997).

Unlike the classical methods of genome-wide screening for chromosomal localization followed by positional cloning, the proteomic approach requires limited number of tissue samples and the study can be completed in a relatively short time.

Currently, these methods are available for relatively abundant proteins and generally are not applicable for hydrophobic proteins because 2-D gel electrophoresis is not very effective in the analysis of hydrophobic proteins. The genetic defect results in either total loss of proteins or changes in molecular weight and/or isoelectric point will be detectable by the proteomic method.

Because autism is a neurogenetic disorder, brain is the tissue of choice for proteomic study. For an oligogenic disorder such as autism, at least some of the aberrant (genes) proteins may be identified by this technology.

PMID: 11814266 [PubMed - in process]

 

 

 

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Towards a Primate Model Of Autistic Symptomology

‘Functional genomics approaches to a primate model of autistic symptomology’

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814265&dopt=Abstract <- - address ends here.  Hemby SE, Sanchez MM, Winslow JT.

Department of Pharmacology, Emory University School of Medicine, Atlanta,

Georgia 30329, USA. shemby@pharm.emory.edu

Several studies indicate a primary dysfunction of the temporal lobe in autism, specifically the hippocampal formation and entorhinal cortex (EC).  Assessment of gene expression in the EC and hippocampus will provide insight into the subtle alterations in neuronal function associated with autism. To this end, evaluations in a primate model of social attachment, which produces behaviors associated with autism, in addition to the use of human post-mortem tissue from individuals diagnosed with autism will provide heretofore unattainable information of how the complex neural circuitry of this region is altered in autism.

Identification of altered expression of multiple genes should provide a molecular “fingerprint” of autism and may provide new targets for pharmacotherapeutic intervention.

PMID: 11814265 [PubMed - in process]

* * *

 

The Abnormal Regulation Of Gene Expression In Autistic Brain Tissue

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814264&dopt=Abstract <- - address ends here.              Purcell AE, Jeon OH, Pevsner J.

Department of Neuroscience, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

Autism is a pervasive developmental disorder of unknown etiology. It is likely caused by mutations in one or more genes. One approach to understanding the molecular changes that occur in autism is to measure gene expression in post-mortem brain samples from individuals diagnosed with autism.

This may be accomplished with techniques such as cDNA microarrays or subtractive hybridization. In general, gene expression is regulated as a function of body region, developmental time, and physiological state. A premise of the approaches we describe is that gene expression is regulated in cells from autistic individuals as a consequence of the disease process.

It may be useful to detect such changes in order to identify selective biological markers for autism. Additionally, the abnormal regulation of gene expression may reveal cellular pathways that have been disrupted, suggesting strategies for therapeutic intervention.

PMID: 11814264 [PubMed - in process]

* * *

 

Study of Hippocampal Neurotransmitter Receptors In Autism ‘Density and distribution of hippocampal neurotransmitter receptors in autism: an autoradiographic study.’

 

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814263&dopt=Abstract <- - address ends here.  Blatt GJ, Fitzgerald CM, Guptill JT, Booker AB, Kemper TL, Bauman ML.

Neurobiology of Developmental Disorders Laboratory, Department of Anatomy

and Neurobiology, Boston University School of Medicine, MA 02118, USA.

gblatt@cajal-1.bu.edu

Neuropathological studies in autistic brains have shown small neuronal size and increased cell packing density in a variety of limbic system structures including the hippocampus, a change consistent with curtailment of normal development. Based on these observations in the hippocampus, a series of quantitative receptor autoradiographic studies were undertaken to determine the density and distribution of eight types of neurotransmitter receptors from four neurotransmitter systems (GABAergic, serotoninergic [5-HT], cholinergic, and glutamatergic). Data from these single concentration ligand binding studies indicate that the GABAergic receptor system (3[H]-flunitrazepam labeled benzodiazepine binding sites and 3[H]-muscimol labeled GABA(A) receptors) is significantly reduced in high binding regions, marking for the first time an abnormality in the GABA system in autism.

In contrast, the density and distribution of the other six receptors studied (3[H]-80H-DPAT labeled 5-HT1A receptors, 3[H]-ketanserin labeled 5-HT2 receptors, 3[H]-pirenzepine labled M1 receptors, 3[H]-hemicholinium labeled high affinity choline uptake sites, 3[H]-MK801 labeled NMDA receptors, and 3[H]-kainate labeled kainate receptors) in the hippocampus did not demonstrate any statistically significant differences in binding.

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Dysregulation of Reelin

‘Dysregulation of Reelin and Bcl-2 proteins in autistic cerebellum.’

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814262&dopt=Abstract <- - address ends here.  Fatemi SH, Stary JM, Halt AR, Realmuto GR.

Department of Psychiatry, Division of Neuroscience Research, University of

Minnesota Medical School, Minneapolis 55455, USA. fatem002@tc.umn.edu

Autism is a severe neurodevelopmental disorder with potential genetic and environmental causes. Cerebellar pathology including Purkinje cell atrophy has been demonstrated previously. We hypothesized that cell migration and apoptotic mechanisms may account for observed Purkinje cell abnormalities.

Reelin is an important secretory glycoprotein responsible for normal layering of the brain. Bcl-2 is a regulatory protein responsible for control of programmed cell death in the brain.

Autistic and normal control cerebellar corteces matched for age, sex, and post-mortem interval (PMI) were prepared for SDS-gel electrophoresis and Western blotting using specific anti-Reelin and anti-Bcl-2 antibodies.  Quantification of Reelin bands showed 43%, 44%, and 44% reductions in autistic cerebellum (mean optical density +/- SD per 30 microg protein 4.05 +/- 4.0, 1.98 +/- 2.0, 13.88 +/- 11.9 for 410 kDa, 330 kDa, and 180 kDa bands, respectively; N = 5) compared with controls (mean optical density +/-SD per 30 microg protein, 7.1 +/- 1.6, 3.5 +/- 1.0, 24.7 +/- 5.0; N = 8, p < 0.0402 for 180 kDa band).

Quantification of Bcl-2 levels showed a 34% to 51% reduction in autistic cerebellum (M +/- SD per 75 microg protein 0.29 +/- 0.08; N = 5) compared with controls (M +/- SD per 75 microg protein 0.59 +/- 0.31; N = 8, p < 0.0451). Measurement of beta-actin (M +/- SD for controls 7.3 +/- 2.9; for autistics 6.77 +/- 0.66) in the same homogenates did not differ significantly between groups. These results demonstrate for the first time that dysregulation of Reelin and Bcl-2 may be responsible for some of the brain structural and behavioral abnormalities observed in autism.

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Current Investigations In Autism Brain Tissue Research.  http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11814261&dopt=Abstract <- - address ends here.               Pickett J.

Autism Tissue Program, Princeton, NJ 08540, USA. atp@brainbank.org

Brain tissue research has developed into a high-tech, multifaceted approach to understanding neurological disorders. Directed toward autism spectrum disorders, this investigative approach combines with other disciplines, such as imaging and genetics, to help explain the range and intensity of behaviors that characterize these disorders.

This report is intended as an update on current autism brain research efforts and has a dual purpose: first, to disseminate information to the scientific community in the hope of stimulating more thinking about autism research and future collaborations; and second, to let the autism community know what is happening with this precious resource that was donated in the hope of determining the cause of autism and finding effective treatments.

PMID: 11814261 [PubMed - in process]

* * *

 

Chromosome 22q11 Deletion Syndrome (CATCH 22):

neuropsychiatric and neuropsychological aspects.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_ui ds=11811651&dopt=Abstract <- - address ends here.  Niklasson L, Rasmussen P, Oskarsdottir S, Gillberg C.

Department of Child and Adolescent Psychiatry, University of Goteborg,

Sweden. ann.nordstrom@pediat.gu.se

Twenty children and young adults (age range 5 to 33 years, 12 females and eight males) with genetically confirmed 22q11 deletion syndrome (CATCH 22: Cardiac anomaly, Anomalous face, Thymus hypoplasia/aplasia, Cleft palate, and Hypocalcaemia), recruited from a large ongoing study, were given comprehensive assessments with a view to determining the pattern of neuropsychiatric and neuropsychological deficits thought to be part of the syndrome in many cases.

IQ ranged between 46 and 100 with a mean score of 70. Half the group had an IQ <70. In 13 individuals, attention-deficit-hyperactivity disorder (ADHD), mainly inattentive or combined type in most cases, and/or autism spectrum problems were diagnosed.

Many participants, even among those who had an IQ within the normal range and had neither ADHD nor autistic spectrum problems, showed a characteristic and pronounced behavioural profile with low mental energy, initiation difficulties, deficits in sustained attention, and social interaction (often augmented by limited facial expression and communication and speech problems).

PMID: 11811651 [PubMed - in  process]

 

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