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

November 28, 2001        News Morgue Search  www.feat.org/search/news.asp

 

RESEARCH: Brain Teasers

·        Getting Emotional Is a Rational Decision

·        Music, the Brain, and Williams Syndrom

 

TREATMENT

·        Innovatively Nutritional, Behavior Program for Autism

Coming to Anaheim

FUNDRAISING

·        Autism Autoimmunity Project has Raised $110k+ for Autism Research

 

 

Getting Emotional Is a Rational Decision

[This may shed some insight into the workings of the autistic/Asperger mind. By Lee Bowman, Scripps Howard News Service.] http://www.brainconnection.com/SITEWare/2001/11/26/a/0000-0017-rationalmind.  ph <-- address ends here.

Sorry, Mr. Spock. It appears that even the most analytical of people turn to the emotional part of their brain when making personal decisions.

In the brain-imaging study, described Monday at a radiology meeting, 11 volunteers made choices between the better of two desirable things or picking between two undesirable events.

The functional magnetic resonance imaging found that the ventromedial frontal lobe - the part of the brain typically associated with emotions - was highly active even when volunteers were making what typically would be considered rational decisions.

In such studies, the brain’s metabolic activity is shown in a distinctive color on a computer screen, allowing scientists to see what parts of the brain are working during a given moment of thought.

“There’s an increasingly accepted school of thought in neuropsychology that there is a significant emotional component to all personal decision-making, and the brain scans in our study support that,” said Dr.  Dean Shibata, who carried out the study at the University of Rochester School of Medicine in New York.

Until recently, many researchers felt that the brain and decision-making were divided into separate “rational” and “emotional” components, rather than integrated and overlapping, said Shibata. He presented his findings before the Radiological Society of North America meeting in Chicago.

In the study, six women and five men each underwent two brain scans.  During each session, they were asked to choose between two desirable events, like taking a warm bath or eating a good meal, or had to select which was the worse of two undesirable events, such as being in a car accident or a robbery victim.

First, they were asked to make the decisions based on how it would affect them personally. During the second scan, they were given similar choices, but asked to base their decisions solely on cost, not as though the decision would affect their lives.

The scans showed there was significantly more activity in the frontal lobe when they were making the personal decisions than when they made choices based on cost.

Shibata, now an assistant professor of radiology at the University of Washington in Seattle, pointed out that other scientists have found similar evidence in people who have suffered brain injuries to the prefrontal lobes due to strokes or tumors.

“They have a very difficult time making even routine personal decisions, such as scheduling a doctor’s appointment,” but can objectively make decisions that affect someone else’s life, like recommending what type of car to buy, Shibata said. But faced with such a choice themselves, they’re frozen.

“If you eliminate the emotional guiding factors, it’s impossible to make decisions in daily life,” Shibata said. “Even while making decisions such as ‘should I put on my seat belt?’ you intuitively realize that without the seat belt, you might get hurt in a crash. That’s an emotional image. If you can’t envision that, you can’t make the decision to wear the seat belt.” The study underscores that surgeons need to be wary around the prefrontal lobe, the researcher said, and suggests that brain imaging may be useful in diagnosing psychiatric disorders like schizophrenia or depression, which may involve abnormal metabolism in the frontal lobes.

 

 

 

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* * *

 

Music, the Brain, and Williams Syndrome

Rare disorder offers insight into the genetic basis of cognition

[By Brendan A. Maher in The Scientist 15[23]:20, Nov. 26, 2001.]

http://www.the-scientist.com/yr2001/nov/research_011126.html

Gloria Lenhoff is a 46-year-old lyric soprano singer who has performed with such diverse groups as the San Diego Master Chorale and members of Aerosmith. She can sing nearly 2,500 songs in more than 25 languages, reportedly in a perfect accent. She even has perfect pitch.

But the rest of her world is not perfect. Gloria is affected by a rare genetic disorder called Williams syndrome. With an IQ of about 55, Gloria literally cannot subtract three from five or make change for a dollar. But what she and others with her affliction share is music.

Innately connected, they often have an astute grasp of music’s

technical aspects-the beat, rhythm, tone, and timbre. Identified more than

40 years ago, Williams syndrome results from non-homologous recombination

during gametogenesis that deletes about 20 genes on one copy of chromosome

7.1 Characteristics of Williams syndrome include pixie-like features-upturned nose, small chin, protrusive ears-as well as stunted growth, heart problems, poor visuospatial cognition, sensitivity to loud noises, a gregarious personality, and an average IQ of about 60.

Many of these individuals have difficulty with the simplest of mental and physical tasks, but some abilities, especially verbal skills, appear to be spared. Classified by some as a nonverbal learning disability, this syndrome allows speech and language aptitude that far exceeds their other cognitive functions.

A Williams-afflicted person, for example, couldn’t scribble more than

a few lines to depict an elephant but could describe one in expressive,

almost lyrical detail. “It has long gray ears, fan ears, ears that can blow

in the wind. It has a long trunk that can pick up grass or pick up hay,”

said a patient in an experiment conducted by Ursula Bellugi, director,

Laboratory for Cognitive Neuroscience at the Salk Institute for Biological

Studies.1

The dissociation between language and spatial cognition in Williams syndrome is evident in the contrast between a stick figure drawing and verbal description of an elephant by an 18-year-old with Williams syndrome.

To some, perhaps the most striking distinction is the extraordinary

connection that these people have with music. All exhibit a strong affinity

for music, and while their attention span for many tasks is fleeting, they

will spend hours listening to or making music. Research is scarce, but some

evidence shows a high incidence of perfect pitch, and an uncanny sense of

rhythm among this group.2,3 One boy with Williams syndrome was taught to tap

a complicated 7/4-time rhythm with one hand while keeping 4/4-time with the

other.4

Some researchers will not use the word “savant,” but all admit that a connection with music exists, and that it and the other anomalies in this syndrome might help to further knowledge about disease and how the brain develops and works.

Lessons from the Heart

Genetic discoveries of Williams syndrome began at the heart. “We were interested-still are interested-in obstructive vascular disease,” says Mark T. Keating, Howard Hughes Medical Institute investigator and professor of cell biology at Harvard Medical School. One such disease, supravalvular aortic stenosis (SVAS), exists in many Williams syndrome patients but also occurs in otherwise healthy patients.

For the latter, this genetic disorder results from a defective copy of

the ELN gene that encodes for elastin, a substance that comprises about half

of the dry weight of arteries. While conducting linkage analysis and

fluorescence in situ hybridization (FISH), Keating, then at the University

of Utah, and his team traced Williams syndrome to a de novo deletion of ELN

on Chromosome 7. They discovered that the responsible microdeletion at

7q11.23, unseen without FISH, included about 2 million base pairs that were

flanked by highly duplicative chromosome regions.1

Using FISH to identify the deletion region has reigned as a diagnostic tool for Williams syndrome, although work done by Stephen Scherer at Toronto’s Hospital for Sick Children department of genetics and genomic biology, recently uncovered a 1.5 million-base pair inversion of the deletion area that occurs in roughly 5 percent of Williams patients.5 Scherer says, “There’s this fallacy that you have to have the deletion to have the disease,” which can cause health insurance problems.

In 30 percent of these cases, the parents were found to have the inversion without the clinical manifestations of Williams. This inversion increases the likelihood of unequal crossing over and may be a mechanistic explanation for the Williams deletion. Genes in the usual deletion region include the Drosophila homologue, frizzled (FZD3), syntaxin 1A (STX1A), replication factor C2 (RFC2), the gene encoding for LIM-kinase 1 (LIMK1).

Rare partial deletions, smaller than the typical 2MB standard, exist, and the varying degrees of Williams syndrome characteristics they produce offer important insight in connecting cognitive function and genetics.  Individuals with a deletion that included only ELN and LIMK1 had the heart problems and the impaired visuospatial constructive cognition associated with Williams syndrome, but no other symptoms.

It’s believed, says Keating, that LIMK1’s role in cytoskeletal control and actin formation is responsible for developmental deficiencies in the posterior parietal cortex. Though work from a UK lab refutes this evidence,1 examining those rare cases of partial deletions and the traits they produce can lead to previously unconsidered gene-brain connections. “For instance,” says Colleen A. Morris, professor of pediatrics, University of Nevada School of Medicine and clinical collaborator with Keating, “most children with Williams syndrome have anxiety, but anxiety is also common in the general population. Might there be a gene within the Williams deleted region that is important in the general population in terms of anxiety?”

It’s a story that will continue to unfold as new technology becomes available. Eric Green, director, NIH Intramural Sequencing Center, presented six previously unreported genes in the deletion area at the American Society of Human Genetics meeting in October. His lab has been studying the deleted region in humans and 11 other non-human vertebrates.

“In primates,” Green says, “this is a very complicated region with these large duplicated blocks. In lower vertebrates it’s not so complicated and it’s not duplicated.” The evolutionary implications of this have incited Green to study this gene dense region on chromosome seven, “in everything from chimpanzees on down to pufferfish.”

The Language of Music

Anecdotal evidence of an intimate connection with music, a great memory for songs, and the kind of auditory finesse that can discern the differences between vacuum cleaner brands, has followed Williams people for some time, but little evidence has been published. Neuropsychologist Audrey Don, now at the children’s therapy unit at Good Samaritan Hospital in Seattle, was one of the first to explore the relationship. “Cognitively, kids with Williams syndrome are better with verbal skills. Their word knowledge and use of words is better than their nonverbal type of thinking,” she says.

She administered a simple musical test of tones and beats to people

with Williams syndrome and a control group matched for vocabulary level. She

found that musical ability matches verbal ability and was higher than the

Williams’ children overall cognitive abilities.2

Their parents, providing further survey information, reported an extremely strong and emotional connection with music. A lullaby tape, says Don, made one infant cry. When the child was older, she was asked why she wept; the child said the songs were too sad. An impromptu study conducted at the Williams Syndrome Music and Arts Camp in Massachusetts’ Berkshire Mountains gave another inkling into this particular peak of Williams cognition.

The experimenters asked eight children to imitate clapped rhythms.  They performed as well as normal, musically trained students who were matched to their mental age of five to seven years.3 But, the professional musicians that coded the responses qualified the mistakes of Williams subjects as “wrong in an interesting way.”3 They often missed the exact sequences, but creatively kept within the realm of the time signature, much like a jazz musician will jam.

The Williams subjects were three times as likely as controls to offer what the researchers called “creative completion” to the test rhythm when giving an incorrect response. Howard M. Lenhoff, professor emeritus, School of Biological Science, University of California, Irvine, recently completed a study linking Williams syndrome to a higher incidence of absolute or perfect pitch, a condition that normally occurs in one out of 10,000 people in Western populations; these people often study music from a very early age.

In numerous trials, five musically trained Williams subjects, including Lenhoff’s daughter, Gloria, displayed near-ceiling levels of absolute pitch.2 Of the subjects, which represent about 1/1000 of the Williams population, four could read music and name notes, a rare ability in Williams people. Gloria, says Lenhoff, was the only one unable to read music and had to be taught, but she still performed within the acceptable range of absolute pitch. Lenhoff chose a nonrandom sample of subjects because of their ability to name notes. While criticized for choosing outliers, he says, “If you look for the average, you’ll find the average.”

The age at which these participants began to study music raises other

questions. It’s commonly accepted that to develop perfect pitch, one has to

study music before age six, yet all of the subjects, save one, started after

this critical period. Lenhoff predicts that this period is extended in those

with the syndrome. “The open window gets jammed,” he says, “It’s open in

extended years, and I think into adulthood.” Lenhoff and others hypothesize

that this open window may be critical for language acquisition in early

years, but in normal populations it often fades with disuse-somewhat less

often, incidentally, in populations that speak tonal languages such as

Mandarin or Vietnamese.2

·        Article and references continue at:

http://www.the-scientist.com/yr2001/nov/research_011126.html

* * *

 

Innovatively Nutritional, Behavior Program for Autism Coming to Anaheim

January 11-12, 2002

Using Applied Behavior Analysis as a treatment base that is fully integrated with the medical and nutritional treatments offered by its Center, the International Child Development Resource Center (ICDRC) is marketing a program which begins touring the country the first of next year.  ICDRC’s focus is to lead families to comprehensive, integrated treatment soon after the child is diagnosed and at a cost they can afford.

The first stop is in Anaheim, California January 11-12, 2002.

The seminars, a program called Open Windows Essential Training, educates parents, professionals and educators on what issues may exist with their children with autism and how to address them. The two-day session is not just another conference. It’s practical training that can be applied immediately.

For the Registration Brochure for more information go to:

http://www.angelfire.com/on/FEATNews/ICDRC_Brochure.html

* * *

 

Autism Autoimmunity Project has Raised $110k+ for Autism Research

[From AAP’s Ray Gallup.]

http://www.casiquest.org/

http://www.gti.net/truegrit/

 

We are proud to announce that due to the September fund-raiser by Casi’s Quest on September 8th, that the Autism Autoimmunity Project has now raised over $110,000.00 for research.

The Autism Autoimmunity Project started raising funds for research in 1999. Congratulations to all the parents that have made this possible.  Special thanks and gratitude to April and Ronnie Oakes and all their board members at Casi’s Quest for what they have done and are doing for our children.

 

 

 

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