The Neurochemical Basis of Autism - From Molecules to Minicolumns

von: Gene J. Blatt

Springer-Verlag, 2010

ISBN: 9781441912725 , 300 Seiten

Format: PDF, OL

Kopierschutz: Wasserzeichen

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The Neurochemical Basis of Autism - From Molecules to Minicolumns


 

Preface

8

Contents

12

Contributors

14

Autism Spectrum Disorders: Clinical and Medical Perspectives

17

Introduction

17

Etiology

17

Clinical Presentation

18

Associated Medical Disorders

21

Seizure Disorders

22

Gastrointestinal Disorders

23

Sleep Disorders

23

Metabolic Disorders

24

Conclusion

25

References

25

The Male Prevalence in Autism Spectrum Disorders: Hypotheses on its Neurobiological Basis

28

Introduction

28

Neuroanatomical and Neurofunctional Features of Autism Spectrum Disorders in Relationship to Brain Sexual Dimorphisms

29

Theories Accounting for the Male Prevalence of ASD

30

Hemispheric Lateralization, Brain Sexual Dimorphisms and Foetal Testosterone

30

Foetal Testosterone and Autism

32

The Role of Oestrogens in Sexually Dimorphic Anatomy and Behaviour

34

Oestrogens, Reelin and Cerebellar Circuits

37

Concluding Remarks: Making Sense of the Complexity

38

References

38

Neuroanatomical-Behavioral Correlates in Autism: A Working Hypothesis

44

Introduction

44

Neuroanatomical Abnormalities in Autism

44

Limbic and Cerebellar Abnormalities and their Functional Relationship with Autistic Symptoms

46

Amygdala

47

Septal Nuclei

50

Anterior Cingulate Cortex

51

Hippocampus

51

Cerebellum

52

Developmental Hypothesis

53

Conclusions

55

References

55

The Morphology of Minicolumns

59

Minicolumns

59

Physiologically Defined Units

60

Pyramidal Cell Modules: Anatomically Defined Units Based on Apical Dendrite Clustering

61

The Basic Structure of the Pyramidal Cell Modules

61

Apical Dendritic Clusters in the Neocortices of Other Animals

67

The Spatial Arrangement and Connections of Apical Dendritic Clusters

69

Myelinated Axon Bundles

70

Unmyelinated Axon Bundles

71

A Conclusion

71

Minicolumns Based on Vertical Arrays of Neuronal Cell Bodies Seen in Nissl Stained Sections

73

Alterations in Nissl Stained Minicolumns

76

Alzheimer's Disease

76

Normal Aging

77

Autism

77

References

79

The Developmental Neuropathology of Autism

83

Introduction

83

Cellular Neuropathology

83

Abnormal Postnatal Brain Growth

88

Relationship Between Cellular Pathology and Abnormal Brain Growth

90

Concluding Remarks on Abnormal Grain Growth

92

References

92

Understanding Alterations During Human Brain Development with Molecular Imaging: Role in Determining Serotonin and GABA Mechanisms in Autism

97

Studies of Brain Development with PET

97

Serotonin Synthesis

97

GABA A Receptors

98

Alteration of Serotonin Synthesis Capacity in Autism

98

Alterations of GABA A Receptor Binding in Autism

99

Pharmacological Intervention in Autism to Restore Neurochemical Developmental Patterns

99

Mechanisms of Serotonin Effects on Brain Development

100

Mechanisms of GABA Effects on Brain Development

101

Combining Pharmacological and Behavioral Interventions

103

Conclusion

103

References

104

Glutamic Acid Decarboxylase (GAD) as a Biomarker of GABAergic Activity in Autism: Impact on Cerebellar Circuitry and Function

108

Glutamic Acid Decarboxylase Activity Is Involved in the Modulation of GABA Levels

108

GABA as a Developmental Factor

110

Regional Distribution of GAD in Cerebellar Interneurons

111

Cerebellar Circuitry, Function, and the Region of Interest: Crus II Region in the Posterior Lobe in the Lateral Hemisphere

111

GAD Abnormalities in the Cerebellum in Autism

113

GAD67 mRNA Levels in Purkinje Cells in the Crus II Region

113

GAD67 mRNA Levels in Cerebellar Basket and Stellate Cells in the Crus II Region

113

GAD67 mRNA Levels in Golgi Cells in the Crus II Region

114

GAD65 mRNA Levels in the Dentate Nucleus

114

Altered GAD in the Lateral Cerebellar Hemisphere May Impact the Normal Functioning of Cerebellar Circuitry in Autism

114

Additional Functional Considerations

117

Concluding Notes and Ongoing Studies

118

References

119

Epigenetic Dysregulation of 15q11-13 GABAA Receptor Genes in Autism

125

GABA A Receptor Function and Genome Organization

125

Role of GABA in Brain Function

125

Genomic Clustering of the GABA A Receptor Genes in the Human Genome

126

Phenotypic Consequences of Disruption of Gaba a Receptors

127

Chromosome 15q11-13 and Neurodevelopmental Disorders

127

Prader--Willi and Angelman Syndromes

129

Rett Syndrome

129

Chromosome 15q11-13 Duplication Syndrome

130

Genetic Evidence for 15q11-13 Involvement in Autism

131

Linkage and Association Studies in Autism

131

GABRB3 Protein Defects in Autism Post-mortem Brain

131

Phenotypic Consequences of GABRB3 Deficiency

132

Complex Regulation of 15q11-13 GABA A Receptors

132

Paternal Expression Bias of 15q11-13 GABA A Receptor Genes

132

Aberrant Monoallelic Expression of 15q11-13 GABA A Receptor Subunits in Autism

133

Homologous Pairing of 15q11-13 Chromosomes in Neurons

133

References

134

Cholinergic Component of Autism Spectrum Disorder

140

Introduction

140

Abnormal Brain Development in Autism

140

The Excitatory/Inhibitory Ratio Theory

142

Cholinergic System

142

Post-mortem Studies

144

Muscarinic Receptor Changes in Autism

144

Nicotinic Receptor Changes in Autism

144

Growth Factors Modulating the Cholinergic System

147

Interpretations

148

Cholinergic Therapies for Autism

149

Acetylcholinesterase Inhibitors (ChEI)

149

ChEI Treatment in Schizophrenia

150

ChEI Treatment in Down Syndrome (DS)

150

ChEI Treatment in Autism

151

Nicotinic Agonists

162

Conclusions

162

References

164

Oxytocin and Autism

173

Introduction

173

Neurobiology of Oxytocin: Preclinical Studies

173

Neurobiology of Oxytocin Action in Humans

174

Oxytocin and Autism: Preliminary Evidence and Neurobiological Mechanisms

177

References

180

The Role of the Noradrenergic System in Autism SpectrumDisorders

184

Noradrenergic System and Autism

184

Noradrenergic System, Stress, and Cognition

185

Noradrenergic System, Cognition, and Autism

186

Mechanism of the Effects of the Noradrenergic System on Cognition

187

Future Directions

189

References

190

Oxidative Stress in Autism and Its Implications for Dopamine-Stimulated Phospholipid Methylation

194

Redox and Methylation

195

Redox Regulation in the Brain

196

Dopamine-Stimulated Phospholipid Methylation

200

Oxidative Stress and Neuroinflammation in Autism

202

The Autism/Vaccination Controversy

204

Future Directions

205

References

205

Neuroligins and Neurexins: Synaptic Bridges Implicated in Autism

209

Introduction

209

Neuroligins and Neurexin-1 as Candidate Autism Genes

210

Neurexins: Discovery, Domain Structure, and Brain Distribution

211

Neuroligins: Discovery, Domain Structure, and Brain Distribution

212

Role of Alternative Splicing in Neurexin/Neuroligin Interaction

213

Involvement of Neurexin/Neuroligin in Synapse Formation or Validation

214

Autism Animal Model Based on Neuroligin 3 Mutation

216

Future Questions and Mouse Models

219

References

220

The Neurophysical Chemistry of Autism: Postulates from Intelligence Modeling

224

Introduction

224

Defining the State of Autism for Input Into the Intelligence Modeling Paradigm

226

The Method of Intelligence Modeling and Cognitive Dynamics

227

A Paradigm for a Unified Theoretical Neuroscience

227

IM is a Distinct Program of Computational Neurology

228

The Systems Modeling Tools Used in IM and CDT

229

Intelligence Modeling is a Method of Scientific Model Building

230

The IM Process

231

Intelligence Modeling of Ambiguous Figures

233

Cognitive Dynamics Describes How Brains Assemble and Then Operate on Internal Mental Models

236

Cybernetic Action and the Principle of Least Cybernetic Action

238

A Cognitive Dynamics Treatment of Dogginess and Bearishness -- Complex Knowledge Interactions Map to Complex or Interacting Surfaces

239

The Cognitive Dynamics of Autism

241

Does Migraine Provide Insight into ASD?

243

Mechanistic Considerations in Autism

244

References

249

Pharmacological Treatment of Autism

251

Introduction

251

Secretin: A Cautionary Tale

252

Antidepressants

252

Stimulants

255

Antipsychotics

257

Anticonvulsants

261

Alpha 2 Adrenergic Antagonists

262

Melatonin

263

Naltrexone

263

Acetylcholinesterase Inhibitors

265

NMDA Receptor Antagonists

265

Benzodiazepines

266

Conclusion

267

References

267

Appendix: Lay Abstracts/Summary

274

Chapter 1: Autism Spectrum Disorders: Clinical and Medical Perspectives

274

Chapter 2: The Male Prevalence in Autism Spectrum Disorders: Hypotheses on Its Neurobiological Basis

274

Chapter 3: Neuroanatomical-Behavioral Correlates in Autism: A Working Hypothesis

275

Chapter 4: The Morphology of Minicolumns

276

Chapter 5: The Developmental Neuropathology of Autism

277

Chapter 6: Understanding Alterations During Human Brain Development with Molecular Imaging: Role in Determining Serotonin and GABA Mechanisms in Autism

277

Chapter 7: Glutamic Acid Decarboxylase (GAD) as a Biomarker of GABAergic Activity in Autism: Impact on Cerebellar Circuitry and Function

277

Chapter 8: Epigenetic Dysregulation of 15q11-13 GABA A Receptor Genes in Autism

278

Chapter 9: Cholinergic Component of Autism Spectrum Disorder

279

Chapter 10: Oxytocin and Autism

279

Chapter 11: The Role of the Noradrenergic System in Autism Spectrum Disorders

280

Chapter 12: Oxidative Stress in Autism and Its Implications for Dopamine-Stimulated Phospholipid Methylation

280

Chapter 13: Neuroligins and Neurexins: Synaptic Bridges Implicated in Autism

281

Chapter 14: The Neurophysical Chemistry of Autism: Postulates from Intelligence Modeling

281

Chapter 15: Pharmacological Treatment of Autism

282

Subject Index

284