ASD Flashcards
What is ASD characterised by
Impaired social interaction, communication deficits, stereotyped repetitive behaviour.
What is the prevalence of ASD
1/68, 4:1 in males
What are the life long challengnes of ASD?
Socio and economic burden, social interaction (anxiety, coping mechanisms may be adapted), restricted access to education,, no cure.
Describe the ASD triangle
Communication, repetitive/restricted behaviours, social interaction.
What are the comorbidities of ASD
Gi symptoms, sleep, seizures, aggression, motor disorders, anxiety, sensory deficits- think fussiness with food. Often have hypotnia (low muscle tone)
Discuss motor disorders in relation to ASD
All have repetitive behaviours, 60-80% will have hypotonia, gait problems, toe walking and apraxia. Both gross and fine motor impairments are common (simple grip force, handwriting, gait)- The cause of the movement disorders and repetitive behaviour is not known.
What are some of the brain regions involved in the movement disorders
Dorsal striatum (C and P), ventral striatum (NA- reward pathway and OT), GP,VP,SN, subthalmic nucleus. These are also involved in Tourette syndrome, OCD and PD. We known that all voluntary movement involves motor neurons in the SC and brainstem that cuase the contraction of skeletal muscles. The stratium and cerebellum modify these inputs.
Medium spinal neurons
Main gabanergic projections in the neurons of the stratium project out to other regions in the striatum. These are based on dopamine receptors (D1 and D2)
Give a brief discussion of genetics
Identical twin with a sibling you are 60-90% non identical 20%, more than 100 genes invovled, associated with synaptic mutations.
Genes that are mutated in Autism are related to synaptic function what are their roles
Vesicle release, synaptic scaffolding, receptor proteins, PSD (integrate signals)
Why use mice?
Breed genetically identical or induce mutation.
House in environments that are identical.
Discuss model validity in terms of construct, face, predictive.
Construct- similar aetiology (eg gene mutation)- the way in which you made the model makes sense in terms of the disease.
Face validity- traits that come along with the disease.
Predictive validity- response to clinically effective treatments.
Mouse models
30 models, including transgenic, phenotype first (weird mouse –test) and environmental models (toxins, valporate)
In the mutation of NLGN3 R451C what percentage of protein reaches the membrane?
10%
What does mutations of NL3 do in mice?
Social: Increase aggression (reversed by resperidone), communication- reduced vocalisation in early development.
Repetitivie- knock out and missense show improvements in motor learning- in autism you get highly agile children- repetitive behaviour keep learning.