Autism Flashcards
DSM-V criteria
Social communication and interaction
Restricted and repetitive behaviour
Patient studies identifying key autism features
Eye fixation
Theory of mind
Brain volume
Cerebellar injury
40x risk
CHI patients cognitive defects
Purkinje cell loss
73% children with autism show PC loss on autopsy
GABAergic neurons involved in cerebelllar motor co-ordination
GAD65/67 antibodies prevent L-glu to GABA conversion
Excitotoxicity due to GABA accumulation induces PC death
VPA exposure- sx, rat model
VPA- HDAC inhibitor
Trigonocephaly, flat nose, thin-arched eyebrows
Time dependent effects of VPA administration in rats- E12- Neural tube closure
- Greatest deficits in sociability/social preference tests
Valpromide- no HDAC activity- no behavioural differences
Polymorphisms in OXTR cause
Reduced pair bonding
Impaired facial recognition memory
Impaired emotional empathy
OXTR KO mice model
Three chamber test- social memory/preference
Aggressive behaviour
T maze reversal- resistance to change
Reversible upon OXT/AVP administration
CNTNAP2 KO model
CDFE syndrome- autism in 70% cases
KOs
-Social interaction (3 chamber test)
Restored with IV/endogenous Melanocortin-mediated OXT
Lower OXT in PVN cells; DREADD activation of these improved social interest
Intranasal OXT humans
DB RCT
Significant overall but individually only with easy questions
Symptoms/pathophysiology of FXS
Large feet, face, jaw, ears Flexible fingers Macroorchidism Cognitive/learning impairments ASD in 1/3 patients
Increased (200+) CCG repeats in FMR1 gene
Fruitfly FXS model
dfmr1 mutants vs WTs
Courtship index
Rescue- partial restoration
Glutamate feeding and mGluR theory
Viability in glutamate excess
mGluR5 antagonists e.g. MPEP- improved viability and CI)
Crosslinking Immunoprecipitation
FMRP targets mRNA involved in synaptic function, and ASD candidate genes e.g. neuroligins
Plasticity in mGluR theory
FMR1 KO mice
Cortex LTP
Reduced GluR1 subunit expression
No changes in other learning-implicated proteins
Chronic CTEP for FMR1 KO mice
Commenced early adulthood
Dark compartmental assay
Locomotor hyperactivity
Reduction in elevated LTD and excessive hippocampal protein synthesis