Autism Etiologies Flashcards

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1
Q

Evidence of neurodegeneration in autism

A

1) significantly decreasing amount of Purkinje cells in the brain
2) neuronal cell loss,
3) activated microglia and astrocytes,
4) proinflammatory cytokines,
5) oxidative stress,
6) elevated 8-oxo-guanosine levels

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2
Q

8-oxo-guanosine

A

one of the most common DNA lesions resulting from reactive oxygen species modifying guanine

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3
Q

Microglia

A

the resident macrophage cells, they act as the first and main form of active immune defense in the central nervous system (CNS).

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4
Q

Astrocytes

A

a sub-type of glial cells in the central nervous system - envelop synapses

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5
Q

Microglia

A
  • the resident macrophage cells, they act as the first and main form of active immune defense in the central nervous system (CNS)
  • maintain cerebral homeostasis
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6
Q

Describe the vicious cycle of oxidative stress

A

1) Oxidative stress causes damage to mtDNA
2) Damaged mtDNA leads to decrease in coding for proteins needed for electron transport chain
3) Decreased function of electron transport chain leads to decreased energy and increased free radicals (oxidative stress)
4) Increased oxidative stress causes damage to the cell membrane
5) Damage to the cell membrane leads to release of cytochrome C leading to apoptosis or cell death
6) Cell death leads to more oxidative stress

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7
Q

Describe microglial activation

A
  1. Rapid proliferation of microglial cells
  2. Migrate to site of infection
  3. M1 activated microglia: neurotoxic with release of pro-inflammatory cytokines
  4. Engulf dying cells, infectious agents, toxic proteins, and cell debris
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8
Q

List some pro-inflammatory cytokines

A

TNFalpha, IL-1B, IL-6, COX, Reactive oxygen species (ROS), Nitric oxide

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9
Q

M1 microglia

A

Responsible for inflammation

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10
Q

Functions of astrocytes

A

1) Induce formation of neuronal synapses
2) Formation and maintenance of BBB
3) Neurotransmission: component of tripartite synapse model
4) Homeostasis and turnover of glutamate
5) Metabolic regulation
6) Ion balance maintenance
7) Key role in development of the nervous system

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11
Q

Neuroinflammatory markers in ASCs

A

1) Microglial activation
2) Astrocytic activation with elevated levels of GFAP(glial fibrillary acidic protein)
3) Proinflammatory profile of cytokines in the brain, CSF and blood
4) Nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) activation

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12
Q

Evidence of autoimmunity in autism

A

accumulation of T cells and astrocytes in postmortem brain tissue
brain blebs may be formed in response to the infiltration of T cells into the space between blood vessels and neural tissue, while the cell fragments they contain could come from the astrocytes that make up the glia limitans

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13
Q

Glia limitans

A

the final wall of defense separating neural tissue from foreign and toxic substances circulating in the blood

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14
Q

What is the BBB

A

The blood-brain barrier is a dynamic interface between the peripheral blood supply and the cerebral parenchyma, controlling the transport of material to and from the brain

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15
Q

BBB dysfunction in ASCs - specifics:

A

Perturbation of these processes:
Tight junctions between the endothelial cells of the cerebral microvasculature limit the passage of large, negatively charged molecules via paracellular diffusion.
Transcellular transportation across the endothelial cell is controlled by a number of mechanisms including transporter proteins, endocytosis, and diffusion.

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16
Q

BBB dysfunction in ASCs – basics

A

Increased permeability of the BBB leading to increased infiltration of peripheral material into the brain culminating in neuroinflammation and oxidative stress.

17
Q

Microglial role in development

A
  • help to set up the circuits of the brain by strengthening appropriate cell-to-cell connections and by eliminating improper connections in the brain
  • regulate the plasticity of brain cells and prune synapses
18
Q

Gliosis

A

proliferation or hypertrophy of several different types of glial cells, including astrocytes, microglia, and oligodendrocytes

19
Q

Clostridia metabolites:

A

3-(3-hydroxyphenl)-3-hydroxypropionic acid (HPHPA) and 4-cresol

20
Q

Clostridia metabolite effect

A

inactivate dopamine beta-hydroxylase, which is needed for the conversion of dopamine to norepinephrine

21
Q

So what have heavy metals got to do with anything

A

Cause activation of microglial immune cytokines

22
Q

What has glutamate got to do with anything

A

Causes activation of microglial cytokines

23
Q

What determines severity of autism?

A

The stage at which the immune/excitotoxic stress caused by activation of microglial and the consequent release of cytokines, ROS and excitotoxins - brain dysfunction

24
Q

An excess of extraneural glutamate

A

Can interfere with neuronal migration patterns, differentiation and synaptic development - abnormal brain architecture

25
Q

Excitotoxicity

A

Activation of NMDA receptors by excessive glutamate

26
Q

Brain cell death usually occurs

A
  • impaired uptake if glutamate by glial transporters

* regulated by NF-κB

27
Q

TNF-α induces

A
  • IκB dégradation pathway
  • triggers NF-κB nuclear translocation
  • represses glial transporter
  • elevates extracellular glutamate
  • increases risk of glutamate toxicity
28
Q

Dopamine dégradation causing neuro inflammation

A

Dopamine dégradation - ROS (toxic)
Dopamine cyclized o-quinone -> dopamine cyclized o-semiquinone -> NADPH depletion + o2 -> oxygen superoxide + dopamine-cyclized o-quinone

29
Q

Dopamine dégénération

A
  • O-quinone + cysteine residues on glutathione/proteins -> cisteinyl-dopamine conjugates
  • > N-acetylcysteinyl dopamine thioether - apoptosis of dopamine cells
30
Q

Stereotypy

A

norepinephrine deficiency