New research: insights into causes of Autism

Tonington

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Oct 27, 2006
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Some interesting research out this week supports a hypothesis that was recently proposed for idiopathic Autism, which in laymen's terms refers to a genetic predisposition towards Autism of an individual and an unknown environmental trigger. Not all Autism has unknown causes, which is an important distinction.

Unlike the correlation between vaccinations and the rising number of autism cases, this hypothesis actually has a plausible etiologic mechanism for causing the disease. The hypothesis was that hyperserotonemia (an excess in serotonin in the body) in the natal environment could be causing the developmental issues in the fetal brain. Excess serotonin in the mother would be passed to the fetus, and then pass the blood-brain barrier in the developing fetus which is fairly permeable to compounds in the blood. The excess serotonin could come from food containing the serotonin, or from psychoactive pharmaceuticals the mother is taking. Excessive serotonin has been associated with autism, much like vaccines have been. Correlation though mind you.

However, there are other sources of exposure. Now it's been well documented that pharmaceuticals are building up in water bodies, which has lead to all sorts of findings, such as declining sex ratios in fish. The authors in this case reared some fathead minnows in water that was analogous to the levels of some pharmaceuticals known to increase serotonin, which are now commonly found in drinking water. The classes of drugs are both highly prescribed, as well as contemporary in use. These unmetabolized psychoactive pharmaceuticals are found at low doses in comparison to the treatments a MD would prescribe to someone.

After rearing the fish in the experimental water, the researchers tested the fish using gene expression patterns. They looked at the regulation of some genes associated with both idiopathic Autism, and Autism arising from other known disorders. What they found was significant enrichment of the genes associated with idiopathic Autism, but not with genes associated with Autism arising from other disorders.

This is significant. New research can build on the results found by this study. Also, the minnow model is cheap, and can be leveraged for rapid discoveries, and can probably by expanded to closer models such as mice. If these unmetabolized pharmaceuticals are indeed responsible for idiopathic Autism, it also means that effective policies can be put in place to limit the hazards and risks to public health.

As an ancillary benefit, perhaps those anti-vaccine nutters will re-think their positions with respect to vaccines, which have saved millions of humans from needless suffering and death. There has been a marked reduction in immunizations amongst some populations, which elevates the risk to the entire population.
 

SLM

The Velvet Hammer
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Great post Tonington!

One side note about the anti-vaccine nutters. If they were prone to rethinking, they wouldn't be nutters.
 

skookumchuck

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Would it be a stretch to question whether the same parameters could apply to MS and other similar diseases that appear to be clustered in certain areas?
 

Tonington

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Would it be a stretch to question whether the same parameters could apply to MS and other similar diseases that appear to be clustered in certain areas?

Heh, funny you mention that. Genes associated with MS and Parkinson's were included in the expression analysis, amongst other disorders such as Alzheimer's, ADHD, Bipolar, and Schizophrenia. Though by a long shot, the most significantly enriched set of genes was from the idiopathic Autism genes. They actually looked at quite a few sets of genes, including two for MS, and one for Parkinson's. One of the two MS sets was enriched, while the other was not. The Parkinson's set was also enriched.

There was no overlap in the genes involved in the different disorders either, which is important to note. If there was, we could safely say that some of the enrichment for say the one of the two MS sets that was enriched could very well be confounded by genes shared by other disorders. But that wasn't the case.

Really there is a huge gap in what we know about medicinal chemistry. Another recent paper from the same journal that published this result investigated the effects of anti-depressants and cell membranes. In that research, they took a drug similar to that the researchers used on fish, a serotonin reuptake inhibitor, and used it with yeast cells. They found that the drug was entering yeast cells, primarily by diffusion with some minor pushes from some cellular pumps and proton forces. Most, almost 95% of the drug ended up sticking to cellular membranes. It ended up causing some odd (abnormal) curving of the cell membranes, which induced autophagic responses. Basically the cell would signal lysosomes to start breaking down the cell membranes.

What is worrisome about this, besides that it essentially caused cell damage, is that yeast cells don't have a serotonin transporter. They don't have a nervous system, and obviously have no need for a neurotransmitter transport pathway. Just because the drugs mode of action is missing, doesn't mean it will be inert. The big question then is, what do drugs like this do in mammalian cells that we don't have any idea about?
 

Tonington

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The bottled water companies are going to latch onto this...

Heh, that was my thought exactly. Though many people are still unaware that much of the bottled water comes from the same municipal sources...:lol:
 

Niflmir

A modern nomad
Dec 18, 2006
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Heh, that was my thought exactly. Though many people are still unaware that much of the bottled water comes from the same municipal sources...:lol:

Yeah, I was thinking about that as well. Distilled water it is!

It sounds like they were testing a lot of genes. That raises concerns of data mining. Did they conduct secondary studies to see if the results were reproduced, or are they waiting for another group to do so?
 

Tonington

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Yeah, I was thinking about that as well. Distilled water it is!

It sounds like they were testing a lot of genes. That raises concerns of data mining. Did they conduct secondary studies to see if the results were reproduced, or are they waiting for another group to do so?

It was a lot of genes indeed. They used some computational biology called gene set enrichment analysis. Instead of focussing on single gene RNA, they can test a wide array of genes associated with certain conditions. Consider that a simple cold or flu will induce a wide range of gene upregulation and downregulation. In my field, researchers have been probing which genes are changed by infection and what effect temperature has. Temperature is a very important factor for fish, as the metabolic rate is determined by temperature. We already know that the infection for many species has a permissive range. I feel that if we can get a better handle on the gene level changes, that we can use that information to suggest best practices for our customers to ensure the maximum efficacy of our vaccines, which are already class-leading and innovative. A value-adding activity. I plan to pitch this idea to my management team soon. Would make for a good Master Thesis.

The method is becoming a common tool in the genomics tool bag. There are software packages available that contain on the order of thousands of gene sets.
 

Niflmir

A modern nomad
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I had met some bioinformatics people in Berlin. I envied them a little bit. As a new computational research field, they hadn't inherited all kinds of legacy code written in terrible languages like Fortran. The guy I knew was using Python.
 

Tonington

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Kind of nice sometimes to not be the first into the pool. Though, it's nice to have people involved that were around through all those changes. Valuable insight.
 

The Old Medic

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Vaccines have been definitively ruled out as having ANY effect on Autism. This research has been done in the USA, Great Brittan, Holland, France and several other countries, and all of it shows that vaccines have nothing whatsoever to do with Autism.

This article is suspect, since it brings up that false allegation again.
 

Tonington

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evie

This article is suspect, since it brings up that false allegation again.

You should read more carefully. I said vaccines had been implicated, I noted it was a correlation.

Here's some key parts you missed:
Unlike the correlation between vaccinations and the rising number of autism cases, this hypothesis actually has a plausible etiologic mechanism for causing the disease.
And,
Excessive serotonin has been associated with autism, much like vaccines have been. Correlation though mind you.

I've written other posts on this site about the lack of evidence, and the problems with the research that has been used to support the alleged link. I work in pharmaceutical R&D, developing vaccines...and it wasn't an article in the OP. I wrote that. It's a post. Heck, I even ended with a note about how hopefully work like this will stem the tide in some populations away from the irrational fear of immunization.