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Our Research on Autism
Autism is a neurodevelopmental disorder characterized
by significant impairments in social, behavioral and communicative functions.
Current evidence suggests that neurobiological abnormalities in autism are
associated with changes in cytoarchitectural and neuronal organization that
may be determined by genetic, environmental, immunological and toxic factors.
Neuropathological studies have shown that cytoarchitectural organizational
abnormalities of the cerebral cortex, cerebellum and other subcortical structures
as well as a reduction in the number of cortical minicolumns appear to be
the most prominent morphological changes in autism.
The main goal
of our research on autism is to determine the role of neuroglia (astrocytes
and microglia) and immune mediated responses in pathogenic mechanisms responsible
for autism.
Neuroglia such as astrocytes and microglia, along with perivascular macrophages
and endothelial cells, play important roles in neuronal function and homeostasis.
Neuroglial cells also have a number of crucial roles in the regulation of
the CNS immune responses. Astrocytes, for example, are important in the
detoxification of excess excitatory amino acids, integrity of the blood
brain barrier, production of neurotrophic factors and play a fundamental
role in the metabolism of glutamate. In normal homeostatic stages, astrocytes
facilitate neuronal survival by production of growth factors, and uptake/removal
of excitotoxic neurotransmitters, such as glutamate, from the synaptic microenvironment.
However, during stages of astroglial activation secondary to injury or in
response to neuronal dysfunction, astrocytes can produce several factors
that may modulate inflammatory responses. Astrocytes can secrete pro-inflammatory
cytokines, chemokines and metalloproteinases that may contribute to the
magnification of immune reactions within the CNS. Similarly, microglial
activation is an important factor in the neuroglial responses to injury
or dysfunction. Microglia participate in processes of synaptic stripping,
cortical plasticity and immune surveillance. In several neurological disorders
such as Alzheimer's disease, HIV dementia, epilepsy and multiple sclerosis,
astroglial and microglial responses are prominent and appear to mediate
important mechanisms that lead to neuronal dysfunction. In HIV dementia
for example, microglial activation and infiltration by macrophages participate
in the mechanisms of neuronal damage responsible for the dementia. In other
disorders such as epilepsy and particularly in Rasmussen's syndrome, a rare
pediatric epileptic disorder, both astroglial and microglial reactions occur
in parallel with T cell infiltration. Changes in astroglia and microglia
can therefore produce marked neuronal dysfunction that is likely to be associated
with mechanisms of seizure activity.
Why study neuroglial and immune reactions in autism?
Current evidence suggests that neurobiological abnormalities in autism are
associated with changes in cytoarchitectural and neuronal organization that
may be determined by genetic, environmental, immunological and toxic factors.
Since neuroglia have central roles during brain development, cortical organization,
neuronal function and immune responses, we hypothesize that neuroglia may
contribute to the pathogenesis of autism in several ways:
- Neuroglia may be dysfunctional during the process of neuronal organization
and plasticity of cortical and subcortical structures, a change that
may contribute to the neuropathological abnormalities observed in autism.
- Neuroglia may react to extrinsic factors, such as systemic immune
responses, toxins or infections, and produce disturbances in the CNS
microenvironment that facilitate the development of immune mediated
reactions.
- Abnormal neuroglial activation may be present in autistic patients
due to genetic susceptibility to inflammation, a change that can lead
to abnormalities in neuronal-neuroglial interactions.
- Neuroglial activation can trigger the development of cellular or humoral
immune responses that lead to neuronal/neuroglial dysfunction.
- Systemic immune responses may trigger abnormal pathogenic reactions
in neuroglia.
Our experimental approaches include study of brain tissues obtained from
patients with autism, determination of the profile of cytokines and chemokines
and characterization of immune mediated reactions in cortical and subcortical
regions of autistic brains. Further understanding of the role of neuroglia
and immune reactions in the neurobiology of autism may contribute to the
design of therapeutic interventions that minimize the neurological and behavioral
abnormalities that occur in this disease. |