Excitation-inhibition
(E:I)
imbalance
is
theorized
as
an
important
pathophysiological
mechanism
in
autism.
Autism
affects
males
more
frequently
than
females
and
sex-related
mechanisms
(e.g.,
X-linked
genes,
androgen
hormones)
can
influence
E:I
balance.
This
suggests
that
may
affect
autism
differently
versus
females.
With
a
combination
of
in-silico
modeling
in-vivo
chemogenetic
manipulations
mice,
we
first
show
time-series
metric
estimated
from
fMRI
BOLD
signal,
the
Hurst
exponent
(H),
be
index
for
underlying
change
synaptic
ratio.
In
find
H
reduced,
indicating
increased
excitation,
medial
prefrontal
cortex
(MPFC)
autistic
but
not
Increasingly
intact
MPFC
also
associated
with
heightened
ability
to
behaviorally
camouflage
social-communicative
difficulties,
only
work
ratio
differently.
Frontiers in Neural Circuits,
Journal Year:
2018,
Volume and Issue:
12
Published: May 16, 2018
Elucidating
the
prefrontal
cortical
microcircuit
has
been
challenging,
given
its
role
in
multiple
complex
behaviors,
including
working
memory,
cognitive
flexibility,
attention,
social
interaction,
and
emotional
regulation.
Additionally,
previous
methodological
limitations
made
it
difficult
to
parse
out
contribution
of
certain
neuronal
subpopulations
refining
representations.
However,
growing
evidence
supports
a
fundamental
fast-spiking
parvalbumin
(PV)
GABAergic
interneurons
regulating
pyramidal
neuron
activity
drive
appropriate
behavioral
responses.
Further,
their
function
is
heavily
diminished
PFC
numerous
psychiatric
diseases,
schizophrenia
autism.
Previous
research
demonstrated
importance
optimal
balance
excitation
inhibition
(E/I)
circuits
maintaining
efficiency
information
processing.
Although
we
are
still
unraveling
mechanisms
representation
cortex
(PFC),
E/I
seems
be
crucial,
as
pharmacological,
chemogenetic,
optogenetic
approaches
for
disrupting
induce
impairments
range
PFC-dependent
behaviors.
In
this
review,
will
explore
two
key
hypotheses.
First,
PV
powerful
regulators
PFC,
help
optimize
processing
supramodal
PFC.
Second,
diminishing
sufficient
generate
an
elaborate
symptom
sequelae
corresponding
those
observed
diseases.
Then,
using
framework,
speculate
on
whether
circuitry
could
represent
platform
development
therapeutic
interventions
disorders
function.
Current Molecular Medicine,
Journal Year:
2015,
Volume and Issue:
15(2), P. 146 - 167
Published: March 18, 2015
Autism
Spectrum
Disorders
(ASD)
and
Schizophrenia
(SCZ)
are
cognitive
disorders
with
complex
genetic
architectures
but
overlapping
behavioral
phenotypes,
which
suggests
common
pathway
perturbations.
Multiple
lines
of
evidence
implicate
imbalances
in
excitatory
inhibitory
activity
(E/I
imbalance)
as
a
shared
pathophysiological
mechanism.
Thus,
understanding
the
molecular
underpinnings
E/I
imbalance
may
provi
de
essential
insight
into
etiology
these
uncover
novel
targets
for
future
drug
discovery.
Here,
we
review
key
genetic,
physiological,
neuropathological,
functional,
studies
that
suggest
alterations
to
excitatory/inhibitory
circuits
keys
ASD
SCZ
pathogenesis.
Keywords:
Autism,
dendritic
spine,
imbalance,
GABAergic
interneuron,
glutamatergic,
mTOR,
NMDAR,
schizophrenia.
JAMA Psychiatry,
Journal Year:
2015,
Volume and Issue:
72(8), P. 767 - 767
Published: June 10, 2015
Individuals
with
autism
spectrum
disorder
(ASD)
exhibit
severe
difficulties
in
social
interaction,
motor
coordination,
behavioral
flexibility,
and
atypical
sensory
processing,
considerable
interindividual
variability.
This
heterogeneous
set
of
symptoms
recently
led
to
investigating
the
presence
abnormalities
interaction
across
large-scale
brain
networks.
To
date,
studies
have
focused
either
on
constrained
sets
regions
or
whole-brain
analysis,
rather
than
focusing
between
networks.To
compare
intrinsic
functional
connectivity
networks
a
large
sample
individuals
ASD
typically
developing
control
subjects
estimate
what
extent
group
differences
would
predict
autistic
traits
reflect
different
developmental
trajectories.We
studied
166
male
(mean
age,
17.6
years;
age
range,
7-50
years)
diagnosed
as
having
DSM-IV-TR
Asperger
syndrome
193
typical
16.9
6.5-39.4
using
resting-state
magnetic
resonance
imaging
(MRI).
Participants
were
matched
for
IQ,
head
motion,
eye
status
(open
closed)
MRI
scanner.
We
analyzed
data
from
Autism
Brain
Imaging
Data
Exchange
(ABIDE),
an
aggregated
17
centers,
made
public
August
2012.We
estimated
correlations
time
courses
extracted
data-driven
method
(independent
component
analysis).
Subsequently,
we
associated
estimates
strength
indexed
by
Social
Responsiveness
Scale.Relative
participants,
showed
increased
primary
subcortical
(thalamus
basal
ganglia)
(all
t
≥
3.13,
P
<
.001
corrected).
The
such
connections
was
severity
r
0.21,
.0067
In
addition,
subcortico-cortical
decreased
entire
≤
-0.09,
.012
corrected),
although
this
association
significant
only
participants
-0.13,
.009
corrected).Our
results
showing
ASD-related
impairment
cortices
suggest
that
processes
they
subserve
abnormally
influence
information
processing
ASD.
might
contribute
occurrence
hyposensitivity
hypersensitivity
top-down
regulation
behavior.
Frontiers in Pediatrics,
Journal Year:
2014,
Volume and Issue:
2
Published: July 8, 2014
γ-Aminobutyric
acid
(GABA),
the
main
inhibitory
neurotransmitter
in
adult
brain,
early
postnatal
life
exerts
a
depolarizing
and
excitatory
action.
This
depends
on
accumulation
of
chloride
inside
cell
via
cation-chloride
importer
NKCC1,
being
expression
exporter
KCC2
very
low
at
birth.
The
developmentally
regulated
results
extrusion
with
age
shift
GABA
from
to
hyperpolarizing
direction.
action
leads
intracellular
calcium
rise
through
voltage-dependent
channels
and/or
N-methyl-d-aspartate
receptors.
GABA-mediated
signals
regulate
variety
developmental
processes
proliferation
migration,
differentiation,
synapse
maturation,
neuronal
wiring.
Therefore,
it
is
not
surprising
that
some
forms
neuro-developmental
disorders
such
as
autism
spectrum
(ASDs)
are
associated
alterations
GABAergic
signaling
impairment
excitatory/inhibitory
balance
selective
circuits.
In
this
review,
we
will
discuss
how
changes
GABAA-mediated
neurotransmission
affect
several
ASDs
including
Fragile
X,
Angelman,
Rett
syndromes.
Then,
describe
various
animal
models
dysfunctions,
highlighting
their
behavioral
deficits
possibility
rescue
them
by
targeting
components
synapse.
particular,
cases,
reverting
polarity
responses
direction
diuretic
bumetanide,
blocker
may
have
beneficial
effects
ASDs,
thus
opening
new
therapeutic
perspectives
for
treatment
these
devastating
disorders.
Translational Psychiatry,
Journal Year:
2018,
Volume and Issue:
8(1)
Published: May 25, 2018
Abstract
Autism
spectrum
disorder
(ASD)
is
a
pervasive
neurodevelopmental
syndrome
with
high
human
and
economic
burden.
The
pathophysiology
of
ASD
largely
unclear,
thus
hampering
development
pharmacological
treatments
for
the
core
symptoms
disorder.
Abnormalities
in
glutamate
GABA
signaling
have
been
hypothesized
to
underlie
symptoms,
may
form
therapeutic
target,
but
it
not
known
whether
these
abnormalities
are
recapitulated
humans
ASD,
as
well
rodent
models
We
used
translational
proton
magnetic
resonance
spectroscopy
([1H]MRS)
compare
levels
adult
panel
six
diverse
models,
encompassing
genetic
environmental
etiologies.
[1H]MRS
was
performed
striatum
medial
prefrontal
cortex,
humans,
mice,
rats
order
allow
direct
cross-species
comparisons
specific
cortical
subcortical
brain
regions
implicated
ASD.
In
concentration
reduced
this
correlated
severity
social
symptoms.
were
altered
either
region.
reduction
striatal
mice
prenatally
exposed
valproate,
carrying
Nlgn3
mutations,
other
Our
findings
suggest
that
glutamate/GABA
corticostriatal
circuitry
be
key
pathological
mechanism
ASD;
linked
alterations
neuroligin–neurexin
complex.
Frontiers in Neuroscience,
Journal Year:
2018,
Volume and Issue:
12
Published: May 16, 2018
Autistic
Spectrum
Disorder
(ASD)
is
a
complex
neurodevelopmental
brain
disorder
characterized
by
two
core
behavioural
symptoms,
namely
impairments
in
social
communication
and
restricted/repetitive
behaviour.
The
molecular
mechanisms
underlying
ASD
are
not
well
understood.
Recent,
genetic
as
non-genetic
animal
models
contribute
understanding
the
pathophysiology
of
ASD,
they
establish
autism-like
behaviour
mice
rats.
Among
causes,
several
chromosomal
mutations
including
duplications
or
deletions
could
be
possible
causative
factors
ASD.
In
addition,
biochemical
basis
suggests
that
neurotransmitters,
e.g.
dopamine
(DA),
systems
serotonin
(5-HT),
dopamine,
gamma-amino
butyric
acid
(GABA),
acetylcholine
(ACh),
glutamate
(Glu)
histamine
(HA)
participate
onset
progression
Despite
convincible
understanding,
risperidone
aripiprazole
only
drugs
available
clinically
for
improving
symptoms
following
approval
Food
Drug
Administration
(FDA).
Till
date,
up
to
our
knowledge
there
no
other
drug
approved
clinical
usage
specifically
symptoms.
Many
novel
candidates
classes
compounds
underway
at
different
phases
preclinical
development.
this
review,
diversity
numerous
aetiological
alterations
variety
neurotransmitter
generation,
release
function
linked
discussed
with
focus
on
currently
used
manage
neuropsychiatric
related
review
also
highlights
development
emphasis
their
pharmacological
targets
aiming
Psychopharmacology,
Journal Year:
2018,
Volume and Issue:
235(11), P. 3137 - 3148
Published: Sept. 8, 2018
Standard
therapeutic
approaches
to
reduce
social
anxiety
in
autistic
adults
have
limited
effectiveness.
Since
3,4-methylenedioxymethamphetamine
(MDMA)-assisted
psychotherapy
shows
promise
as
a
treatment
for
other
disorders,
blinded,
placebo-controlled
pilot
study
was
conducted.
To
explore
feasibility
and
safety
of
MDMA-assisted
reduction
fear
avoidance
that
are
common
the
population.
Autistic
with
marked
very
severe
were
randomized
receive
MDMA
(75
125
mg,
n
=
8)
or
inactive
placebo
(0
4)
during
two
8-h
sessions
(experimental
sessions)
controlled
clinical
setting.
Double-blinded
experimental
spaced
approximately
1
month
apart
3
non-drug
following
each.
The
primary
outcome
change
Leibowitz
Social
Anxiety
Scale
(LSAS)
Total
scores
from
Baseline
one
after
second
session.
Outcomes
measured
again
six
months
last
Improvement
LSAS
baseline
endpoint
significantly
greater
group
compared
(P
0.037),
placebo-subtracted
Cohen's
d
effect
size
large
(d
1.4,
CI
−
0.074,
2.874).
Change
6-month
follow-up
showed
similar
positive
results
0.036),
1.1
(CI
0.307,
2.527).
remained
same
continued
improve
slightly
most
participants
completing
active
phase.
This
trial
demonstrated
rapid
durable
improvement
symptoms
psychotherapy.
Initial
efficacy
outcomes
support
expansion
research
into
larger
samples
further
investigate
this
novel
anxiety.
clinicaltrials.gov
identifier,
NCT02008396