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Full titleImpact of autism-related peptides and 5-HT system manipulations on cortical development and plasticity
Summary
Infantile Autism is a severely invalidating syndrome which affects 5/10.000 newborn children, yielding a European autistic population of approximately 200.000 individuals. The disorder is characterized by early onset, poor or no attention to the outside world, lack of speech, stereotyped behavior, sleeplessness, and self-injurious conduct. No effective cure is presently known. The primary goal of our research project is to tackle basic questions related to the pathogenesis of autistic symptoms, with the aim of developing a screening test, and of setting up strategies for early therapeutic intervention. The project is based on recent findings, showing that a large subset of autistic children have abnormally high levels of casein- and gluten-derived peptides in their body fluids ("autism-related peptides"). Following initial purification of autism-related peptides from the urine of autistic patients, we will collaboratively assess their impact on development and plasticity of brain circuits. In particular, we shall analyze autism-related peptide effects on neural structures and connections in the rodent somatosensory "barrel" cortex, the best-studied rodent model for cortical development and plasticity, using a variety of standard histochemical, immunohistochemical, electron-microscopic, and tracing techniques. In reference to potentialmechanisms of action of autism-related peptides, preliminary results indicate that some of these molecules may selectively enhance 5-HT transporter function in platelets. Similarly, enhanced 5-HT transport in the brain might lead to decreased 5-HT levels in the synaptic cleft, possibly associated with impulsive and aggressive behaviors, attention deficits, sleeplessness, and hyperalgesia. Interestingly, increased platelet 5-HT content represents the most consistent alteration in monoaminergic turnover found in autistic patients. Little is currently known about the potentially pivotal role of 5-HT in the fine-tuning of synaptic connections occurring in the mammalian central nervous system after birth. Such pivotal role is strongly suggested by classical studies on invertebrates including Aplysia In our collaborative effort, we shall first replicate experiments performed on platelets, using a eukariotic cell system, selectively expressing the human 5-HT transporter. A series of experiments will then be performed in the developing rodent brain, following manipulations of the 5-HT system by pharmacological agents, or by generation of transgenic mice with a knock-out of the 5-HT transporter or of the 5-HT,A receptor. Evidence supporting autism-related peptide-induced derangement of development and plasticity of cortical connections, possibly mediated by the 5-HT system, would be strongly suggestive of their involvement in the pathogenesis of autistic symptoms, and would spur our interest in the development of screening methods, aimed at an early diagnosis, possibly occurring before neural connectivity is definitely established. Finally, these results would underscore the need for early therapeutic interventions in children with abnormally high levels of autism-related peptides potentially involving also pharmacologic strategies modulating the 5-HT system.
Time frameStart Date : 01-Jul-1996
End Date : 30-Jun-1999
Funded byEuropean Commission
ResultsFinal public report
Project leader for Campus Bio-MedicoFlavio Keller
Main partnersUniversidad Autónoma de Madrid (ES), Rijkshospitalet Oslo (NO), Bayerische Julius-Maximilians-Universität Würzburg (DE), Istituto di Ricerche di Biologia Molecolare "P. Angeletti" SpA (IT)
Campus Bio-Medico roleMain contractor
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