Although autism is highly genetic, "idiopathic" cases, for which there is no known genetic basis, may be due to epigenetic or environmental factors. Indeed, recent efforts have been highly successful in identifying hundreds of genes, as well as interacting epigenetic and environmental factors that contribute to autism susceptibility, corroborating the importance of gene x environment interactions in the etiology of autism. Nevertheless, a more thorough understanding of the proteins and pathways that lead from genes to behavior is desperately needed.Genetic studies have implicated molecules involved in synapse development and plasticity in autism pathogenesis. Among these are brain-derived neurotrophic factor (BDNF), its receptor, tropomyosin-related kinase B (TrkB), and their signaling pathways including mammalian target of rapamycin (mTOR), which is increased in most forms of syndromic autism. Notably, abnormalities in these molecules have also been found in idiopathic autism. Postmortem brain tissue of subjects with idiopathic autism exhibits imbalances in BDNF isoforms, reduced TrkB and downstream effectors PI3 kinase (PI3K), mTOR, Epidermal growth factor receptor pathway substrate 8 (Eps8) and the excitatory synaptic marker postsynaptic density protein 95 kDa (PSD-95). Furthermore, similar TrkB pathway deficits including reduced TrkB/mTOR signaling and PSD-95, along with autistic-like behavior, have been found in valproic acid-exposed rodents, a model of environmental/epigenetic causes of autism. Our studies in both human idiopathic autism and the valproic acid-induced rodent model suggest that decreased signaling through the mTOR pathway can be as damaging as its over-activation.
AutismAutism is a lifelong neurodevelopmental disorder characterized by disturbances in social interactions and communication and stereotyped, repetitive patterns of interests, activities and behaviors [1,2]. It is one of a heterogeneous group of disorders called Autism Spectrum Disorders (ASD) that share these characteristics but differ in course, symptom pattern or level of functioning. ASD is perhaps the most common and handicapping neurological disorder of childhood in terms of prevalence, morbidity, outcome and cost to society. ASD represents a significant public health problem and poses a huge burden for education and social service systems. Recent estimates of the prevalence of ASD in the US and Canada (CDC, NEDSAC) were 1 in 68 [3,4]. There is currently no diagnostic test or cure available for autism, and its etiology is unknown.Epidemiological and twin studies point to a major role for genetic factors in ASD [5,6], with a complex pattern of transmission thought to be the result of perhaps as many as 1000 interacting genes [7-9]. Hundreds of rare genetic events that carry increased risk for ASD, many of them arising de novo [10][11][12][13][14], have been identified [15][16][17][18][19][20][21].However, genetic changes account for only half of all autistic cases; environmental influences are responsible for the rema...