CNTN6 mutations are risk factors for abnormal auditory sensory perception in autism spectrum disorders

Contactin genes CNTN5 and CNTN6 code for neuronal cell adhesion molecules that promote neurite outgrowth in sensory-motor neuronal pathways. Mutations of CNTN5 and CNTN6 have previously been reported in individuals with autism spectrum disorders (ASDs), but very little is known on their prevalence and clinical impact. In this study, we identified CNTN5 and CNTN6 deleterious variants in individuals with ASD. Among the carriers, a girl with ASD and attention-deficit/hyperactivity disorder was carrying five copies of CNTN5. For CNTN6, both deletions (6/1534 ASD vs 1/8936 controls; P=0.00006) and private coding sequence variants (18/501 ASD vs 535/33480 controls; P=0.0005) were enriched in individuals with ASD. Among the rare CNTN6 variants, two deletions were transmitted by fathers diagnosed with ASD, one stop mutation CNTN6W923X was transmitted by a mother to her two sons with ASD and one variant CNTN6P770L was found de novo in a boy with ASD. Clinical investigations of the patients carrying CNTN5 or CNTN6 variants showed that they were hypersensitive to sounds (a condition called hyperacusis) and displayed changes in wave latency within the auditory pathway. These results reinforce the hypothesis of abnormal neuronal connectivity in the pathophysiology of ASD and shed new light on the genes that increase risk for abnormal sensory perception in ASD.

Genomic architecture of human neuroanatomical diversity

Human brain anatomy is strikingly diverse and highly inheritable: genetic factors may explain up to 80% of its variability. Prior studies have tried to detect genetic variants with a large effect on neuroanatomical diversity, but those currently identified account for <5% of the variance. Here, based on our analyses of neuroimaging and whole-genome genotyping data from 1765 subjects, we show that up to 54% of this heritability is captured by large numbers of single-nucleotide polymorphisms of small-effect spread throughout the genome, especially within genes and close regulatory regions. The genetic bases of neuroanatomical diversity appear to be relatively independent of those of body size (height), but shared with those of verbal intelligence scores. The study of this genomic architecture should help us better understand brain evolution and disease.

Cntnap4 differentially contributes to GABAergic and dopaminergic synaptic transmission

Although considerable evidence suggests that the chemical synapse is a lynchpin underlying affective disorders, how molecular insults differentially affect specific synaptic connections remains poorly understood. For instance, Neurexin 1a and 2 (NRXN1 and NRXN2) and CNTNAP2 (also known as CASPR2), all members of the neurexin superfamily of transmembrane molecules, have been implicated in neuropsychiatric disorders. However, their loss leads to deficits that have been best characterized with regard to their effect on excitatory cells. Notably, other disease-associated genes such as BDNF and ERBB4 implicate specific interneuron synapses in psychiatric disorders. Consistent with this, cortical interneuron dysfunction has been linked to epilepsy, schizophrenia and autism. Using a microarray screen that focused upon synapse-associated molecules, we identified Cntnap4 (contactin associated protein-like 4, also known as Caspr4) as highly enriched in developing murine interneurons. In this study we show that Cntnap4 is localized presynaptically and its loss leads to a reduction in the output of cortical parvalbumin (PV)-positive GABAergic (γ-aminobutyric acid producing) basket cells. Paradoxically, the loss of Cntnap4 augments midbrain dopaminergic release in the nucleus accumbens. In Cntnap4 mutant mice, synaptic defects in these disease-relevant neuronal populations are mirrored by sensory-motor gating and grooming endophenotypes; these symptoms could be pharmacologically reversed, providing promise for therapeutic intervention in psychiatric disorders.

[Autism spectrum disorder and suicidality]

INTRODUCTION

Most studies on suicide exclude subjects with autism spectrum disorders, yet there is a risk group. The purpose of this article is to present the data in the literature regarding the clinical and epidemiological characteristics of suicidality in subjects with autism spectrum disorders and to identify the factors that promote the transition to action.

METHODS

This review was carried out using the data set collected in Medline PubMed, items with "autism spectrum disorder", "pervasive developmental disorder", "Asperger's syndrome", "suicide", "suicide attempt", and "suicide behavior".

RESULTS

In all subjects from our research on PubMed, 21.3% of subjects with autism spectrum disorder reported suicidal ideation, have attempted suicide or died by suicide (115 out of 539 subjects) and 7.7% of subjects supported for suicidal thoughts or attempted suicide exhibited an autism spectrum disorder (62 out of 806 subjects), all ages combined. Suicidal ideation and morbid preoccupation are particularly common in adolescents and young adults. Suicide attempts are accompanied by a willingness for death and can lead to suicide. They are more common in high-functioning autism and Asperger subjects. The methods used are often violent and potentially lethal or fatal in two cases published. Suicide risk depends on many factors that highlight the vulnerability of these subjects, following autistic and developmental symptoms. Vulnerability complicating the diagnosis of comorbid depressive and anxiety disorders are major factors associated with suicidality. Vulnerability but also directly related to suicidality, since the origin of physical and sexual abuse and victimization by peers assigning them the role of "scapegoat" are both responsible for acting out.

CONCLUSION

Given the diversity of factors involved in the risk of suicide in this population, this does not validate "a" program of intervention, but the intervention of "customized programs". Their implementation should be as early as possible in order to treat while the brain has the greatest plasticity. The aim is to provide the necessary access to the greatest possible autonomy. Hence, including working communication skills and interaction, these subject will have independent means of protection, an essential complement to measures to protect vulnerable subjects; the vulnerability of direct and indirect suicidality. Comorbid diagnoses must take into account the specificities of these patients, their difficulties in communicating their mental state, and adapted and innovative therapeutic strategies must be offered and validated.

Intracranial self stimulation upregulates the expression of synaptic plasticity related genes and Arc protein expression in rat hippocampus

Post-training lateral hypothalamus (LH) intracranial self stimulation (ICSS) has a reliable enhancing effect on explicit memory formation evaluated in hippocampus-dependent tasks such as the Morris water maze. In this study, the effects of ICSS on gene expression in the hippocampus are examined 4.5 h post treatment by using oligonucleotide microarray and real-time PCR, and by measuring Arc protein levels in the different layers of hippocampal subfields through immunofluorescence. The microarray data analysis resulted in 65 significantly regulated genes in rat ICSS hippocampi compared to sham, including cAMP-mediated signaling as one of the most significantly enriched Database for Annotation, Visualization and Integrated Discovery (DAVID) functional categories. In particular, expression of CREB-dependent synaptic plasticity related genes (c-Fos, Arc, Bdnf, Ptgs-2 and Crem and Icer) was regulated in a time-dependent manner following treatment administration. Immunofluorescence results showed that ICSS treatment induced a significant increase in Arc protein expression in CA1 and DG hippocampal subfields. This empirical evidence supports our hypothesis that the effect of ICSS on improved or restored memory functions might be mediated by increased hippocampal expression of activity-dependent synaptic plasticity related genes, including Arc protein expression, as neural mechanisms related to memory consolidation.

Analysis of the chromosome X exome in patients with autism spectrum disorders identified novel candidate genes, including TMLHE

The striking excess of affected males in autism spectrum disorders (ASD) suggests that genes located on chromosome X contribute to the etiology of these disorders. To identify new X-linked genes associated with ASD, we analyzed the entire chromosome X exome by next-generation sequencing in 12 unrelated families with two affected males. Thirty-six possibly deleterious variants in 33 candidate genes were found, including PHF8 and HUWE1, previously implicated in intellectual disability (ID). A nonsense mutation in TMLHE, which encodes the ɛ-N-trimethyllysine hydroxylase catalyzing the first step of carnitine biosynthesis, was identified in two brothers with autism and ID. By screening the TMLHE coding sequence in 501 male patients with ASD, we identified two additional missense substitutions not found in controls and not reported in databases. Functional analyses confirmed that the mutations were associated with a loss-of-function and led to an increase in trimethyllysine, the precursor of carnitine biosynthesis, in the plasma of patients. This study supports the hypothesis that rare variants on the X chromosome are involved in the etiology of ASD and contribute to the sex-ratio disequilibrium.

Wound healing after silver nitrate burns in the leech hirudo medicinalis

The healing process after inflicting silver nitrate burns, a type of injury in which a heavy loss of body wall tissues occurs, was studied in Hirudo medicinalis. Silver solution penetrates the body wall and silver precipitates in the tissues during infiltration. Vasocentral cells, do not penetrate the impregnated zone but accumulate just below it to form a pseudoblastema. The impregnated zone splits off entirely, leaving an area covered by pseudoblastema cells on the leech surface, which is progressively reepithelialized. There is no regeneration of the lost body region, and although some connective tissue matrix may be produced by pseudoblastema cells, there is no significant regeneration of the connective tissue and nor the muscular fibers of the body wall, resting an evident depression in the damaged zone. The amount of affected tissue, and possibly the inability of vasocentral cells to reach the infiltrated tissues are determinant factors in the development of the splitting process. Copyright 1999 Academic Press.

Morning versus afternoon gymnastic time and diurnal and seasonal changes in psychophysiological variables of school children

The aims of this study were to document time-related (morning versus afternoon) effects of physical activities (gymnastics) on a set of physiological and psychological variables in school children, including diurnal changes. For the study, 61 boys and 69 girls, 6 to 11 years of age, volunteered. They were considered healthy according to routine clinical criteria. They were synchronized with diurnal activity from around 07:00 to 21:00 and nocturnal rest, time of year being taken into account. Tests were performed at school during 4 weeks of 4.5 days of school at fixed clock hours: 09:00, 11:00, 14:00, and 16:00. Gym time was randomized with regard to week order and season. Four different classes (39 boys and 38 girls) were involved in psychophysiological tests, and two different classes (22 boys and 31 girls) collected saliva samples for morning free cortisol determination. Both t-test and three-factor analysis of variance (ANOVA) were used for statistical analyses. Better performances were obtained in June than in mid-winter with reference to letter cancellation and random number addition tests. As a group phenomenon, morning (09:00 to 10:00) versus afternoon (14:00 to 15:00) gym was not an influential condition with regard to sleep duration, oral temperature, self-rated fatigue and drowsiness, letter cancellation, addition tests, or salivary cortisol. However, gym-time-related differences were observed in classes of younger subjects (e.g., 6-7 years) with regard to self-rated fatigue and the letter cancellation test. Such variability among subgroups suggests that interindividual differences are likely to exist in younger children with regard to manipulation of environmental factors. In addition, gym itself (without gym time consideration) may be an influential factor with regard to diurnal patterns of some variables (e.g., the letter cancellation test).

The pseudoblastema in the wound healing process of the leech Hirudo medicinalis L. (Hirudinea): changes in cell junctions

The role of the connective tissue cells and their migratory behavior have been investigated in the formation and evolution of the pseudoblastema during wound healing in the leech Hirudo medicinalis. In H. medicinalis the healing process shows first a flow of cells that effectively seal the wound and form a temporary cellular clump, the pseudoblastema, which contributes to the phagocytotic process and apparently regenerates the extracellular matrix. The migratory cells forming the pseudoblastema are connective tissue cells known as vasocentral cells, which, when in a resting state, are associated with the vasofibrous cells. During the formation and evolution of the pseudoblastema several changes affect vasocentral cell junctions. At rest, vasocentral cells do not show cell to cell junctions but they show adhering junctions in contact with the extracellular matrix. These junctions disrupt during the migratory phase. When vasocentral cells regroup in the pseudoblastema, adhering junctions are formed between them, and adhering junctions making contact with the matrix appear again. As the pseudoblastema evolves, cell to cell adhering junctions become more conspicuous and undergo other changes. During the next stage of retraction, close contacts develop between pseudoblastema cells and neighboring nondamaged muscle fibers, which probably serve as points of anchorage for the approaching movement of the wound edges. Finally, cell to cell and cell to matrix junctions disappear and the pseudoblastema disintegrates.

Changes in epithelial cells in Hirudo medicinalis during wound healing

In the leech, Hirudo medicinalis, reepithelialization is an event which takes place early in the wound healing process, immediately after the formation of the pseudoblastema, 4-8 hr postinjury. Epithelial cells on the wound margins move into the wound, modifying their phenotypic characteristics. Cells lose their columnar shape and become flattened. Dermal junctions disrupt and tonofilaments regroup around the nucleus. Then, the epithelial cell sheet moves over the newly formed pseudoblastema by extending filopodia, formed by the cells on the edge, following the so-called "sliding model." When the wound is fully covered by the new epithelium, about 24 hr postinjury, a reorganization of the cytoskeleton occurs and the basal dermal junctions are reconstructed. Six days postinjury, the epidermal cells return to their original columnar shape.