Moy S S, Nadler J J
Neurodevelopmental Disorders Research Center, Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Mol Psychiatry. 2008 Jan;13(1):4-26. doi: 10.1038/sj.mp.4002082. Epub 2007 Sep 11.
Autism is a neurodevelopmental syndrome with markedly high heritability. The diagnostic indicators of autism are core behavioral symptoms, rather than definitive neuropathological markers. Etiology is thought to involve complex, multigenic interactions and possible environmental contributions. In this review, we focus on genetic pathways with multiple members represented in autism candidate gene lists. Many of these pathways can also be impinged upon by environmental risk factors associated with the disorder. The mouse model system provides a method to experimentally manipulate candidate genes for autism susceptibility, and to use environmental challenges to drive aberrant gene expression and cell pathology early in development. Mouse models for fragile X syndrome, Rett syndrome and other disorders associated with autistic-like behavior have elucidated neuropathology that might underlie the autism phenotype, including abnormalities in synaptic plasticity. Mouse models have also been used to investigate the effects of alterations in signaling pathways on neuronal migration, neurotransmission and brain anatomy, relevant to findings in autistic populations. Advances have included the evaluation of mouse models with behavioral assays designed to reflect disease symptoms, including impaired social interaction, communication deficits and repetitive behaviors, and the symptom onset during the neonatal period. Research focusing on the effect of gene-by-gene interactions or genetic susceptibility to detrimental environmental challenges may further understanding of the complex etiology for autism.
自闭症是一种具有显著高遗传性的神经发育综合征。自闭症的诊断指标是核心行为症状,而非明确的神经病理学标志物。其病因被认为涉及复杂的多基因相互作用以及可能的环境因素。在本综述中,我们聚焦于自闭症候选基因列表中多个成员所代表的遗传途径。这些途径中的许多也可能受到与该疾病相关的环境危险因素的影响。小鼠模型系统提供了一种实验性操纵自闭症易感性候选基因的方法,并利用环境挑战在发育早期驱动异常基因表达和细胞病理学变化。脆性X综合征、雷特综合征及其他与类自闭症行为相关疾病的小鼠模型已阐明了可能构成自闭症表型基础的神经病理学,包括突触可塑性异常。小鼠模型也被用于研究信号通路改变对神经元迁移、神经传递和脑解剖结构的影响,这些与自闭症人群的研究发现相关。进展包括通过旨在反映疾病症状(包括社交互动受损、沟通缺陷和重复行为)以及新生儿期症状发作的行为学检测来评估小鼠模型。关注基因与基因相互作用或对有害环境挑战的遗传易感性的研究,可能会进一步加深我们对自闭症复杂病因的理解。