McAlonan Gráinne M, Li Qi, Cheung Charlton
Department of Psychiatry, The University of Hong Kong, Hong Kong, SAR, China.
Neurosignals. 2010;18(2):129-39. doi: 10.1159/000321080. Epub 2010 Nov 2.
Autism is a highly heritable condition, but there is strong epidemiological evidence that environmental factors, especially prenatal exposure to immune challenge, contribute to it. This evidence is largely indirect, and experimental testing is necessary to directly examine causal mechanisms. Mouse models reveal that prenatal immune perturbation disrupts postnatal brain maturation with alterations in gene and protein expression, neurotransmitter function, brain structure and behavioral indices reminiscent of, but not specific to, autism. This likely reflects a neurodevelopmental spectrum in which autism and schizophrenia share numerous genetic and environmental risk factors for difficulties in social interaction, communication, emotion processing and executive function. Recent epidemiological studies find that early rather than late pregnancy infection confers the greater risk of schizophrenia. The autism literature is more limited, but exposures in the 2nd half of pregnancy may be important. Mouse models of prenatal immune challenge help dissect these observations and show some common consequences of early and late gestational exposures, as well as distinct ramifications potentially relevant to schizophrenia and autism. Although nonspecificity of immune-stimulated mouse models could be considered a disadvantage, we propose a broadened perspective, exploiting the possibility that advances made investigating a target condition can contribute towards the understanding of related conditions.
自闭症是一种高度可遗传的疾病,但有强有力的流行病学证据表明,环境因素,尤其是孕期暴露于免疫应激,会导致自闭症。这一证据大多是间接的,需要进行实验测试以直接检验因果机制。小鼠模型显示,产前免疫干扰会破坏产后大脑成熟,导致基因和蛋白质表达、神经递质功能、大脑结构及行为指标发生改变,这些改变与自闭症相似,但并不具有特异性。这可能反映了一种神经发育谱系,其中自闭症和精神分裂症在社交互动、沟通、情感处理及执行功能方面存在诸多共同的遗传和环境风险因素。近期的流行病学研究发现,孕早期而非孕晚期感染会使患精神分裂症的风险更高。关于自闭症的文献较少,但孕期后半段的暴露可能很重要。产前免疫应激的小鼠模型有助于剖析这些观察结果,并显示出孕早期和孕晚期暴露的一些共同后果,以及可能与精神分裂症和自闭症相关的不同影响。尽管免疫刺激小鼠模型缺乏特异性可被视为一个缺点,但我们提出一个更广阔的视角,利用研究目标疾病所取得的进展有助于理解相关疾病这一可能性。