WG Molecular Analysis of Synaptopathies, Neurology Department, Neurocenter of Ulm University Ulm, Germany.
Front Psychiatry. 2013 Jan 18;3:118. doi: 10.3389/fpsyt.2012.00118. eCollection 2012.
Autism is a neurodevelopmental disorders characterized by impairments in communication and social behavior, and by repetitive behaviors. Although genetic factors might be largely responsible for the occurrence of autism they cannot fully account for all cases and it is likely that in addition to a certain combination of autism-related genes, specific environmental factors might act as risk factors triggering the development of autism. Thus, the role of environmental factors in autism is an important area of research and recent data will be discussed in this review. Interestingly, the results show that many environmental risk factors are interrelated and their identification and comparison might unveil a common scheme of alterations on a contextual as well as molecular level. For example, both, disruption in the immune system and in zinc homeostasis may affect synaptic transmission in autism. Thus, here, a model is proposed that interconnects the most important and scientifically recognized environmental factors. Moreover, similarities in how these risk factors impact synapse function are discussed and a possible influence on an already well described genetic pathway leading to the development of autism via zinc homeostasis is proposed.
自闭症是一种神经发育障碍,其特征是沟通和社交行为受损,以及重复行为。虽然遗传因素可能在很大程度上导致自闭症的发生,但它们不能完全解释所有病例,而且除了一定的自闭症相关基因组合外,特定的环境因素可能作为风险因素引发自闭症的发展。因此,环境因素在自闭症中的作用是一个重要的研究领域,本综述将讨论最近的数据。有趣的是,研究结果表明,许多环境风险因素是相互关联的,它们的识别和比较可能揭示出在上下文和分子水平上的共同改变方案。例如,免疫系统和锌稳态的破坏都可能影响自闭症中的突触传递。因此,这里提出了一个模型,将最重要和科学认可的环境因素相互关联。此外,还讨论了这些风险因素如何影响突触功能的相似性,并提出了一种通过锌稳态影响已经描述得很好的导致自闭症发展的遗传途径的可能性。