Department of Forensic and Neurodevelopmental Sciences and Sackler Institute for Translational Neurodevelopment, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet and Stockholm County Council, SE-171 76 Stockholm, Sweden.
Sci Transl Med. 2018 Oct 3;10(461). doi: 10.1126/scitranslmed.aam8434.
Preliminary studies have suggested that γ-aminobutyric acid type A (GABA) receptors, and potentially the GABA α5 subtype, are deficient in autism spectrum disorder (ASD). However, prior studies have been confounded by the effects of medications, and these studies did not compare findings across different species. We measured both total GABA and GABA α5 receptor availability in two positron emission tomography imaging studies. We used the tracer [C]flumazenil in 15 adults with ASD and in 15 control individuals without ASD and the tracer [C]Ro15-4513 in 12 adults with ASD and in 16 control individuals without ASD. All participants were free of medications. We also performed autoradiography, using the same tracers, in three mouse models of ASD: the knockout mouse, the knockout mouse, and mice carrying a 16p11.2 deletion. We found no differences in GABA receptor or GABA α5 subunit availability in any brain region of adults with ASD compared to those without ASD. There were no differences in GABA receptor or GABA α5 subunit availability in any of the three mouse models. However, adults with ASD did display altered performance on a GABA-sensitive perceptual task. Our data suggest that GABA receptor availability may be normal in adults with ASD, although GABA signaling may be functionally impaired.
初步研究表明,γ-氨基丁酸 A 型 (GABA) 受体,以及潜在的 GABAα5 亚型,在自闭症谱系障碍 (ASD) 中存在缺陷。然而,先前的研究受到药物作用的影响,并且这些研究没有比较不同物种的研究结果。我们在两项正电子发射断层扫描成像研究中测量了总 GABA 和 GABAα5 受体的可用性。我们在 15 名 ASD 患者和 15 名无 ASD 的对照个体中使用示踪剂 [C]氟马西尼,在 12 名 ASD 患者和 16 名无 ASD 的对照个体中使用示踪剂 [C]Ro15-4513。所有参与者均未服用药物。我们还使用相同的示踪剂在三种 ASD 小鼠模型中进行了放射自显影: 敲除小鼠、 敲除小鼠和携带 16p11.2 缺失的小鼠。我们没有发现 ASD 患者与无 ASD 患者的任何脑区的 GABA 受体或 GABAα5 亚单位可用性存在差异。在三种小鼠模型中的任何一种中,GABA 受体或 GABAα5 亚单位的可用性均无差异。然而,ASD 患者在 GABA 敏感的知觉任务上的表现确实存在差异。我们的数据表明,尽管 GABA 信号可能存在功能障碍,但 ASD 患者的 GABA 受体可用性可能正常。