Centre for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Rome, Italy.
Department of Science, Roma Tre University, Rome, Italy.
Neuropharmacology. 2019 Nov 15;159:107477. doi: 10.1016/j.neuropharm.2018.12.024. Epub 2019 Jan 9.
Impairments in social interaction and verbal and non verbal communication are among the main features of Autism Spectrum Disorder (ASD). The causes of ASD are still unknown but the research efforts of the last decade have identified a number of factors (rare gene mutations, gene variations and adverse environmental events) that, interacting in complex ways, affect early brain development. The clinical evidence that prenatal exposure to the antiepileptic drug valproate (VPA) is associated with increased risk of neurodevelopmental delay, cognitive deficits and autism in children, has drawn the attention of scientists on VPA as a tool to unravel the environment contribution to ASD risk in children. In agreement with the clinical evidence, rodents prenatally exposed to VPA display behavioral anomalies resembling ASD symptoms. The mechanisms by which administration of VPA in pregnancy increases the risk of autism are still far to be clear as are still undetermined the specific targets of VPA in the developing brain both in humans and rodents. However, the robustness of the behavioral alterations, mainly in the social domain, and the neural/molecular changes revealed so far support the VPA model as a reliable instrument to investigate the neural underpinnings of social impairment. Here we provide an update of preclinical studies on prenatal exposure to VPA in rodents with a focus on the social and communication deficits induced by VPA, discussing potential pitfalls and future directions in this research field and corroborating the potential of the VPA model to identify new pharmacological targets for ASD. This article is part of the Special Issue entitled 'The neuropharmacology of social behavior: from bench to bedside'.
社交互动以及言语和非言语交流方面的障碍是自闭症谱系障碍(ASD)的主要特征之一。ASD 的病因仍不清楚,但过去十年的研究工作已经确定了一些因素(罕见基因突变、基因变异和不利的环境事件),这些因素以复杂的方式相互作用,影响早期大脑发育。有临床证据表明,产前暴露于抗癫痫药物丙戊酸(VPA)会增加儿童神经发育迟缓、认知缺陷和自闭症的风险,这引起了科学家对 VPA 的关注,认为它是一种揭示环境对儿童 ASD 风险的工具。与临床证据一致,产前暴露于 VPA 的啮齿动物表现出类似于 ASD 症状的行为异常。VPA 在怀孕期间的使用增加自闭症风险的机制仍不清楚,VPA 在人类和啮齿动物发育中的特定靶点也仍未确定。然而,行为改变的稳健性,主要是在社交领域,以及迄今为止揭示的神经/分子变化,支持 VPA 模型作为研究社交障碍神经基础的可靠工具。在这里,我们提供了关于产前暴露于 VPA 的啮齿动物的临床前研究的最新进展,重点介绍了 VPA 引起的社交和交流缺陷,讨论了该研究领域的潜在陷阱和未来方向,并证实了 VPA 模型有潜力确定 ASD 的新药理学靶点。本文是题为“社会行为的神经药理学:从实验室到临床”的特刊的一部分。