Razak Khaleel A, Binder Devin K, Ethell Iryna M
Department of Psychology, University of California, Riverside, Riverside, CA, United States.
Graduate Neuroscience Program, University of California, Riverside, Riverside, CA, United States.
Front Psychiatry. 2021 Oct 7;12:720752. doi: 10.3389/fpsyt.2021.720752. eCollection 2021.
The mechanisms underlying the common association between autism spectrum disorders (ASD) and sensory processing disorders (SPD) are unclear, and treatment options to reduce atypical sensory processing are limited. Fragile X Syndrome (FXS) is a leading genetic cause of intellectual disability and ASD behaviors. As in most children with ASD, atypical sensory processing is a common symptom in FXS, frequently manifesting as sensory hypersensitivity. Auditory hypersensitivity is a highly debilitating condition in FXS that may lead to language delays, social anxiety and ritualized repetitive behaviors. Animal models of FXS, including knock out (KO) mouse, also show auditory hypersensitivity, providing a translation relevant platform to study underlying pathophysiological mechanisms. The focus of this review is to summarize recent studies in the KO mouse that identified neural correlates of auditory hypersensitivity. We review results of electroencephalography (EEG) recordings in the KO mice and highlight EEG phenotypes that are remarkably similar to EEG findings in humans with FXS. The EEG phenotypes associated with the loss of FMRP include enhanced resting EEG gamma band power, reduced cross frequency coupling, reduced sound-evoked synchrony of neural responses at gamma band frequencies, increased event-related potential amplitudes, reduced habituation of neural responses and increased non-phase locked power. In addition, we highlight the postnatal period when the EEG phenotypes develop and show a strong association of the phenotypes with enhanced matrix-metalloproteinase-9 (MMP-9) activity, abnormal development of parvalbumin (PV)-expressing inhibitory interneurons and reduced formation of specialized extracellular matrix structures called perineuronal nets (PNNs). Finally, we discuss how dysfunctions of inhibitory PV interneurons may contribute to cortical hyperexcitability and EEG abnormalities observed in FXS. Taken together, the studies reviewed here indicate that EEG recordings can be utilized in both pre-clinical studies and clinical trials, while at the same time, used to identify cellular and circuit mechanisms of dysfunction in FXS. New therapeutic approaches that reduce MMP-9 activity and restore functions of PV interneurons may succeed in reducing FXS sensory symptoms. Future studies should examine long-lasting benefits of developmental vs. adult interventions on sensory phenotypes.
自闭症谱系障碍(ASD)与感觉处理障碍(SPD)之间常见关联的潜在机制尚不清楚,且减少非典型感觉处理的治疗选择有限。脆性X综合征(FXS)是智力残疾和ASD行为的主要遗传原因。与大多数ASD儿童一样,非典型感觉处理是FXS的常见症状,常表现为感觉过敏。听觉过敏是FXS中一种极具致残性的状况,可能导致语言发育迟缓、社交焦虑和仪式化重复行为。FXS的动物模型,包括基因敲除(KO)小鼠,也表现出听觉过敏,为研究潜在病理生理机制提供了一个具有转化相关性的平台。本综述的重点是总结在KO小鼠中最近确定听觉过敏神经相关性的研究。我们回顾了KO小鼠脑电图(EEG)记录的结果,并强调了与FXS患者EEG发现非常相似的EEG表型。与FMRP缺失相关的EEG表型包括静息EEGγ波段功率增强、交叉频率耦合减少、γ波段频率下声音诱发的神经反应同步性降低、事件相关电位振幅增加、神经反应习惯化减少以及非锁相功率增加。此外,我们强调了EEG表型出现的出生后时期,并表明这些表型与基质金属蛋白酶-9(MMP-9)活性增强、表达小白蛋白(PV)的抑制性中间神经元发育异常以及称为神经元周围网(PNN)的特殊细胞外基质结构形成减少密切相关。最后,我们讨论了抑制性PV中间神经元功能障碍如何可能导致FXS中观察到的皮质兴奋性过高和EEG异常。综上所述,本文综述的研究表明,EEG记录可用于临床前研究和临床试验,同时用于识别FXS功能障碍的细胞和回路机制。降低MMP-9活性并恢复PV中间神经元功能的新治疗方法可能成功减轻FXS的感觉症状。未来的研究应考察发育性干预与成人干预对感觉表型的长期益处。
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