Department of Biological Sciences, University of Limerick, V94 T9PX Limerick, Ireland.
Bernal Institute, University of Limerick, V94 T9PX Limerick, Ireland.
Int J Mol Sci. 2022 May 29;23(11):6082. doi: 10.3390/ijms23116082.
Epidemiological studies have shown a clear association between early life zinc deficiency and Autism Spectrum Disorders (ASD). In line with this, mouse models have revealed prenatal zinc deficiency as a profound risk factor for neurobiological and behavioral abnormalities in the offspring reminiscent of ASD behavior. From these studies, a complex pathology emerges, with alterations in the gastrointestinal and immune system and synaptic signaling in the brain, as a major consequence of prenatal zinc deficiency. The features represent a critical link in a causal chain that leads to various neuronal dysfunctions and behavioral phenotypes observed in prenatal zinc deficient (PZD) mice and probably other mouse models for ASD. Given that the complete phenotype of PZD mice may be key to understanding how non-genetic factors can modify the clinical features and severity of autistic patients and explain the observed heterogeneity, here, we summarize published data on PZD mice. We critically review the emerging evidence that prenatal zinc deficiency is at the core of several environmental risk factors associated with ASD, being mechanistically linked to ASD-associated genetic factors. In addition, we highlight future directions and outstanding questions, including potential symptomatic, disease-modifying, and preventive treatment strategies.
流行病学研究表明,儿童早期缺锌与自闭症谱系障碍(ASD)之间存在明显关联。与此一致的是,小鼠模型揭示了产前缺锌是后代神经生物学和行为异常的一个重要危险因素,这些异常类似于 ASD 的行为。从这些研究中,出现了一种复杂的病理学,包括胃肠道和免疫系统以及大脑中的突触信号的改变,这是产前缺锌的主要后果。这些特征代表了一个因果链中的关键环节,导致了产前缺锌(PZD)小鼠和可能其他 ASD 小鼠模型中观察到的各种神经元功能障碍和行为表型。鉴于 PZD 小鼠的完整表型可能是理解非遗传因素如何改变自闭症患者的临床特征和严重程度并解释观察到的异质性的关键,在这里,我们总结了关于 PZD 小鼠的已发表数据。我们批判性地回顾了新兴证据,即产前缺锌是与 ASD 相关的几个环境风险因素的核心,与与 ASD 相关的遗传因素在机制上相关。此外,我们强调了未来的方向和悬而未决的问题,包括潜在的对症、疾病修饰和预防性治疗策略。