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NewScientist.com
news service
Some relatives of people with autism also display
behaviours and brain differences associated with
the condition, even though they themselves do
not have it. This could make it easier to spot
families at risk of having an autistic child.
It could also help in the quest to identify the
genetic and environmental triggers for the condition,
though it seems these triggers might vary from
country to country.
Eric Peterson of the University of Colorado in
Denver had compared an MRI study of the brains
of 40 parents with autistic children to that of
40 age-matched controls. And he told the Society
for Neuroscience annual meeting in Washington
DC that the parents who had an autistic child
shared several differences in brain structure
with their offspring.
Looking at the group averages, the differences
in parents of the autistic children included an
unexpected increase in the size of the motor cortex
and basal ganglia, areas important for movement
planning and imitation. The somatosensory cortex,
neighbouring the motor cortex, by contrast, was
smaller than average. This region is important
for understanding social information such as facial
expressions - one key skill that autistic people
often lack. These parents also had reductions
in the cerebellum, important for coordinating
movement, and in a frontal region thought to be
responsible for understanding the intentions and
feelings of others - the so-called theory of mind
area.
In another study, Brendon Nacewicz of the University
of Wisconsin-Madison Medical School and colleagues
tested whether brothers of autistic children would
avoid eye contact with others, a common feature
of autism. While the parents seemed normal in
this respect, brothers avoided eye contact just
as strongly as their autistic sibling. He is now
planning to test sisters too. Nacewicz also showed
that the amygdala, a region important for processing
emotions, particularly fear, was shrunken in the
brothers too, just as it is in autistic people.
One theory laid to rest by these findings, says
Nacewicz, is the idea that autism somehow falls
on the far end of a shyness spectrum. The siblings
showed no signs of autism or shyness, despite
avoiding eye contact with others. Although gaze
avoidance is accompanied by differences in the
biology of the brain, he says, other brain areas
must somehow compensate for the differences. Peterson
agrees. This suggests that several core brain
differences have to be present for someone to
show the symptoms of autism, he says.
A further complexity in the underlying biology
of autism was reported by Antonio Persico from
the University of Rome. He found certain genetic
variations linked with autism in North America
were not present in autistic families in Italy.
It is possible that there are regional differences
in the environmental factors that interact with
different genes to trigger autism, he suggests.
The differences were in a gene that makes an enzyme
called paraoxonase. In North American populations,
families with autistic members seemed to share
a variant of the gene that makes a less active
form of the enzyme. In Italian families with autism,
however, that variant was no more common than
in families without. One job of the enzyme is
to inactivate organophosphates, which are often
used in American homes as insecticides. In Italy,
they are rarely found in the home. So one possible
explanation, claims Persico, is that Americans
with the less active enzyme use more of it to
clear the pesticide, leaving less free to do another
important job in helping neurons migrate to their
right places during brain development.
"Parents who had an autistic child shared
several differences in brain structure with their
offspring"
In Italian families, the interaction between environment
and genes may be different. For instance, an environmental
effect may interact with the gene reelin, which
also guides neurons to the right place, and has
been linked to autism. "The important thing
is that I am not trying to prove that organophosphates
are bad," says Persico. These children may
become sick anyway. The point is that there may
be different genetic risk factors and different
environmental interactions which lead to autism,
he adds.
Dan Geschwind, an autism expert from the University
of California, Los Angeles, who chaired the session
on brain differences, is yet to be convinced about
the claims of environmental triggers, however.
"There is no evidence for one," he says,
"but we can't rule it out.
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