Region-specific elevations of glutamate + glutamine correlate with the sensory symptoms of autism spectrum disorders

TitleRegion-specific elevations of glutamate + glutamine correlate with the sensory symptoms of autism spectrum disorders
Publication TypeJournal Article
Year of Publication2021
AuthorsHe JL, Oeltzschner G, Mikkelsen M, Deronda A, Harris AD, Crocetti D, Wodka EL, Mostofsky SH, Edden RAE, Puts NAJ
JournalTransl Psychiatry
Volume11
Issue1
Pagination411
Date Published2021 Jul 29
ISSN2158-3188
KeywordsAutism Spectrum Disorder, Child, gamma-Aminobutyric Acid, Glutamic Acid, Glutamine, Humans, Magnetic Resonance Spectroscopy
Abstract

Individuals on the autism spectrum are often reported as being hyper- and/or hyporeactive to sensory input. These sensory symptoms were one of the key observations that led to the development of the altered excitation-inhibition (E-I) model of autism, which posits that an increase ratio of excitatory to inhibitory signaling may explain certain phenotypical expressions of autism spectrum disorders (ASD). While there has been strong support for the altered E-I model of autism, much of the evidence has come from animal models. With regard to in-vivo human studies, evidence for altered E-I balance in ASD come from studies adopting magnetic resonance spectroscopy (MRS). Spectral-edited MRS can be used to provide measures of the levels of GABA + (GABA + macromolecules) and Glx (glutamate + glutamine) in specific brain regions as proxy markers of inhibition and excitation respectively. In the current study, we found region-specific elevations of Glx in the primary sensorimotor cortex (SM1) in ASD. There were no group differences of GABA+ in either the SM1 or thalamus. Higher levels of Glx were associated with more parent reported difficulties of sensory hyper- and hyporeactivity, as well as reduced feed-forward inhibition during tactile perception in children with ASD. Critically, the finding of elevated Glx provides strong empirical support for increased excitation in ASD. Our results also provide a clear link between Glx and the sensory symptoms of ASD at both behavioral and perceptual levels.

DOI10.1038/s41398-021-01525-1
Alternate JournalTransl Psychiatry
PubMed ID34326312
PubMed Central IDPMC8322079
Grant ListP41 EB031771 / EB / NIBIB NIH HHS / United States
R00 AG062230 / AG / NIA NIH HHS / United States
R21 HD100869 / HD / NICHD NIH HHS / United States
MR/N026063/1 / MRC_ / Medical Research Council / United Kingdom
R00 MH107719 / MH / NIMH NIH HHS / United States
P41 EB015909 / EB / NIBIB NIH HHS / United States
R21 MH098228 / MH / NIMH NIH HHS / United States
R01 MH078160 / MH / NIMH NIH HHS / United States
R01 MH106564 / MH / NIMH NIH HHS / United States