El cerebelo en el Autismo

Autism is considered as a neurodevelopmental disorder which affects boys more than girls, in a proportion 4:1 respectively. Autism presents neuroanatomical abnormalities located in the frontal cortex, the amygdala and the cerebellum. Autistic cerebellar postmortem studies have revealed a reduced number of Purkinje cells as well as a reduced Purkinje cell size when compared with non-autistic subjects. These anatomical alterations compromise the role of the cerebellum in cognitive, motor, emotional, learning and memory neural processes resulting in a different interpretation of the world, and therefore a different way to respond and behave. There are both biological and environmental insults causing the behavioral and neuroanatomical autistic phenotype. Valproic acid, an antiepileptic drug, has been related to some autistic cases after mothers were under medication with this drug during the first trimester of gestation and given birth autistic children. Therefore, in this brief review we analyzed the most recent advances of autism research in humans, with a primary focus on the use of valproic acid as a teratogen that mimics in rats some of the neuroanatomical alterations seen in autistic humans. In addition to the peculiar cerebellar pathology, all of this to shed light on a better understating of this disorder.El autismo es un trastorno generalizado del desarrollo que afecta más a varones que mujeres, con una proporción de 4 a 1, respectivamente. Dentro de sus características neuropatológicas más sobresalientes se encuentran la alteración anatómica de diversas estructuras del sistema nervioso central como la corteza frontal, la amígdala y el cerebelo. Estudios post mórtem en cerebelos de sujetos autistas han mostrado una notable disminución en el número de neuronas de Purkinje así como en su tamaño, comparado con las de sujetos sanos. Estas alteraciones anatómicas comprometen la participación del cerebelo en los procesos neurales como la cognición, actividad motora, la emoción, el aprendizaje y la memoria, dando como resultado una interpretación diferente del mundo que impacta sobre la respuesta y el comportamiento de los sujetos autistas. Actualmente se desconoce la causa de estas alteraciones anatómicas y aunque se avanza rápido en la ciencia se tiene la limitante de los sujetos experimentales, que en este caso son humanos. Por lo tanto, en esta revisión analizamos los hallazgos más relevantes de la patología cerebelar en el autismo, así como el uso del ácido valproico en ratas como teratógeno para simular alteraciones cerebelares como las observadas en autistas, contribuyendo a un mejor entendimiento de su neuropatología

Prenatal exposure to sodium valproate alters androgen receptor expression in the developing cerebellum in a region and age specific manner in male and female rats

Valproic acid (VPA) is an anti-epileptic drug with teratogenicity activity that has been related to autism. In rodents, exposure to VPA in utero leads to brain abnormalities similar than those reported in the autistic brain. Particularly, VPA reduces the number of Purkinje neurons in the rat cerebellum parallel to cerebellar abnormalities found in autism. Thus, we injected pregnant females on embryonic day 12 either with VPA (600 mg/kg, i.p.) or 0.9% saline solution and obtained the cerebellum from their offspring at different postnatal time points. Testosterone has been linked to autism and plays an important role during brain development. Therefore, we identified and analyzed the androgen receptor (AR) by immunohistochemistry and densitometry, respectively. We found VPA decreases AR density in the superficial Purkinje layer only in cerebellar lobule 8 at PN7, but increased it at PN14 compared to control in males. In females, VPA decreased AR density in the superficial Purkinje layer in cerebellar lobule 6 at PN14, but increased it in lobule 9 at the same time point. No differences were found in the deep Purkinje layer of any cerebellar lobule in terms of AR density neither in males nor females. We additionally found a particular AR density decreasing in both superficial and deep regions across development in the majority of cerebellar lobules in males, but in all cerebellar lobules in females. Thus, our results indicate that VPA disrupts the AR ontogeny in the developing cerebellum in an age and region specific manner in male and female rats. Future epigenetic studies including the evaluation of histone deacetylases (HDAC’s) might shed light these results as HDAC’s are expressed by Purkinje neurons, interact with the AR and are VPA targets. This work contributes to the understanding of the cerebellar development and it might help to understand the role of the cerebellum in neurodevelopmental disorders such as autism.This research was supported by CONACYT (Consejo Nacional de Ciencia y Tecnologia of Mexico Grant 106531 to Maria Elena Hernandez (MEH) and CONACYT Doctorate scholarship 205779 to Miguel Perez Pouchoulen (MPP). Authors thank M.S. Dulce Mariely Alvarez-Croda for her valuable comments to the manuscript