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Autism research and other musings
Paul Whiteley
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by Paul Whiteley in Questioning Answers
I'm gonna try and be fairly brief in this post on the paper by Valerio Napolioni and colleagues* (open-access) looking at plasma cytokine profiles in cases of autism and their asymptomatic siblings. Brief because (a) the paper is open-access and (b) the participant groups (autism: n=25; sibling controls n=25) were relatively small so one has to be quite careful in extrapolating the findings with any large degree of confidence.Siblings by Paul Klee @ WikiPaintings Just in case you are ........ Read more »
Napolioni V, Ober-Reynolds B, Szelinger S, Corneveaux JJ, Pawlowski T, Ober-Reynolds S, Kirwan J, Persico AM, Melmed RD, Craig DW.... (2013) Plasma cytokine profiling in sibling pairs discordant for autism spectrum disorder. Journal of neuroinflammation, 38. PMID: 23497090
by Paul Whiteley in Questioning Answers
Blue Harvest @ Wikipedia @ Family GuyI need to create a suitable atmosphere for this post, so try this music for size and think Blue Harvest...Right. The wait is over. The discussions / arguments / objections / agreements are all confined to history. Drum roll, spotlight centre-stage... enter DSM-5 and into unknown territory we all go, particularly with autism, sorry.. autism spectrum disorders (ASDs) in mind.As you can see from the link above to the new diagnostic guidelines from the Ameri........ Read more »
Lai M-C, Lombardo MV, Chakrabarti B, & Baron-Cohen S. (2013) Subgrouping the Autism “Spectrum": Reflections on DSM-5. PLoS Biology. info:/
by Paul Whiteley in Questioning Answers
I told you so.I'm talking about the paper by Pu and colleagues* who meta-analysed the currently available literature looking at two SNPs in everyone's favourite Scrabble classic gene, MTHFR in relation to autism spectrum disorders (ASDs). Said gene controls production of methylenetetrahydrofolate reductase (MTHFR) which fits very snugly into the whole one carbon metabolism cycle (see here).Love at first sight? @ Wikipedia Regular readers might know that I have a bi........ Read more »
Pu D, Shen Y, & Wu J. (2013) Association between MTHFR Gene Polymorphisms and the Risk of Autism Spectrum Disorders: A Meta-Analysis. Autism research : official journal of the International Society for Autism Research. PMID: 23653228
by Paul Whiteley in Questioning Answers
The Irish poet Brendan Behan is, I think, credited with the phrase: "There's no bad publicity except an obituary". One wonders how appropriate this phrase might be to the 'diagnostic Bible' (except that it isn't) which is DSM-V which is poised to make its entrance into the World in the coming days.The real Homer @ Wikipedia Indeed, the story of DSM-V even before it hits the diagnostic shelves of all good psychiatric bookshops, has the makings of an epic piece of poetry or literature, o........ Read more »
Ian B Hickie1, Jan Scott, Daniel F Hermens, Elizabeth M Scott, Sharon L Naismith, Adam J Guastella, Nick Glozier, & Patrick D McGorry. (2013) Clinical classification in mental health at the cross-roads: which direction next?. BMC Medicine, 126. info:/
by Paul Whiteley in Questioning Answers
Nodding syndrome.Ever heard of it? Well, up until a few days ago I hadn't. That is before coming across articles on the topic by Richard Idro and colleagues* (open-access) and Angelina Kakooza-Mwesige and colleagues** (open-access). Whilst not specifically my line of expertise or interest, I was intrigued to read about how nodding and other symptoms of the epileptic variety, at least in some cases, seemed to be precipitated by food and showed a potential nutritional angle.Curving spacetime&........ Read more »
Herbert, M., & Buckley, J. (2013) Autism and Dietary Therapy: Case Report and Review of the Literature. Journal of Child Neurology. DOI: 10.1177/0883073813488668
by Paul Whiteley in Questioning Answers
"There's no mystical energy field that controls my destiny". So said a very sceptical Han Solo.Regular readers might know that I'm a bit of fan of the whole gut-brain axis; indeed other kinds of axes too. I know that to some it might sound a bit daft that what goes on in our deepest, darkest bowels might actually have some important effects on the operations of the grey-pinkish matter floating around in skull central - and vice-versa - but nonetheless it interests me. The gastrointestinal ........ Read more »
Rogers, M., Greene, M., Young, V., Saint, S., Langa, K., Kao, J., & Aronoff, D. (2013) Depression, antidepressant medications, and risk of Clostridium difficile infection. BMC Medicine, 11(1), 121. DOI: 10.1186/1741-7015-11-121
by Paul Whiteley in Questioning Answers
Shocker alert: medicines might have more effects than those listed on the patient information leaflet.I like being surprised. I particularly like being surprised about medicines and health, and how many of the medicines which even reside in the typical household medicines cabinet* might carry the potential to do so much more than that listed on the package insert. Leaking? @ Wikipedia Take for example the recent paper I bumped into by Sommansson and colleagues** continuing their ........ Read more »
Sommansson A, Wan Saudi WS, Nylander O, & Sjöblom M. (2013) Melatonin inhibits alcohol-induced increases in duodenal mucosal permeability in rats in vivo. American journal of physiology. Gastrointestinal and liver physiology. PMID: 23639810
by Paul Whiteley in Questioning Answers
Like Charlie Bucket looking through the sweet shop window at the delicious chocolates produced by the workforce of a certain Mr Willy Wonka (the candyman no less), I am always quite interested in the goings-on at the IMFAR autism research conference. The candyman can... @ Wikipedia This year (2013) proved to be a bit of a vintage, as once again the great and the good presented their Wonka bars of autism research; thus hinting at the direction of future autism research and what y........ Read more »
Höglund Carlsson, L., Norrelgen, F., Kjellmer, L., Westerlund, J., Gillberg, C., & Fernell, E. (2013) Coexisting Disorders and Problems in Preschool Children with Autism Spectrum Disorders. The Scientific World Journal, 1-6. DOI: 10.1155/2013/213979
by Paul Whiteley in Questioning Answers
Discussions on self-injurious behaviour (SIB) or auto-aggression are not normally for the faint-hearted.Indeed, as I intimated on a previous post on SIB and autism, when such behaviours are witnessed in children and young adults - even older adults, one does wonder what the effects might be not only on the person themselves but also on a parent or a sibling as they watch their own flesh and blood banging their head on a wall or pulling their hair out or trying to gouge their eyes out. I can't pu........ Read more »
Sisk RA, Motley WW 3rd, Yang MB, & West CE. (2013) Surgical outcomes following repair of traumatic retinal detachments in cognitively impaired adolescents with self-injurious behavior. Journal of pediatric ophthalmology and strabismus, 50(1), 20-6. PMID: 23061560
by Paul Whiteley in Questioning Answers
I've talked about the mighty tick previously on this blog and some speculation on how a tick harbouring the bacteria Borrelia burgdorferi (or a close relation) bites and transmits said bacteria to humans which can lead to Lyme disease and whether this might be implicated in some cases of autism. Tickety boo @ Wikipedia The suggestion from that post was that whilst the data was speculative and relatively sparse at that time on whether Lyme disease is common in cases of autism........ Read more »
Mary Ajamian, Barry E. Kosofsky, Gary P. Wormser, Anjali M. Rajadhyaksha, & Armin Alaedini. (2013) Serologic Markers of Lyme Disease in Children With Autism. JAMA, 309(17), 1771-1773. info:/
by Paul Whiteley in Questioning Answers
Men don't generally talk about placentas it has to be said. But today, in the name of blogging, I'm going to.I'm going to start by telling you how the placenta really is a marvel of biological engineering. An absolutely vital part of our existence in-utero that nourishes us and protects us during our earliest days living in the amniotic sac. Little wonder that whole nations have come to revere the placenta as mother, sibling even doubles of ourselves (see here). Although I have to say I do ........ Read more »
Walker, C., Anderson, K., Milano, K., Ye, S., Tancredi, D., Pessah, I., Hertz-Picciotto, I., & Kliman, H. (2013) Trophoblast Inclusions Are Significantly Increased in the Placentas of Children in Families at Risk for Autism. Biological Psychiatry. DOI: 10.1016/j.biopsych.2013.03.006
by Paul Whiteley in Questioning Answers
"Vaccine". "Autism".I'm struggling to think of two words in combination which, in modern times, are any more likely to stir up emotion, debate and even argument. Indeed in these times of measles outbreaks and seemingly daily news reporting on the very, very strong requirement for vaccination to protect against the disease, it is coincidental that two research papers should now land in my inbox which mention both of those words in the title.Paradise in Zakynthos @ Wikipedia The fi........ Read more »
Pequegnat B, Sagermann M, Valliani M, Toh M, Chow H, Allen-Vercoe E, & Monteiro MA. (2013) A vaccine and diagnostic target for Clostridium bolteae, an autism-associated bacterium. Vaccine. PMID: 23602537
by Paul Whiteley in Questioning Answers
When does the the term 'correlation does not equal causation' become a moot point? It's a question I've often pondered, having discussed the issue quite a few times on this blog for all manner of correlations and associations linked to autism (sorry, the autisms).The weight of the heart @ Wikipedia Is there, for example, a recognised tipping point where the weight of evidence correlating A with B might actually lead to the consensus that A causes B either wholly or partially?Yes, I kn........ Read more »
Jakob Christensen, Therese Koops Grønborg, Merete Juul Sørensen, Diana Schendel, Erik Thorlund Parner, Lars Henning Pedersen, & Mogens Vestergaard. (2013) Prenatal Valproate Exposure and Risk of Autism Spectrum Disorders and Childhood Autism. JAMA. info:/
by Paul Whiteley in Questioning Answers
Q: When is an identical twin not an identical twin? A: Pretty much all the time (at least according to some people) as our increasing understanding of the complexity of genetics stretches and modifies long-held beliefs about the building blocks of life and their role in our health and wellbeing.DNA methylation differences? @ Wikipedia Today I'm talking about identical (monozygotic) twins - siblings derived from one fertilised egg - and how the science of epigenetics might have so........ Read more »
Wong, C., Meaburn, E., Ronald, A., Price, T., Jeffries, A., Schalkwyk, L., Plomin, R., & Mill, J. (2013) Methylomic analysis of monozygotic twins discordant for autism spectrum disorder and related behavioural traits. Molecular Psychiatry. DOI: 10.1038/mp.2013.41
by Paul Whiteley in Questioning Answers
Minocycline, the tetracycline antibiotic, is probably not something that most people would traditionally link with autism or conditions presenting with autism-like behaviours. Indeed, the suggestion that antibiotics or antimicrobials if you prefer, may be able to modify either the behaviour or linked biochemistry of the autism spectrum disorders (ASDs) or even influence the onset and expression of ASD is quite frankly a little bit unusual.Minocycline (for chemists) @ Wikipedia But unusual ........ Read more »
Leigh, M., Nguyen, D., Mu, Y., Winarni, T., Schneider, A., Chechi, T., Polussa, J., Doucet, P., Tassone, F., Rivera, S.... (2013) A Randomized Double-Blind, Placebo-Controlled Trial of Minocycline in Children and Adolescents with Fragile X Syndrome. Journal of Developmental , 34(3), 147-155. DOI: 10.1097/DBP.0b013e318287cd17
by Paul Whiteley in Questioning Answers
"If you've met one person with autism, you've met one person with autism" so the oft-cited phrase goes. The implication is that whilst unified under the label of presenting with the triad/dyad characteristics of an autism spectrum condition, the heterogeneity present across the spectrum coupled with other comorbidity, allied to factors such as genes, personality, temperament, maturation, environment et al, mean that everyone is different and importantly everyone is dynamic.Umbrella under an........ Read more »
Whitehouse AJ, & Stanley FJ. (2013) Is autism one or multiple disorders?. The Medical journal of Australia, 198(6), 302-3. PMID: 23545020
Moreno-De-Luca A, Myers SM, Challman TD, Moreno-De-Luca D, Evans DW, & Ledbetter DH. (2013) Developmental brain dysfunction: revival and expansion of old concepts based on new genetic evidence. Lancet neurology, 12(4), 406-14. PMID: 23518333
by Paul Whiteley in Questioning Answers
In the very complicated world of medical research and science, the days of one chemical, one metabolite, or one gene driving and sustaining ill-health and particular diseases or conditions seem to be all but long past. Sure, there are conditions which on the surface seem to be driven by only one factor, but more often than not is the realisation that we humans are very complicated creatures indeed.Leptin @ Wikipedia I was therefore interested to read the paper by Elizabeth Stringer and col........ Read more »
Stringer, E., Baker, K., Carroll, I., Montoya, J., Chu, L., Maecker, H., & Younger, J. (2013) Daily cytokine fluctuations, driven by leptin, are associated with fatigue severity in chronic fatigue syndrome: evidence of inflammatory pathology. Journal of Translational Medicine, 11(1), 93. DOI: 10.1186/1479-5876-11-93
by Paul Whiteley in Questioning Answers
'Light it up blue' is probably a familiar phrase to many of those involved with autism as being the message championed by Autism Speaks on World Autism Awareness Day (2 April). The intention is noble enough: to bring autism to the attention of the world at large and importantly, keep their attention and resources focused on autism. I might add that awareness is one thing; actually 'doing something about autism' - whether that means improving prospects or modifying the course of autism or just le........ Read more »
Arns M, van der Heijden KB, Arnold LE, & Kenemans JL. (2013) Geographic Variation in the Prevalence of Attention-Deficit/Hyperactivity Disorder: The Sunny Perspective. Biological psychiatry. PMID: 23523340
by Paul Whiteley in Questioning Answers
I'm very conscious of the fact that I tend to talk quite a lot about biological research on this blog and its potential implications for people on the autism spectrum and beyond. To some, this can seem a little one-sided in terms of how autism is viewed and indeed at the expense of a large proportion of people on the autism spectrum who are not necessarily looking to understand how cytokines or dietary intervention for example, might impact on their signs, symptoms or everyday quality of life.Yo........ Read more »
Strickland DC, Coles CD, & Southern LB. (2013) JobTIPS: A Transition to Employment Program for Individuals with Autism Spectrum Disorders. Journal of autism and developmental disorders. PMID: 23494559
by Paul Whiteley in Questioning Answers
There are some key 'go-to' peer-reviewed texts which I've found to be useful when talking about the various conditions on the autism spectrum. On the topic of Asperger syndrome, I've always tended to come back to the paper by Tom Berney* (open-access) charting the progression of the condition through childhood into adulthood.The whisper of the Muse @ Wikipedia Despite being published nearly 10 years ago, the paper by Dr Berney weathers well and covers many of the discussions which have come........ Read more »
Davidson C, Greenwood N, Stansfield A, & Wright S. (2013) Prevalence of Asperger syndrome among patients of an Early Intervention in Psychosis team. Early intervention in psychiatry. PMID: 23472601
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