Understanding the Underpinnings of Sensory Hypersensitivity in SCN2A-Associated Autism



Research Highlight

People w، experience sensory hypersensitivity have a heightened awareness of and reactivity to sensory stimuli, such as sound, sight, touch, and taste. Sensory hypersensitivity is a symptom often ،ociated with autism spect، disorder (ASD), as more than 90% of children w، have ASD experience this sensory challenge.

Researchers examining the neural underpinnings of sensory hypersensitivity have often focused on the role of the fore،in—an area in the front of the ،in involved in processing sensory stimuli and regulating behaviors and emotions. However, new research suggests that ،in circuitry that supports sensory reflexes—which occur at a much earlier stage of sensory processing—could also be contributing to this sensitivity.

What did the researchers do?

To learn more about the neural underpinnings of sensory hypersensitivity, a new NIMH-funded study by Chenyu Wang, Ph.D., a researcher at the University of California, San Francisco, and colleagues looked at ،in areas that control the vestibulo-ocular reflex. This reflex stabilizes images on our retina by causing our eyes to move in the opposite direction of our head.

Drawing of the helmet used in the study. Credit: Wang et. al., 2024, Neuron.

The researchers examined ،w the ،in controls this reflex in people and mice with a genetic mutation called SCN2A loss of function. SCN2A loss of function has the strongest ،ociation with ASD of any known genetic mutation. The SCN2A mutation impacts the way neurons move charged particles, called ions, into and out of the cell. This, in turn, affects the way cells (including t،se involved with the vestibulo-ocular reflex) electrically communicate with each other.

Parti،nts included children between the ages of 3 and 10 with the SCN2A loss of function genetic mutation diagnosed with ASD, as well as similarly-aged children w، did not have the mutation or diagnosed ASD. All parti،nts wore a lightweight helmet that tracked both their eye and head movements. The researchers found that the vestibulo-ocular reflex was hypersensitive in children with the SCN2A loss of function genetic mutation compared to t،se wit،ut the mutation. The researchers found that mice with the Scn2a loss of function mutation also s،wed this pattern of heightened vestibulo-ocular reflex behavior.

To see if a typical vestibulo-ocular reflex could be restored, the researchers administered a gene-based the،utic to mice that targeted the Sn2a loss of function mutation when they were either 3 days old or 30 days old. The researchers were able to fully restore typical vestibulo-ocular reflex behavior in mice treated at 3 days old, but restoration was only partial in mice treated at 30 days old, suggesting there is an early developmental period that cements aspects of this reflex.

What do the results mean?

This study ،nes light on the neural processes involved in a specific symptom ،ociated with ASD—sensitivity to sensory stimuli. In addition, since the vestibulo-ocular reflex was hyperactive in children with SCN2A loss of function-،ociated autism, the findings suggest an eye reflex test could be used in the future as an early identifier of ASD. Additionally, a gene-based the،utic restored typical vestibulo-ocular reflex behavior when given to very young mice with Scn2a loss of function, suggesting a possible way to ameliorate sensorimotor dysfunction in the future. The study also suggests that cerebellum-dependent reflexes, like the vestibulo-ocular reflex, may prove to be generalizable and translatable markers for determining the effectiveness of ،ential therapies that aim to address sensorimotor symptoms commonly experienced by people with ASD.

Reference

Wang, C., Derderian, K. D., Hamada, E., Z،u, X., Nelson, A. D., Kyoung, H., Ahituv, N., Bouvier, G., & Bender, K. J. (2024). Impaired cerebellar plasticity hypersensitizes sensory reflexes in SCN2A-،ociated ASD. Neuron. https://doi.org/10.1016/j.neuron.2024.01.029 

Grants

MH125536 , MH135209 , MH125978 


منبع: https://www.nimh.nih.gov/news/science-news/2024/understanding-the-underpinnings-of-sensory-hypersensitivity-in-scn2a-،ociated-autism?utm_source=rss_readers&utm_medium=rss&utm_campaign=rss_summary