Causes of autism

The causes and etiology of autism are areas ofaccompany autism in those who are non-mentally
debate and controversy; there is currently noretarded, but the reasons for this and its effects
consensus, and researchers are studying a wideare still unknown.
range of possible genetic and environmentalResearch has not yet established exactly what is
causes. Since the way autism manifests isspecific to autism and what may be seen in other
different for each person, there are likely multipledisorders however.
"causes" that interact with each other in subtleIndividuals with autism are also far more likely to
and complex ways, and thus give slightly differingdevelop epilepsy than would otherwise be
outcomes in each individual. Two environmentalexpected (estimated 10-30% incidence).
theories include the impact of vaccines on theGenetic component
immune system (of which a statistically significantGenetic influence comprises a significant aspect of
link has never been found despite manyresearch in the causes of autism. A large
attempts; see the vaccine theory for a moredatabase showing theoretical links between autism
extensive treatment) and a more recent theoryand genetic loci summarises research indicating
relating autism to high levels of television viewingthat the genetic influence may extend to every
while young. A correlation has also been foundhuman chromosome. It has been observed in one
between autism and the mercury emitted fromtwin-study in Britain that there was about a 60%
coal power plants, though the implications of thisconcordance rate for autism in monozygotic
correlation is uncertain. Mercury measurements of(identical) twins, while dizygotic (non-identical) twins
hair samples from autistic children's first haircutsand other siblings comparatively exhibited about
were significantly lower than a matched group of4% concordance rates. Some research posits
normal children, declining as measures of severitythat the chances that an identical twin of an
increased.autistic person will also be autistic are 85-90%.
Research claims also link autism with abnormalThe increased probabilities of siblings having autism
blood vessel function, and oxidative stress. Thishas been calculated at about 35-fold more than
line of research may lead to new medicalnormal.
therapies.Accompanying impairments are also a common
Physiology and neurologyfeature of autism. Some people with autism also
Autism appears to involve a greater amount ofhave gastrointestinal, immunological or neurological
the brain than previously thought. A study of 112symptoms in addition to behavioral impairments.
children (56 with autism and 56 without), publishedThese associated complexes have also lead to
in the Journal of Child Neuropsychology, foundthe search for specific genetic connections and
those with autism to have more problems withhelped to focus on reasonable genetic implications.
complex tasks, such as tying their shoelaces orSince genes provide the information for
writing, which suggests that many areas of theprocesses and structure at the level of the cell
brain are involved. Children with autism performedand its components during the growth and
simple tasks as well as or better than thosedevelopment of a human as well as maintenance
without. In tests of visual and spatial skills, autisticduring life, gene mutations (altered versions) and
children did well at finding small objects in complexdeletions (complete absence of genetic material)
pictures (e.g., finding the character Waldo inand possibly extra copies of genes would mean
"Where's Waldo" pictures). However, they found itthat the causes of autism begin very early. If a
difficult to tell the difference betweenmutated gene fails to perform properly, then cells,
similar-looking people. Children with autism tendedproteins, enzymes and other crucial aspects of
to do well in spelling and grammar, but found itnormal function may be significantly altered and
much more difficult to understand complexoperate incorrectly. Deletions could mean the
speech, such as idioms or similes when thecomplete absence of a sequence of events due
meaning of the phrase is figurative. They would,to missing proteins or cell components for
for example, not understand that "He kicked theexample. These genetic alterations and deletions
bucket" meant someone had died, or were likelywill simply bring about a changed structure or
to actually hop if told to "hop to it".process which effects a great many other
The inference from this research, according toneeded structures and processes.
researchers at the Pittsburgh School of Medicine,Another important aspect of research in genetic
is that "These findings show that you cannotfactors is environmental effects and the incidence
compartmentalize autism. It's much moreof autism. During the lifetime of a person, gene
complex.”mutations and deletions may be environmentally
The research from this perspective has a numbertriggered or exacerbated. Conversely, it may also
of implications:be that environment will not be a factor and
Autism is more than likely a global disorder whichnothing will change the autism characteristics. For
affects how the brain processes the information itautism, the answer to these possible explanations
receives, while complex information tends tois still being researched and there is evidence that
make this more readily apparent.both may be true simply because there is more
Neurological ‘wiring’ in peoplethan one way a person may develop autism.
with autism manifest abnormalities in the areas ofDeletions and Mutations
the brain that communicate with each other.Deleted genes have been noted as a probable
Observed abnormalities provide a reasonableinfluence or cause in autism. By locating specific
explanation for why children with autism havemissing genetic material the significance may be
problems with complex tasks which requirethat specific genetic sites for autism controlling or
multiple areas of the brain to work together;causing autism (autism susceptibility alleles) may
autistic people tend to do better in tasks that onlybe located precisely. Another significant aspect of
require one region of the brain.this research is that these deletions of genetic
The causes of autism are possibly morematerial indicate that autism may be established in
pervasive than previously believed; for example,some cases during meiosis (error-prone meiosis
more areas of the brain are affected than justmodel) and this places the genesis of autism in
those involving social interaction, communication,some at the very beginning of life.
interests, and imagination.One very important question in this line of
Autism may not be primarily a disorder of socialresearch is whether or not gene deletions are a
interaction; research must now take into accountcause or consequence of autism-susceptibility loci
non-social aspects.located elsewhere in the chromosomes.
A possible explanation for the characteristics ofGene mutations may mean a gene does not
the syndrome is a variation in the way the brainfunction at all or does not function in the normal
itself reacts to sensory input and how parts ofway. Since genes direct how the body grows and
the brain then handle the information. Andevelops, mutations, like deletions, will effect a
electroencephalographic (EEG) study of 36 adultsperson at the most basic levels.
(half of whom had autism) at WashingtonMutation and deletion effects have been
University in St. Louis found that adults withdelineated in numerous research publications.
autism show differences in the manner in whichCorrelated characteristics include global
neural activity is coordinated. The implicationdevelopmental delay, mild to severe delay of
seems to be that there is poor internalspeech, social communication disorders and
communication between different areas of thecognitive abilities, autistic like behaviour, high
brain. (Electroencephalographs, or EEGs, measuretolerance of pain, and repetitive mannerisms (e.g.
the activity of brain cells.)chewing or mouthing).
The study indicated that there were abnormalGene interaction may also complicate the causes
patterns in the way the brain cells wereleading to multiple genetic origins of autism, In a
connected in the temporal lobe of the brain. (Thecascade like effect, when a gene loci is altered or
temporal lobe deals with language.) Theseomitted, others are effected due to change in
abnormal patterns would seem to indicateinteraction between genes and/or their functions.
inefficient and inconsistent communication insideThough not present in all individuals with autism,
the brain of autistic people.these mutations and deletions hold potential to
Studies in neuropathology indicate abnormalities inpoint the way to more the genetic components
the amygdala, hippocampus, septum, mamillaryof spectrum disorders. The research also
bodies, limbic system, and the cerebellum.advanced basic understanding in the genetic
Autistic brains are slightly larger and heavier and aarchitecture of the genome of autistic individuals
larger than normal head circumference isand will help in focusing future research.
commonly noted.One practical aspect of this type of research may
In the limbic system, there is an excess of cellsbe the development of a test that would confirm
and they are too small. The neurons themselvesthe autism diagnosis in children exhibiting
appear to be underdeveloped. Dendritic treessymptoms and identify families who carry genetic
which provide the basis for connections betweendefects that could be inherited by their children.
neurons are truncated (i.e. shortened).Mirror neurons
In the cerebellum, purkinje cells are widelyA theory featuring mirror neurons states that
affected. The anatomic differences correlate toautism may involve a dysfunction of specialized
the curtailment of development earlier than 30neurons in the brain that should activate when
weeks gestation. In other words, theobserving other people. In typically-developing
development of the cells appears to havepeople, these mirror neurons are thought to
stopped at some time before the 30th week inperhaps play a major part in social learning and
uterogeneral comprehension of the actions of others.
An enlarged third ventricle of the brain appears to