Explaining child disorders


Causes of autism

The causes and etiology of autism are areasthis  and  its  effects  are  still  unknown.
of debate and controversy; there is currently
no consensus, and researchers are studying aResearch has not yet established exactly what
wide range of possible genetic andis specific to autism and what may be seen in
environmental causes. Since the way autismother  disorders  however.
manifests is different for each person, there
are likely multiple "causes" that interactIndividuals with autism are also far more
with each other in subtle and complex ways,likely to develop epilepsy than would
and thus give slightly differing outcomes inotherwise be expected (estimated 10-30%
each individual. Two environmental theoriesincidence).
include the impact of vaccines on the immune
system (of which a statistically significantGenetic  component
link has never been found despite many
attempts; see the vaccine theory for a moreGenetic influence comprises a significant
extensive treatment) and a more recent theoryaspect of research in the causes of autism. A
relating autism to high levels of televisionlarge database showing theoretical links
viewing while young. A correlation has alsobetween autism and genetic loci summarises
been found between autism and the mercuryresearch indicating that the genetic
emitted from coal power plants, though theinfluence may extend to every human
implications of this correlation ischromosome. It has been observed in one
uncertain. Mercury measurements of hairtwin-study in Britain that there was about a
samples from autistic children's first60% concordance rate for autism in
haircuts were significantly lower than amonozygotic (identical) twins, while
matched group of normal children, decliningdizygotic (non-identical) twins and other
as  measures  of  severity  increased.siblings comparatively exhibited about 4%
concordance rates. Some research posits that
Research claims also link autism withthe chances that an identical twin of an
abnormal blood vessel function, and oxidativeautistic person will also be autistic are
stress. This line of research may lead to new85-90%. The increased probabilities of
medical  therapies.siblings having autism has been calculated at
about  35-fold  more  than  normal.
Physiology  and  neurology
Accompanying impairments are also a common
Autism appears to involve a greater amount offeature of autism. Some people with autism
the brain than previously thought. A study ofalso have gastrointestinal, immunological or
112 children (56 with autism and 56 without),neurological symptoms in addition to
published in the Journal of Childbehavioral impairments. These associated
Neuropsychology, found those with autism tocomplexes have also lead to the search for
have more problems with complex tasks, suchspecific genetic connections and helped to
as tying their shoelaces or writing, whichfocus  on  reasonable  genetic  implications.
suggests that many areas of the brain are
involved. Children with autism performedSince genes provide the information for
simple tasks as well as or better than thoseprocesses and structure at the level of the
without. In tests of visual and spatialcell and its components during the growth and
skills, autistic children did well at findingdevelopment of a human as well as maintenance
small objects in complex pictures (e.g.,during life, gene mutations (altered
finding the character Waldo in "Where'sversions) and deletions (complete absence of
Waldo" pictures). However, they found itgenetic material) and possibly extra copies
difficult to tell the difference betweenof genes would mean that the causes of autism
similar-looking people. Children with autismbegin very early. If a mutated gene fails to
tended to do well in spelling and grammar,perform properly, then cells, proteins,
but found it much more difficult toenzymes and other crucial aspects of normal
understand complex speech, such as idioms orfunction may be significantly altered and
similes when the meaning of the phrase isoperate incorrectly. Deletions could mean the
figurative. They would, for example, notcomplete absence of a sequence of events due
understand that "He kicked the bucket" meantto missing proteins or cell components for
someone had died, or were likely to actuallyexample. These genetic alterations and
hop  if  told  to  "hop  to  it".deletions will simply bring about a changed
structure or process which effects a great
The inference from this research, accordingmany  other  needed structures and processes.
to researchers at the Pittsburgh School of
Medicine, is that "These findings show thatAnother important aspect of research in
you cannot compartmentalize autism. It's muchgenetic factors is environmental effects and
more  complex.”the incidence of autism. During the lifetime
of a person, gene mutations and deletions may
The research from this perspective has abe environmentally triggered or exacerbated.
number  of  implications:Conversely, it may also be that environment
will not be a factor and nothing will change
Autism is more than likely a global disorderthe autism characteristics. For autism, the
which affects how the brain processes theanswer to these possible explanations is
information it receives, while complexstill being researched and there is evidence
information tends to make this more readilythat both may be true simply because there is
apparent.more than one way a person may develop
autism.
Neurological ‘wiring’ in people
with autism manifest abnormalities in theDeletions  and  Mutations
areas of the brain that communicate with each
other.Deleted genes have been noted as a probable
influence or cause in autism. By locating
Observed abnormalities provide a reasonablespecific missing genetic material the
explanation for why children with autism havesignificance may be that specific genetic
problems with complex tasks which requiresites for autism controlling or causing
multiple areas of the brain to work together;autism (autism susceptibility alleles) may be
autistic people tend to do better in taskslocated precisely. Another significant aspect
that  only  require  one region of the brain.of this research is that these deletions of
genetic material indicate that autism may be
The causes of autism are possibly moreestablished in some cases during meiosis
pervasive than previously believed; for(error-prone meiosis model) and this places
example, more areas of the brain are affectedthe genesis of autism in some at the very
than just those involving social interaction,beginning  of  life.
communication,  interests,  and  imagination.
One very important question in this line of
Autism may not be primarily a disorder ofresearch is whether or not gene deletions are
social interaction; research must now takea cause or consequence of
into  account  non-social  aspects.autism-susceptibility loci located elsewhere
in  the  chromosomes.
A possible explanation for the
characteristics of the syndrome is aGene mutations may mean a gene does not
variation in the way the brain itself reactsfunction at all or does not function in the
to sensory input and how parts of the brainnormal way. Since genes direct how the body
then handle the information. Angrows and develops, mutations, like
electroencephalographic (EEG) study of 36deletions, will effect a person at the most
adults (half of whom had autism) atbasic  levels.
Washington University in St. Louis found that
adults with autism show differences in theMutation and deletion effects have been
manner in which neural activity isdelineated in numerous research publications.
coordinated. The implication seems to be that
there is poor internal communication betweenCorrelated characteristics include global
different areas of the brain.developmental delay, mild to severe delay of
(Electroencephalographs, or EEGs, measure thespeech, social communication disorders and
activity  of  brain  cells.)cognitive abilities, autistic like behaviour,
high tolerance of pain, and repetitive
The study indicated that there were abnormalmannerisms  (e.g.  chewing  or  mouthing).
patterns in the way the brain cells were
connected in the temporal lobe of the brain.Gene interaction may also complicate the
(The temporal lobe deals with language.)causes leading to multiple genetic origins of
These abnormal patterns would seem toautism, In a cascade like effect, when a gene
indicate inefficient and inconsistentloci is altered or omitted, others are
communication inside the brain of autisticeffected due to change in interaction between
people.genes  and/or  their  functions.
Studies in neuropathology indicateThough not present in all individuals with
abnormalities in the amygdala, hippocampus,autism, these mutations and deletions hold
septum, mamillary bodies, limbic system, andpotential to point the way to more the
the  cerebellum.genetic components of spectrum disorders. The
research also advanced basic understanding in
Autistic brains are slightly larger andthe genetic architecture of the genome of
heavier and a larger than normal headautistic individuals and will help in
circumference  is  commonly  noted.focusing  future  research.
In the limbic system, there is an excess ofOne practical aspect of this type of research
cells and they are too small. The neuronsmay be the development of a test that would
themselves appear to be underdeveloped.confirm the autism diagnosis in children
Dendritic trees which provide the basis forexhibiting symptoms and identify families who
connections between neurons are truncatedcarry genetic defects that could be inherited
(i.e.  shortened).by  their  children.
In the cerebellum, purkinje cells are widelyMirror  neurons
affected. The anatomic differences correlate
to the curtailment of development earlierA theory featuring mirror neurons states that
than 30 weeks gestation. In other words, theautism may involve a dysfunction of
development of the cells appears to havespecialized neurons in the brain that should
stopped at some time before the 30th week inactivate when observing other people. In
uterotypically-developing people, these mirror
neurons are thought to perhaps play a major
An enlarged third ventricle of the brainpart in social learning and general
appears to accompany autism in those who arecomprehension of the actions of others.
non-mentally retarded, but the reasons for



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