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Understanding the roles of glutamine synthetase,glutaminase, and glutamate decarboxylase autoantibodies in imbalanced excitatory/inhibitory neurotransmission as etiological mechanisms of autism
Authors:Najat O Hamed MsC  Laila Al‐Ayadhi MD  Mohamed A Osman PhD  Abdalla O Elkhawad PhD  Hanan Qasem MsC  Majida Al‐Marshoud BsC  Nada M Merghani MsC  Afaf El‐Ansary PhD
Institution:1. Department of Medical Biochemistry, University of Medical Sciences and Technology, Khartoum, Sudan;2. Department of Pharmacology, Almaarefa Colleges for Science & Technology (MCST), Riyadh, Saudi Arabia;3. Department of Physiology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia;4. Autism Research and Treatment Center, King Khalid University Hospital, Riyadh, Saudi Arabia;5. Shaik AL‐Amodi Autism Research Chair, King Saud University, Riyadh, Saudi Arabia;6. Department of Pharmacology, Faculty of Pharmacy, University of Medical Sciences and Technology, Sudan Medical and Scientific Research Institute, Khartoum, Sudan;7. Kirkwood College, Iowa, USA;8. Central Laboratory, Female Centre for Scientific and Medical Studies, King Saud University, Riyadh, Saudi Arabia
Abstract:

Aim

Autism is a heterogeneous neurological disorder that is characterized by impairments in communication and social interactions, repetitive behaviors, and sensory abnormalities. The etiology of autism remains unclear. Animal, genetic, and post‐mortem studies suggest that an imbalance exists in the neuronal excitation and inhibition system in autism. The aim of this study was to determine whether alterations of the measured parameters in children with autism are significantly associated with the risk of a sensory dysfunction.

Methods

The glutamine synthetase (GS), kidney‐type glutaminase (GLS1), and glutamic acid decarboxylase autoantibody levels were analyzed in 38 autistic children and 33 age‐ and sex‐matched controls using enzyme‐linked immunosorbent assays.

Results

The obtained data demonstrated significant alterations in glutamate and glutamine cycle enzymes, as represented by GS and GLS1, respectively. While the glutamic acid decarboxylase autoantibodies levels were remarkably increased, no significant difference was observed compared to the healthy control participants.

Conclusion

The obtained data indicate that GS and GLS1 are promising indicators of a neuronal excitation and inhibition system imbalance and that combined measured parameters are good predictive biomarkers of autism.
Keywords:autism  excitation  glutamic acid decarboxylase autoantibodies  glutaminase kidney isoform  glutamine synthetase
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