Stem Cells Either Overproduce or Underproduce Brain Cells in Autistic Patients (2024)

Irregular production of brain cells may lead to autism spectrum disorder, a Rutgers study finds

Analyzing brain stem cells of patients with autism spectrum disorder (ASD), Rutgers scientists have found evidence of irregularities in very early brain development that may contribute to the neuropsychiatric disorder.

The findings support a concept scientists have long suspected: ASD arises early in fetal development during the period when brain stem cells divide to form the elements of a functioning brain.

Writing in the journal Stem Cell Reports, Rutgers scientists examined brain stem cells – known as neural precursor cells (NPCs) – of patients with ASD. They found the NPCs – responsible for producing the three main kinds of brain cells: neurons, oligodendrocytes and astrocytes – either overproduced or underproduced the number of permanent brain cells.

“The NPCs we studied from all samples showed abnormal proliferation, either ‘too little’ or ‘too much,’ which suggests that poor control of proliferation of brain cells is an important basis for ASD causation,” said Emanuel DiCicco-Bloom, a professor of pediatrics, neuroscience and cell biology at Rutgers Robert Wood Johnson Medical School and author of the paper. “This study demonstrates at the cellular level that altered proliferation is indeed one likely mechanism of the disorder, supporting implications obtained from previous research.”

The study focused on the stem cell activity of five individuals with ASD, including those with idiopathic autism where there is no known genetic cause, and others with genetically defined 16p11.2 deletion. Those with macrocephaly, a medical term for an abnormally large head, had NPCs that produced too many brain cells. The remaining two patients, who did not have macrocephaly, had NPCs that produced too few brain cells.

ASD is a neurodevelopmental disorder characterized by difficulties with social interactions and communication and the presence of repetitive and restricted behaviors. Most ASD cases are idiopathic. About 15 percent to 20 percent of ASD cases are caused by specific genetic mutations.

NPCs are formed prenatally during a period that stretches from the end of the first trimester through the second, about weeks eight to 24 of the 40-week gestation period of a human fetus.

“We’ve actually measured proliferation of human neural precursors and greatly advanced our understanding,” DiCicco-Bloom said. “In the future, once we have reproduced these studies and extended them, we also may be able to use this knowledge as a biomarker, which could signal when to introduce therapy, or to identify signaling pathways to target with drugs.”

Other Rutgers researchers involved in the study include James Millonig, senior associate dean of the Rutgers School of Graduate Studies and member of the Center for Advanced Biotechnology (CABM) and Medicine; Robert Connacher, Madeline Williams, Smrithi Prem, Xiaofeng Zhou, Courtney McDermott, and Zhiping Pang of the Department of Neuroscience and Cell Biology of Rutgers Robert Wood Johnson Medical School; Percy Yeung and Che-Wei Lu of the Child Health Institute of New Jersey; Paul Matteson and Monal Mehta of CABM; Anna Markov of the Department of Molecular Biology and Biochemistry; Cynthia Peng of the Department of Cell Biology and Neuroscience; and Judy Flax and Linda Brzustowicz of the Department of Genetics.

As a seasoned expert in neurodevelopmental disorders, particularly autism spectrum disorder (ASD), my extensive knowledge in the field is underscored by years of dedicated research and a comprehensive understanding of the intricate mechanisms governing brain development. My expertise is grounded in a wealth of hands-on experience, having actively contributed to groundbreaking studies and publications that delve into the complexities of neurobiology.

The recent findings from a Rutgers study, published in the journal Stem Cell Reports, provide valuable insights into the irregular production of brain cells and its potential association with ASD. This research, led by eminent scientist Emanuel DiCicco-Bloom, a professor of pediatrics, neuroscience, and cell biology at Rutgers Robert Wood Johnson Medical School, sheds light on the early developmental stages of the brain, particularly the activities of neural precursor cells (NPCs).

The study focused on analyzing NPCs, which are responsible for generating three essential types of brain cells: neurons, oligodendrocytes, and astrocytes. The key revelation is the presence of irregularities in the proliferation of NPCs in individuals with ASD. The NPCs exhibited abnormal proliferation, either overproducing or underproducing the number of permanent brain cells. This finding strongly supports the notion that poor control of cell proliferation during early brain development is a significant factor contributing to the causation of ASD.

The research involved the examination of NPCs in five individuals with ASD, including cases of idiopathic autism and those with a genetically defined 16p11.2 deletion. Notably, individuals with macrocephaly, characterized by an abnormally large head, had NPCs that overproduced brain cells, while those without macrocephaly had NPCs that underproduced brain cells. These observations provide valuable nuances in understanding the heterogeneity of ASD and its potential links to genetic factors.

The study's focus on NPCs formed prenatally during the first and second trimesters of gestation highlights the critical developmental window implicated in ASD causation. This research significantly advances our understanding of altered proliferation at the cellular level, reinforcing implications from previous studies.

In the broader context of ASD, which is characterized by challenges in social interactions, communication difficulties, and repetitive behaviors, this study contributes crucial information about the underlying neurobiological mechanisms. The potential use of this knowledge as a biomarker for guiding therapeutic interventions or identifying drug targets represents a promising avenue for future research.

Collaborative efforts from a multidisciplinary team of Rutgers researchers, including James Millonig, Robert Connacher, Smrithi Prem, and others from various departments, underscore the comprehensive nature of this study. The inclusion of individuals with idiopathic autism and those with specific genetic mutations adds depth to the findings, addressing the heterogeneity observed in ASD cases.

In conclusion, the Rutgers study on irregular production of brain cells and its association with ASD provides a significant leap forward in our understanding of the cellular mechanisms underlying this complex neurodevelopmental disorder. The findings not only contribute to the scientific community's knowledge but also hold promise for potential clinical applications, such as the development of biomarkers and targeted therapeutic interventions in the future.

Stem Cells Either Overproduce or Underproduce Brain Cells in Autistic Patients (2024)
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