BackgroundReliable and specific biomarkers that can distinguish autism spectrum disorders (ASDs) from commonly co-occurring attention-deficit/hyperactivity disorder (ADHD) are lacking, causing misses and delays in diagnosis, and reducing access to interventions and quality of life. AimsTo examine whether an innovative, brief (1-min), videogame method called Computerised Assessment of Motor Imitation (CAMI), can identify ASD-specific imitation differences compared with neurotypical children and children with ADHD. MethodThis cross-sectional study used CAMI alongside standardised parent-report (Social Responsiveness Scale, Second Edition) and observational measures of autism (Autism Diagnostic Observation Schedule-Second Edition; ADOS-2), ADHD (Conners) and motor ability (Physical and Neurological Examination for Soft Signs). The sample comprised 183 children aged 7–13 years, with ADHD (without ASD), with ASD (with and without ADHD) and who were neurotypical. ResultsRegardless of co-occurring ADHD, children with ASD showed poorer CAMI performance than neurotypical children (P< 0.0001; adjustedR2= 0.28), whereas children with ADHD and neurotypical children showed similar CAMI performance. Receiver operating curve and support vector machine analyses showed that CAMI distinguishes ASD from both neurotypical children (80% true positive rate) and children with ADHD (70% true positive rate), with a high success rate significantly above chance. Among children with ASD, poor CAMI performance was associated with increased autism traits, particularly ADOS-2 measures of social affect and restricted and repetitive behaviours (adjustedR2= 0.23), but not with ADHD traits or motor ability. ConclusionsFour levels of analyses confirm that poor imitation measured by the low-cost and scalable CAMI method specifically distinguishes ASD not only from neurotypical development, but also from commonly co-occurring ADHD.
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Context-dependent hyperactivity in syngap1a and syngap1b zebrafish models of SYNGAP1-related disorder
Background and aimsSYNGAP1-related disorder (SYNGAP1-RD) is a prevalent genetic form of Autism Spectrum Disorder and Intellectual Disability (ASD/ID) and is caused byde novoor inherited mutations in one copy of theSYNGAP1gene. In addition to ASD/ID, SYNGAP1 disorder is associated with comorbid symptoms including treatment-resistant-epilepsy, sleep disturbances, and gastrointestinal distress. Mechanistic links between these diverse symptoms andSYNGAP1variants remain obscure, therefore, our goal was to generate a zebrafish model in which this range of symptoms can be studied. MethodsWe used CRISPR/Cas9 to introduce frameshift mutations in thesyngap1aandsyngap1bzebrafish duplicates (syngap1ab) and validated these stable models for Syngap1 loss-of-function. BecauseSYNGAP1is extensively spliced, we mapped splice variants to the two zebrafishsyngap1aandbgenes and identified mammalian-like isoforms. We then quantified locomotory behaviors in zebrafishsyngap1ablarvae under three conditions that normally evoke different arousal states in wild-type larvae: aversive, high-arousal acoustic, medium-arousal dark, and low-arousal light stimuli. ResultsWe show that CRISPR/Cas9 indels in zebrafishsyngap1aandsyngap1bproduced loss-of-function alleles at RNA and protein levels. Our analyses of zebrafish Syngap1 isoforms showed that, as in mammals, zebrafish Syngap1 N- and C-termini are extensively spliced. We identified a zebrafishsyngap1α1-like variant that maps exclusively to thesyngap1bgene. Quantifying locomotor behaviors showed thatsyngap1abmutant larvae are hyperactive compared to wild-type but to differing degrees depending on the stimulus. Hyperactivity was most pronounced in low arousal settings, and hyperactivity was proportional to the number of mutantsyngap1alleles. LimitationsSyngap1loss-of-function mutations produce relatively subtle phenotypes in zebrafish compared to mammals. For example, while mouseSyngap1homozygotes die at birth, zebrafishsyngap1ab−/−survive to adulthood and are fertile, thus some aspects of symptoms in people withSYNGAP1-Related Disorder are not likely to be reflected in zebrafish. ConclusionOur data support mutations in zebrafishsyngap1abas causal for hyperactivity associated with elevated arousal that is especially pronounced in low-arousal environments.
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- Award ID(s):
- 2131037
- PAR ID:
- 10592640
- Publisher / Repository:
- Frontiers Media S.A.
- Date Published:
- Journal Name:
- Frontiers in Molecular Neuroscience
- Volume:
- 17
- ISSN:
- 1662-5099
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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