"In
autism there are lots of opinions and very little data," says Lisa Croen,
Ph.D. Research Scientist in the Division of Research at Kaiser Permanente in
Northern California. In the past few years, however, some consensus has emerged
on at least a few new pieces of the puzzle. As the research progresses, it will
be easier to see the relationships among findings -- and to tease out the
appropriate treatments for each individual on the autism spectrum.
There
Is More Than One "Autism":
About
25% of autistic people have digestive issues; 25% have seizure disorders; many
have sleep problems. Recent findings suggest that the many different symptoms
may actually indicate many different causes -- and thus many different
"autisms." A massive study now underway at UC Davis's M.I.N.D.
Institute is in the process of separating out different autistic phenotypes
with the hope that this information will speed better understanding of causes
and treatments.
Autism
has a genetic component:
Autism
is hereditary, in that children with autistic people in their family are more
likely than other children to be autistic.
Researchers
are well on the way to finding genes that relate to autism -- but the jury is
still out regarding exactly how such genes might function to create autistic
symptoms. Sophia Colamarino, Science Program Director at Cure Autism Now,
explains,"Were talking about genes because they allow us to understand
the biological origins of the problem."
There
is a Relationship Between Autism and Brain Structure:
Recent
brain studies show that autistic brains grow at an unusual rate between age 1
and 2, and then slow again to a normal rate of growth. Some imaging studies
suggest that certain areas of the brain are larger than is typical. Research is
ongoing to determine whether these differences in brain structure cause autism,
are caused by autism, or are co morbid with autism and caused by something
else.
There
Is a Relationship Between Autism and Brain Activity:
Recent
brain imaging studies show that autistic people and typically developing people
do not use their brains in the same way. Autistic people do not use their
brains to "daydream" in the same way as most people, nor do they
process information about faces in the same way.
So
far, while we know that this information is true, we don't know what causes
these differences -- or whether these differences somehow cause autistic
symptoms.
There
Is a Relationship Between Autism and Brain Chemicals:
Chemicals
in the brain transmit signals which allow the brain to function normally.
Sophia Colamarino explains: "Nerve cells communicate using electrochemical
signals; there is evidence from many different domains that the ability of the
brain to transfer information may be defective." An understanding of which
transmitters are problemmatic may lead to effective treatments.
Genes
Probably Interact with Environmental Factors:
It
is likely that genetics and environmental factors interact to cause autism. As yet,
there is no proof of which environmental or genetic factors are to blame. Says
Dr. Croen, autism "You need some kind of genetic susceptibility; then you
have to be exposed to something which is elusive at the moment. This would be
the impetus that sends you into autism."
No
One Factor Causes Autism:
It
is unlikely that any one factor -- vaccines, foods, or environmental toxins --
is the cause of autism. "To find clues about the cause," says Dr.
Croen, "we have to do really large studies to look at different
configurations of co-morbidities
see whats unique about each separate
group." New research will be address the questions "How do these
circles overlap? What is the common thread?"
References:
Interview:
Dr. Lisa Croen, Ph.D. Research Scientist in the Division of Research at Kaiser
Permanente in Northern California
Interview:
Sophia Colamarino Science Program Director at Cure Autism Now
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