Autism and cholesterol metabolism
Autism spectrum disorders (ASDs) are a group of developmental psychiatric disorders characterized by impaired social interaction and communication, and by restricted, repetitive and stereotyped behaviors and interests (Zoghbi and Bear, 2012; Ebert and Greenberg, ; Huguet et al., ). Since the features of ASDs usually manifest at the early childhood when sensory experience is modifying the development and balance of excitatory and inhibitory synapses, it has been hypothesized that ASDs may be due to the disruption of experience dependent synaptic development and function, resulting in an imbalance between excitation and inhibition in brain (Auerbach et al., ; Zoghbi and Bear, 2012; Delorme et al., ; Wang and Doering, 2013). Although genetic causes have been identified in many individuals with ASDs, the details about how those causal genes converge on common pathways to alter synaptic homeostasis in ASDs still need to be investigated. Recently, Buchovecky et al. described disturbances in cholesterol homeostasis in animal model of the ASD Rett syndrome (RTT), giving rise to an exciting prospect that changes in cholesterol metabolism might underlie the development of ASDs (Buchovecky et al., ).
Cholesterol, an essential cell membrane component, influences the establishment and maintenance of synaptic connection and glial cell development in the nervous system. Balanced cholesterol homeostasis is an important aspect of nervous system function (Mauch et al., ; Pfrieger, 2003; Linetti et al., ; Pfrieger and Ungerer, 2011; Mathews et al., ) (Figure 1A). Perturbed cholesterol homeostasis can affect neural development and synaptogenesis and result in synaptic dysfunction, thus may lead to disorders of nervous system (Simons and Ehehalt, 2002; Linetti et al., ; Pani et al., ; Karasinska and Hayden, ). Evidence from patients indicates that cholesterol homeostasis could be altered in autistic disorders. The Smith-Lemli-Opitz Syndrome (SLOS), a genetic condition of impaired cholesterol biosynthesis due to mutations of the 7-dehydrocholesterol reductase gene (DHCR7), has been found to be associated with autism, supporting genetic defects in cholesterol metabolism can cause autism (Sikora et al., 2006; Bukelis et al., ; Diaz-Stransky and Tierney, ). Abnormal cholesterol metabolism has also been observed in patients with the ASD Asperger syndrome and other nonsyndromic ASDs, suggesting different abnormalities of cholesterol metabolism may exist in ASDs (Tierney et al., 2006; Dziobek et al., ). However, little is known about the mechanisms that mediate the abnormal cholesterol metabolism in these ASD conditions.
Figure 1
RTT is caused largely by mutations in the X-linked methyl CpG-binding protein 2 gene (MECP2) (Baker et al.,
Cholesterol, lipid rafts and synaptic plasticity
Disturbances in cholesterol homeostasis in ASDs raise the question of how changes in cholesterol metabolism might be involved in the development of autism. Cholesterol is not uniformly distributed in biological membranes, but concentrated in lipid rafts, together with other lipids like sphingolipids (Pfrieger, 2003; Fielding and Fielding,
Lipid rafts are specialized membrane structures that form an organized portion of the membrane with concentrated signaling molecules and link to the cytoskeleton (Simons and Toomre, 2000; Simons and Ehehalt, 2002; Tsui-Pierchala et al., 2002; Fielding and Fielding,
Cholesterol, lipid rafts and ASD therapy
Interestingly, genetic or pharmacological manipulation of cholesterol metabolism has been found to alleviate ASD associated animal behaviors. In the aforementioned study, a mutagenesis screen in Mecp2 mutant mice has identified that a nonsense mutation in SQLE, which is an obligate rate-limiting enzyme in cholesterol biosynthesis, diminished some of RTT related phenotypes (Buchovecky et al.,
Noteworthily, the effect of statin treatment has also been observed in animal models of other ASDs, including fragile X syndrome and neurofibromatosis type 1 (Li et al.,
Challenges and open questions
It is important to note, cholesterol may regulate protein function not only through altering lipid rafts but also by direct interactions with the proteins. However, it is very challenging to discriminate between these possibilities for any specific type of protein because it is unreasonable to test the effect of cholesterol on the function of a membrane protein in an environment without lipid rafts (Levitan et al.,
Despite the controversies in lipid raft research, it is now clear that lipid rafts which represent dynamic structural components of cellular membranes do play roles in neuronal signaling and that dysregulation of lipid rafts can lead to diseases (Allen et al.,
Statements
Acknowledgments
Hansen Wang was supported by the National Natural Science Foundation of China (NSFC, No.30200152) for Rett syndrome studies and the Fragile X Research Foundation of Canada.
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Summary
Keywords
cholesterol, lipid rafts, autism spectrum disorders, synaptic plasticity, fragile X syndrome, Rett syndrome, FMRP, statins
Citation
Wang H (2014) Lipid rafts: a signaling platform linking cholesterol metabolism to synaptic deficits in autism spectrum disorders. Front. Behav. Neurosci. 8:104. doi: 10.3389/fnbeh.2014.00104
Received
30 January 2014
Accepted
12 March 2014
Published
27 March 2014
Volume
8 - 2014
Edited by
Francesca Cirulli, Istituto Superiore di Sanità , Italy
Reviewed by
Laura Ricceri, Istituto Superiore di Sanità , Italy
Copyright
© 2014 Wang.
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*Correspondence: hansen.wang@utoronto.ca
This article was submitted to the journal Frontiers in Behavioral Neuroscience.
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