Abnormal melatonin synthesis in autism spectrum disorders

被引:332
作者
Melke, J. [1 ]
Botros, H. Goubran [1 ]
Chaste, P. [1 ]
Betancur, C. [2 ]
Nygren, G. [3 ]
Anckarsater, H. [3 ,4 ]
Rastam, M. [3 ]
Stahlberg, O. [3 ]
Gillberg, I. C. [3 ]
Delorme, R. [1 ]
Chabane, N. [5 ]
Mouren-Simeoni, M-C [5 ]
Fauchereau, F. [1 ]
Durand, C. M. [1 ]
Chevalier, F. [1 ]
Drouot, X. [6 ]
Collet, C. [7 ]
Launay, J-M [2 ]
Leboyer, M. [8 ]
Gillberg, C. [3 ,9 ]
Bourgeron, T. [1 ,10 ]
机构
[1] Inst Pasteur, F-75015 Paris, France
[2] Univ Paris 12, INSERM, U513, Creteil, France
[3] Univ Gothenburg, Dept Child & Adolescent Psychiat, Gothenburg, Sweden
[4] Lund Univ, Inst Clin Sci, Malmo, Sweden
[5] Hop Robert Debre, AP HP, Serv Psychopathol Enfant & Adolescent, F-75019 Paris, France
[6] Hop Henri Mondor, Serv Physiol Explorat Fonctionnelles, F-94010 Creteil, France
[7] Hop Lariboisiere, AP HP, Fac Pharm, EA 3621,IFR 139,Serv Biochim, F-75475 Paris, France
[8] Hop Henri Mondor & Albert Chenevier, AP HP, Dept Psychiat, Creteil, France
[9] Univ London St Georges Hosp, Sch Med, London SW17 0RE, England
[10] Univ Denis Diderot Paris 7, Paris, France
[11] Univ Gothenburg, Dept Child & Adolescent Psychiat, Paris Autism Res Int Sibpair Study, Gothenburg, Sweden
关键词
autism; melatonin; circadian rhythm; sleep; HIOMT; ASMT;
D O I
10.1038/sj.mp.4002016
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Melatonin is produced in the dark by the pineal gland and is a key regulator of circadian and seasonal rhythms. A low melatonin level has been reported in individuals with autism spectrum disorders (ASD), but the underlying cause of this deficit was unknown. The ASMT gene, encoding the last enzyme of melatonin synthesis, is located on the pseudo-autosomal region 1 of the sex chromosomes, deleted in several individuals with ASD. In this study, we sequenced all ASMT exons and promoters in individuals with ASD (n = 250) and compared the allelic frequencies with controls (n = 255). Non-conservative variations of ASMT were identified, including a splicing mutation present in two families with ASD, but not in controls. Two polymorphisms located in the promoter (rs4446909 and rs5989681) were more frequent in ASD compared to controls (P = 0.0006) and were associated with a dramatic decrease in ASMT transcripts in blood cell lines (P=2 x 10(-10)). Biochemical analyses performed on blood platelets and/or cultured cells revealed a highly significant decrease in ASMT activity (P=2 x 10(-12)) and melatonin level (P=3 x 10(-11)) in individuals with ASD. These results indicate that a low melatonin level, caused by a primary deficit in ASMT activity, is a risk factor for ASD. They also support ASMT as a susceptibility gene for ASD and highlight the crucial role of melatonin in human cognition and behavior.
引用
收藏
页码:90 / 98
页数:9
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