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Autism Studies and Related Medical Conditions, January 2009 - TACA

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An organism with an internal skeleton must accumulate calcium while<br />

maintaining body fluids at a well-regulated, constant calcium concentration.<br />

Neither calcium absorption nor excretion plays a significant regulatory role.<br />

Instead, isoionic calcium uptake <strong>and</strong> release by bone surfaces causes plasma<br />

calcium to be well regulated. Very rapid shape changes of osteoblasts <strong>and</strong><br />

osteoclasts, in response to hormonal signals, modulate the available bone<br />

surfaces so that plasma calcium can increase when more low-affinity bone<br />

calcium binding sites are made available <strong>and</strong> can decrease when more highaffinity<br />

binding sites are exposed. The intracellular free calcium concentration of<br />

body cells is also regulated, but because cells are bathed by fluids with vastly<br />

higher calcium concentration, their major regulatory mechanism is severe entry<br />

restriction. All cells have a calcium-sensing receptor that modulates cell function<br />

via its response to extracellular calcium. In duodenal cells, the apical calcium<br />

entry structure functions as both transporter <strong>and</strong> a vitamin D--responsive<br />

channel. The channel upregulates calcium entry, with intracellular transport<br />

mediated by the mobile, vitamin D-dependent buffer, calbindin D9K, which binds<br />

<strong>and</strong> transports more than 90% of the transcellular calcium flux. Fixed<br />

intracellular calcium binding sites can, like the body's skeleton, take up <strong>and</strong><br />

release calcium that has entered the cell, but the principal regulatory tool of the<br />

cell is restricted entry.<br />

PMID: 12805727 [PubMed - indexed for MEDLINE]<br />

Bu B, Ashwood P, Harvey D, King IB, Water JV, Jin LW. Fatty acid compositions of red<br />

blood cell phospholipids in children with autism. Prostagl<strong>and</strong>ins Leukot Essent Fatty<br />

Acids. 2006 Apr;74(4):215-21.<br />

Department of Pathology, M.I.N.D. Institute, University of California at Davis,<br />

2805 50th Street, Sacramento, CA 95817, USA.<br />

We compared the compositions of fatty acids including n-3, n-6 polyunsaturated<br />

fatty acids, trans- <strong>and</strong> cis-monounsaturated fatty acids, <strong>and</strong> saturated fatty acids<br />

in the red blood cell membranes of 40 children with autism (20 with early onset<br />

autism <strong>and</strong> 20 with developmental regression) <strong>and</strong> age-matched, 20 typically<br />

developing controls <strong>and</strong> 20 subjects with non-autistic developmental disabilities.<br />

The main findings include increased levels of eicosenoic acid (20:1n9) <strong>and</strong> erucic<br />

acid (22:1n9) in autistic subjects with developmental regression when compared<br />

with typically developing controls. In addition, an increase in 20:2n6 <strong>and</strong> a<br />

decrease in 16:1n7t were observed in children with clinical regression compared<br />

to those with early onset autism. Our results do not provide strong evidence for<br />

the hypothesis that abnormal fatty acid metabolism plays a role in the<br />

pathogenesis of autism spectrum disorder, although they suggest some<br />

metabolic or dietary abnormalities in the regressive form of autism.<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 186

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