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Autism Studies and Related Medical Conditions, January 2009 - TACA

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may contribute to the development of this disease. A mechanism linking<br />

oxidative stress with membrane lipid abnormalities, inflammation, aberrant<br />

immune response, impaired energy metabolism <strong>and</strong> excitotoxicity, leading to<br />

clinical symptoms <strong>and</strong> pathogenesis of autism is proposed.<br />

Chauhan, A., V. Chauhan, et al. (2004). "Oxidative stress in autism: increased lipid<br />

peroxidation <strong>and</strong> reduced serum levels of ceruloplasmin <strong>and</strong> transferrin--the antioxidant<br />

proteins." Life Sci 75(21): 2539-49.<br />

<strong>Autism</strong> is a neurological disorder of childhood with poorly understood etiology<br />

<strong>and</strong> pathology. We compared lipid peroxidation status in the plasma of children<br />

with autism, <strong>and</strong> their developmentally normal non-autistic siblings by<br />

quantifying the levels of malonyldialdehyde, an end product of fatty acid<br />

oxidation. Lipid peroxidation was found to be elevated in autism indicating that<br />

oxidative stress is increased in this disease. Levels of major antioxidant proteins<br />

namely, transferrin (iron-binding protein) <strong>and</strong> ceruloplasmin (copper-binding<br />

protein) in the serum, were significantly reduced in autistic children as compared<br />

to their developmentally normal non-autistic siblings. A striking correlation was<br />

observed between reduced levels of these proteins <strong>and</strong> loss of previously<br />

acquired language skills in children with autism. These results indicate altered<br />

regulation of transferrin <strong>and</strong> ceruloplasmin in autistic children who lose acquired<br />

language skills. It is suggested that such changes may lead to abnormal iron <strong>and</strong><br />

copper metabolism in autism, <strong>and</strong> that increased oxidative stress may have<br />

pathological role in autism.<br />

Chauhan, A., A. Sheikh, et al. (2008). "Increased copper-mediated oxidation of<br />

membrane phosphatidylethanolamine in autism." American Journal of Biochemistry <strong>and</strong><br />

Biotechnology 4(2): 95-100.<br />

We have previously reported that levels of phosphatidylethanolamine (PE) in the<br />

erythrocyte membrane <strong>and</strong> of ceruloplasmin, a copper-transport antioxidant<br />

protein, in the serum are lower in children with autism than in control subjects.<br />

In the present study, we report that (a) copper oxidizes <strong>and</strong> reduces the levels of<br />

membrane PE <strong>and</strong> (b) copper-mediated oxidation of PE is higher in lymphoblasts<br />

from autistic subjects than from control subjects. The effect of copper was<br />

examined on the oxidation of liposomes composed of brain lipids from mice <strong>and</strong><br />

also on the lymphoblasts from autism <strong>and</strong> control subjects. Among the various<br />

metal cations (copper, iron, calcium, cadmium <strong>and</strong> zinc), only copper was found<br />

to oxidize <strong>and</strong> decrease the levels of PE. The metal cations did not affect the<br />

levels of other phospholipids. The action of copper on PE oxidation was timedependent<br />

<strong>and</strong> concentration-dependent. No difference was observed between<br />

copper-mediated oxidation of diacyl-PE <strong>and</strong> alkenyl-PE (plasmalogen), suggesting<br />

that plasmalogenic <strong>and</strong> non-plasmalogenic PE are equally oxidized by copper.<br />

Together, these studies suggest that ceruloplasmin <strong>and</strong> copper may contribute to<br />

oxidative stress <strong>and</strong> to reduced levels of membrane PE in autism.<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 76

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