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Tst gifted 08 - Templetonfellows.org

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TESTOSTERONE<br />

AND<br />

COGNITION<br />

the contribution to the neurobiology<br />

of <strong>gifted</strong>ness<br />

DANIELA OSTATNIKOVA<br />

COMENIUS UNIVERSITY FACULTY OF MEDICINE<br />

BRATISLAVA<br />

SLOVAKIA


WHERE IS THE SITE OF<br />

INTELLIGENCE


Alternative PROgram for Gifted<br />

EducatioN in Slovakia, APROGEN<br />

The net of 27 primary schools with APROGEN classes<br />

• 600 students in Bratislava – School founded n 1998<br />

• 3000 pupils in Slovakia involved in this programme<br />

The School for Intellectually Gifted in Bratislava, Slovakia<br />

is one possible alternative for children with high academic<br />

potential


ALBERT EINSTEIN – frontal and temporal lobes studied<br />

In the left hemisphere, in<br />

area 39 there were more<br />

glial cells for every neuron in<br />

his brain.<br />

Higher density of supportive<br />

cells per neuron in certain<br />

area of the brain might<br />

indicate an increased<br />

"metabolic need" – neurons<br />

need and use more energy.


FRONTAL LOBES<br />

Grey matter amount in frontal brain regions is strongly<br />

inherited and predicts individual's IQ scores<br />

(Paul Thompson, Nature Neuroscience, 2001)<br />

MRI of 20<br />

identical twins<br />

and 20 same<br />

sex fraternal<br />

twins


...“Single „intelligence center“ such as the frontal lobe, is<br />

unlikely...“ dr. Richard Heier, 2004<br />

His study was the first to demonstrate that<br />

1) gray matter in specific regions in<br />

the brain is more related to IQ than<br />

overall size<br />

2) Only about 6% of all gray<br />

matter in the brain appears to be<br />

related to IQ<br />

3) The distribution of gray matter<br />

in humans is highly heritable.<br />

Researchers used voxel-based* morphometry<br />

in 47 normal adults to determine gray matter<br />

Volume throughout the brain which they<br />

correlated to IQ scores<br />

*Short for volume pixel, the smallest distinguishable box-shaped<br />

part of a three-dimensional image


WHAT EXACTLY MAKES A PERSON<br />

BRILLANT


NATURE as well as NURTURE<br />

(formerly seen as incompatible perspectives)<br />

GENES & ENVIRONMENT<br />

INTERACTIONIST PERSPECTIVE<br />

(interrelations between genetics & environment)<br />

HEREDITY DETERMINES ONE´S POTENTIAL<br />

BUT ENVIRONMENT DETERMINES HOW FAR ONE WILL REACH THAT<br />

POTENTIAL DURING HER OR HIS LIFETIME


HORMONES ARE MESSENGERS OF<br />

GENES<br />

PROVIDING SPECIFIC<br />

ENVIRONMENTAL EFFECT ON BRAIN


EFFECTS OF SEX STEROIDS ON<br />

NEURAL STRUCTURES<br />

SUGGESTIVE DATA HAVE ACCUMULATED<br />

LINKING TESTOSTERONE AND ESTRADIOL<br />

TO COGNITION IN HUMANS<br />

SOMATIC CHARACTERISTICS<br />

TESTOSTERONE<br />

5-α-REDUCTASE<br />

DIHYDROTESTOSTERONE<br />

AROMATASE<br />

ESTRADIOL<br />

COGNITION<br />

NEUROPROTECTIVE EFFECT<br />

PREVENTION OF CELL DEATH<br />

SYNAPTOGENESIS<br />

DENDRITIC GROWTH


Sexual dimorphisms<br />

in the rat brain.<br />

HYPOTHALAMUS<br />

ORGANIZATIONAL EFFECT<br />

The sexually dimorphic nucleus of the preoptic area (SDN-POA) is larger in male rats (a) than<br />

in females (b) because the testes secrete testosterone during the sensitive period. After that<br />

time, testosterone has little effect on SDN-POA volume.<br />

Sexual dimorphisms<br />

in the rat brain.<br />

AMYGDALA<br />

ACTIVATIONAL EFFECT<br />

In contrast, the volume of the rat posterodorsal medial amygdala (MePD), which is about 1.5<br />

times larger in males (c) than in females (d), retains its responsiveness to testosterone<br />

throughout life. All scale bars = 250 µm.


TESTOSTERONE LEVELS DURING ONTOGENESIS IN BOYS<br />

Plasma testosterone (nmol/L)<br />

30<br />

15<br />

foetus childhood puberty adulthood senescence<br />

ORGANIZATION<br />

ACTIVATION<br />

1. 2. 3. 1 10 17 40 60 80<br />

trimester<br />

age in years


ORGANIZATIONAL EFFECT OF TESTOSTERONE<br />

ON HUMAN INTELLIGENCE<br />

+<br />

RH<br />

‣ GIFTEDNESS<br />

mathematical<br />

musical<br />

spatial<br />

↑ TST<br />

‣ ANOMALOUS<br />

DOMINANCE<br />

handedness<br />

speech<br />

centres<br />

_<br />

LH<br />

‣IMMUNE DISORDERS<br />

(Geschwind, Behan, Galaburda; 1985, 1987)


Testosterone in nmol/L<br />

0,050<br />

0,045<br />

0,040<br />

0,035<br />

0,030<br />

0,025<br />

0,020<br />

0,015<br />

0,010<br />

0,005<br />

<strong>gifted</strong><br />

control<br />

0,000<br />

6 years 7 years 8 years 9 years<br />

SALIVARY TESTOSTERONE LEVELS IN CHILDREN<br />

THROUGHOUT PREADOLESCENCE<br />

(Ostatníková et al., High Ability Studies, 2000; BMC Pediatrics, 2002)


SALIVARY TESTOSTERONE LEVELS IN PREPUBERTAL<br />

CHILDREN GROUPED BY SEX AND IQ<br />

Ostatníková et al., Neuropsychologia, 2007


• Significant differences in salivary<br />

testosterone levels were found in boys<br />

grouped by IQ, no difference was<br />

observed in girls<br />

• In general it was no difference in<br />

academic intelligence between<br />

preadolescent boys and girls<br />

• Boys were overrepresented in minority<br />

population groups related to IQ (<strong>gifted</strong><br />

and mentally disabled)<br />

CONCLUSIONS


1. High levels of testosterone prenatally<br />

(Geschwind & Galaburda, 1985) cause lower<br />

postnatal setup of H-P-G axis by negative<br />

feedback, which could stay as a predictor of<br />

later puberty onset in <strong>gifted</strong> boys<br />

2. Higher sensitivity of tissues to testosterone<br />

might also explain the lower levels in boys<br />

HYPOTHESES EXPLAINING LOWER<br />

TESTOSTERONE IN GIFTED BOYS


LOOKING AT THE<br />

MATURATION ONSET


Salivary testosterone during puberty<br />

in boys<br />

<strong>gifted</strong><br />

control<br />

0,7<br />

0,6<br />

testosterone [nmol/l]<br />

0,5<br />

0,4<br />

0,3<br />

0,2<br />

0,1<br />

0<br />

8 9 10 11 12 13 14 15 16 17<br />

age [years]<br />

TESTOSTERONE FLUCTUATIONS IN BOYS<br />

DURING CHILDHOOD AND PUBERTY


Age at menarche<br />

13.5<br />

13.0<br />

age [years]<br />

12.5<br />

12.0<br />

11.5<br />

11.0<br />

control<br />

<strong>gifted</strong><br />

AGE OF MENARCHE IN GIRLS


• Prepubertal levels were not<br />

associated with puberty onset in<br />

boys in our study<br />

• Speculations about early<br />

maturation of controls or late<br />

maturation of <strong>gifted</strong> were not<br />

confirmed<br />

CONCLUSIONS


LOOKING AT THE<br />

GENES<br />

RELATED TO TESTOSTERONE<br />

METABOLISM


PLASMA TESTOSTERONE (ITS FREE FRACTION)<br />

ACTS ON TARGET TISSUES AND<br />

MEDIATES ITS ANDROGENIC EFFECT<br />

TESTOSTERONE<br />

VIA<br />

5-ALPHA<br />

REDUCTASE<br />

AROMATASE<br />

ANDROGEN<br />

RECEPTOR<br />

DIHYDROTESTOSTERONE<br />

ESTRADIOL<br />

ESTROGEN<br />

RECEPTOR<br />

GENOMIC EFFECT OF SEX HORMONES


ANDROGEN RECEPTOR- looking for its sensitivity to androgens<br />

• Intracellular transcription factor<br />

• Gene for androgen receptor is located on chromosome X<br />

• Polymorphism in the 1st exon of AR gene – polyglutamine<br />

(CAG)n repetitive segment<br />

• Average number of repeats 21 ± 2 (normal range 9 – 37)<br />

Decreased number of CAG repeats<br />

• – higher sensitivity of AR<br />

• – higher androgenic effect<br />

ANDROGEN RECEPTOR –<br />

MEDIATOR OF TESTOSTERONE EFFECT


• PROBANDS<br />

• 139 intellectually <strong>gifted</strong> (95 boys) age 12-18<br />

(IQ>130)<br />

Special school for intellectually <strong>gifted</strong> in Bratislava,<br />

Slovakia<br />

• 122 controls (67 boys) age 12-18 (70


SNP/STR Gene Description Locus Allels<br />

rs415620 CYP21A2 cytochrome P450 21; steroid 21-hydroxylase 6p21.3 A/G<br />

rs3822430 SRD5A1 3-oxo-5-alpha-steroid 4-dehydrogenase 1 5p15.31 C/T<br />

rs632148 SRD5A2 3-oxo-5-alpha-steroid 4-dehydrogenase 2 2p23.1 C/G<br />

rs700518 CYP19A1 cytochrome P450 19A1; aromatase 15q21 A/G<br />

rs2077647 ESR1 estrogen receptor alpha 6q24-q27 A/G<br />

rs928554 ESR2 estrogen receptor beta 14q21-q22 A/G<br />

rs1799941 SHBG sex hormone binding globulin precursor 17pter-p12 A/G<br />

rs9282858 SRD5A2 5 alpha reductase 2p23.1 C/T<br />

C1558T CYP19A1 cytochrome P450 19; aromatase 15q21 C/T<br />

CAG STR AR androgen receptor Xq11-12 (CAG)n<br />

ANALYSED GENE POLYMORPHISMS


ANDROGEN RECEPTOR GENE POLYMORPHISM IN<br />

GIFTED AND CONTROL BOYS<br />

THE LOWER THE CAG<br />

TRIPLET REPEATS IN AR<br />

GENE THE HIGHER<br />

ITS SENSITIVITY AND<br />

ANDROGENIC EFFECT IN<br />

TARGET TISSUES INCLUDING<br />

BRAIN<br />

= lower testosterone level is<br />

needed for its effect in target<br />

cells<br />

= explanation for lower<br />

testosterone levels in <strong>gifted</strong><br />

boys


• This is the first study analyzing<br />

polymorphisms of genes related to<br />

testosterone metabolism in relation to<br />

academic intelligence<br />

• Gene variants of ESR2 (estrogen receptor)<br />

and SHBG (sex hormone binding globulin)<br />

showed different frequencies in <strong>gifted</strong> boys<br />

compared to control boys, the phenotypical<br />

consequences are unknown<br />

CONCLUSIONS


• Intellectually <strong>gifted</strong> boys had lower<br />

(CAG)n repeats in AR gene, known to be<br />

associated with increased androgen<br />

signaling<br />

• Increased androgen signaling might<br />

account for lower testosterone levels in<br />

prepubertal <strong>gifted</strong> boys<br />

CONCLUSIONS


• Neurobiological studies need many<br />

subjects to be able to prove the<br />

difference<br />

• Neurobiological studies need the<br />

interdisciplinar cooperation<br />

INVITATION TO PARTICIPATE


THANK YOU FOR YOUR ATTENTION<br />

AND TO ALL MY CO-WORKERS, CHILDREN AND THEIR<br />

PARENTS FOR COOPERATION<br />

THE PROJECT WAS SUPPORTED BY Scientific grant agencies of Ministry of Education and Ministry<br />

of Health of Slovak Republic No.1/3420/06 , 4/0038/07, 2006/22-UK-01

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