Skip to main content
Grundlagen

Befunde zum menschlichen Spiegelneuronensystem bei Autismus: Eine kritische Übersicht funktioneller Bildgebungsstudien

Published Online:https://doi.org/10.1026/0942-5403.18.2.62

Es mehren sich Hinweise, dass Menschen über ein Spiegelneuronensystem verfügen, das für das Verständnis von Handlungen, für Imitation und für Empathie von großer Bedeutung sein könnte. Autistische Störungen gehen mit Beeinträchtigungen in der Imitation und Empathie einher. Die Annahme, dass diesen Beeinträchtigungen defizitäre Spiegelneuronenmechanismen zugrunde liegen könnten, hat eine Reihe von Untersuchungen angeregt, die mittels bildgebender Methoden die Funktion des Spiegelneuronensystems bei Personen mit Autismus überprüft haben. Basierend auf Annahmen und Erkenntnissen zu Spiegelneuronenmechanismen bei gesunden Kindern und Erwachsenen werden in der vorliegenden Arbeit die Ergebnisse dieser Studien zusammengefasst und kritisch diskutiert. Zudem werden mögliche klinische Implikationen der Befunde dargestellt.


The functional architecture of the human mirror neuron system in autism: a critical review of findings from neuroimaging studies

There is increasing evidence for the existence of a human mirror neuron system, which may subserve action understanding, imitation, and empathic responding. Autism is associated with deficits in imitation and empathy. The assumption that these deficits might arise from aberrant mirroring mechanisms has prompted a series of neuroimaging studies that investigated the functional architecture of the human mirror neuron system in persons with autism. We critically review the results of these studies and summarize essential findings and theories regarding neural mirroring mechanisms in healthy children and adults. Moreover, possible clinical implications of the findings are discussed.

Literatur

  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association. First citation in articleGoogle Scholar

  • Avikainen, S. , Kulomäki, T. , Hari, R. (1999). Normal movement reading in Asperger subjects. Neuroreport, 10, 3467 – 3470. First citation in articleCrossrefGoogle Scholar

  • Bölte, S. , Poustka, F. (2002). Intervention bei autistischen Störungen: Status quo, evidenzbasierte, fragliche und fragwürdige Techniken. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 30, 271 – 280. First citation in articleLinkGoogle Scholar

  • Bruning, N. , Konrad, K. , Herpertz-Dahlmann, B. (2005). Bedeutung und Ergebnisse der Theory of Mind-Forschung für den Autismus und andere psychiatrische Erkrankungen. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 33, 77 – 88. First citation in articleLinkGoogle Scholar

  • Calvo-Merino, B. , Glaser, D. E. , Grèzes, J. , Passingham, R. E. , Haggard, P. (2004). Action observation and acquired motor skills: an fMRI study with expert dancers. Cerebral Cortex, 15, 1243 – 1249. First citation in articleCrossrefGoogle Scholar

  • Carr, L. , Iacoboni, M. , Dubeau, M.-C. , Mazziotta, J. C. , Lenzi, G. L. (2003). Neural mechanisms of empathy in humans: a relay from neural systems for imitation to limbic areas. Proceedings of the National Academy of Sciences of the United States of America, 100, 5497 – 5502. First citation in articleGoogle Scholar

  • Dapretto, M. , Davies, M. S. , Pfeifer, J. H. , Scott, A. A. , Sigman, M. , Bookheimer, S. Y. , Iacoboni, M. (2006). Understanding emotions in others: mirror neuron dysfunction in children with autism spectrum disorders. Nature Neuroscience, 9, 28 – 30. First citation in articleCrossrefGoogle Scholar

  • Ertelt, D. , Small, S. , Solodkin, A. , Dettmers, C. , McNamara, A. , Binkofski, F. , Buccino, G. (2007). Action observation has a positive impact on rehabilitation of motor deficits after stroke. Neuroimage, 36, 164 – 173. First citation in articleCrossrefGoogle Scholar

  • Falck-Ytter, T. , Gredebäck, G. , von Hofsten, C. (2006). Infants predict other peopleʼs action goals. Nature Neuroscience, 9, 878 – 879. First citation in articleCrossrefGoogle Scholar

  • Fogassi, L. , Ferrari, P. F. , Gesierich, B. , Rozzi, S. , Chersi, F. , Rizzolatti, G. (2005). Parietal lobe: from action organization to intention understanding. Science, 308, 662 – 667. First citation in articleCrossrefGoogle Scholar

  • Gallese, V. , Fadiga, L. , Fogassi, L. , Rizzolatti, G. (1996). Action recognition in the premotor cortex. Brain, 119, 593 – 609. First citation in articleCrossrefGoogle Scholar

  • Greimel, E. , Schulte-Rüther, M. , Fink, G. R. , Herpertz-Dahlmann, B. , Konrad, K. (unter Begutachtung, a). irroring emotions: An fMRI study on the development of neural correlats of empathy from childhood to early adulthood. First citation in articleGoogle Scholar

  • Greimel, E. , Schulte-Rüther, M. , Kircher, T. , Kamp-Becker, I. , Remschmidt, H. , Fink, G. R. , Herpertz-Dahlmann, B. , Konrad, K. (unter Begutachtung, b). Neural mechanisms of empathy in adolescents with autism spectrum disorder and their fathers. First citation in articleGoogle Scholar

  • Hadjikhani, N. , Joseph, R. M. , Snyder, J. , Tager-Flusberg, H. (2006). Anatomical differences in the mirror neuron system and social cognition network in autism. Cerebral Cortex, 16, 1276 – 1282. First citation in articleCrossrefGoogle Scholar

  • Hadjikhani, N. , Joseph, R. M. , Snyder, J. , Tager-Flusberg, H. (2007). Abnormal activation of the social brain during face perception in autism. Human Brain Mapping, 28, 441 – 449. First citation in articleCrossrefGoogle Scholar

  • Hamilton, A. F. , Brindley, R. M. , Frith, U. (2007). Imitation and action understanding in autistic spectrum disorders: how valid is the hypothesis of a deficit in the mirror neuron system? Neuropsychologia, 45, 1859 – 1868. First citation in articleGoogle Scholar

  • Iacoboni, M. , Dapretto, M. (2006). The mirror neuron system and the consequences of its dysfunction. Nature Neuroscience Reviews, 7, 942 – 951. First citation in articleCrossrefGoogle Scholar

  • Iacoboni, M. , Mazziotta, J. C. (2007). Mirror neuron system: basic findings and clinical applications. Annals of Neurology, 62, 213 – 218. First citation in articleCrossrefGoogle Scholar

  • Iacoboni, M. , Woods, R. P. , Brass, M. , Bekkering, H. , Mazziotta, J. C. , Rizzolatti, G. (1999). Cortical mechanisms of human imitation. Science, 286, 2526 – 2528. First citation in articleCrossrefGoogle Scholar

  • Ingersoll, B. , Gergans, S. (2007). The effect of a parent-implemented imitation intervention on spontaneous imitation skills in young children with autism. Research in Developmental Disabilities, 28, 163 – 175. First citation in articleCrossrefGoogle Scholar

  • Ingersoll, B. , Schreibman, L. (2006). Teaching reciprocal imitation skills to young children with autism using a naturalistic behavioral approach: effects on language, pretend play, and joint attention. Journal of Autism and Developmental Disorders, 36, 487 – 505. First citation in articleCrossrefGoogle Scholar

  • Kilner, J. M. , Frith, C. D. (2007). A possible role for primary motor cortex during action observation. Proceedings of the National Academy of Sciences of the United States of America, 104, 8683 – 8684. First citation in articleGoogle Scholar

  • Konrad, K. , Neufang, S. , Thiel, C. M. , Specht, K. , Hanisch, C. , Fan, J. , Herpertz-Dahlmann, B. , Fink, G. R. (2005). Development of attentional networks: an fMRI study with children and adults. Neuroimage, 28, 429 – 439. First citation in articleCrossrefGoogle Scholar

  • Lepage, J.-F. , Théoret, H. (2006). EEG evidence for the presence of an observation-execution matching system in children. European Journal of Neuroscience, 23, 2505 – 2510. First citation in articleCrossrefGoogle Scholar

  • Lepage, J.-F. , Théoret, H. (2007). The mirror neuron system: grasping othersʼ action from birth? Developmental Science, 10, 513 – 529. First citation in articleCrossrefGoogle Scholar

  • Meltzoff, A. N. , Moore, M. K. (1977). Imitation of facial and manual gestures by human neonates. Science, 198, 75 – 78. First citation in articleCrossrefGoogle Scholar

  • Nishitani, N. , Avikainen, S. , Hari, R. (2004). Abnormal imitation-related cortical activation sequences in Aspergerʼs Syndrome. Annals of Neurology, 55, 558 – 562. First citation in articleCrossrefGoogle Scholar

  • Oberman, L. M. , Hubbard, E. M. , McCleery, J. P. , Altschuler, E. L. , Ramachandran, V. S. , Pineda, J. A. (2005). EEG evidence for mirror neuron dysfunction in autism spectrum disorder. Cognitive Brain Research, 24, 190 – 198. First citation in articleCrossrefGoogle Scholar

  • Oberman, L. M. , Ramachandran, T. (2007). The simulating social mind: the role of the mirror neuron system and simulation in the social and communicative deficits of autism spectrum disorder. Psychological Bulletin, 133, 310 – 327. First citation in articleCrossrefGoogle Scholar

  • Oberman, L. M. , Ramachandran, V. S. , Pineda, J. A. (2008). Modulation of mu suppression in children with autism spectrum disorders in response to familiar or unfamiliar stimuli: the mirror neuron hypothesis. Neuropsychologia, 46, 1558 – 1565. First citation in articleGoogle Scholar

  • Petermann, F. , Koglin, U. (2008). Frühe Kindheit. Kindheit und Entwicklung, 17, 137 – 142. First citation in articleLinkGoogle Scholar

  • Pfeifer, J. H. , Iacoboni, M. , Mazzioatta, J. C. , Dapretto, M. (2008). Mirroring othersʼ emotions relates to empathy and interpersonal competence in children. Neuroimage, 39, 2076 – 2085. First citation in articleCrossrefGoogle Scholar

  • Remschmidt, H. (2003). Autismus. In B. Herpertz-Dahlmann, F. Resch, M. Schulte-Markwort, A. Warnke, (Hrsg.) , Entwicklungspsychiatrie (S. 373 – 396). Stuttgart: Schattauer. First citation in articleGoogle Scholar

  • Remschmidt, H. , Kamp-Becker, I. (2007). Das Asperger-Syndrom – eine Autismus-Spektrum-Störung. Deutsches Ärzteblatt, 104, 873 – 882. First citation in articleGoogle Scholar

  • Rizzolatti, G. , Craighero, L. (2004). The mirror-neuron system. Annual Reviews in Neuroscience, 27, 169 – 192. First citation in articleCrossrefGoogle Scholar

  • Rizzolatti, G. , Fadiga, L. (1998). Grasping objects and grasping action meanings: the dual role of monkey rostroventral premotor cortex (area F5). Novartis Foundation Symposium, 218, 81 – 95; discussion 95 – 103. First citation in articleGoogle Scholar

  • Schulte-Rüther, M. , Greimel, E. , Markowitsch, H. J. , Kamp-Becker, I. , Remschmidt, H. , Fink, G. R. , Piefke, M. (unter Begutachtung). Dysfunctions of brain networks supporting empathy – an fMRI investigation in adults with autism spectrum disorder. First citation in articleGoogle Scholar

  • Schulte-Rüther, M. , Markowitsch, H. J. , Fink, G. R. , Piefke, M. (2007). Mirror neuron and theory of mind mechanisms involved in face-to-face interactions: a functional magnetic resonance imaging approach to empathy. Journal of Cognitive Neuroscience, 19, 1354 – 1372. First citation in articleCrossrefGoogle Scholar

  • Schultz, R. T. (2005). Developmental deficits in social perception in autism: the role of the amygdala and fusiform face area. International Journal of Developmental Neuroscience, 23, 125 – 141. First citation in articleCrossrefGoogle Scholar

  • Seltzer, M. M. , Shattuck, P. , Abbeduto, L. , Greenberg, J. S. (2004). Trajectory of development in adolescents and adults with autism. Mental Retardation and Developmental Disabilities Research Reviews, 10, 234 – 247. First citation in articleCrossrefGoogle Scholar

  • Shimada, S. , Hiraki, K. (2006). Infantʼs brain responses to live and televised action. Neuroimage, 32, 930 – 939. First citation in articleCrossrefGoogle Scholar

  • Sinzig, J. , Bruning, N. , Morsch, D. , Lehmkuhl, G. (2007). Altersabhängige Unterschiede in neuropsychologischen Leistungsprofilen bei AHDS und Autismus. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie, 35, 95 – 106. First citation in articleLinkGoogle Scholar

  • Théoret, H. , Halligan, E. , Kobayashi, M. , Fregni, F. , Tager-Flusberg, H. , Pascual-Leone, A. (2005). Impaired motor facilitation during action observation in individuals with autism spectrum disorder. Current Biology, 15, R94 – R95. First citation in articleCrossrefGoogle Scholar

  • Thirion, B. , Pinel, P. , Mériaux, S. , Roche, A. , Dehaene, S. , Poline, J.-B. (2007). Analysis of a large fMRI cohort: Statistical and methodological issues for group analyses. Neuroimage, 35, 105 – 120. First citation in articleCrossrefGoogle Scholar

  • Villalobos, M. E. , Mizuno, A. , Dahl, B. C. , Kemmotsu, N. , Müller, R.-A. (2005). Reduced functional connectivity between V1 and inferior frontal cortex associated with visuomotor performance in autism. Neuroimage, 25, 916 – 925. First citation in articleCrossrefGoogle Scholar

  • Williams, J. H. , Whiten, A. , Singh, T. (2004). A systematic review of action imitation in autistic spectrum disorder. Journal of Autism and Developmental Disorders, 34, 285 – 299. First citation in articleCrossrefGoogle Scholar

  • Williams, J. H. G. , Waiter, G. D. , Gilchrist, A. , Perrett, D.. I , Murray, A. D. , Whiten, A. (2006). Neural mechanisms of imitation and “mirror neuron” functioning in autistic spectrum disorder. Neuropsychologia, 44, 610 – 621. First citation in articleCrossrefGoogle Scholar

  • Williams, J. H. G. , Whiten, A. , Suddendorf, T. , Perrett, D.. I (2001). Imitation, mirror neurons and autism. Neuroscience and Biobehavioral Reviews, 25, 287 – 295. First citation in articleCrossrefGoogle Scholar