Chapter Two - Role of environmental factors and epigenetics in autism spectrum disorders

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Abstract

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder thought to be caused by predisposing high-risk genes that may be altered during the early development by environmental factors. The impact of maternal challenges during pregnancy on the prevalence of ASD has been widely studied in clinical and animal studies. Here, we review some clinical and pre-clinical evidence that links environmental factors (i.e., infection, air pollution, pesticides, valproic acid and folic acid) and the risk of ASD. Additionally, certain prenatal environmental challenges such as the valproate and folate prenatal exposures allow us to study mechanisms possibly linked to the etiology of ASD, for instance the epigenetic processes. These mechanistic pathways are also presented and discussed in this chapter.

Section snippets

Context: Genetics yes, but not only

According to the Centers for Disease Control and Prevention (CDC), since 2000, Autism Spectrum Disorders (ASD) incidence has increased from 1/150 births to ~ 1/68.1 Current (2017) CDC data shows US ASD prevalence at ~ 1.47%, and demonstrates that all ethnic, racial, and socio-economic groups are affected by ASD.1 If children with ASD are identified early and provided with appropriate intervention, core social symptoms characterized by a phenotype of serious social/communication deficits, and

Maternal stress during pregnancy and ASD

Numerous types of maternal challenges during pregnancy have been linked to increased risk of ASD from a variety of neurotoxins and pollutants such as pesticides and insecticides,58 viral and bacterial infections,59 exposure to metals such as mercury and lead,59 to low level of electromagnetic radiations.60 Though these exposures have not directly been linked to specific fetal development time points, exposure to these pollutants and maternal stressors during pregnancy has been linked to ASD

Environmental animal models for ASD

Mammalian development follows a pattern of fertilization, embryonic development, and fetal growth such that researchers have been able to design studies examining subtle neurodevelopmental effects, such as behavioral disorders, by subjecting pregnant animals such as rats and mice to chemicals or other exposures known to induce brain defects. By timing these exposures so that they occur on specific prenatal days, it is possible to measure their developmental effects, and study both immediate and

Epigenetics mechanisms: The examples of valproate and folate

Stress during pregnancy could impact the brain development of the children through several mechanisms. For instance, a functional immune system is crucial for the early brain development and maternal immune activation could be a common pathway to environmental challenges such as infections and social stress in pregnancy. Another pathway which could be common to various stressors such as pesticides prenatal exposure are epigenetic processes. Here we will describe how environmental challenges,

Conclusion

There are several challenges during pregnancy linked to the prevalence of ASD and their study could lead us to better understand the complexities and commonalities of pathways in the etiology of ASD. One common aspect developed in this manuscript is the direct and indirect links to epigenetic alterations, but the maternal and fetal neuroimmune responses to a variety of stressors during pregnancy is another crucial domain of research which remains to be explored further. Finally, the time window

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