One of the interesting things about this study is that the purinergic system these researchers targeted has shown up in the Lights ME/CFS exercise and gene expression studies. In fact the same receptor (P2RX7/P2X7) appears to have.
The antipurinergic treatment the researchers did reversed all the metabolic deficits found in the mice. They used something called suramin - which does not appear to be a real possibility. The purinergic connection is intriguing though. Could it play a major role in both ME/CFS and autism?
CFS patients showed higher P2RX7 and lower HSPA2 versus controls and PCF. Correlations with fatigue severity were similar in PCF and CFS for only DBI, the GABA-A receptor modulator (r=-0.50, p<0.005 and r=-0.34, p<0.05). Purinergic P2RY1 was correlated only with PCF fatigue and pain severity (r=+0.43 and +0.59, p=0.025 and p=0.001).
The antipurinergic treatment the researchers did reversed all the metabolic deficits found in the mice. They used something called suramin - which does not appear to be a real possibility. The purinergic connection is intriguing though. Could it play a major role in both ME/CFS and autism?
Antipurinergic Therapy Corrects the Autism-Like Features in the Poly(IC) Mouse ModelAbstract
Background
Autism spectrum disorders (ASDs) are caused by both genetic and environmental factors. Mitochondria act to connect genes and environment by regulating gene-encoded metabolic networks according to changes in the chemistry of the cell and its environment. Mitochondrial ATP and other metabolites are mitokines—signaling molecules made in mitochondria—that undergo regulated release from cells to communicate cellular health and danger to neighboring cells via purinergic signaling. The role of purinergic signaling has not yet been explored in autism spectrum disorders.
Objectives and Methods
We used the maternal immune activation (MIA) mouse model of gestational poly(IC) exposure and treatment with the non-selective purinergic antagonist suramin to test the role of purinergic signaling in C57BL/6J mice.
Results
mce-anchor
We found that antipurinergic therapy (APT) corrected 16 multisystem abnormalities that defined the ASD-like phenotype in this model. These included correction of the core social deficits and sensorimotor coordination abnormalities, prevention of cerebellar Purkinje cell loss, correction of the ultrastructural synaptic dysmorphology, and correction of the hypothermia, metabolic, mitochondrial, P2Y2 and P2X7 purinergic receptor expression, and ERK1/2 and CAMKII signal transduction abnormalities.
Conclusions
mce-anchorHyperpurinergia is a fundamental and treatable feature of the multisystem abnormalities in the poly(IC) mouse model of autism spectrum disorders. Antipurinergic therapy provides a new tool for refining current concepts of pathogenesis in autism and related spectrum disorders, and represents a fresh path forward for new drug development.
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