Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder

Abstract Altered reactivity and responses to auditory input are core to the diagnosis of autism spectrum disorder (ASD). Preclinical models implicate ϒ-aminobutyric acid (GABA) in this process. However, the link between GABA and auditory processing in humans (with or without ASD) is largely correlat...

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Main Authors: Qiyun Huang, Hester Velthuis, Andreia C. Pereira, Jumana Ahmad, Samuel F. Cooke, Claire L. Ellis, Francesca M. Ponteduro, Nicolaas A. J. Puts, Mihail Dimitrov, Dafnis Batalle, Nichol M. L. Wong, Lukasz Kowalewski, Glynis Ivin, Eileen Daly, Declan G. M. Murphy, Gráinne M. McAlonan
Format: Article
Language:English
Published: Nature Publishing Group 2023-10-01
Series:Translational Psychiatry
Online Access:https://doi.org/10.1038/s41398-023-02619-8
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author Qiyun Huang
Hester Velthuis
Andreia C. Pereira
Jumana Ahmad
Samuel F. Cooke
Claire L. Ellis
Francesca M. Ponteduro
Nicolaas A. J. Puts
Mihail Dimitrov
Dafnis Batalle
Nichol M. L. Wong
Lukasz Kowalewski
Glynis Ivin
Eileen Daly
Declan G. M. Murphy
Gráinne M. McAlonan
author_facet Qiyun Huang
Hester Velthuis
Andreia C. Pereira
Jumana Ahmad
Samuel F. Cooke
Claire L. Ellis
Francesca M. Ponteduro
Nicolaas A. J. Puts
Mihail Dimitrov
Dafnis Batalle
Nichol M. L. Wong
Lukasz Kowalewski
Glynis Ivin
Eileen Daly
Declan G. M. Murphy
Gráinne M. McAlonan
author_sort Qiyun Huang
collection DOAJ
description Abstract Altered reactivity and responses to auditory input are core to the diagnosis of autism spectrum disorder (ASD). Preclinical models implicate ϒ-aminobutyric acid (GABA) in this process. However, the link between GABA and auditory processing in humans (with or without ASD) is largely correlational. As part of a study of potential biosignatures of GABA function in ASD to inform future clinical trials, we evaluated the role of GABA in auditory repetition suppression in 66 adults (n = 28 with ASD). Neurophysiological responses (temporal and frequency domains) to repetitive standard tones and novel deviants presented in an oddball paradigm were compared after double-blind, randomized administration of placebo, 15 or 30 mg of arbaclofen (STX209), a GABA type B (GABAB) receptor agonist. We first established that temporal mismatch negativity was comparable between participants with ASD and those with typical development (TD). Next, we showed that temporal and spectral responses to repetitive standards were suppressed relative to responses to deviants in the two groups, but suppression was significantly weaker in individuals with ASD at baseline. Arbaclofen reversed weaker suppression of spectral responses in ASD but disrupted suppression in TD. A post hoc analysis showed that arbaclofen-elicited shift in suppression was correlated with autistic symptomatology measured using the Autism Quotient across the entire group, though not in the smaller sample of the ASD and TD group when examined separately. Thus, our results confirm: GABAergic dysfunction contributes to the neurophysiology of auditory sensory processing alterations in ASD, and can be modulated by targeting GABAB activity. These GABA-dependent sensory differences may be upstream of more complex autistic phenotypes.
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spelling doaj.art-080c60be586548ea8e746264281040292023-11-26T14:19:09ZengNature Publishing GroupTranslational Psychiatry2158-31882023-10-0113111310.1038/s41398-023-02619-8Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorderQiyun Huang0Hester Velthuis1Andreia C. Pereira2Jumana Ahmad3Samuel F. Cooke4Claire L. Ellis5Francesca M. Ponteduro6Nicolaas A. J. Puts7Mihail Dimitrov8Dafnis Batalle9Nichol M. L. Wong10Lukasz Kowalewski11Glynis Ivin12Eileen Daly13Declan G. M. Murphy14Gráinne M. McAlonan15Department of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonSchool of Human Sciences, University of GreenwichDepartment of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonSouth London and Maudsley NHS Foundation Trust PharmacyDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonDepartment of Forensic and Neurodevelopmental Sciences, Institute of Psychiatry, Psychology & Neuroscience, King’s College LondonAbstract Altered reactivity and responses to auditory input are core to the diagnosis of autism spectrum disorder (ASD). Preclinical models implicate ϒ-aminobutyric acid (GABA) in this process. However, the link between GABA and auditory processing in humans (with or without ASD) is largely correlational. As part of a study of potential biosignatures of GABA function in ASD to inform future clinical trials, we evaluated the role of GABA in auditory repetition suppression in 66 adults (n = 28 with ASD). Neurophysiological responses (temporal and frequency domains) to repetitive standard tones and novel deviants presented in an oddball paradigm were compared after double-blind, randomized administration of placebo, 15 or 30 mg of arbaclofen (STX209), a GABA type B (GABAB) receptor agonist. We first established that temporal mismatch negativity was comparable between participants with ASD and those with typical development (TD). Next, we showed that temporal and spectral responses to repetitive standards were suppressed relative to responses to deviants in the two groups, but suppression was significantly weaker in individuals with ASD at baseline. Arbaclofen reversed weaker suppression of spectral responses in ASD but disrupted suppression in TD. A post hoc analysis showed that arbaclofen-elicited shift in suppression was correlated with autistic symptomatology measured using the Autism Quotient across the entire group, though not in the smaller sample of the ASD and TD group when examined separately. Thus, our results confirm: GABAergic dysfunction contributes to the neurophysiology of auditory sensory processing alterations in ASD, and can be modulated by targeting GABAB activity. These GABA-dependent sensory differences may be upstream of more complex autistic phenotypes.https://doi.org/10.1038/s41398-023-02619-8
spellingShingle Qiyun Huang
Hester Velthuis
Andreia C. Pereira
Jumana Ahmad
Samuel F. Cooke
Claire L. Ellis
Francesca M. Ponteduro
Nicolaas A. J. Puts
Mihail Dimitrov
Dafnis Batalle
Nichol M. L. Wong
Lukasz Kowalewski
Glynis Ivin
Eileen Daly
Declan G. M. Murphy
Gráinne M. McAlonan
Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder
Translational Psychiatry
title Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder
title_full Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder
title_fullStr Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder
title_full_unstemmed Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder
title_short Exploratory evidence for differences in GABAergic regulation of auditory processing in autism spectrum disorder
title_sort exploratory evidence for differences in gabaergic regulation of auditory processing in autism spectrum disorder
url https://doi.org/10.1038/s41398-023-02619-8
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