Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder

Copyright © 2018 The Authors, Metals are critical to neurodevelopment, and dysregulation in early life has been documented in autism spectrum disorder (ASD). However, underlying mechanisms and biochemical assays to distinguish ASD cases from controls remain elusive. In a nationwide study of twins in...

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Main Authors: Curtin, P., Austin, C., Curtin, A., Gennings, C., Arora, M., Tammimies, K., Willfors, C., Berggren, S., Siper, P., Rai, D., Meyering, K., Kolevzon, A., Mollon, J., David, A., Lewis, G., Zammit, S., Heilbrun, L., Palmer, R., Wright, R., Bolte, Sven, Reichenberg, A.
Format: Journal Article
Published: American Association for the Advancement of Science (A A A S) 2018
Online Access:http://hdl.handle.net/20.500.11937/68900
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author Curtin, P.
Austin, C.
Curtin, A.
Gennings, C.
Arora, M.
Tammimies, K.
Willfors, C.
Berggren, S.
Siper, P.
Rai, D.
Meyering, K.
Kolevzon, A.
Mollon, J.
David, A.
Lewis, G.
Zammit, S.
Heilbrun, L.
Palmer, R.
Wright, R.
Bolte, Sven
Reichenberg, A.
author_facet Curtin, P.
Austin, C.
Curtin, A.
Gennings, C.
Arora, M.
Tammimies, K.
Willfors, C.
Berggren, S.
Siper, P.
Rai, D.
Meyering, K.
Kolevzon, A.
Mollon, J.
David, A.
Lewis, G.
Zammit, S.
Heilbrun, L.
Palmer, R.
Wright, R.
Bolte, Sven
Reichenberg, A.
author_sort Curtin, P.
building Curtin Institutional Repository
collection Online Access
description Copyright © 2018 The Authors, Metals are critical to neurodevelopment, and dysregulation in early life has been documented in autism spectrum disorder (ASD). However, underlying mechanisms and biochemical assays to distinguish ASD cases from controls remain elusive. In a nationwide study of twins in Sweden, we tested whether zinc-copper cycles, which regulate metal metabolism, are disrupted in ASD. Using novel tooth-matrix biomarkers that provide direct measures of fetal elemental uptake, we developed a predictive model to distinguish participants who would be diagnosed with ASD in childhood from those who did not develop the disorder. We replicated our findings in three independent studies in the United States and the UK. We show that three quantifiable characteristics of fetal and postnatal zinc-copper rhythmicity are altered in ASD: the average duration of zinc-copper cycles, regularity with which the cycles recur, and the number of complex features within a cycle. In all independent study sets and in the pooled analysis, zinc-copper rhythmicity was disrupted in ASD cases. In contrast to controls, in ASD cases, the cycle duration was shorter (F = 52.25, P < 0.001), regularity was reduced (F = 47.99, P < 0.001), and complexity diminished (F = 57.30, P < 0.001). With two distinct classification models that used metal rhythmicity data, we achieved 90% accuracy in classifying cases and controls, with sensitivity to ASD diagnosis ranging from 85 to 100% and specificity ranging from 90 to 100%. These findings suggest that altered zinc-copper rhythmicity precedes the emergence of ASD, and quantitative biochemical measures of metal rhythmicity distinguish ASD cases from controls.
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institution Curtin University Malaysia
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publisher American Association for the Advancement of Science (A A A S)
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spelling curtin-20.500.11937-689002018-09-05T07:43:14Z Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder Curtin, P. Austin, C. Curtin, A. Gennings, C. Arora, M. Tammimies, K. Willfors, C. Berggren, S. Siper, P. Rai, D. Meyering, K. Kolevzon, A. Mollon, J. David, A. Lewis, G. Zammit, S. Heilbrun, L. Palmer, R. Wright, R. Bolte, Sven Reichenberg, A. Copyright © 2018 The Authors, Metals are critical to neurodevelopment, and dysregulation in early life has been documented in autism spectrum disorder (ASD). However, underlying mechanisms and biochemical assays to distinguish ASD cases from controls remain elusive. In a nationwide study of twins in Sweden, we tested whether zinc-copper cycles, which regulate metal metabolism, are disrupted in ASD. Using novel tooth-matrix biomarkers that provide direct measures of fetal elemental uptake, we developed a predictive model to distinguish participants who would be diagnosed with ASD in childhood from those who did not develop the disorder. We replicated our findings in three independent studies in the United States and the UK. We show that three quantifiable characteristics of fetal and postnatal zinc-copper rhythmicity are altered in ASD: the average duration of zinc-copper cycles, regularity with which the cycles recur, and the number of complex features within a cycle. In all independent study sets and in the pooled analysis, zinc-copper rhythmicity was disrupted in ASD cases. In contrast to controls, in ASD cases, the cycle duration was shorter (F = 52.25, P < 0.001), regularity was reduced (F = 47.99, P < 0.001), and complexity diminished (F = 57.30, P < 0.001). With two distinct classification models that used metal rhythmicity data, we achieved 90% accuracy in classifying cases and controls, with sensitivity to ASD diagnosis ranging from 85 to 100% and specificity ranging from 90 to 100%. These findings suggest that altered zinc-copper rhythmicity precedes the emergence of ASD, and quantitative biochemical measures of metal rhythmicity distinguish ASD cases from controls. 2018 Journal Article http://hdl.handle.net/20.500.11937/68900 10.1126/sciadv.aat1293 http://creativecommons.org/licenses/by-nc/4.0/ American Association for the Advancement of Science (A A A S) fulltext
spellingShingle Curtin, P.
Austin, C.
Curtin, A.
Gennings, C.
Arora, M.
Tammimies, K.
Willfors, C.
Berggren, S.
Siper, P.
Rai, D.
Meyering, K.
Kolevzon, A.
Mollon, J.
David, A.
Lewis, G.
Zammit, S.
Heilbrun, L.
Palmer, R.
Wright, R.
Bolte, Sven
Reichenberg, A.
Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
title Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
title_full Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
title_fullStr Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
title_full_unstemmed Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
title_short Dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
title_sort dynamical features in fetal and postnatal zinc-copper metabolic cycles predict the emergence of autism spectrum disorder
url http://hdl.handle.net/20.500.11937/68900