Psychosocial deficits across autism and schizotypal spectra are interactively modulated by excitatory and inhibitory neurotransmission

Autism. 2020 Feb;24(2):364-373. doi: 10.1177/1362361319866030. Epub 2019 Jul 24.

Abstract

Continued human and animal research has strengthened evidence for aberrant excitatory-inhibitory neural processes underlying autism and schizophrenia spectrum disorder psychopathology, particularly psychosocial functioning, in clinical and nonclinical populations. We investigated the extent to which autistic traits and schizotypal dimensions were modulated by the interactive relationship between excitatory glutamate and inhibitory GABA neurotransmitter concentrations in the social processing area of the superior temporal cortex using proton magnetic resonance spectroscopy. In total, 38 non-clinical participants (20 females; age range = 18-35 years, mean (standard deviation) = 23.22 (5.52)) completed the autism spectrum quotient and schizotypal personality questionnaire, and underwent proton magnetic resonance spectroscopy to quantify glutamate and GABA concentrations in the right and left superior temporal cortex. Regression analyses revealed that glutamate and GABA interactively modulated autistic social skills and schizotypal interpersonal features (pcorr < 0.05), such that those with high right superior temporal cortex glutamate but low GABA concentrations exhibited poorer social and interpersonal skills. These findings evidence an excitation-inhibition imbalance that is specific to psychosocial features across the autism and schizophrenia spectra.

Keywords: GABA; autism; glutamate; magnetic resonance spectroscopy; schizophrenia; social behavior; social cognition.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Attention
  • Autism Spectrum Disorder / diagnostic imaging*
  • Autism Spectrum Disorder / metabolism
  • Autism Spectrum Disorder / physiopathology
  • Cognition / physiology*
  • Female
  • Glutamic Acid / metabolism*
  • Healthy Volunteers
  • Humans
  • Interpersonal Relations
  • Male
  • Proton Magnetic Resonance Spectroscopy
  • Schizotypal Personality Disorder / diagnostic imaging*
  • Schizotypal Personality Disorder / metabolism
  • Schizotypal Personality Disorder / physiopathology
  • Social Skills*
  • Synaptic Transmission*
  • Temporal Lobe / diagnostic imaging*
  • Temporal Lobe / metabolism
  • Young Adult
  • gamma-Aminobutyric Acid / metabolism*

Substances

  • Glutamic Acid
  • gamma-Aminobutyric Acid