OTCase-ControlAutism research : official journal of the International Society for Autism Research2017

Reduced GABA and altered somatosensory function in children with autism spectrum disorder.

Nicolaas A J Puts, Ericka L Wodka, Ashley D Harris and 4 others

PMID 27611990

WHAT IT FOUND

Children with autism had lower GABA in the brain area handling touch and movement.

They detected weak touch less well and did not show the normal change after prior touch. Lower GABA was linked to a smaller effect of weak prior touch on detection.

Key findings

01Sensorimotor cortex GABA was lower in children with autism than in typically developing children.

02Children with autism needed a stronger steady touch to detect it and did not show the usual adaptation effect on touch intensity discrimination.

03Higher sensorimotor GABA was associated with higher detection threshold after gradually increasing touch and with the difference between steady and gradually increasing touch in children with autism.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The study compared two groups at one time, so it cannot show that lower GABA caused the tactile differences. It did not test any therapy, so it cannot support a treatment effect. The sample was relatively small, and several children were excluded from scans or tasks, leaving different numbers for each outcome. The children with autism had lower full-scale IQ than controls, although perceptual reasoning did not differ. The sample had to understand instructions and lie still, so it may represent milder autism than the wider clinical population. Some children took non-stimulant psychotropic medication, and stimulant effects were only managed by stopping medication the day before and day of testing. The scan measure included GABA plus other molecules and covered a broad sensorimotor area, so it cannot identify precise cells or circuits. Some tactile differences were only at p = 0.05 and did not pass correction for multiple comparisons.

The easy way to misread this

Do not conclude that low GABA causes sensory problems or that a GABA-targeting therapy will help. The study measured brain GABA and touch performance at one time and did not test treatment.

Read it on PubMed →