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Autism Research Initiative Reports Severe Side Effects with Risperdal

Autism Research
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In October 2006, the FDA approved the use of Risperdal (risperidone), an anti-psychotic medication, for the treatment of irritability in autistic children and young adults. Up until then, the drug had been approved only for use in adults, but was still apparently often prescribed off-label for children.

Since then, a number of plaintiffs have brought claims against manufacturer Janssen Pharmaceuticals and parent company, Johnson & Johnson, claiming they failed to warn about the serious side effects associated with Risperdal, including abnormal breast growth in boys (gynecomastia).

The Simons Foundation Autism Research Initiative (SFARI) recently reported on an informal analysis of the drug’s use in autistic children, and warned that Risperdal may help some children, but that it can have “severe side effects.”

Studies Show Risperdal Effective

Studies have indicated that Risperdal can help treat disruptive behavioral symptoms in autistic children, as well as in youths with other developmental disorders. In 2004, for example, researchers gave either Risperdal or a placebo to 79 children aged 5 to 12 years old who had so-called “pervasive developmental disorders (PDD).” Results showed that those taking the drug exhibited a 64 percent improvement over baseline in the irritability score—almost double that of those taking the placebo. Risperdal was also affective against anxiety, hyperactivity, and oversensitivity.

A later 2005 study found similar results. Researchers examined children and adolescents with autism, giving them either Risperdal or placebo. They found that compared to placebo, the drug led to a significantly greater reduction in maladaptive behaviors like severe temper tantrums, aggression, and self-injurious behavior. Such effects could help children to receive more benefits from social services and educational programs.

But What About Side Effects?

The SFARI calls Risperdal a double-edged sword, calming tantrums and aggression in some children, but causing significant side effects. One of these is weight gain. According to studies, the drug increases appetite, resulting in an increased intake in calories.

A2002 study, for example, found that while Risperdal helped calm disruptive behaviors, it also resulted in an average weight gain of nearly 3 pounds over the study period, compared with not even one in those taking a placebo. Other noted side effects included increased appetite, fatigue, drowsiness, dizziness, and drooling. Such disruptions—especially when children are tired in school—could negate any positive benefits the drug has on behavior.

According to the SFARI, researchers have also found that “after six weeks of taking a standard dose of risperidone, children had greater increases in insulin levels and insulin resistance than children taking a placebo,” indicating a potential increase in risk for diabetes.

Other Studies Show Overuse in Children

This isn’t the first warning about the potential dangers of using Risperdal in children. In a study recently published in the Journal of Child and Adolescent Psychopharmacology, researchers reported that Risperdal has been overprescribed in foster children suffering from ADHD—a condition for which the FDA has not approved the drug. After researching data on over 260,000 young people in foster care aged 2 to 17, results showed that antipsychotics like Risperdal were used to treat nearly one-third of them.

In addition to fatigue and weight gain, Risperdal has also been linked with increased prolactin levels (a hormone responsible for breast growth), and tardive dyskinesia (movement disorder).

More and source: http://newyork.legalexaminer.com/fda-prescription-drugs/autism-research-initiative-reports-severe-side-effects-with-risperdal/

 

Autism: A Short Circuit in the Touch System?

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when Temple Grandin was growing up, her skin seemed to be crawling beneath her clothes. “Scratchy petticoats felt like sandpaper ripping off my skin,” said Grandin, an autism-rights advocate and animal scientist at Colorado State University. “There is no way a child is going to function in a classroom if his or her underwear feels like it is full of sandpaper.”

Many other individuals with autism are also extremely sensitive to touch, and some of the earliest descriptions of the disorder mention that infants with autism might cry or arch their backs when held.

It’s no longer one of those hippie, ‘give me a cuddle’ things. There are nerve fibers underlying this.

But why? Some researchers suspect that the answer might lurk in a system of nerves known as C-tactile afferents. While the fast, thick nerves beneath our fingertips help us tell the difference between silk and cotton, and the slower, thinner nerves nearby transmit pain, C-tactile (CT) afferents, found under hairy regions of the skin, carry information about social interactions. They respond to slow, gentle strokes — the same soft caress you’d give a baby’s cheek or a lover’s arm.

Last week, Francis McGlone, a cognitive neuroscientist, and his colleagues at Liverpool John Moore University published a commentary in the journal Neuronoutlining current knowledge on CT afferents — including studies suggesting that they might play a role in autism and other developmental disorders. If so, then CT function could be assessed at birth or within days of birth to screen for these disorders, well before behavioral symptoms appear.

Although earlier studies have found that gentle stroking can lower stress and blood pressure levels, the neurobiological mechanisms have remained largely a mystery, until recently. “It’s no longer one of those hippie, ‘give me a cuddle’ things,” McGlone said. “There are nerve fibers underlying this.”

CT afferents were first described in a cat’s leg in 1939, and then in rats and monkeys. In the late 1980s and early ’90s, Swedish scientists Ake Vallbo and Karl-Erik Hagbarth discovered that they also existed in humans after they inserted a tiny electrode into volunteers’ skin to record the electrical activity of the underlying nerves. One group of nerves — the CT afferents — fired only when the skin was gently stroked. .....


More and source: http://www.ozy.com/fast-forward/a-gentle-touch-hypothesis-for-autism/31847.article

 

Study Probes Why Kids With Autism Are Oversensitive to Touch, Noise

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Certain areas in the brains of children with autism overreact to sensory stimuli, such as the touch of a scratchy sweater and loud traffic noises, a new small study shows.

The finding helps to explain why autistic kids are five times more likely than other children to be overwhelmed by everyday sensations like the whir of a fan, hot or cold temperatures, or the tastes and textures of foods.

It's a condition called sensory over-responsivity, and it was recognized as one of the core features of autism spectrum disorder in the latest edition of a respected manual for the diagnosis of psychiatric disorders.

"I think if anybody ever had a doubt that this was just some sort of odd pickiness or something like that in people with autism, this shows, no, there really is a brain basis for this," said Dr. Paul Wang, head of medical research for nonprofit advocacy group Autism Speaks.

"Their brains are perceiving things differently. It really just shows that this is part of the biology of the condition," said Wang, who was not involved in the research.

For the study, researchers recruited 32 children and teens. Half the group had been diagnosed with autism. The others were typically developing kids who were matched in age to the autistic kids.

The scientists had them rest in a fMRI machine, a kind of scanner than can see brain activity in real time.

Then they touched the kids with a scratchy wool sweater, played loud traffic noises or did both at the same time. Each condition was repeated four times for 15 seconds.

The brains of children with autism reacted much more strongly to the sensory stimulation than did the brains of typically developing kids. The two areas that seemed to be the most hyperactive were the primary sensory cortex, which is responsible for initially processing sensory information, and the amygdala, which is involved in emotional regulation.

"To me, that says there are two different things going on here: They are kind of initially interpreting these stimuli differently and, also, they're not able to regulate their response," said study author Shula Green, a Ph.D. candidate in psychology at the University of California at Los Angeles (UCLA).

And there were other differences in how the normal and autistic kids reacted to the same kinds of stimulation.

"In typical kids, they have an initial response almost immediately, then by the second time around, that response goes way down. In kids with autism, that response really stays high throughout the scan. They're not getting used to it [the stimulus]," Green said.

What's more, the hyperactivity the researchers saw on the brain scans became most intense when kids with autism experienced the two sensations at the same time.

"I think something is really going on when there's more than one stimulus the brain has to deal with," Green said. "And that's what real life is, right? There's always more than one [stimulus] at a time."

Green said her study suggests that parents might avoid meltdowns if they try to keep things simple for autistic children.

"If a kid is having trouble being touched, maybe don't try to touch them in a loud movie theater. Wait until you're home and it's quiet," she said.

The study is to be presented Wednesday at the International Meeting for Autism Research in Atlanta.


Read more athttp://www.philly.com/philly/health/mental-health/HealthDay687727_20140514_Study_Probes_Why_Kids_With_Autism_Are_Oversensitive_to_Touch__Noise.html#g8HRpbt2EOgUkS6V.99

More and source: http://www.philly.com/philly/health/mental-health/HealthDay687727_20140514_Study_Probes_Why_Kids_With_Autism_Are_Oversensitive_to_Touch__Noise.html

 

Why Children Need Mindfulness Just As Much As Adults Do

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In the growing conversation around mindfulness, we're constantly hearing about meditation in the workplace and tech CEOs who swear by the practice. But less attention is being paid to the quietly growing movement for mindfulness in the family, and the use of meditation to optimize the health, well-being and happiness of children.

It's not just adults that can stand to benefit from cultivating a focused awareness on the present moment. Research is beginning to shed light on the power of mindfulness as an intervention for a number of behavioral challenges that children face. We're also starting to recognize that mindfulness practices could be beneficial for children for the same reasons it helps adults, contributing to reduced stress,improved sleep quality and heightened focus.

At increasingly younger ages, kids are facing higher levels of stress, and it may be taking a significant toll on their health. Stressful events in childhood can increase the risk of developing health problems as an adult, but the impact may hit much earlier. A recent University of Florida study found that stressful events can impact a child's health and well-being almost immediately, and can contribute to the development of physical and mental health problems and learning disabilities.

Sonia Sequeira, Ph.D., a clinical researcher specialized in Investigational Therapies and director of the Institute for Meditation Sciences, has been practicing yoga and meditation for nearly 20 years, and has practiced with her own children for years. Now in her work as a mindfulness researcher, she's brought contemplative practices to children ages 3-18 who are struggling with autism, cancer, and other physical and mental health problems. Currently, she's using meditation and chanting to help relieve pain in children with cancer.

It may seem like a tall order to ask your kid to meditate -- given that it can be a struggle just to get a child to sit down or eat breakfast -- but Sequeira insists that in her years of working with children, she's found just the opposite.

"There's an initial resistance, which I think is cultural, and usually it occurs in the presence of the parent," Sequeira told The Huffington Post. "But it extinguishes very quickly. Teaching mindfulness to children has always been the easiest for me because there's no set patterns, or at least they're not set in stone yet. With adults its much more difficult."

Learning mindfulness practices -- including meditation, breathing exercises, yogaasana(postures) and chanting -- can have a significant long-term affect on a child's development.

"[In my research], what really mattered was finding practical tools that were not an on-off or intermittent practice for children, but something they could really grow with and that could affect their physiology as they grow from their young childhood into adolescence," says Sequeira.

Here's proof that children need mindfulness just as much as adults do.

Mindfulness can help kids to thrive at school.

More and source: http://www.huffingtonpost.com/2014/05/22/why-children-need-mindful_n_5354143.html

Mice With Mohawks Reveal Two Biological Pathways Linked With Autism Behaviors

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Many people who have been diagnosed with autism perform repetitive motions in order to soothe themselves and reduce stress when they become overwhelmed. These motions can include rocking back and forth, wringing hands, shaking their head, or flapping their arms, among many others. Researchers at NYU Langone Center recently realized that mice with autism-like symptoms also exhibit repetitive behavior, sometimes in the form of grooming. This allowed them to link two biological pathways with autism. The research was led by Gordon Fishell and the paper was published in Nature.

The study was originally exploring a particular genetic mutation which the researchers believed to be a precursor to Autism Spectrum Disorder. They bred hundreds of mice with this mutation for study. Months later when the mice had fully grown, they began to groom themselves excessively. This was very similar to the repetitive movements performed by those with autism. As a result, the patch of hair between their ears was spiked straight up, just like a mohawk. This was especially out of the ordinary, as mice tend to groom one another, not themselves.

These mice had been genetically altered to turn down the production of the protein Cntnap4, which plays a role in many aspects of the growth and development of neurons. Previously, the protein has been found in the interneurons (cells that connect and facilitate signals between sensory and motor neurons). When Cntnap4 was inhibited, it also affected dopamine and gamma-aminobutyric acid (GABA), which inhibits neurotransmitters and plays a role in muscle tone. 

GABA and dopamine work differently, and their longevity has made for some peculiar results in the absence of Cntnap4. GABA is released and used quickly, so when it is inhibited, production production slows. This allows the brain to become overstimulated, as it cannot effective manage the signaling. Dopamine is much longer-lived, meaning that it will increase production when it becomes inhibited, increasing the happy feelings that become associated with repetitive behaviors.

"Our study tells us that to design better tools for treating a disease like autism, you have to get to the underlying genetic roots of its dysfunctional behaviors, whether it is overgrooming in mice or repetitive motor behaviors in humans," Fishell said in a press release. "There have been many candidate genes implicated in contributing to autism, but animal and human studies to identify their action have so far not led to any therapies. Our research suggests that reversing the disease's effects in signaling pathways like GABA and dopamine are potential treatment options.”

During the study, the researchers also noted that GABA and dopamine signaling do not remain constant throughout the mouse’s life. Understanding how these signaling pathways influence behavior could eventually lead to a targeted treatment for symptoms of autism.

More and source: http://www.iflscience.com/brain/mice-mohawks-reveal-two-biological-pathways-linked-autism-behaviors

 

Cognition and behavior: Sensory subtypes divide autism cases

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Children with autism can be classified into one of four groups based on how they respond to stimuli such as taste, sound and even the orientations of their bodies in space, according to a study published 17 March inAutism Research1.

The categories may help researchers understand the neural underpinnings of sensory differences common in children with autism, as well as the therapies useful for treating each group.

Clinicians collected data on 228 children between the ages 2 and 10 years while diagnosing them with autism.The children’s caregivers filled out the Short Sensory Profile, a 38-item survey that asks questions such as whether a child “avoids certain tastes or food smells,” “tires easily, especially when standing or holding a particular body position,” or “doesn’t seem to notice when face or hands are messy.”

Using an algorithm designed to detect clustering of traits, the researchers divided the children into broad groups based on the severity and types of their sensory symptoms.

The largest group, making up 40 percent of the children studied, shows acute sensitivity to taste and smell. A second group, comprising 10 percent of the children, has extremely low energy and difficulty maintaining an upright posture.Both of these groups have moderate trouble filtering sounds from noisy environments and seek sensation by touching objects or people and making noise. A third group, making up 12 percent of the children, shows all of these traits.

Surprisingly, the remaining 38 percent of children do not show clinically significant sensory differences.Previous work had suggested that up to 92 percent of children with autism show atypical sensory processing2.

The researchers speculate that two main mechanisms underlie the sensory subtypes. The children with acute taste and smell sensitivity may have overactive nervous symptoms, giving their perceptions a heightened intensity.The children who struggle with posture and energy may have difficulty integrating information fromproprioception — the body’s feedback to the brain about its position and movements — and from their vestibular systems, which help with balance.

The researchers plan to use electroencephalography — a noninvasive technique that detects electrical activity in the brain — to determine how children of different subtypes respond to stimuli such as sounds and vibrations.

More & Source; http://sfari.org/news-and-opinion/in-brief/2014/cognition-and-behavior-sensory-subtypes-divide-autism-cases

 

Study confirms mitochondrial deficits in children with autism

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(SACRAMENTO, Calif.) — Children with autism experience deficits in a type of immune cell that protects the body from infection. Called granulocytes, the cells exhibit one-third the capacity to fight infection and protect the body from invasion compared with the same cells in children who are developing normally.

Cecilia Giulivi

The cells, which circulate in the bloodstream, are less able to deliver crucial infection-fighting oxidative responses to combat invading pathogens because of dysfunction in their tiny energy-generating organelles, the mitochondria.

The study is published online in the journal Pediatrics.

“Granulocytes fight cellular invaders like bacteria and viruses by producing highly reactive oxidants, toxic chemicals that kill microorganisms. Our findings show that in children with severe autism the level of that response was both lower and slower,"  said Eleonora Napoli, lead study author and project scientist in the Department of Molecular Biosciences in the UC Davis School of Veterinary Medicine. "The granulocytes generated less highly reactive oxidants and took longer to produce them."

The researchers also found that the mitochondria in the granulocytes of children with autism consumed far less oxygen than those of the typically developing children — another sign of decreased mitochondrial function.

Mitochondria are the main intracellular source of oxygen free radicals, which are very reactive and can harm cellular structures and DNA. Cells can repair typical levels of oxidative damage. However, in the children with autism the cells produced more free radicals and were less able to repair the damage, and as a result experienced more oxidative stress. The free radical levels in the blood cells of children with autism were 1 ½ times greater than those without the disorder.

The study was conducted using blood samples of children enrolled in the Childhood Risk of Autism and the Environment (CHARGE) Study and included 10 children with severe autism age 2 to 5 and 10 age-, race- and sex-matched children who were developing typically. ...

More & source: http://www.healthcanal.com/infections/50636-study-confirms-mitochondrial-deficits-in-children-with-autism.html

 

Autism: Who's the Culprit? Mother Nature or Mother Nurture?

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April -- which annually serves as Autism Awareness Month -- brought showers of awareness on the condition and with it tremendous debate. Having completed a lot of research on the subject before putting pen to paper, I have come to the conclusion that a lot is known... about theunknownnature of the disease. Conflicting literature exists as to the definition, the prevalence, etiology and treatment options for the disorder.

So to begin, some basic information:

- What is autism? The definition hasevolvedover the decades to reflect a spectrum of neuro-developmental disorders characterized by varying degrees of intellectual disabilities, difficulties in verbal/nonverbal communication, poor social interactive skills and deficits in motor coordination.

- What is the prevalence of autism? While numbers vary considerably pending the source, the estimated number of children affected in the U.S. by autism spectrum disorder 1 in 88 children, with a 4:1 male vs. female preponderance. [1]

- What causes autism? Herein lies the rub; no definitive etiologic factor has been identified to date, no test exists to diagnose it either prenatally or during childhood.

So, who's the culprit in the genesis of the disease: Mother Nature (internal cause), or Mother Nurture (external cause)? Let's evaluate some internal components.

- Genetics: Autism tends to run in some families.Studies looking at identical twins have noted when one twin has the disease, in the vast majority of cases, so does the other. [2] Several genes have beenidentifiedthat potentially may be linked to autism. [3]

- Immunologic: Researchers have identified certain molecules within the immune system that may impact, negatively, the developing fetal brain, causing autism. [4]

- Parental age: Mothers, but particularlyfathers of advanced age, have a higher chance of having a child with autism. [5]

What about external components?

- Environmental: There is a lot of research that looks at pesticides, plastics, metals (ex. lead, mercury), air pollution as afactor; the commonality here is they all in some fashion negatively impact the normally functioning hormonal or genetic systems within the body. [6]

- Drugs: Anti-seizure meds (ex. Valproic acid), anti-depressive medications, particularlySSRIs(like Paxil, Prozac) have been associated with potentially impacting the fetal brain during development and increasing autism's risk. [7]

- Inflammation: Certain disease processes like obesity and diabetes reflect a chronic inflammatory state within the body -- again associated with anincreasing riskof autism in the offspring of those so affected. [8]

So in the final analysis, what are we really seeing, and what can be done? Let me introduce another topic -- that of epigenetics -- basically the concept that non-genetic factors influence the way that genes express themselves. Is autism a symptom of this Pandora's Box? It gets "curiouser and curiouser."

More and source: http://www.huffingtonpost.com/kecia-gaither-md-mph-facog/autism_b_5201406.html

 

More Articles ...

  1. Stress & Anxiety: Senior care and TTouch: Year long study yields remarkable results
  2. Environment as important as genes in autism, study finds
  3. Recall is a disadvantage of autism but there are ways to boost memory
  4. Gastro Woes More Common in Kids With Autism: Review

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