Mechanisms underlying auditory processing deficits in Fragile X syndrome.
Creator
McCullagh Elizabeth A; Rotschafer Sarah E; Auerbach Benjamin D; Klug Achim; Kaczmarek Leonard K; Cramer Karina S; Kulesza Randy J Jr; Razak Khaleel A; Lovelace Jonathan W; Lu Yong; Koch Ursula; Wang Yuan
Publisher
FASEB journal : official publication of the Federation of American Societies for Experimental Biology
Date
2020
2020-03
Description
Autism spectrum disorders (ASD) are strongly associated with auditory hypersensitivity or hyperacusis (difficulty tolerating sounds). Fragile X syndrome (FXS), the most common monogenetic cause of ASD, has emerged as a powerful gateway for exploring underlying mechanisms of hyperacusis and auditory dysfunction in ASD. This review discusses examples of disruption of the auditory pathways in FXS at molecular, synaptic, and circuit levels in animal models as well as in FXS individuals. These examples highlight the involvement of multiple mechanisms, from aberrant synaptic development and ion channel deregulation of auditory brainstem circuits, to impaired neuronal plasticity and network hyperexcitability in the auditory cortex. Though a relatively new area of research, recent discoveries have increased interest in auditory dysfunction and mechanisms underlying hyperacusis in this disorder. This rapidly growing body of data has yielded novel research directions addressing critical questions regarding the timing and possible outcomes of human therapies for auditory dysfunction in ASD.