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Scientists eye an enzyme as target in fighting autism 
 
Wed Jun 27, 9:11 AM ET 
 
CHICAGO (AFP) - US researchers have reversed the symptoms of mental 
retardation and autism in mice by inhibiting an enzyme that affects 
the connections between brain cells, researchers said Wednesday. 
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In a series of experiments on mice, the MIT investigators showed that 
they could undo the brain damage seen in a condition called Fragile X 
syndrome by inhibiting a key brain chemical called PAK. 
 
In humans, Fragile X syndrome (FXS) is the leading cause of mental 
retardation and the most common genetic cause of autism -- the complex 
and devastating developmental disorder that is now being diagnosed in 
increasing numbers of children. 
 
The study raises the intriguing possibility that the brain damage seen 
in children with the condition can be rolled back and identifies a 
specific target for potential drug therapies. 
 
"It opens up a new avenue for drug research to treat this condition," 
said Susumu Tonegawa, a neuroscientist at the Massachusetts Institute 
of Technology in Cambridge, Massachusetts, and lead author of the 
paper. 
 
MIT researchers began by creating a batch of mice that had been 
genetically modified to have Fragile X, a condition in which the 
neurons of the brain are structurally abnormal and functionally 
impaired compared to regular nerve cells. 
 
These transgenic mice had many of the behavioral problems seen in kids 
with the condition: hyperactivity, attention deficits, repetitive 
behaviors and poor social skills. 
 
The investigators then cross-bred these mice with another batch of 
mice that had been genetically modified to inhibit the activity of the 
PAK (p21-activated kinase) enzyme which is instrumental in shaping the 
formation of neuronal connections in the brain. 
 
The researchers knew that when PAK was inactivated, the mice developed 
neurons that had short, fat dendritic spines, with a higher-than-usual 
capacity for relaying the electrical impulses that pass between brain 
cells. 
 
In other words, the shape and function of the dendritic spines in the 
PAK mice was just the reverse of those seen in the brain cells of the 
mice with Fragile X syndrome. 
 
The researchers gambled that the two abnormalities would cancel each 
other out, and that's exactly what the experiment showed. 
 
The cross-bred mice had been genetically engineered so that the 
inactivation of the PAK enzyme began two weeks into the mouse's life 
cycle, which in human terms would be several years after birth. 
 
Tests and autopsies showed that the PAK-blocking action restored 
electrical communication between neurons in the brains of the double 
mutant mice, correcting their behavioral abnormalities in the process. 
 
"This is very exciting because it suggests that PAK inhibitors could 
be used for therapeutic purposes to reverse already established mental 
impairments in fragile X children," said Eric Klann, a professor at 
New York University's Center for Neural Science. 
 
The study was conducted by Tonegawa and a postdoctoral student at 
MIT's Picower Institute for Learning and Memory and appears in this 
week's edition of the Proceedings of the National Academy of Sciences. 
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