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Int. J. Environ. Res. Public Health 2013, 10(12), 6955-7000; doi:10.3390/ijerph10126955
Concept Paper

Proposed Toxic and Hypoxic Impairment of a Brainstem Locus in Autism

1,* , 2
 and 1
Received: 20 September 2013; in revised form: 7 November 2013 / Accepted: 11 November 2013 / Published: 11 December 2013
(This article belongs to the Special Issue The Environment Risk of Autism)
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Abstract: Electrophysiological findings implicate site-specific impairment of the nucleus tractus solitarius (NTS) in autism. This invites hypothetical consideration of a large role for this small brainstem structure as the basis for seemingly disjointed behavioral and somatic features of autism. The NTS is the brain’s point of entry for visceral afference, its relay for vagal reflexes, and its integration center for autonomic control of circulatory, immunological, gastrointestinal, and laryngeal function. The NTS facilitates normal cerebrovascular perfusion, and is the seminal point for an ascending noradrenergic system that modulates many complex behaviors. Microvascular configuration predisposes the NTS to focal hypoxia. A subregion—the “pNTS”—permits exposure to all blood-borne neurotoxins, including those that do not readily transit the blood-brain barrier. Impairment of acetylcholinesterase (mercury and cadmium cations, nitrates/nitrites, organophosphates, monosodium glutamate), competition for hemoglobin (carbon monoxide, nitrates/nitrites), and higher blood viscosity (net systemic oxidative stress) are suggested to potentiate microcirculatory insufficiency of the NTS, and thus autism.
Keywords: autism; nucleus tractus solitarius; blood-brain barrier; autonomic; baroreflex; toxins; hypoxia; perfusion; adrenergic; A2 neurons autism; nucleus tractus solitarius; blood-brain barrier; autonomic; baroreflex; toxins; hypoxia; perfusion; adrenergic; A2 neurons
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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MDPI and ACS Style

McGinnis, W.R.; Audhya, T.; Edelson, S.M. Proposed Toxic and Hypoxic Impairment of a Brainstem Locus in Autism. Int. J. Environ. Res. Public Health 2013, 10, 6955-7000.

AMA Style

McGinnis WR, Audhya T, Edelson SM. Proposed Toxic and Hypoxic Impairment of a Brainstem Locus in Autism. International Journal of Environmental Research and Public Health. 2013; 10(12):6955-7000.

Chicago/Turabian Style

McGinnis, Woody R.; Audhya, Tapan; Edelson, Stephen M. 2013. "Proposed Toxic and Hypoxic Impairment of a Brainstem Locus in Autism." Int. J. Environ. Res. Public Health 10, no. 12: 6955-7000.


Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert