Abstract
Autism and autism spectrum disorders (ASDs) are heterogeneous complex neuro-developmental disorders characterized by dysfunctions in social interaction and communication skills. Their pathogenesis has been linked to interactions between genes and environmental factors. Consistent with the evidence of certain similarities between immune cells and neurons, autistic children also show an altered immune response of peripheral blood mononuclear cells (PBMCs). In this study, we investigated the activation of caspases, cysteinyl aspartate-specific proteases involved in apoptosis and several other cell functions in PBMCs from 15 ASD children compared to age-matched normal healthy developing controls. The mRNA levels for caspase-1, -2, -4, -5 were significantly increased in ASD children as compared to healthy subjects. Protein levels of Caspase-3, -7, -12 were also increased in ASD patients. Our data are suggestive of a possible role of the capsase pathway in ASD clinical outcome and of the use of caspase as potential diagnostic and/or therapeutic tools in ASD management.
Similar content being viewed by others
References
Adam-Klages, S., Adam, D., Janssen, O., & Kabelitz, D. (2005). Death receptors and caspases: Role in lymphocyte proliferation, cell death, and autoimmunity. Immunologic Research, 33(2), 149–166.
Agard, N. J., Maltby, D., & Wells, J. A. (2010). Inflammatory stimuli regulate caspase substrate profiles. Molecular Cell Proteomics, 9(5), 880–893.
Aitken, S. L., Corl, C. M., & Sordillo, L. M. (2011). Pro-inflammatory and pro-apoptotic responses of TNF-α stimulated bovine mammary endothelial cells. Veterinary Immunology and Immunopathology, 140(3–4), 282–290.
Algeciras-Schimnich, A., Barnhart, B. C., & Peter, M. E. (2002). Apoptosis independent functions of killer caspases. Current Opinion in Cell Biology, 14, 721–726.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, text revision, 4th ed. Washington, DC: American Psychiatric Press.
Andrianjafiniony, T., Dupré-Aucouturier, S., Letexier, D., Couchoux, H., & Desplanches, D. (2010). Oxidative stress, apoptosis, and proteolysis in skeletal muscle repair after unloading. American Journal of Physiology-Cell Physiology, 299, C307–C315.
Ashwood, P., Wills, S., & Van de Water, J. (2006). The immune response in autism: A new frontier for autism research. Journal of Leukocyte Biology, 80(1), 1–15.
Banerjee, M., Datta, M., Majumder, P., Mukhopadhyay, D., & Bhattacharyya, N. P. (2010). Transcription regulation of caspase-1 by R393 of HIPPI and its molecular partner HIP-1. Nucleic Acids Research, 38(3), 878–892.
Bauernfeind, F., Ablasser, A., Bartok, E., Kim, S., Schmid-Burgk, J., Cavlar, T., et al. (2011). Inflammasomes: Current understanding and open questions. Cellular and Molecular Life Sciences, 68(5), 765–783.
Bergmann, A., & Steller, H. (2010). Apoptosis, stem cells, and tissue regeneration. Science Signal, 3(145), re8.
Bradford, M. M. (1976). A rapid and sensitive method for the quantization of microgram quantities of protein utilizing the principle of protein-dye binding. Analytical Biochemistry, 72, 248–254.
Bradstreet, J. J., Smith, S., Baral, M., & Rossignol, D. A. (2010). Biomarker-guided interventions of clinically relevant conditions associated with autism spectrum disorders and attention deficit hyperactivity disorder. Alternative Medicine Review, 15(1), 15–32.
Buttarelli, F. R., Circella, A., Pellicano, C., & Pontieri, F. E. (2006). Dopamine transporter immunoreactivity in peripheral blood mononuclear cells in amyotrophic lateral sclerosis. European Journal of Neurology, 13(4), 416–418.
Croonenberghs, J., Bosmans, E., Deboutte, D., Kenis, G., & Maes, M. (2002). Activation of the inflammatory response system in autism. Neuropsychobiology, 45, 1–6.
Dai, C., & Krantz, S. B. (1999). Interferon gamma induces upregulation and activation of caspases 1, 3, and 8 to produce apoptosis in human erythroid progenitor cells. Blood, 93(10), 3309–3316.
Denney, D. R., Frei, B. W., & Gaffney, G. R. (1996). Lymphocyte subsets and interleukin-2 receptors in autistic children. Journal of Autism and Developmental Disorders, 26, 87–97.
Dickel, H., Gambichler, T., Kamphowe, J., Altmeyer, P., & Skrygan, M. (2010). Standardized tape stripping prior to patch testing induces upregulation of Hsp90, Hsp70, IL-33, TNF-α and IL-8/CXCL8 mRNA: New insights into the involvement of ‘alarmins’. Contact Dermatitis, 63(4), 215–222.
Enstrom, A. M., Onore, C. E., Van de Water, J. A., & Ashwood, P. (2010). Differential monocyte responses to TLR ligands in children with autism spectrum disorders. Brain, Behavior, and Immunity, 24(1), 64–71.
Fang, H. Y., Lin, C. Y., Chow, K. C., Huang, H. C., & Ko, W. J. (2010). Microarray detection of gene overexpression in primary spontaneous pneumothorax. Experimental Lung Research, 36, 323–330.
Fujita, E., Dai, H., Tanabe, Y., Zhiling, Y., Yamagata, T., Miyakawa, T., et al. (2010). Autism spectrum disorder is related to endoplasmic reticulum stress induced by mutations in the synaptic cell adhesion molecule, CADM1. Cell Death Disorder, 1(6), e47.
Giordano, C., Siniscalco, D., Melisi, D., Luongo, L., Curcio, A., Soukupova, M., et al. (2011). The galactosylation of N(ω)-nitro-l-arginine enhances its anti-nocifensive or anti-allodynic effects by targeting glia in healthy and neuropathic mice. European Journal of Pharmacology, 656(1–3), 52–62.
Gregg, J. P., Lit, L., Baron, C. A., Hertz-Picciotto, I., Walker, W., Davis, R. A., et al. (2008). Gene expression changes in children with autism. Genomics, 91(1), 22–29.
Gupta, S., Samra, D., & Agrawal, S. (2010). Adaptive and innate immune responses in Autism: Rationale for therapeutic use of intravenous immunoglobulin. Journal of Clinical Immunology, 30, S90–S96.
Hallmayer, J., Cleveland, S., Torres, A., Phillips, J., Cohen, B., Torigoe, T., et al. (2011). Genetic heritability and shared environmental factors among twin pairs with Autism. Archives of General Psychiatry (in press).
Heikaus, S., Pejin, I., Gabbert, H. E., Ramp, U., & Mahotka, C. (2010). PIDDosome expression and the role of caspase-2 activation for chemotherapy-induced apoptosis in RCCs. Cell Oncol, 32(1–2), 29–42.
Jyonouchi, H., Sun, S., & Le, H. (2001). Proinflammatory and regulatory cytokine production associated with innate and adaptive immune responses in children with autism spectrum disorders and developmental regression. Journal of Neuroimmunology, 120(1–2), 170–179.
Lakshmanan, U., & Porter, A. G. (2007). Caspase-4 interacts with TNF receptor-associated factor 6 and mediates lipopolysaccharide-induced NF-kappaB-dependent production of IL-8 and CC chemokine ligand 4 (macrophage-inflammatory protein-1). Journal of Immunology, 179(12), 8480–8490.
Lamkanfi, M., Festjens, N., Declercq, W., Vanden Berghe, T., & Vandenabeele, P. (2007). Caspases in cell survival, proliferation and differentiation. Cell Death Differentiation, 14, 44–55.
Lamkanfi, M., Kanneganti, T. D., Van Damme, P., Vanden Berghe, T., Vanoverberghe, I., Vandekerckhove, J., et al. (2008). Targeted peptide-centric proteomics reveals caspase-7 as a substrate of the caspase-1 inflammasomes. Molecular Cell Proteomics, 7(12), 2350–2363.
Launay, S., Hermine, O., Fontenay, M., Kroemer, G., Solary, E., & Garrido, C. (2005). Vital functions for lethal caspases. Oncogene, 24(33), 5137–5148.
Levy, S. E., Mandell, D. S., & Schultz, R. T. (2009). Autism. Lancet, 374(9701), 1627–1638.
Li, X., Chauhan, A., Sheikh, A. M., Patil, S., Chauhan, V., Li, X. M., et al. (2009). Elevated immune response in the brain of autistic patients. Journal of Neuroimmunology, 207(1–2), 111–116.
Li, F., He, Z., Shen, J., Huang, Q., Li, W., Liu, X., et al. (2010). Apoptotic caspases regulate induction of iPSCs from human fibroblasts. Cell & Stem Cell Engineering, 7(4), 508–520.
Lisi, S., Sisto, M., Lofrumento, D., Frassanito, M. A., Caprio, S., Romano, M. L., et al. (2010). Regulation of mRNA caspase-8 levels by anti-nuclear autoantibodies. International Journal of Clinical & Experimental Medicine, 10, 199–203.
MacKenzie, S. H., Schipper, J. L., & Clark, A. C. (2010). The potential for caspases in drug discovery. Current Opinion in Drug Discovery & Development, 13(5), 568–576.
Martinez, J. A., Zhang, Z., Svetlov, S. I., Hayes, R. L., Wang, K. K., & Larner, S. F. (2010). Calpain and caspase processing of caspase-12 contribute to the ER stress-induced cell death pathway in differentiated PC12 cells. Apoptosis, 15(12), 1480–1493.
Martinon, F., & Tschopp, J. (2007). Inflammatory caspases and inflammasomes: Master switches of inflammation. Cell Death and Differentiation, 14(1), 10–22.
McComb, S., Mulligan, R., & Sad, S. (2010). Caspase-3 is transiently activated without cell death during early antigen driven expansion of CD8(+) T cells in vivo. PLoS One, 5(12), e15328.
Molloy, C. A., Morrow, A. L., Meinzen-Derr, J., Schleifer, K., Dienger, K., Manning-Courtney, P., et al. (2006). Elevated cytokine levels in children with autism spectrum disorder. Journal of Neuroimmunology, 172(1–2), 198–205.
Momoi, T. (2004). Caspases involved in ER stress-mediated cell death. Journal of Chemical Neuroanatomy, 28(1–2), 101–105.
Murakami, Y., Aizu-Yokota, E., Sonoda, Y., Ohta, S., & Kasahara, T. (2007). Suppression of endoplasmic reticulum stress-induced caspase activation and cell death by the overexpression of Bcl-xL or Bcl-2. Journal of Biochemistry, 141(3), 401–410.
Nakatsumi, H., & Yonehara, S. (2010). Identification of functional regions defining different activity in caspase-3 and caspase-7 within cells. World Journal of Biological Chemistry, 285(33), 25418–25425.
Oberst, A., Dillon, C. P., Weinlich, R., McCormick, L. L., Fitzgerald, P., Pop, C., et al. (2011). Catalytic activity of the caspase-8-FLIP(L) complex inhibits RIPK3-dependent necrosis. Nature, 471(7338), 363–367.
Onore, C., Enstrom, A., Krakowiak, P., Hertz-Picciotto, I., Hansen, R., Van de Water, J., et al. (2009). Decreased cellular IL-23 but not IL-17 production in children with autism spectrum disorders. Journal of Neuroimmunology, 216(1–2), 126–129.
Parihar, A., Eubank, T. D., & Doseff, A. I. (2010). Monocytes and macrophages regulate immunity through dynamic networks of survival and cell death. Journal of Innate Immunity, 2(3), 204–215.
Paulsen, M., Ussat, S., Jakob, M., Scherer, G., Lepenies, I., Schütze, S., et al. (2008). Interaction with XIAP prevents full caspase-3/-7 activation in proliferating human T lymphocytes. European Journal of Immunology, 38(7), 1979–1987.
Riedl, S. J., Fuentes-Prior, P., Renatus, M., Kairies, N., Krapp, S., Huber, R., et al. (2001). Structural basis for the activation of human procaspase-7. Proceedings of the National Academy of Sciences of the United States of America, 98, 14790–14795.
Ruiz-Vela, A., Opferman, J. T., Cheng, E. H., & Korsmeyer, S. J. (2005). Proapoptotic BAX and BAK control multiple initiator caspases. European Molecular Biology Organization Reports, 6(4), 379–385.
Salskov-Iversen, M. L., Johansen, C., Kragballe, K., & Iversen, L. (2011). Caspase-5 expression is upregulated in lesional psoriatic skin. Journal of Investigative Dermatology, 131(3), 670–676.
Salvesen, G. S., & Riedl, S. J. (2008). Caspase mechanisms. Advances in Experimental Medicine and Biology, 615, 13–23.
Schopler, E., Reichler, R. J., & Renner, B. R. (1993). The childhood autism rating scale (CARS). Los Angeles: Western Psychological Services.
Shi, M., Vivian, C. J., Lee, K. J., Ge, C., Morotomi-Yano, K., Manzl, C., et al. (2009). DNA-PKcs-PIDDosome: a nuclear caspase-2-activating complex with role in G2/M checkpoint maintenance. Cell, 136(3), 508–520.
Siniscalco, D., Fuccio, C., Giordano, C., Ferraraccio, F., Palazzo, E., Luongo, L., et al. (2007). Role of reactive oxygen species and spinal cord apoptotic genes in the development of neuropathic pain. Pharmacological Research, 55(2), 158–166.
Siniscalco, D., Giordano, C., Fuccio, C., Luongo, L., Ferraraccio, F., Rossi, F., et al. (2008). Involvement of subtype 1 metabotropic glutamate receptors in apoptosis and caspase-7 over-expression in spinal cord of neuropathic rats. Pharmacological Research, 57(3), 223–233.
Stamova, B. S., Apperson, M., Walker, W. L., Tian, Y., Xu, H., Adamczy, P., et al. (2009). Identification and validation of suitable endogenous reference genes for gene expression studies in human peripheral blood. BMC Medical Genomics, 2, 49.
Stubbs, E. G., & Crawford, M. L. (1977). Depressed lymphocyte responsiveness in autistic children. Journal of Autism and Childhood Schizophrenia, 7, 49–55.
Toro, R., Konyukh, M., Delorme, R., Leblond, C., Chaste, P., Fauchereau, F., et al. (2010). Key role for gene dosage and synaptic homeostasis in autism spectrum disorders. Trends in Genetics, 26(8), 363–372.
van de Veerdonk, F. L., Netea, M. G., Dinarello, C. A., & Joosten, L. A. (2011). Inflammasome activation and IL-1β and IL-18 processing during infection. Trends Immunology, 32(3), 110–116.
Voineagu, I., Wang, X., Johnston, P., Lowe, J. K., Tian, Y., Horvath, S., et al. (2011). Transcriptomic analysis of autistic brain reveals convergent molecular pathology. Nature, 474(7351), 380–384.
Warren, R. P., Margaretten, N. C., Pace, N. C., & Foster, A. (1986). Immune abnormalities in patients with autism. Journal of Autism and Developmental Disorders, 16, 189–197.
Williams, K., Wheeler, D. M., Silove, N., & Hazell, P. (2010). Selective serotonin reuptake inhibitors (SSRIs) for autism spectrum disorders (ASD). The Cochrane Database of Systematic Reviews, 8, CD004677.
Yazdi, A. S., Guarda, G., D’Ombrain, M. C., & Drexler, S. K. (2010). Inflammatory caspases in innate immunity and inflammation. Journal of Innate Immunity, 2(3), 228–237.
Yi, C. H., & Yuan, J. (2009). The Jekyll and Hyde functions of caspases. Stem Cells and Development, 16(1), 21–34.
Acknowledgments
First and foremost, we thank the many autism families who volunteered as participants in this research study. The authors gratefully thank Mr. Enzo Abate and no-profit organization “La Forza del Silenzio”- Italy for their useful assistance. We thank the Autism Research Institute, USA (ARI grant “Research that makes a difference” 2010) for financial support of this study.
Conflict of interest
Dr. Anna Sapone is scientific consultant of Schaer Italy Inc.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Siniscalco, D., Sapone, A., Giordano, C. et al. The Expression of Caspases is Enhanced in Peripheral Blood Mononuclear Cells of Autism Spectrum Disorder Patients. J Autism Dev Disord 42, 1403–1410 (2012). https://doi.org/10.1007/s10803-011-1373-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-011-1373-z