Researchers discover molecular difference in autistic brains
Potential Treatments and Receptor Plasticity
- Commenters ask whether reduced glutamate receptors suggest easy interventions (supplements, precursors, NAC).
- Multiple replies: current data are far too thin to justify self-experimentation; receptor levels are part of complex homeostatic systems (blood–brain barrier, excitatory/inhibitory balance).
- Some note receptors are highly plastic and can change over days or weeks (as with drug tolerance or antidepressants), implying in principle they’re modifiable.
- Others counter that even if receptor counts are plastic, the ~15% lower availability and strong heritability suggest a developmental/genetic architecture that supplements won’t “rewrite.”
Causality vs Consequence
- Several emphasize the paper itself does not claim causality; it explicitly raises whether receptor changes are a root cause or a consequence of lifelong autism.
- One line of argument: autism is largely developmental; by the time it’s evident, atypical wiring is already laid down, so “curing” it later may be unrealistic.
- Others push back, stressing neural plasticity and the possibility of future interventions, including compensatory strategies or gene therapy, while acknowledging we’re far from that.
Study Design, Hype, and Methodological Concerns
- Strong criticism of the small sample (16 autistic, 16 controls) given autism’s heterogeneity; calls this more hypothesis-generation than firm finding.
- Additional concern: serious demographic mismatch (autistic group all white vs mixed controls), making confounding likely.
- Questions about whether distributions reflect subgroups rather than a single shift; GRM5 genotypes apparently not assessed.
- Some see the press release language (“never-before-understood difference”) as overhyped “funding bait,” contrasting with more modest scientific claims.
- One technical point: reduced mGlu5 has been reported previously in postmortem tissue, so this isn’t entirely novel.
Spectrum Heterogeneity and Subtyping
- Repeated criticism of treating “autism” as a single entity; commenters argue the spectrum is extremely broad (different sensory profiles, cognitive styles, support needs).
- Several reference recent work proposing four autism phenotypes and argue future molecular research should be stratified accordingly rather than seeking a single global biomarker.
Definitions, Impairment, and Social Framing
- Long subthread debates DSM/ICD criteria (impairment required) versus broader “autism” or “neurodivergence” as neutral brain differences.
- Some stress that many autistic people are only disabled because of societal expectations and environments; others highlight individuals with very high support needs where “difference” clearly entails profound disability.
- Overall, commenters warn against assuming the neurotypical average is automatically the “correct” biological target.