Zinc and Copper Metabolic Cycles in Baby Teeth Linked to Autism
Mount Sinai Research Could Result in Early Diagnostic System for Autism Spectrum Disorder
Using evidence found in baby teeth, researchers from the Institute for Exposomic Research at the Icahn School of Medicine at Mount Sinai report that cycles involved in zinc and copper metabolism are dysregulated in autism spectrum disorder (ASD), and can be used to predict who will later develop the disease. The researchers used the teeth to reconstruct prenatal and early-life exposures to nutrient and toxic elements in healthy and autistic children.
Results of the study were published online in Science Advances, a journal published by the American Association for the Advancement of Science.
This is the first study in the world to generate a 90 percent accurate fetal and early childhood biomarker of ASD using a longitudinal analysis of distinct metabolic pathways, and to replicate it in four independent study populations. The results of this research could produce a new diagnostic approach for ASD early in life, before the disorder appears, and could catalyze new treatments and prevention strategies.
About 1 in 68 children has been identified with ASD, according to the U.S. Centers for Disease Control and Prevention. To determine the effects of the dysregulation of zinc and copper metabolism on developing ASD, Mount Sinai researchers used biomarkers in baby teeth collected from twins living in Sweden and replicated these findings in three other populations: a group of non-twin siblings in New York, and two populations of non-related participants from Texas and the United Kingdom.
During fetal and childhood development, a new tooth layer is formed every day. As each of these ‘growth rings’ forms, an imprint of many of the chemicals circulating in the body is captured in each layer, which provides a chronological record of exposure. The research team used lasers to sample these layers and reconstruct the past exposures along incremental markings, similar to using growth rings on a tree to determine the tree’s growth history. This technique, discovered by Manish Arora, PhD, BDS, MPH, at Mount Sinai, has informed research in the field of exposomics, the study of the effects of the totality of environmental exposures across the lifespan. It has provided a crucial piece missing from most exposomic analyses of environmental exposures: time. This technique allowed Dr. Arora and his team to reconstruct past exposures, including those experienced before birth.
“We found significant divergences between ASD-affected children and their healthy siblings, and used these biomarkers to predict the emergence of disease,” said one of the study’s first authors, Paul Curtin, PhD, Assistant Professor in the Department of Environmental Medicine and Public Health at the Icahn School of Medicine at Mount Sinai. “These findings suggest that the cyclical metabolism of nutrients and toxicants is critical to healthy neurodevelopment, and the emergence of autism.”
The other first authors of the study are all from the Mount Sinai Institute for Exposomic Research and the Department of Environmental Medicine and Public Health at the Icahn School of Medicine: Christine Austin, PhD, Instructor; Austen Curtin, PhD, Data Analyst; Chris Gennings, PhD, Director of the Division of Biostatistics and Research Professor; and Dr. Arora, who is Vice Chair of the Department.
“The results of this study are important because they identify specific pathways related to autism pathology, and could lead to an early warning system for ASD and other neurodevelopmental disorders,” said Dr. Arora. “If ASD is diagnosed at a younger age, parents can take advantage of the early introduction of therapies.”
Methods such as tooth analysis have provided the Mount Sinai Institute for Exposomic Research a wide-net approach to observe multiple exposures and patterns at a time. In future studies, the research team plans to use baby teeth to study the association of metal metabolic cycles with attention deficit-hyperactivity disorder and other disorders.
Other institutions involved in this study include the Karolinska Institutet, Sweden; the Stockholm County Council, Sweden; the University of Bristol, England; Kings College London, England; University College London, England; Cardiff University, Wales; and the University of Texas.
About The Institute for Exposomic Research
The Institute for Exposomic Research at the Icahn School of Medicine at Mount Sinai is the world’s first research institute devoted to the intensive study of the exposome, or the totality of environmental influences on human health. The mission of the Institute is to understand how the complex mix of nutritional, chemical, and social environments affect health, disease, and development later in life and to translate those findings into new strategies for prevention and treatment. For more information, visit http://icahn.mssm.edu/exposomics.
About the Mount Sinai Health System
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, over 400 outpatient practices, nearly 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it.
Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,300 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is one of three medical schools that have earned distinction by multiple indicators: It is consistently ranked in the top 20 by U.S. News & World Report's "Best Medical Schools," aligned with a U.S. News & World Report "Honor Roll" Hospital, and top 20 in the nation for National Institutes of Health funding and top 5 in the nation for numerous basic and clinical research areas. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.