Effect of age and autism spectrum disorder on oxytocin receptor density in the human basal forebrain and midbrain
Open accessAbstract
The prosocial hormone oxytocin (OXT) has become a new target for research on the etiology and treatment of autism spectrum disorder (ASD), a condition characterized by deficits in social function. However, it remains unknown whether there are alterations in OXT receptor (OXTR) levels in the ASD brain. This study quantified the density of OXTR and of the structurally related vasopressin 1a receptor (AVPR1a) in postmortem brain tissue from individuals with ASD and typically developing individuals. We analyzed two regions known to contain OXTR across all primates studied to date: the nucleus basalis of Meynert (NBM), which mediates visual attention, and the superior colliculus, which controls gaze direction. In the NBM specimens, we also analyzed the neighboring ventral pallidum (VP) and the external segment of the globus pallidus. In the superior colliculus specimens, we also analyzed the adjacent periaqueductal gray. We detected dense OXTR binding in the human NBM and VP and moderate to low OXTR binding in the human globus pallidus, superior colliculus, and periaqueductal gray. AVPR1a binding was negligible across all five regions in all specimens. Compared to controls, ASD specimens exhibited significantly higher OXTR binding in the NBM and significantly lower OXTR binding in the VP, an area in the mesolimbic reward pathway. There was no effect of ASD on OXTR binding in the globus pallidus, superior colliculus, or periaqueductal gray. We also found a significant negative correlation between age and OXTR binding in the VP across all specimens. Further analysis revealed a peak in OXTR binding in the VP in early childhood of typically developing individuals, which was absent in ASD. This pattern suggests a possible early life critical period, which is lacking in ASD, where this important reward area becomes maximally sensitive to OXT binding. These results provide unique neurobiological insight into human social development and the social symptoms of ASD.
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Written from the paper’s full text.
TL;DR
This study used pharmacologically optimized receptor autoradiography to quantify oxytocin receptor (OXTR) and vasopressin 1a receptor (AVPR1a) binding in postmortem human basal forebrain and midbrain tissue from ASD and typically developing individuals. It reports region-specific OXTR differences in ASD—higher in the nucleus basalis of Meynert and lower in the ventral pallidum—plus an age-related decline in ventral pallidum OXTR binding that appears driven by typically developing specimens.
Key findings
- Dense OXTR binding was detected in the human nucleus basalis of Meynert (NBM) and ventral pallidum (VP), with moderate-to-low binding in the globus pallidus (GP), superior colliculus (SC), and periaqueductal gray (PAG); AVPR1a binding was negligible across all five regions.
- ASD specimens showed significantly higher OXTR binding in the NBM (F1,33 = 10.71, p < 0.01) and significantly lower OXTR binding in the VP (F2,26 = 7.92, p < 0.01), with no significant ASD effect in GP, SC, or PAG.
- In the VP, OXTR binding negatively correlated with age across all specimens (r = −0.4985, p < 0.01); this was driven by typically developing specimens (r = −0.6299, p < 0.01) and not ASD specimens (r = −0.0902, p = 0.73).
- A peak in VP OXTR binding was observed in typically developing individuals around ages 2–5 years, which was absent, or possibly dampened and shifted later, in ASD; no significant sex differences or postmortem interval effects were found in any region.
Methods
- Postmortem, unfixed frozen human brain tissue (n = 44; 22 typically developing, 22 ASD) was obtained from the University of Maryland Brain and Tissue Bank/NIH NeuroBioBank and matched as best as possible on age, race, and sex.
- Competitive-binding receptor autoradiography used 125I-OVTA for OXTR and 125I-LVA for AVPR1a, with selective competitors ALS-II-69 and SR49059, followed by acetylcholinesterase counterstaining and densitometry in five regions: NBM, VP, GP, SC, and PAG.
- A Generalized Linear Model tested diagnosis, sex, race, age, brain pH, storage time, postmortem interval, sex×diagnosis, and age×diagnosis, with backward selection and specimen ID as a random factor; ADI-R correlations were examined in an ASD subset (n = 8).
Limitations
- Stated: conclusions about an early-life critical period are based on a very small sample size, and brain bank specimens with confirmed ASD diagnoses are limited or absent at the youngest ages because of the average age of ASD diagnosis.
- Stated: the absence of AVPR1a binding in these regions should be confirmed with secondary analyses such as in situ hybridization for AVPR1a mRNA.
- Evident from the text: the study is postmortem and correlational, with no direct behavioral measures except ADI-R scores in a small ASD subset (n = 8), and those correlations were not significantly non-zero; adjacent regions were included opportunistically based on consistent identifiability.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
0 of 80 cited sources checked · 0 supported · 0 flagged
- Findingown data
In each of the five ROIs, there was a significant main effect of radioligand.
“we found significant main effects of radioligand (GP: F1,44 = 23.58, p < 0.0001; VP: F1,111 = 84.64, p < 0.0001; NBM: F1,136 = 21.42, p < 0.0001; PAG: F1,144 = 19.99, p < 0.0001; SC: F1,136 = 16.70, p < 0.0001)”
Quote in the paperSubstantial claim - Findingown data
Post hoc comparisons revealed significantly higher OXTR radioligand binding than AVPR1a radioligand binding in all five regions.
“Post hoc comparisons between the OXTR radioligand-alone and AVPR1a radioligand-alone conditions revealed significantly higher OXTR radioligand binding in all five regions”
Quote in the paperSubstantial claim - Findingown data
Dense OXTR binding is present in the human NBM and ventral pallidum (VP).
“We detected dense OXTR binding in the human NBM and VP”
Quote in the paperSubstantial claim - Findingown data
ASD specimens exhibit significantly higher OXTR binding in the NBM compared to controls.
“ASD specimens exhibited significantly higher OXTR binding in the NBM”
- Also stated in: § Effects of ASD diagnosis and age on OXTR binding · plain
“In the NBM, ASD specimens had significantly higher OXTR binding compared to TD specimens”
Quote in the paperSubstantial claim - Also stated in: § Effects of ASD diagnosis and age on OXTR binding · plain
- Findingown data
In each of the five ROIs, there was a significant main effect of competitor.
“and of competitor (GP: F1,44 = 39.64, p < 0.0001; VP: F1,111 = 128.4, p < 0.0001; NBM: F1,136 = 50.57, p < 0.0001; PAG: F1,144 = 68.04, p < 0.0001; SC: F1,136 = 55.68, p < 0.0001)”
Quote in the paperSubstantial claim
- Findingown data
The levels of AVPR1a radioligand binding were not significantly different from the levels with either selective competitor across all specimens and all five regions.
“Across all specimens and all five regions, after correcting for multiple comparisons, the levels of AVPR1a radioligand binding were not significantly different from the levels that resulted in the presence of either selective competitor”
Quote in the paperSubstantial claim - Findingown data
There is no effect of ASD on OXTR binding in the globus pallidus, superior colliculus, or periaqueductal gray.
“There was no effect of ASD on OXTR binding in the globus pallidus, superior colliculus, or periaqueductal gray.”
Quote in the paperSubstantial claim - Findingown data
There is a significant negative correlation between age and OXTR binding in the VP across all specimens.
“We also found a significant negative correlation between age and OXTR binding in the VP across all specimens.”
- Also stated in: § Effects of ASD diagnosis and age on OXTR binding · plain
“further analysis of this effect found a significant negative correlation between age and OXTR density in this region (r = −0.4985, p < 0.01; Fig. 5a).”
Quote in the paperSubstantial claim - Also stated in: § Effects of ASD diagnosis and age on OXTR binding · plain
- Findingown data
ASD specimens exhibit significantly lower OXTR binding in the VP compared to controls.
“In the VP (white outlined region in Fig. 4b, c), ASD specimens had significantly lower OXTR binding compared to TD specimens.”
Quote in the paperSubstantial claim - Findingown data
AVPR1a binding is negligible across all five regions in all specimens.
“AVPR1a binding was negligible across all five regions in all specimens.”
Quote in the paperNot a substantial claim - Findingown data
There is a peak in OXTR binding in the VP in early childhood of typically developing individuals, which is absent in ASD.
“Further analysis revealed a peak in OXTR binding in the VP in early childhood of typically developing individuals, which was absent in ASD.”
- Also stated in: § Effects of ASD diagnosis and age on OXTR binding · hedged
“we did find a peak in OXTR density in the VP in TD specimens around ages 2–5 yeara which was absent, or perhaps dampened and shifted toward later childhood, in ASD specimens”
Quote in the paperSubstantial claim - Also stated in: § Effects of ASD diagnosis and age on OXTR binding · hedged
- Findingown data
Moderate to low OXTR binding is present in the human globus pallidus, superior colliculus, and periaqueductal gray.
“moderate to low OXTR binding in the human globus pallidus, superior colliculus, and periaqueductal gray.”
Quote in the paperSubstantial claim - Findingown data
In each of the five ROIs, there were significant interaction effects between radioligand and competitor.
“as well as interaction effects (GP: F1,44 = 30.66, p < 0.0001; VP: F1,111 = 122.2, p < 0.0001; NBM: F1,136 = 28.21, p < 0.0001; PAG: F1,144 = 68.04, p < 0.0001; SC: F1,136 = 17.12, p < 0.0001)”
Quote in the paperSubstantial claim - Findingown data
There was no significant age × diagnosis interaction for OXTR density in the VP.
“Although there was not a significant age × diagnosis interaction”
Quote in the paperNot a substantial claim - Findingown data
The association between age and OXTR density in the VP was driven entirely by the neurotypical controls and not by the ASD specimens.
“This association in the VP was driven entirely by the neurotypical controls (r = −0.6299; p < 0.01) and not by the ASD specimens (r = −0.0902; p = 0.73).”
Quote in the paperSubstantial claim - Findingown data
There was no significant effect of postmortem interval (PMI) on OXTR density in any ROI.
“There was no significant effect of PMI on OXTR density in any ROI”
Quote in the paperSubstantial claim - Findingown data
In the VP, ASD specimens had significantly lower OXTR binding compared to TD specimens.
“In the VP, ASD specimens had significantly lower OXTR binding compared to TD specimens.”
Quote in the paperSubstantial claim - Findingown data
In the NBM, ASD specimens had significantly higher OXTR binding compared to TD specimens.
“In the NBM, ASD specimens had significantly higher OXTR binding compared to TD specimens.”
Quote in the paperSubstantial claim - Findingown data
In the analysis of OXTR density across five regions, there was a significant effect of ASD diagnosis in the VP and NBM.
“In our analysis of OXTR density across these five regions, we found a significant effect of ASD diagnosis in the VP and NBM.”
Quote in the paperSubstantial claim - Findingown data
Of the five regions examined, there was a significant effect of age only in the VP, where OXTR binding decreases with age across all samples.
“Of the five regions examined, we found a significant effect of age only in the VP, where OXTR binding decreases with age across all samples.”
Quote in the paperSubstantial claim - Findingown data
None of the correlations between OXTR binding density and ADI-R scores in the NBM and VP were significantly non-zero.
“Because none of these correlations were significantly non-zero, these results are provided in the Supplementary Materials as Supplementary Figures 1 (NBM) and 2 (VP).”
Quote in the paperNot a substantial claim - Findingown data
Further analysis revealed a transient increase in OXTR binding in early life in TD specimens, which is absent in ASD specimens.
“Further analysis revealed a transient increase in OXTR binding in early life in TD specimens, which is absent in ASD specimens.”
Quote in the paperSubstantial claim - Findingown data
There was a significant effect of ASD diagnosis on OXTR density in the NBM and VP.
“There was a significant effect of ASD diagnosis on OXTR density in two of the five ROIs (Fig. 4a): the NBM (F1,33 = 10.71, p < 0.01) and VP (F2,26 = 7.92, p < 0.01).”
Quote in the paperSubstantial claim - Interpretationown data
We cannot conclude that there is any appreciable amount of AVPR1a expression in these five areas of the human brain.
“therefore, we cannot conclude that there is any appreciable amount of AVPR1a expression in these five areas of the human brain.”
Quote in the paperSubstantial claim - Premisecitation
The NBM and SC have been shown to contain OXTR across all nonhuman primates studied to date.
“the two areas that have been shown to contain OXTR across all nonhuman primates studied to date39: the nucleus basalis of Meynert (NBM) in the basal forebrain and the superior colliculus (SC) of the midbrain.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [39] Freeman, S. M. & Young, L. J. Comparative perspectives on oxytocin and vasopressin receptor research in rodents and primates: translational implications. J. Neuroendocrinol. 28, https://doi.org/10.1111/jne.12382 (2016). source
Not checked in the free run.
- Premisecitation
The neuroanatomical map of OXTR binding in the human brain has not been reliably characterized, except for two outdated studies whose results have recently been called into question due to the radioligand's high degree of cross-reactivity to AVPR1a.
“The neuroanatomical map of OXTR binding in the human brain has not been reliably characterized, except for two outdated studies35,36 whose results have recently been called into question34 due to the radioligand’s high degree of cross-reactivity to the structurally similar vasopressin 1a receptor (AVPR1a).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [34] Freeman, S. M., Smith, A. L., Goodman M. M. & Bales K. L. Selective localization of oxytocin receptors and vasopressin 1a receptors in the human brainstem. Soc. Neurosci. 12, 113–123 (2017). source
Not checked in the free run.
- cites [35] Loup, F., Tribollet, E., Dubois-Dauphin, M. & Dreifuss, J. J. Localization of high-affinity binding sites for oxytocin and vasopressin in the human brain. Autoradiogr. Study Brain Res. 555, 220–232 (1991). source
Not checked in the free run.
- cites [36] Loup, F., Tribollet, E., Dubois-Dauphin, M., Pizzolato, G. & Dreifuss, J. J. Localization of oxytocin binding sites in the human brainstem and upper spinal cord: an autoradiographic study. Brain Res. 500, 223–230 (1989). source
Not checked in the free run.
- Study design and conductcitation
The optimized and reliable method for measuring OXTR and AVPR1a has been previously validated in nonhuman primate and human brain tissue to selectively reveal OXTR or AVPR1a.
“we measured both OXTR and AVPR1a with an optimized and reliable method previously validated in nonhuman primate and human brain tissue34,37,38.”
- Also stated in: § Competitive-binding receptor autoradiography · plain
“This approach has now been validated in postmortem brain tissue from monkeys37,38 and humans34 to selectively reveal OXTR or AVPR1a.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [34] Freeman, S. M., Smith, A. L., Goodman M. M. & Bales K. L. Selective localization of oxytocin receptors and vasopressin 1a receptors in the human brainstem. Soc. Neurosci. 12, 113–123 (2017). source
Not checked in the free run.
- cites [37] Freeman, S. M., Inoue, K., Smith, A. L., Goodman, M. M. & Young, L. J. The neuroanatomical distribution of oxytocin receptor binding and mRNA in the male rhesus macaque (Macaca mulatta). Psychoneuroendocrinology 45, 128–141 (2014). source
Not checked in the free run.
- cites [38] Freeman, S. M. et al. Neuroanatomical distribution of oxytocin and vasopressin 1a receptors in the socially monogamous coppery titi monkey (Callicebus cupreus). Neuroscience https://doi.org/10.1016/j.neuroscience.2014.04.055 (2014). source
Not checked in the free run.
- Also stated in: § Competitive-binding receptor autoradiography · plain
- Premisecitation
Both prior studies examined only a single cortical region of interest, rather than multiple neighboring and distant areas as the current study did.
“In addition, both studies examined only a single cortical region of interest, rather than multiple neighboring and distant areas as we did in the current study.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [57] Mor, M., Nardone, S., Sams, D. S. & Elliott, E. Hypomethylation of miR-142 promoter and upregulation of microRNAs that target the oxytocin receptor gene in the autism prefrontal cortex. Mol. Autism 6, 46 (2015). source
Not checked in the free run.
- cites [58] Gregory, S. G. et al. Genomic and epigenetic evidence for oxytocin receptor deficiency in autism. BMC Med. 7, 62 (2009). source
Not checked in the free run.
- Premisecitation
Prior studies focused primarily on mechanisms that regulate OXTR gene expression and did not directly measure binding to mature, cell-surface OXTR protein.
“However, these studies focused primarily on the mechanisms that regulate OXTR gene expression (microRNAs57 and epigenetics58) and did not directly measure binding to mature, cell-surface OXTR protein, as receptor autoradiography does, which was used in this study.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [57] Mor, M., Nardone, S., Sams, D. S. & Elliott, E. Hypomethylation of miR-142 promoter and upregulation of microRNAs that target the oxytocin receptor gene in the autism prefrontal cortex. Mol. Autism 6, 46 (2015). source
Not checked in the free run.
- cites [58] Gregory, S. G. et al. Genomic and epigenetic evidence for oxytocin receptor deficiency in autism. BMC Med. 7, 62 (2009). source
Not checked in the free run.
- Interpretationown data
The OXTR and AVPR1a radioligands seem to produce selective labeling in these five regions of the human brain.
“these radioligands seem to produce selective labeling in these five regions of the human brain.”
Quote in the paperSubstantial claim - Interpretationown data
The results point to a dysregulated OXTR system throughout cortical and subcortical areas of the ASD brain.
“These results point to a dysregulated OXTR system throughout cortical and subcortical areas of the ASD brain and highlight the importance of future research on the regulatory mechanisms that are responsible for these complex effects.”
Quote in the paperSubstantial claim - Interpretationown data
The absence of a PMI effect suggests that the tertiary structure and pharmacological features of OXTR remain intact across brain regions for extended periods of time after death.
“which supports and extends the results from our previous study in postmortem human brainstem tissue34 and suggests that the tertiary structure and pharmacological features of OXTR remain intact across brain regions for extended periods of time after death.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] Freeman, S. M., Smith, A. L., Goodman M. M. & Bales K. L. Selective localization of oxytocin receptors and vasopressin 1a receptors in the human brainstem. Soc. Neurosci. 12, 113–123 (2017). source
Not checked in the free run.
- Interpretationown data
The seemingly opposing findings can be reconciled in light of evidence for OXTR expression in the NBM of humans and nonhuman primates.
“However, these seemingly opposing findings can be reconciled in light of our evidence for OXTR expression in the NBM of humans (current study and ref. 35) and nonhuman primates39.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [35] Loup, F., Tribollet, E., Dubois-Dauphin, M. & Dreifuss, J. J. Localization of high-affinity binding sites for oxytocin and vasopressin in the human brain. Autoradiogr. Study Brain Res. 555, 220–232 (1991). source
Not checked in the free run.
- cites [39] Freeman, S. M. & Young, L. J. Comparative perspectives on oxytocin and vasopressin receptor research in rodents and primates: translational implications. J. Neuroendocrinol. 28, https://doi.org/10.1111/jne.12382 (2016). source
Not checked in the free run.
- Premisecitation
The anatomical contradiction is at odds with numerous in vivo fMRI studies in humans that report changes in cortical BOLD signal after IN-OXT treatment.
“This anatomical contradiction is also at odds with the numerous in vivo fMRI studies in humans that report changes in cortical BOLD signal after IN-OXT treatment (see the sixty-six publications using fMRI and IN-OXT that were included in this meta-analysis62).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [62] Wang, D., Yan, X., Li, M. & Ma, Y. Neural substrates underlying the effects of oxytocin: a quantitative meta-analysis of pharmaco-imaging studies. Soc. Cogn. Affect. Neurosci. 12, 1565–1573 (2017). source
Not checked in the free run.
- Interpretationown data
We can now quantify the functional, cell-surface OXTRs in distinct regions of the ASD brain.
“First, we can now quantify the functional, cell-surface OXTRs in distinct regions of the ASD brain.”
Quote in the paperSubstantial claim - Premisecitation
The OXTR radioligand 125I-OVTA and the AVPR1a radioligand 125I-LVA bind to both receptor types when used in primate brain.
“These radioligands are now known to bind to both receptor types when they are used in primate brain37.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [37] Freeman, S. M., Inoue, K., Smith, A. L., Goodman, M. M. & Young, L. J. The neuroanatomical distribution of oxytocin receptor binding and mRNA in the male rhesus macaque (Macaca mulatta). Psychoneuroendocrinology 45, 128–141 (2014). source
Not checked in the free run.
- cites [48] Song, Z. & Albers, H. E. Cross-talk among oxytocin and arginine–vasopressin receptors: relevance for basic and clinical studies of the brain and periphery. Front. Neuroendocrinol. https://doi.org/10.1016/j.yfrne.2017.10.004 (2017). source
Not checked in the free run.
- Interpretationreasoning
It seems plausible that the social attentional symptoms of ASD could result from an altered basal forebrain circuit that involves OXT and downstream targets of the cholinergic system, especially in the cortex.
“Taken together, it seems plausible that the social attentional symptoms of ASD could result from an altered basal forebrain circuit that involves OXT and downstream targets of the cholinergic system, especially in the cortex.”
Quote in the paperSubstantial claim - Interpretationown data
The transient early-life increase in OXTR binding in TD specimens may reflect a critical period in typical human development when this reward area is maximally sensitive to OXT in early childhood, between ages 2 and 5 years.
“This result may reflect a critical period in typical human development when this reward area is maximally sensitive to OXT in early childhood, between ages 2 and 5 years.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The number of specimens in the brain bank with a confirmed ASD diagnosis are limited, if not absent, at the youngest ages.
“However, due to this average age of ASD diagnosis, the number of specimens in the brain bank with a confirmed ASD diagnosis are limited, if not absent, at the youngest ages.”
Quote in the paperSubstantial claim - Premisecitation
Two studies have previously examined the levels of OXTR gene transcripts in postmortem ASD brain specimens, in the prefrontal cortex and temporal cortex.
“Two studies have previously examined the levels of OXTR gene transcripts in postmortem ASD brain specimens (in the prefrontal cortex57 and temporal cortex58).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [57] Mor, M., Nardone, S., Sams, D. S. & Elliott, E. Hypomethylation of miR-142 promoter and upregulation of microRNAs that target the oxytocin receptor gene in the autism prefrontal cortex. Mol. Autism 6, 46 (2015). source
Not checked in the free run.
- cites [58] Gregory, S. G. et al. Genomic and epigenetic evidence for oxytocin receptor deficiency in autism. BMC Med. 7, 62 (2009). source
Not checked in the free run.
- Interpretationreasoning
Considering the use of IN-OXT as a therapy for patients with ASD, IN-OXT treatment may be acting upon an already dysregulated receptor system.
“Considering the use of IN-OXT as a therapy for patients with ASD, it is important to consider that this treatment may be acting upon an already dysregulated receptor system.”
Quote in the paperSubstantial claim
- May combine two claims. 15
- Classified as probably not a substantial claim. 22
May combine two claims.
Findingown dataThere were no significant sex differences in OXTR density and no significant sex × diagnosis interactions in any of the ROIs.
“there were no significant sex differences in OXTR density and no significant sex × diagnosis interactions in any of the ROIs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe superior colliculus (SC) has an important role in controlling eye movements and shifting gaze direction.
“the SC has an important role in controlling eye movements and shifting gaze direction42–44.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [42] Gandhi, N. J. & Katnani, H. A. Motor functions of the superior colliculus. Annu. Rev. Neurosci. 34, 205–231 (2011). source
Not checked in the free run.
- cites [43] Ma, T. P., Graybiel, A. M. & Wurtz, R. H. Location of saccade-related neurons in the macaque superior colliculus. Exp. Brain Res. 85, 21–35 (1991). source
Not checked in the free run.
- cites [44] Wurtz, R. H. & Goldberg, M. E. The primate superior colliculus and the shift of visual attention. Invest. Ophthalmol. 11, 441–450 (1972).
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataThe TD and ASD specimens were matched as best as possible on age, race, and sex.
“The TD specimens (n = 22) and ASD specimens (n = 22) were selected with recommendations and approval from the staff of the NeuroBioBank to match as best as possible on age, race, and sex.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisereasoningIt is currently unknown whether differences in OXTR distributions in the brain exist between patients with ASD and non-clinical populations.
“it is currently unknown whether differences in OXTR distributions in the brain exist between patients with ASD and non-clinical populations.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationOXTR binding in primate brains is limited to a small number of subcortical areas and putatively absent in the cortex.
“Because OXTR binding in primate brains is limited to a small number of subcortical areas and putatively absent in the cortex35,39”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [35] Loup, F., Tribollet, E., Dubois-Dauphin, M. & Dreifuss, J. J. Localization of high-affinity binding sites for oxytocin and vasopressin in the human brain. Autoradiogr. Study Brain Res. 555, 220–232 (1991). source
Not checked in the free run.
- cites [39] Freeman, S. M. & Young, L. J. Comparative perspectives on oxytocin and vasopressin receptor research in rodents and primates: translational implications. J. Neuroendocrinol. 28, https://doi.org/10.1111/jne.12382 (2016). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThere is no consensus on the best methodology to measure OXT in biological fluids.
“there is as yet no consensus on the best methodology to measure OXT22,23”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [22] Leng G., Sabatier N. Measuring oxytocin and vasopressin: bioassays, immunoassays and random numbers. J. Neuroendocrinol. 28, https://doi.org/10.1111/jne.12413 (2016). source
Not checked in the free run.
- cites [23] Lefevre, A. et al. A comparison of methods to measure central and peripheral oxytocin concentrations in human and non-human primates. Sci. Rep. 7, 17222 (2017). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExtensive research has established that oxytocin modulates social behavior across species, including humans.
“Extensive research has established the potent ability of the hypothalamic neuropeptide oxytocin (OXT) to modulate social behavior across species, including humans1.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [1] Johnson, Z. V. & Young, L. J. Oxytocin and vasopressin neural networks: Implications for social behavioral diversity and translational neuroscience. Neurosci. Biobehav. Rev. 76, 87–98 (2017). source
Not checked in the free run.
May combine two claims.
Interpretationnone givenThis study is the first to determine whether OXTR binding densities are altered in the ASD brain and the first report that OXTR binding is altered in specific subregions of the ASD brain.
“To our knowledge, this study is the first to determine whether OXTR binding densities are altered in the ASD brain, with a focus on multiple behaviorally and clinically relevant subcortical regions of the human brain.”
- Also stated in: § Discussion · hedged
“To our knowledge, this is the first report that OXTR binding is altered in specific subregions of the ASD brain.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · hedged
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationASD is characterized by restricted interests/behaviors and deficits in social communication.
“ASD is a heterogeneous condition characterized by restricted interests/behaviors and deficits in social communication”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] Baio, J. et al. Prevalence of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2014. MMWR Surveill. Summ. 67, 1–23 (2018). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationOXTR polymorphisms are linked to other measures of social behavior, such as empathy, prosocial temperament, and pair-bonding behavior, in non-ASD populations.
“Results from studies in non-ASD populations have also linked OXTR polymorphisms to other measures of social behavior, such as empathy13, prosocial temperament14, and pair-bonding behavior15.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [13] Rodrigues, S. M., Saslow, L. R., Garcia, N., John, O. P. & Keltner, D. Oxytocin receptor genetic variation relates to empathy and stress reactivity in humans. Proc. Natl Acad. Sci. USA 106, 21437–21441 (2009). source
Not checked in the free run.
- cites [14] Tost, H. et al. A common allele in the oxytocin receptor gene (OXTR) impacts prosocial temperament and human hypothalamic–limbic structure and function. Proc. Natl Acad. Sci. USA 107, 13936–13941 (2010). source
Not checked in the free run.
- cites [15] Walum, H. et al. Variation in the oxytocin receptor gene is associated with pair-bonding and social behavior. Biol. Psychiatry 71, 419–426 (2012). source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThese results provide unique neurobiological insight into human social development and the social symptoms of ASD.
“These results provide unique neurobiological insight into human social development and the social symptoms of ASD.”
Quote in the paperNot a substantial claim- Rests on an assumption: OXTR binding density measured in postmortem human brain tissue reflects the density of OXTR receptors in the living human brain.
- Rests on an assumption: The ASD and TD postmortem specimens are representative of the respective populations.
Classified as probably not a substantial claim.
Premisenone givenIt remains unknown whether there are alterations in OXTR levels in the ASD brain.
“However, it remains unknown whether there are alterations in OXT receptor (OXTR) levels in the ASD brain.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationPolymorphisms in the human OXTR gene are significantly associated with an ASD diagnosis and/or predict the severity of ASD.
“many of these genetic studies have found that polymorphisms in the human OXT receptor (OXTR) gene are significantly associated with an ASD diagnosis and/or predict the severity of ASD4–12.”
Quote in the paperNot a substantial claim0 of 9 sources checked- cites [4] Wu, S. et al. Positive association of the oxytocin receptor gene (OXTR) with autism in the Chinese Han population. BPS 58, 74–77 (2005).
Not checked in the free run.
- cites [5] Parker, K. J. et al. Plasma oxytocin concentrations and OXTR polymorphisms predict social impairments in children with and without autism spectrum disorder. Proc. Natl Acad. Sci. USA 111, 12258–12263 (2014). source
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- cites [6] Jacob, S. et al. Association of the oxytocin receptor gene (OXTR) in Caucasian children and adolescents with autism. Neurosci. Lett. 417, 6–9 (2007). source
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- cites [7] Lerer, E. et al. Association between the oxytocin receptor (OXTR) gene and autism: relationship to Vineland Adaptive Behavior Scales and cognition. Mol. Psychiatry 13, 980–988 (2008). source
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- cites [8] Yrigollen, C. M. et al. Genes controlling affiliative behavior as candidate genes for autism. Biol. Psychiatry 63, 911–916 (2008). source
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- cites [9] Campbell, D. B. et al. Association of oxytocin receptor (OXTR) gene variants with multiple phenotype domains of autism spectrum disorder. J. Neurodev. Disord. 3, 101–112 (2011). source
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- cites [10] Liu, X. et al. Association of the oxytocin receptor (OXTR) gene polymorphisms with autism spectrum disorder (ASD) in the Japanese population. J. Hum. Genet. 55, 137–141 (2010). source
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- cites [11] Wermter, A.-K. et al. Evidence for the involvement of genetic variation in the oxytocin receptor gene (OXTR) in the etiology of autistic disorders on high-functioning level. Am. J. Med. Genet. B 153B, 629–639 (2010). source
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- cites [12] Ocakoğlu, F. T., Köse, S., Özbaran, B. & Onay, H. The oxytocin receptor gene polymorphism -rs237902- is associated with the severity of autism spectrum disorder: a pilot study. Asian J. Psychiatr. 31, 142–149 (2018). source
Not checked in the free run.
May combine two claims.
InterpretationreasoningThe pattern of a peak in OXTR binding in the VP in early childhood in typically developing individuals and its absence in ASD suggests a possible early life critical period, which is lacking in ASD, where this reward area becomes maximally sensitive to OXT binding.
“This pattern suggests a possible early life critical period, which is lacking in ASD, where this important reward area becomes maximally sensitive to OXT binding.”
Quote in the paperSubstantial claim- Rests on an assumption: OXTR binding density measured in postmortem human brain tissue reflects the density of OXTR receptors in the living human brain.
May combine two claims.
PremisecitationPatients with ASD have altered gaze patterns and reduced attention to social imagery.
“Patients with ASD have been shown to have altered gaze patterns and reduced attention to social imagery45–47.”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [45] Jones, W., Carr, K. & Klin, A. Absence of preferential looking to the eyes of approaching adults predicts level of social disability in 2-year-old toddlers with autism spectrum disorder. Arch. Gen. Psychiatry 65, 946–954 (2008). source
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- cites [46] Chawarska, K., Volkmar, F. & Klin, A. Limited attentional bias for faces in toddlers with autism spectrum disorders. Arch. Gen. Psychiatry 67, 178–185 (2010). source
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- cites [47] Rice, K., Moriuchi, J. M., Jones, W. & Klin, A. Parsing heterogeneity in autism spectrum disorders: visual scanning of dynamic social scenes in school-aged children. J. Am. Acad. Child Adolesc. Psychiatry 51, 238–248 (2012). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenExperimenters were blind to specimen diagnosis during quantification.
“Experimenters were blind to specimen diagnosis during quantification.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
PremisecitationA recent meta-analysis across 516 participants reported no significant association between baseline levels of OXT in plasma and cerebrospinal fluid.
“a recent meta-analysis across 516 participants reported no significant association between baseline levels of OXT in plasma and cerebrospinal fluid25”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] Valstad, M. et al. The correlation between central and peripheral oxytocin concentrations: a systematic review and meta-analysis. Neurosci. Biobehav. Rev. 78, 117–124 (2017). source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationThe nucleus basalis of Meynert (NBM) mediates selective and sustained visual attention.
“The NBM mediates selective and sustained visual attention40,41”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [40] Muir, J. L., Page, K. J., Sirinathsinghji, D. J., Robbins, T. W. & Everitt, B. J. Excitotoxic lesions of basal forebrain cholinergic neurons: effects on learning, memory and attention. Behav. Brain. Res. 57, 123–131 (1993). source
Not checked in the free run.
- cites [41] Sarter, M., Gehring, W. J. & Kozak, R. More attention must be paid: the neurobiology of attentional effort. Brain. Res. Rev. 51, 145–160 (2006). source
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationIt is unclear whether peripheral measures of OXT are accurate approximations for levels of OXT in the central nervous system.
“it is unclear whether these peripheral measures of OXT are accurate approximations for levels of OXT in the central nervous system24.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] Leng, G. & Ludwig, M. Intranasal oxytocin: myths and delusions. Biol. Psychiatry https://doi.org/10.1016/j.biopsych.2015.05.003.(2015) source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductcitationThe anatomical boundaries of the five ROIs were confirmed by comparison to the most detailed and up-to-date atlas of the human brain.
“compared to the most detailed and up-to-date atlas of the human brain52 to confirm the anatomical boundaries of our five ROI”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [52] Ding, S.-L. et al. Comprehensive cellular-resolution atlas of the adult human brain. J. Comp. Neurol. 524, 3127–3481 (2016). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIN-OXT has been shown in an increasing number of studies to change social visual attention in non-clinical populations of humans.
“IN-OXT has also been shown in an increasing number of studies to change social visual attention in non-clinical populations of humans77–81.”
Quote in the paperNot a substantial claim0 of 5 sources checked- cites [77] Hubble, K. et al. Oxytocin increases attention to the eyes and selectively enhances self-reported affective empathy for fear. Neuropsychologia 106, 350–357 (2017). source
Not checked in the free run.
- cites [78] Tollenaar, M. S., Chatzimanoli, M., van der Wee, N. J. A. & Putman, P. Enhanced orienting of attention in response to emotional gaze cues after oxytocin administration in healthy young men. Psychoneuroendocrinology 38, 1797–1802 (2013). source
Not checked in the free run.
- cites [79] Pfundmair, M., Zwarg, C., Paulus, M. & Rimpel, A. Oxytocin promotes attention to social cues regardless of group membership. Horm. Behav. 90, 136–140 (2017). source
Not checked in the free run.
- cites [80] Guastella, A. J., Mitchell, P. B. & Dadds, M. R. Oxytocin increases gaze to the eye region of human faces. Biol. Psychiatry 63, 3–5 (2008). source
Not checked in the free run.
- cites [81] Ellenbogen, M. A., Linnen, A.-M., Grumet, R., Cardoso, C. & Joober, R. The acute effects of intranasal oxytocin on automatic and effortful attentional shifting to emotional faces. Psychophysiology 49, 128–137 (2012). source
Not checked in the free run.
May combine two claims.
PremisecitationAlthough OXTR mRNA can be measured in some portions of the human cortex, autoradiographic studies of OXTR binding have not generated complementary evidence of functional, cell-surface OXTR in these regions of the cortex in humans or in nonhuman primates.
“Although these studies and others59–61 indicate that OXTR mRNA can be measured in some portions of the human cortex, autoradiographic studies of OXTR binding have not generated complementary evidence of functional, cell-surface OXTR in these regions of the cortex in humans35 or in nonhuman primates39.”
Quote in the paperSubstantial claim0 of 5 sources checked- cites [59] Lee, M. R. et al. Effect of alcohol use disorder on oxytocin peptide and receptor mRNA expression in human brain: a post-mortem case–control study. Psychoneuroendocrinology 85, 14–19 (2017). source
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- cites [60] Lee, M. R. et al. Oxytocin receptor mRNA expression in dorsolateral prefrontal cortex in major psychiatric disorders: a human post-mortem study. Psychoneuroendocrinology 96, 143–147 (2018). source
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- cites [61] Bethlehem, R. A. I. et al. Intranasal oxytocin enhances intrinsic corticostriatal functional connectivity in women. Transl. Psychiatry 7, e1099 (2017). source
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- cites [35] Loup, F., Tribollet, E., Dubois-Dauphin, M. & Dreifuss, J. J. Localization of high-affinity binding sites for oxytocin and vasopressin in the human brain. Autoradiogr. Study Brain Res. 555, 220–232 (1991). source
Not checked in the free run.
- cites [39] Freeman, S. M. & Young, L. J. Comparative perspectives on oxytocin and vasopressin receptor research in rodents and primates: translational implications. J. Neuroendocrinol. 28, https://doi.org/10.1111/jne.12382 (2016). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationGregory et al. reported decreased OXTR mRNA in the superior temporal gyrus of ASD specimens.
“Gregory et al.58 reported decreased OXTR mRNA in the superior temporal gyrus of ASD specimens, but Mor et al.57 reported increased OXTR mRNA in the prefrontal cortex of ASD specimens.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [58] Gregory, S. G. et al. Genomic and epigenetic evidence for oxytocin receptor deficiency in autism. BMC Med. 7, 62 (2009). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationUnlike the current study, which used histological sections to preserve neuroanatomy, both prior studies worked with tissue homogenates.
“Finally, unlike the current study, which used histological sections to preserve neuroanatomy, both of these prior studies worked with tissue homogenates.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [57] Mor, M., Nardone, S., Sams, D. S. & Elliott, E. Hypomethylation of miR-142 promoter and upregulation of microRNAs that target the oxytocin receptor gene in the autism prefrontal cortex. Mol. Autism 6, 46 (2015). source
Not checked in the free run.
- cites [58] Gregory, S. G. et al. Genomic and epigenetic evidence for oxytocin receptor deficiency in autism. BMC Med. 7, 62 (2009). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMor et al. reported increased OXTR mRNA in the prefrontal cortex of ASD specimens.
“Gregory et al.58 reported decreased OXTR mRNA in the superior temporal gyrus of ASD specimens, but Mor et al.57 reported increased OXTR mRNA in the prefrontal cortex of ASD specimens.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [57] Mor, M., Nardone, S., Sams, D. S. & Elliott, E. Hypomethylation of miR-142 promoter and upregulation of microRNAs that target the oxytocin receptor gene in the autism prefrontal cortex. Mol. Autism 6, 46 (2015). source
Not checked in the free run.
May combine two claims.
InterpretationreasoningThe model of OXT action in the primate brain is supported by evidence from human studies and provides a theoretical framework for the neural basis of the social symptoms of ASD.
“This model of OXT action in the primate brain is also supported by evidence from human studies and provides a theoretical framework for the neural basis of the social symptoms of ASD.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisereasoningRelatively little is known about specific measures of the OXT system in either ASD or TD brains.
“There has been a variety of research on gross neuroanatomical differences between people with ASD and TD individuals, but relatively little is known about specific measures of the OXT system in either ASD or TD brains.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationIN-OXT treatment can ameliorate the lack of attentional preference for faces that is characteristic of patients with ASD.
“It is also known that IN-OXT treatment can ameliorate82 the lack of attentional preference for faces46 that is characteristic of patients with ASD.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [82] Kanat, M. et al. Restoring effects of oxytocin on the attentional preference for faces in autism. Transl. Psychiatry 7, e1097 (2017). source
Not checked in the free run.
- cites [46] Chawarska, K., Volkmar, F. & Klin, A. Limited attentional bias for faces in toddlers with autism spectrum disorders. Arch. Gen. Psychiatry 67, 178–185 (2010). source
Not checked in the free run.
May combine two claims.
Interpretationown dataOur methods did not detect AVPR1a binding in any ROI, which suggests a lack of AVPR1a expression in these regions of the human brain.
“Our methods did not detect AVPR1a binding in any ROI, which suggests a lack of AVPR1a expression in these regions of the human brain”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationIN-OXT treatment increases gaze following, increases socially oriented gaze, and alters social attention in a wide variety of contexts in macaques.
“This work provides anatomical support for other findings in macaques, which indicate that IN-OXT treatment increases gaze following67, increases socially oriented gaze68, and alters social attention in a wide variety of contexts69–74.”
Quote in the paperSubstantial claim0 of 8 sources checked- cites [67] Putnam, P. T., Roman, J. M., Zimmerman, P. E. & Gothard, K. M. Oxytocin enhances gaze-following responses to videos of natural social behavior in adult male rhesus monkeys. Psychoneuroendocrinology 72, 47–53 (2016). source
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- cites [68] Chang, S. W. C., Barter, J. W., Ebitz, R. B., Watson, K. K. & Platt, M. L. Inhaled oxytocin amplifies both vicarious reinforcement and self reinforcement in rhesus macaques (Macaca mulatta). Proc. Natl Acad. Sci. USA 109, 959–964 (2012). source
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- cites [69] Parr, L. A., Modi, M., Siebert, E. & Young, L. J. Intranasal oxytocin selectively attenuates rhesus monkeys’ attention to negative facial expressions. Psychoneuroendocrinology https://doi.org/10.1016/j.psyneuen.2013.02.011 (2013). source
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- cites [70] Ebitz, R. B., Watson, K. K. & Platt, M. L. Oxytocin blunts social vigilance in the rhesus macaque. Proc. Natl Acad. Sci. USA 110, 11630–11635 (2013). source
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- cites [71] Dal Monte, O. et al. Oxytocin under opioid antagonism leads to supralinear enhancement of social attention. Proc. Natl Acad. Sci. USA 114, 5247–5252 (2017). source
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- cites [72] Parr, L. A. et al. Effects of chronic oxytocin on attention to dynamic facial expressions in infant macaques. Psychoneuroendocrinology 74, 149–157 (2016). source
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- cites [73] Simpson, E. A. et al. Inhaled oxytocin increases positive social behaviors in newborn macaques. Proc. Natl Acad. Sci. USA 111, 6922–6927 (2014). source
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- cites [74] Dal Monte, O., Noble, P. L., Costa, V. D. & Averbeck, B. B. Oxytocin enhances attention to the eye region in rhesus monkeys. Front. Neurosci. 8, 41 (2014). source
Not checked in the free run.
May combine two claims.
InterpretationreasoningOXT acting at OXTR in the NBM could modulate the activity of an extensive network of brain areas and influence social behavioral processes like social visual attention, gaze direction, and social decision making.
“Based on this connectivity of the NBM, we and others have postulated that OXT acting at OXTR in the NBM could modulate the activity of an extensive network of brain areas (which may themselves lack OXTR) and influence social behavioral processes like social visual attention, gaze direction, and social decision making38,39,64,65.”
Quote in the paperSubstantial claim0 of 4 sources checked- cites [38] Freeman, S. M. et al. Neuroanatomical distribution of oxytocin and vasopressin 1a receptors in the socially monogamous coppery titi monkey (Callicebus cupreus). Neuroscience https://doi.org/10.1016/j.neuroscience.2014.04.055 (2014). source
Not checked in the free run.
- cites [39] Freeman, S. M. & Young, L. J. Comparative perspectives on oxytocin and vasopressin receptor research in rodents and primates: translational implications. J. Neuroendocrinol. 28, https://doi.org/10.1111/jne.12382 (2016). source
Not checked in the free run.
- cites [64] Putnam, P. T., Young, L. J. & Gothard, K. M. Bridging the gap between rodents and humans: the role of non-human primates in oxytocin research. Am. J. Primatol. 80, e22756 (2018). source
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- cites [65] Piva, M. & Chang, S. W. C. An integrated framework for the role of oxytocin in multistage social decision-making. Am. J. Primatol. https://doi.org/10.1002/ajp.22735 (2018). source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationMost children with ASD begin showing symptoms in the age range of 2 to 5 years and typically receive an ASD diagnosis by age four.
“This idea is interesting in the context of autism, because most children with ASD begin showing symptoms in this age range and typically receive an ASD diagnosis by age four53.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [53] Christensen, D. L. et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveill. Summ. 65, 1–23 (2016). source
Not checked in the free run.
May combine two claims.
InterpretationcitationAll five areas contained putative OXTR binding, which agrees with the older study and supports the idea that these tools are more selective in the human brain compared to nonhuman primate brain.
“We found that all five areas contained putative OXTR binding, which agrees with what was reported in the older study (mentioned above35) and supports the idea that these tools are more selective in the human brain compared to that in a nonhuman primate brain.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [35] Loup, F., Tribollet, E., Dubois-Dauphin, M. & Dreifuss, J. J. Localization of high-affinity binding sites for oxytocin and vasopressin in the human brain. Autoradiogr. Study Brain Res. 555, 220–232 (1991). source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataThe conclusions about the early-life transient increase in OXTR binding are based on a very small sample size.
“Thus, we recognize that our conclusions here are based on a very small sample size, but we felt this pattern was notable and its implications are highly deserving of future research.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe NBM provides cholinergic input to the entire cortex as well as the amygdala and other regions of the social brain.
“The NBM provides cholinergic input to the entire cortex63 as well as the amygdala and other regions of the social brain (see Fig. 5 in the recent review by Putnam et al.64 for an anatomical model of NBM connectivity to social neural networks).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [63] Mesulam, M. M., Mufson, E. J., Levey, A. I. & Wainer, B. H. Cholinergic innervation of cortex by the basal forebrain: cytochemistry and cortical connections of the septal area, diagonal band nuclei, nucleus basalis (substantia innominata), and hypothalamus in the rhesus monkey. J. Comp. Neurol. 214, 170–197 (1983). source
Not checked in the free run.
- cites [64] Putnam, P. T., Young, L. J. & Gothard, K. M. Bridging the gap between rodents and humans: the role of non-human primates in oxytocin research. Am. J. Primatol. 80, e22756 (2018). source
Not checked in the free run.
The paper relies on this without support.
OXTR binding density measured in postmortem human brain tissue reflects the density of OXTR receptors in the living human brain.
“whether OXTR binding densities are altered in the ASD brain”
The paper relies on this without support.
The ASD and TD postmortem specimens are representative of the respective populations.
“postmortem brain tissue from individuals with ASD and typically developing individuals”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Decreased oxytocin-receptor density has been found in the ventral pallidum of postmortem brain tissue from a few persons with autism spectrum disorder.
“Decreased oxytocin-receptor density has been found in the ventral pallidum of postmortem brain tissue obtained from a few persons with autism spectrum disorder.9”
From Intranasal Oxytocin in Children and Adolescents with Autism Spectrum Disorder (2021) · cites this paper as [9]
In humans, OXTR protein is expressed in the ventral pallidum.
“while humans express OXTR in the ventral pallidum as detected by receptor autoradiography (Loup et al. 1991; Freeman et al. 2018)”
From Distribution of brain oxytocin and vasopressin V1a receptors in chimpanzees (Pan troglodytes): comparison with humans and other primate species (2022) · cites this paper as Freeman et al. 2018
Recent work using improved methods has upheld the presence of OXTR in the ventral pallidum in humans.
“recent work using improved methods (Freeman et al. 2018) has upheld the presence of OXTR in the ventral pallidum in humans.”
From Distribution of brain oxytocin and vasopressin V1a receptors in chimpanzees (Pan troglodytes): comparison with humans and other primate species (2022) · cites this paper as Freeman et al. 2018
Multiple analyses from human brains with a PMI range of 5-33 h found no association between post-mortem interval and optical binding density for these ligands.
“multiple analyses from human brains with a PMI range of 5–33 h found no association between post-mortem interval and optical binding density for these ligands”
From Distribution of brain oxytocin and vasopressin V1a receptors in chimpanzees (Pan troglodytes): comparison with humans and other primate species (2022) · cites this paper as Freeman et al. 2018
The human studies had longer post-mortem intervals than the chimpanzees (<24 h for Loup et al. 1991; <33 h for Freeman et al. 2018).
“the human studies were longer (< 24 h for Loup et al. 1991; < 33 h for Freeman et al. 2018).”
From Distribution of brain oxytocin and vasopressin V1a receptors in chimpanzees (Pan troglodytes): comparison with humans and other primate species (2022) · cites this paper as Freeman et al. 2018
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
VP diagnosis test has incompatible degrees of freedom
MinorThe methods define diagnosis as two groups, TD and ASD, so a main-effect test of diagnosis has one numerator degree of freedom. The reported VP statistic has two numerator degrees of freedom and therefore cannot be the stated diagnosis main-effect test.
“There was a significant effect of ASD diagnosis on OXTR density in two of the five ROIs (Fig. 4a): the NBM (F1,33 = 10.71, p < 0.01) and VP (F2,26 = 7.92, p < 0.01).”
“diagnosis (TD and ASD)”
Cites
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson, C., Rosenberg, et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6706a1 · Cited by 6,078 · see citing works
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Mesulam, M. ‐., Mufson, E. J., Levey, A. I., & Wainer, B. H. (1983) · Journal of Comparative Neurology · doi:10.1002/cne.902140206 · Cited by 1,962 · see citing works
Oxytocin in the Medial Amygdala is Essential for Social Recognition in the Mouse
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Intranasal oxytocin improves emotion recognition for youth with autism spectrum disorders.
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Promoting social behavior with oxytocin in high-functioning autism spectrum disorders.
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Oxytocin receptor genetic variation relates to empathy and stress reactivity in humans
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Oxytocin increases gaze to the eye region of human faces
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Plasma oxytocin levels in autistic children
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Intranasal Oxytocin: Myths and Delusions
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“Specifically, four adjacent sets of sections were incubated in the following four conditions: (1) (125)IOVTA alone, or (2) (125)I-OVTA plus 1 μM of the humanselective OXTR antagonist ALS-II-69(49), (3) (125)I-LVA alone, (4) (125)I-LVA plus 10 nM of the AVPR1a-selective antagonist SR49059(50).”
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Is oxytocin “nature’s medicine”
Carter, C. S., Kenkel, W. M., MacLean, E. L., Wilson, S. R., Perkeybile, A. M., Yee, J. R., Ferris, C. F., Nazarloo, H. P., Porges, S. W., Davis, J. M., et al. (2020) · Pharmacological Reviews · doi:10.1124/pr.120.019398 · Cited by 394 · see citing works
“This, in turn, creates another source of complexity, since peptide receptors in the nervous system influence the entire body but also often differ in abundance and localization among individuals and species (Witt et al., 1991; Freeman and Young, 2016; Freeman et al., 2018).”
BackgroundIntranasal Oxytocin in Children and Adolescents with Autism Spectrum Disorder
Sikich, L., Kolevzon, A., King, B. H., McDougle, C. J., Sanders, K. B., Kim, S.-J., Spanos, M., Chandrasekhar, T., Trelles, M. D. P., Rockhill, C. M., et al. (2021) · New England Journal of Medicine · doi:10.1056/nejmoa2103583 · Cited by 314 · see citing works
Self-citationFetit, R., Hillary, R. F., Price, D. J., & Lawrie, S. M. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.07.014 · Cited by 148 · see citing works
Genetic and Epigenetic Etiology Underlying Autism Spectrum Disorder
Yoon, S. H., Choi, J., Lee, W. Y., & Do, J. (2020) · Journal of Clinical Medicine · doi:10.3390/jcm9040966 · Cited by 156 · see citing works
“Significantly higher oxytocin and receptor binding was observed in the nucleus basalis of Meynert of the forebrain of ASD frozen specimens [261].”
BackgroundSiafis, S., Çıray, O., Wu, H., Schneider‐Thoma, J., Bighelli, I., Krause, M., Rodolico, A., Ceraso, A., Deste, G., Huhn, M., et al. (2022) · Molecular Autism · doi:10.1186/s13229-022-00488-4 · Cited by 138 · see citing works
“This finding needs replication, since studies were mainly focused on high-functioning participants and variability in treatment response due to age-dependent differences in the oxytocin system cannot be excluded [82, 83].”
BackgroundLabeled oxytocin administered via the intranasal route reaches the brain in rhesus macaques
Lee, M. R., Shnitko, T. A., Blue, S. W., Kaucher, A. V., Winchell, A. J., Erikson, D. W., Grant, K. A., & Leggio, L. (2020) · Nature Communications · doi:10.1038/s41467-020-15942-1 · Cited by 132 · see citing works
Oxytocin levels tend to be lower in autistic children: A meta-analysis of 31 studies
John, S., & Jaeggi, A. V. (2021) · Autism · doi:10.1177/13623613211034375 · Cited by 103 · see citing works
“While examining receptor distributions and binding affinity is not typically possible in humans (but see Freeman et al., 2018), several reviews have argued that autistic people have lower levels of circulating OT (Cochran et al., 2013; Crespi, 2016).”
BackgroundDetection, processing and reinforcement of social cues: regulation by the oxytocin system
Menon, R., & Neumann, I. D. (2023) · Nature Reviews Neuroscience · doi:10.1038/s41583-023-00759-w · Cited by 100 · see citing works
“These include ASD, anxiety disorders (including social anxiety disorder (SAD)), schizophrenia, borderline personality disorder and major depression disorder (MDD).”
BackgroundInfluentialThe Dopamine Hypothesis of Autism Spectrum Disorder Revisited: Current Status and Future Prospects
Pavăl, D., & Micluția, I. (2021) · Developmental Neuroscience · doi:10.1159/000515751 · Cited by 80 · see citing works
Oxytocin receptor expression patterns in the human brain across development
Rokicki, J., Kaufmann, T., de Lange, A. G., van der Meer, D., Bahrami, S., Sartorius, A. M., Haukvik, U. K., Steen, N. E., Schwarz, E., Stein, D. J., et al. (2022) · Neuropsychopharmacology · doi:10.1038/s41386-022-01305-5 · Cited by 74 · see citing works
“Altogether, our observation of increased expression during early childhood and late adulthood points to a critical role for oxytocin signaling during these life periods in humans [11].”
BackgroundResultInfluentialGuma, E., Bordignon, P. D. C., Devenyi, G. A., Gallino, D., Anastassiadis, C., Cvetkovska, V., Barry, A., Snook, E., Germann, J., Greenwood, C. M. T., et al. (2021) · Biological Psychiatry · doi:10.1016/j.biopsych.2021.03.017 · Cited by 75 · see citing works
Oxytocin and vasopressin: signalling, behavioural modulation and potential therapeutic effects
Rae, M., Lemos Duarte, M., Gomes, I., Camarini, R., & Devi, L. A. (2022) · British Journal of Pharmacology · doi:10.1111/bph.15481 · Cited by 72 · see citing works
“…with visual attention) and lower expression in the ventral pallidum (a region involved with reward) in post-mortem brain of autistic humans (Freeman et al., 2018) and associating genetic variations of the genes for OT receptors and V 1A receptors with the disorder suggest an involvement of…”
Endogenous Oxytocin Levels in Autism—A Meta-Analysis
Moerkerke, M., Peeters, M., de Vries, L. M., Daniëls, N., Steyaert, J. G., Alaerts, K., & Boets, B. (2021) · Brain Sciences · doi:10.3390/brainsci11111545 · Cited by 65 · see citing works
Oxytocin as Treatment for Social Cognition, Not There Yet
Erdozain, A. M., & Peñagarikano, O. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00930 · Cited by 61 · see citing works
“Interestingly, in humans, a peak in OXTR binding has been observed in the ventral pallidum during early childhood in typically developing individuals, but this peak was absent in children with ASD (14).”
BackgroundInfluentialRoles of the Oxytocin Receptor (OXTR) in Human Diseases
Pierzynowska, K., Gaffke, L., Żabińska, M., Cyske, Z., Rintz, E., Wiśniewska, K., Podlacha, M., & Węgrzyn, G. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24043887 · Cited by 61 · see citing works
A Systematic Review of Brainstem Contributions to Autism Spectrum Disorder
Seif, A., Shea, C., Schmid, S., & Stevenson, R. A. (2021) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2021.760116 · Cited by 54 · see citing works
“A different study quantified the oxytocin receptor and the structurally related vasopressin 1a receptor in the superior colliculi in post-mortem specimens of autistic and neurotypical individuals and found no difference (Freeman et al., 2018).”
BackgroundDevelopmental effects of oxytocin neurons on social affiliation and processing of social information
Nunes, A. R., Gliksberg, M., Varela, S. A. M., Teles, M., Wircer, E., Blechman, J., Petri, G., Levkowitz, G., & Oliveira, R. F. (2021) · The Journal of Neuroscience · doi:10.1523/jneurosci.2939-20.2021 · Cited by 47 · see citing works
“Less is more”: A dose-response account of intranasal oxytocin pharmacodynamics in the human brain
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“implicating the role of OXTR protein in ASD has been increasing [29].”
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Acute and Repeated Intranasal Oxytocin Differentially Modulate Brain-wide Functional Connectivity
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“Although there is little evidence regarding the distribution of OXTR in the human brain [45], a recent challenge to mapping the distribution of oxytocin mRNA and related genes may guide uncovering of the mechanism in oxytocin treatment [46 & ].”
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“The poor treatment response of those with elevated OT level is likely related to OT prohormone processing and receptor dysfunction with certain OT receptor polymorphisms, especially that of the OTR rs2254298, which is more commonly seen in Asian individuals (Watanabe et al., 2017; Yang et al., 2017; Freeman et al., 20…”
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The neural correlates of paternal consoling behavior and frustration in response to infant crying
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“…age-differential findings for exogenous oxytocin, some studies suggest age differences in endogenous oxytocin such as regarding plasma oxytocin levels (Elabd et al., 2014) and oxytocin receptor expression (Ebner et al., 2013; Freeman et al., 2018; Horta et al., 2020b; Huffmeijer et al., 2012).”
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“Intranasal Oxt administration in ASD patients has significantly improved the ability to select speech sounds from background noise (Lin et al., 2014; Yoshimura et al., 2018).”
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“Additionally, OXT mRNAs are particularly susceptible to deadenylation and degradation [19] and both OXT and its receptor, OXTR , show reduced levels in the brains of individuals with ASD or related conditions [40, 41] and mouse models displaying autism-like behaviors [39, 42].”
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Long‐range projections of oxytocin neurons in the marmoset brain
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- Authors
- Freeman, S. M., Palumbo, M. C., Lawrence, R. H., Smith, A. L., Goodman, M. M., & Bales, K. L.
- Affiliations
- University of California, Davis (US)
- Emory University (US)
- Corresponding author
- Freeman, Sara M.
- Venue
- Translational Psychiatry
- Published
- 2018-12-04
- Volume
- 8
- Issue
- 1
- Pages
- 257-257
- ISSN
- 2158-3188 (ISSN-L)
- PMC
- PMC6279786
- OpenAlex
- W2903316410
- Semantic Scholar
- 5acc1e5f03c3c66e64e4f7bf1d6f365587b7a2e3
- Cited by
- 82
- References
- 83
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 19 · 2021: 20 · 2020: 11 · 2019: 1
- FWCI
- 10.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Translational Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (R21MH110014)
- Topics
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- autism spectrum disorder, oxytocin receptor, vasopressin 1a receptor, nucleus basalis of Meynert, ventral pallidum, globus pallidus, superior colliculus, periaqueductal gray, age-related changes, critical period, social development (developmental psychology), postmortem brain
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Adult, Age Factors, Autoradiography, Child, Child, Preschool, Humans, Male, Mesencephalon, Tissue Banks, Single-Blind Method, Receptors, Vasopressin, Receptors, Oxytocin, Young Adult, Basal Forebrain
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