PMID- 33511762 OWN - NLM STAT- MEDLINE DCOM- 20220420 LR - 20220506 IS - 1742-4658 (Electronic) IS - 1742-464X (Linking) VI - 289 IP - 8 DP - 2022 Apr TI - Protein synthesis as a modifiable target for autism-related dendritic spine pathophysiologies. PG - 2282-2300 LID - 10.1111/febs.15733 [doi] AB - Autism spectrum disorder (ASD) is increasingly recognized as a condition of altered brain connectivity. As synapses are fundamental subcellular structures for neuronal connectivity, synaptic pathophysiology has become one of central themes in autism research. Reports disagree upon whether the density of dendritic spines, namely excitatory synapses, is increased or decreased in ASD and whether the protein synthesis that is critical for dendritic spine formation and function is upregulated or downregulated. Here, we review recent evidence supporting a subgroup of ASD models with decreased dendritic spine density (hereafter ASD-DSD), including Nf1 and Vcp mutant mice. We discuss the relevance of branched-chain amino acid (BCAA) insufficiency in relation to unmet protein synthesis demand in ASD-DSD. In contrast to ASD-DSD, ASD models with hyperactive mammalian target of rapamycin (mTOR) may represent the opposite end of the disease spectrum, often characterized by increases in protein synthesis and dendritic spine density (denoted ASD-ISD). Finally, we propose personalized dietary leucine as a strategy tailored to balancing protein synthesis demand, thereby ameliorating dendritic spine pathophysiologies and autism-related phenotypes in susceptible patients, especially those with ASD-DSD. CI - (c) 2021 Federation of European Biochemical Societies. FAU - Lu, Ming-Hsuan AU - Lu MH AD - Department of Medical Education, National Taiwan University Hospital, Taipei, Taiwan, ROC. FAU - Hsueh, Yi-Ping AU - Hsueh YP AUID- ORCID: 0000-0002-0866-6275 AD - Institute of Molecular Biology, Academia Sinica, Taipei, Taiwan, ROC. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20210222 PL - England TA - FEBS J JT - The FEBS journal JID - 101229646 SB - IM MH - Animals MH - *Autism Spectrum Disorder/genetics/metabolism MH - *Autistic Disorder/genetics/metabolism MH - Dendritic Spines/genetics/metabolism MH - Humans MH - Mammals MH - Mice MH - Neurons/metabolism MH - Synapses/metabolism OTO - NOTNLM OT - autism spectrum disorders OT - leucine OT - neurofibromatosis type I OT - synaptopathy OT - valosin-containing protein EDAT- 2021/01/30 06:00 MHDA- 2022/04/21 06:00 CRDT- 2021/01/29 06:04 PHST- 2021/01/04 00:00 [revised] PHST- 2020/10/27 00:00 [received] PHST- 2021/01/26 00:00 [accepted] PHST- 2021/01/30 06:00 [pubmed] PHST- 2022/04/21 06:00 [medline] PHST- 2021/01/29 06:04 [entrez] AID - 10.1111/febs.15733 [doi] PST - ppublish SO - FEBS J. 2022 Apr;289(8):2282-2300. doi: 10.1111/febs.15733. Epub 2021 Feb 22.