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Transcriptomic Profiling of the Amygdala of Children with Autism Spectrum Disorder

Babu, J.; Lal, A.; Challagundla, L.; Allen, O.; Griffin, M.; Gisabella, B.; Pantazopoulos, H.

2026-03-12 psychiatry and clinical psychology
10.64898/2026.03.04.26347554 medRxiv
Show abstract

A growing number of studies point to a key role of the amygdala in Autism Spectrum Disorders (ASD). The amygdala is involved in several processes in ASD including emotional valence, facial recognition, regulation of social learning, empathy, and anxiety. Brain imaging and postmortem studies demonstrate altered amygdala development in children with ASD, associated with impairment in social behavior and anxiety. There is limited information regarding the molecular pathology of the amygdala in children with ASD. We conducted RNAseq profiling on postmortem amygdala samples from male children (4-14 yrs old) with ASD (n=8) and normotypic male children (n=6). Furthermore, we conducted drug repurposing analysis to identify compounds predicted to reverse the transcriptomic signatures identified in order to identify potential therapeutic targets for development of early intervention treatments. Full transcriptome gene expression profiling implicated molecular pathways involved in neuroimmune signaling, glycogen and carbohydrate metabolism, matrix metalloproteases, neurodevelopment, estrogen receptor signaling, and synaptic signaling. Targeted pathway analysis of the top 10% of differentially expressed genes implicated pathways involved in extracellular matrix organization, immune signaling, and synaptic signaling. Our drug repurposing analysis identified sleep modifying compounds and anti-inflammatory compounds including COX2 and GSK3 inhibitors amongst the top predicted therapeutic compound classifications. PDGF receptor tyrosine kinase inhibitors were identified as a top potential therapeutic mechanism of action. Our results point to alterations in immune signaling, extracellular matrix organization, and synaptic signaling in the amygdala of children with ASD. Furthermore, our results identified a number of potential therapeutic drug targets for development of early intervention strategies.

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