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    Serotonin transporter (SERT) variants impact gut function in autism spectrum disorder (ASD). Altered SERT activity affects gut development and function, potentially contributing to ASD-related gastrointestinal issues.

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    Area of Science:

    • Neuroscience
    • Gastroenterology
    • Developmental Biology

    Background:

    • Autism spectrum disorder (ASD) frequently co-occurs with gastrointestinal (GI) disturbances.
    • The relationship between gut dysfunction and core ASD features remains unclear.
    • Genetic variants in the serotonin transporter (SERT, SLC6A4) have been linked to ASD.

    Purpose of the Study:

    • To investigate the role of serotonin transporter (SERT) activity in the development of GI defects associated with ASD.
    • To explore the link between SERT function, enteric nervous system development, and ASD-related behaviors.

    Main Methods:

    • Utilized mouse models with altered SERT expression (Ala56 variant and SERT-deficient mice).
    • Assessed GI function, including transit time, peristalsis, and enteric nervous system development.
    • Investigated the effects of SERT modulation during development using pharmacological agents.

    Main Results:

    • Mice with increased SERT activity (Ala56 variant) exhibited GI defects like hypoplastic enteric nervous system and slow transit.
    • SERT-deficient mice and those exposed to a SERT antagonist showed opposite GI phenotypes.
    • Developmental administration of a 5-HT4 agonist ameliorated GI issues in Ala56 mice, suggesting impaired 5-HT4 neurogenesis.

    Conclusions:

    • Altered serotonin signaling during development, specifically through SERT, can lead to persistent GI dysfunction.
    • Disturbed SERT activity may contribute to both GI and behavioral aspects of ASD.
    • Further research is needed on the prenatal effects of SERT-targeting therapies.