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Paired Pulse Suppression and Prepulse Inhibition in Patients with Autism Spectrum Disorder and Attention Deficit
Dai Suzuki1, Eishi Motomura1, Kazuki Hisatomi2
1Department of Neuropsychiatry, Mie University Graduate School of Medicine, Tsu 514-8507, Japan.
Brain Sciences
|October 29, 2025
Summary
Sensory inhibition is altered in autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). These findings suggest GABAergic system dysfunction contributes to both disorders, with distinct patterns for each.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Disorders
Background:
- Neural inhibition deficits are implicated in autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD).
- Sensory processing differences are common in both ASD and ADHD.
Purpose of the Study:
- To investigate alterations in sensory inhibition using auditory change-related brain potentials in individuals with ASD and ADHD.
- To compare paired pulse suppression (PPS) and prepulse inhibition (PPI) between healthy controls, ASD patients, and ADHD patients.
Main Methods:
- Auditory change-related brain potentials were measured using paired pulse suppression (PPS) and prepulse inhibition (PPI) paradigms.
- Participants included healthy controls (n=57), ASD patients (n=22), and ADHD patients (n=8).
- Evoked potentials were recorded from Cz referenced to the linked mastoids.
Main Results:
- Paired pulse suppression (PPS) was significantly lower in the ADHD group compared to controls.
- Prepulse inhibition (PPI) was significantly lower in both ASD and ADHD groups compared to normal controls.
- Distinct patterns of inhibitory dysfunction were observed between ASD and ADHD.
Conclusions:
- Dysfunction in the GABAergic system likely contributes to the etiology of ASD and ADHD.
- Measurements of inhibitory function may help differentiate between ASD and ADHD.
- The findings highlight specific differences in sensory inhibition deficits between the two neurodevelopmental disorders.
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