Potential of xenon to induce or to protect against neuroapoptosis in the developing mouse brain. 4.2 Most important symptoms and effects, both acute and delayed . All efforts were made to minimize the number of animals used. 2015;87:68498. https://doi.org/10.1016/j.expneurol.2017.04.017. Xenon Inhalation Therapy seems to be a promising treatment option for psychiatric disorders and neurodegenerative diseases. Inhalation of volumes of concentrated gases such as carbon monoxide, hydrogen sulfide, and xenon, even with medical supervision, may carry serious health risks. Inhalation of Xenon has been found to increase erythropoietin levels in healthy individuals, which, in turn, boosts their stamina and energy levels. Values represent latency (in seconds) to leave the starting area of the maze (a) in the test for social novelty on pnd 28, b Schematic representation of apparatus for social novelty test, c number of attacks, d number of sniffings in the test for social play behavior on pnd 32. All protocols and procedures were conducted in accordance with Moscow State Universitys Committee on Biomedical Research Ethics. 2018;299:21727. Xenon (Xe) is a noble gas that has been used for the last several decades as an anesthetic during surgery. Testing started 1day after the last VPA or vehicle administration and was preceded by Xe/air exposure. With regard to recent xenon-related human trials, the timing of xenon inhalation seems to be of vital importance for improving patients' outcomes (Azzopardi et al., 2016). AJNR Am J Neuroradiol. In support of low exploratory motivation theory it should be noted that previous studies reported no sedating effects of xenon after 30min treatment with 50% Xe/50% O2 gas mixture [41]. The heart rate decreased during xenon administration compared to the baseline (p = 0.0032 Fig. Although not all of these side effects may occur, if they do occur they may need medical attention. Thirdly, xenon inhalation was initiated immediately after LPS insulation. APD, VRG, AVM performed the experiments. Neuropsychopharmacology. https://doi.org/10.1136/JNNP-2012-304270. We believe that further human studies with xenon inhalation should be conducted to explore possible early indicators for reduced tolerance of xenon by certain individuals. 2006;26:6897906. Volatile anaesthetics exert their effects at multiple sites throughout the central nervous system. We propose that these effects of Xe might be translated into the treatment of psychoemotional disorders. https://doi.org/10.1007/s10567-011-0097-0. Xe administration prior to testing resulted in normalization of aggressive behavior as well as anxiety in VPA-exposed rats. . Xenon is an elemental gas best known for its use in lighting products and various medical procedures. The normally distributed data are expressed as meanstandard error of the mean (SEM), and non-normal dataas the box and whiskers plot. Stable-xenon-CT: effects of xenon inhalation on EEG and cardio-respiratory parameters in the human. Rats were treated with 25%2.5% Xe or atmospheric air for 10min respectively. https://doi.org/10.1134/s1819712418010154. https://doi.org/10.1016/S1474-4422(15)00347-6. The rat is considered to be in the chamber when its head and four paws have entered into the chamber. Click figure to enlarge In the current study we used the forced swim test as a behavioral paradigm that has been found useful in assessing possible antidepressant activity of drugs [44]. Stryapko NV, Sazontova TG, Potievskaya VI, Khairullina AA, Vdovina IB, Kulikov AN, et al. Xenon Xe 133 gas is used to help diagnose lung problems and to help your doctor see an image of your lungs. 4 In rat models of HI brain injury, Xenon is neuroprotective by upregulating neurotrophic factors and antiapoptotic proteins, 6 by inducing hypoxiainducible factor (HIF1) pathways allowing for preconditioning . Argon: the lazy noble gas with organoprotective properties. Xenon inhalation caused sedation incompatible with self-operation of a breathing apparatus, thus causing a potential life-threatening condition in the absence of an anesthesiologist. In the current study the data analysis has not shown any effects of Sex or Treatment X Sex interaction on analyzed parameters. Its antagonistic effect on glutamate subtype of NMDA (N-methyl-d-aspartate) receptors resulted in evaluation of this gas for treatment of CNS pathologies, including psychoemotional disorders. In addition, Xe has shown ability to reduce behavioral despair of rats in FS. Can J Anesth. In order to assess the delayed effects of Xe administration on anxiety-like and exploratory behavior of rats we performed the elevated O-maze on pnd 40. Neuroprotective effects of xenon: a therapeutic window of opportunity in rats subjected to transient cerebral ischemia. 9c). There is a paucity of information on developmental and behavioral outcomes in postnatal VPA models. 7a). 2005;27:52933. 2005;30:809. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. The decrease in rears, center entries and time spent in the center of a maze may suggest a suppression of exploratory motivation or enhanced emotionality evoked by novel conditions in adolescent rats after acute inhalation of Xe. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. The role of glutamate and its receptors in autism and the use of glutamate receptor antagonists in treatment. Data points represent 10 mins epochs. Although not all of these side effects may occur, if they do occur they may need medical attention. There were no differences between VPA, VPA+Xe and Control groups in this test. Thus, it remains unclear whether Xe inhalation enhanced anxiety-like behavior in VPA-exposed rats. OSTI.GOV Journal Article: Performance evaluation of xenon-133 inhalation rebreathing systems for regional blood flow measurements Journal Article: Performance evaluation of xenon-133 inhalation rebreathing systems for regional blood flow measurements Xenon inhalation caused sedation incompatible with self-operation of a breathing apparatus, thus causing a potential life-threatening condition in the absence of an anesthesiologist. This work was partially supported by Russian Foundation for Basic Research (RFBR) Grant (19-015-00345). Deb S, Farmah BK, Arshad E, Deb T, Roy M, Unwin GL. Drug class: diagnostic radiopharmaceuticals, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. https://doi.org/10.1371/journal.pone.0106189. [Effects of xenon anesthesia on cerebral blood flow in neurosurgical patients without intracranial hypertension]. Hemodynamics were recorded during baseline conditions and during inhalation of 50% or 70% xenon, respectively. Most of the studies of behavior in VPA model revealed some, but not all impairments of social interaction [55, 58, 65]. Also, there was a tendency towards the decrease in time spent in the center of the arena (p=0.052) in Xe group vs. Control group. A. Sukhanova,A. V. Malyshev&V. A. Dubynin, Nobilis Therapeutics Inc, Portland, OR, USA, Anaesthetics, Pain Medicine & Intensive Care, Department of Surgery & Cancer, Imperial College London, London, UK, You can also search for this author in Patz S, Hersman FW, Muradian I, Hrovat MI, Ruset IC, Ketel S, Jacobson F, Topulos GP, Hatabu H, Butler JP. However, even after xenon was discontinued, it remained low compared to the baseline (p = 0.0048, baseline vs. post xenon inhalation). 2008;86:353647. Data are presented as box and whiskers plot. Bethesda, MD 20894, Web Policies Neurochem J. Xenon inhibits the plasma membrane Ca 2+ pump, 4 an action similar to that of volatile anesthetics, which may be responsible for an increase in neuronal Ca 2+ concentrations and altered excitability. Lancet Neurol. Conclusion There is still inconclusive evidence to support the administration of Xenon and argon inhalations on erythropoiesis and steroidogenesis and their positive effects on health. Alcohol Clin Exp Res. 2013 Jul-Aug;(4):4-9. 2016;6:e902. The aim of this work was to assess the behavioral effects of acute inhalation of subanesthetic doses of Xe and to study the outcomes of Xe exposure in VPA-induced rodent model of autism. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. N 2 O, on the other hand, had no effect on the heart rate. He has truly unique pharmacological and physiochemical characters that allow to use it not only for pain relief during surgical procedures, but also for medical purposes.Xenon gas is inhaled and it reaches your brain within minutes, showing rapid results. Bookshelf Effects of gaseous anesthetics nitrous oxide and xenon on ligand-gated ion channels: comparison with isoflurane and ethanol. Article The effects of inhalation of a 33% Xenon-O2 mixture over a period of 5 minutes on EEG and cardio-respiratory parameters were studied in 18 human volunteers. Trends to significant difference$0.10p0.05 represent differences vs. Control group (MannWhitney U-test). Azzopardi D, Robertson NJ, Bainbridge A, Cady E, Charles-Edwards G, Deierl A, et al. White SW, Oswald D, Ollendick T, Scahill L. Anxiety in children and adolescents with autism spectrum disorders. Gill H, Thoresen M, Bishop S, Smit E, Liu X, Walloe L, et al. 1990;14:863-IN4. The authors have proposed that Xe should be further studied as an alternative to benzodiazepines as a safe modality in the treatment of anxiety disorders [32]. Gen Reanimatol. Post hoc analysis revealed a tendency towards increased climbing in VPA (p=0.096) and VPA+Xe (p=0.053) groups in comparison with Cont group of animals (Fig. In series 2 we have observed an effect of Xe administration similar to that in the previous experiment, showing a decrease in locomotion during the first 2min of the experiment in Xe-exposed healthy and Xe-exposed VPA animals as well as a trend towards a decrease in rearing in Xe group. 2017;11:84. https://doi.org/10.3389/fnbeh.2017.00084. [ 11] reported a 3.6% occurrence of respiratory rate delay greater than 10 seconds in 1830 CT cerebral blood flow examinations in which 32% inhaled stable xenon was used. Effects of acute Xe inhalation on the behavior of healthy intact rats in open field test on pnd 21. 2014;121:891905. Over the first minute, 50% and 70% xenon caused a substantial reduction in total peripheral resistance ( P < 0.05). Neurosci Lett. Data were assessed for normality using the ShapiroWilks W to determine whether to use parametric or non-parametric statistical tests. | Explore the latest full-text research PDFs, articles, conference papers, preprints and more on INHALATION. Further preclinical models suggest potential clinical benefit of subanesthetic doses of Xe in indications such as traumatic brain injury, ischemic or hemorrhagic stroke, perinatal hypoxic-ischemic brain injury, coronary artery bypass graft surgery, organ protection during transplantation, chronic pain, addiction and post-traumatic stress disorder [18,19,20,21,22,23,24,25]. The assessment of sensorimotor development was carried out in accordance with the following schedule: negative geotaxis test (pnd 13), gait reflex (pnd 17). https://doi.org/10.1159/000336646. Bookshelf Check with your doctor or nurse immediately if any of the following side effects occur while taking xenon xe-133: Side effects have not been reported.[Ref]. J Appl Physiol (1985). 1990 Jan-Feb;11(1):177-82. After 10min rats were removed from the exposure apparatus and placed in individual cages until behavioral testing. Disclaimer, National Library of Medicine Pirogov Russian National Research Medical University, Ostrovitianov str. To determine the chronic effects, eight subjects breathed 70% FiXe for . https://doi.org/10.1134/S0012496613030046. Beat-by-beat hemodynamics were measured continuously by ECG, photoplethysmography, and transcranial Doppler. https://doi.org/10.1097/00000542-200010000-00034. Neurobiol Dis. According to most recent CDC report the overall prevalence of ASD in the US was 16.8 per 1000 (one in 59) children aged 8years (https://www.cdc.gov/ncbddd/autism/data.html). During 70% xenon, participants were also verbally instructed to operate a manual value with time-to-task failure being recorded. Schneider T, Przewocki R. Behavioral alterations in rats prenatally exposed to valproic acid: animal model of autism. The most commonly used technique involves having the patient breathe xenon through a spirometer. The negative geotaxis test in neonatal rodents is a measure of sensorimotor function, strength and stamina [49]. 2018 May 18;13(1):43. doi: 10.1186/s13019-018-0737-2. Medical Xenon is an inhalation analgesic substance, based on noble gas Xe (Xenon). N=2123 rats/treatment. Before You may report side effects to the FDA at 1-800-FDA-1088. Detailed Description This is a single center study to evaluate the use of non-invasive measurement of cardiac output and stroke volume to assess risk and response to treatment in patients with pulmonary arterial hypertension (PAH) and non- operable chronic thromboembolic pulmonary hypertension (CTEPH). (REVIEW)]. Along with its needed effects, xenon xe-133 (the active ingredient contained in Xenon) may cause some unwanted effects. Bristol-Myers Squibb (2022): Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Motz BA, Alberts JR. These data suggest that even a short-term exposure to Xe can affect neurotransmission. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. 2016;64:11640. Invest Radiol. Also, VPA group had an increased number of sniffings in comparison with Cont (p=0.049) and Xe (p=0.011) groups (Fig. This study addresses an important yet under investigated effect of Xe administration on behavioral outcomes in healthy intact animals and in VPA-induced rodent model of autism. Moreover, this decrease was observed only during the first 2min of the experiment (Fig. Health effects of xenon Inhalation: This gas is inert and is classified as a simple asphyxiant. This reduces the capability of blood to carry oxygen. Gruss M, Bushell TJ, Bright DP, Lieb WR, Mathie A, Franks NP. Would you like email updates of new search results? Sukhanova IA, Sebentsova EA, Khukhareva DD, Vysokikh MY, Bezuglov VV, Bobrov MY, et al. The reduction in immobility is usually identified as an antidepressant-like effect [44]. Stroke. On pnd 12 rat pups were acclimated to the gas exposure apparatus for 10min. It is currently investigated as an antidepressant and anxiolytic agent. New York: Humana Press; 2009. 2008;55:42936. Number of head dips (a), center entries (b), open arm entries (c) and time spent (in seconds) in the closed arms (D) were measured within 5min observation. Dingley J, Hobbs C, Ferguson J, Stone J, Thoresen M. Xenon/hypothermia neuroprotection regimes in spontaneously breathing neonatal rats after hypoxic-ischemic insult: the respiratory and sedative effects. N=1114 rats/treatment. 2013;16:91103. Impact of hyperpolarization-activated, cyclic nucleotide-gated cation channel Type 2 for the xenon-mediated anesthetic effect: evidence from in vitro and in vivo experiments. N=1114 rats/treatment. Mood and anxiety related phenotypes in mice: characterization using behavioral tests. PLoS ONE. Hyperpolarized (129)Xe MRI: a viable functional lung imaging modality? In series 1, rat pups (pnd 20) were first acclimated to the gas exposure apparatus for 10min. To measure anxiety-like behavior in rats we tested animals in the elevated plus maze (OpenScience Ltd, Russia) on pnd 25 as previously described [37]. APD, VAD, VIB conceived and designed the study. Prog Neurobiol. 4). (32C), with or without inhalation of 50% xenon. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. https://doi.org/10.1111/acer.12264. Abstract. Kohmura E, Grtner P, Holl K, Nemati N, Stoppe G, Lerch KD, Samii M. Rofo. While using this medicine, you may be exposed to radiation. Copyright 2022 IBM Watson Health. Data are presented as box and whiskers plot. Attenuatuation of myocardial injury by xenon . Article Animals were housed in a 12-h dark/light cycle in a temperature-controlled environment with food and water ad libitum. . 2006;36:77993. Neurotoxicol Teratol. These dose duration intervals cause sedation that is incompatible with operating a breathing apparatus and can only be detected in blood and urine samples with a high probability for up to ~3 h. Keywords: Progress in cerebrovascular disease: local cerebral blood flow by xenon enhanced CT. Generation of ventilation/perfusion ratio map in surgical patients by dual-energy CT after xenon inhalation and intravenous contrast media. 1B). et al. NeuroReport. 2003;91:70917. Dufour-Rainfray D, Vourch P, Le Guisquet AM, Garreau L, Ternant D, Bodard S, et al. Anesthesiology. Post hoc analysis showed a significant effect of acute Xe inhalation as the Xe group of animals had increased latency to turn around in comparison with control animals (p=0.02) (Fig. Xenon can be used to assess all phases of ventilation. The effects of acute Xe administration resulted in tendency to reduce behavioral despair during forced swimming test. Is xenon gas . Google Scholar. 1). Short- and long-term side effects during and after inhalation of premixed xenon oxygen (28-47%) from 12 studies are reported. CAS It is also used to help your doctor check the blood flow in your brain. https://doi.org/10.1002/jnr.21812. sharing sensitive information, make sure youre on a federal Google Scholar. What it really does is stimulates low-level hypoxia (a condition wherein there is a deficiency in the amount of oxygen reaching the tissues). Nature. Elevated microRNA-181c and microRNA-30d levels in the enlarged amygdala of the valproic acid rat model of autism. Our results suggest that Xe-exposed rats showed no sign of sedation as there was no decrease in horizontal locomotion and grooming activity in the OF test. It has been estimated that 40% of ASD patients have at least one anxiety disorder, with social anxiety being one of the most common among them (17%) [60]. Effects of VPA treatment and acute Xe inhalation on the social behavior of rats. J Neurosci Res. Pairs were tested in a randomized order for groups and the animals did not differ by more than 15g in body weight. Matson JL, editor. Methods Seven neurocritical care patients were included in the study. https://doi.org/10.1161/01.STR.20.7.904. Berlin: Springer; 2016. https://doi.org/10.1007/978-3-319-27171-2. These effects are the most commonly observed signs of autism in clinical practice. 2011 Aug;32(7):1315-20. doi: 10.3174/ajnr.A2522. Sensory and motor characterization in the postnatal valproate rat model of autism. Epub 2019 Aug 15. Inhaling xenon ameliorates l-dopa-induced dyskinesia in experimental Parkinsonism. 9d). Studies of xenon-enhanced CT have brought potential adverse reactions to attention. J Neural Transm. [53] Effects: CO reacts with the haemoglobin (Hb) of blood to give carboxy haemoglobin (COHb). Values represent latency (in seconds) to leave the closed arm of the maze. Krypton (along with xenon) is also used to fill incandescent lamps to reduce filament evaporation and allow higher operating temperatures. The prevalence of neurodevelopmental disorders in children prenatally exposed to antiepileptic drugs. Dobrovolsky A, Ichim TE, Ma D, Kesari S, Bogin V. Xenon in the treatment of panic disorder: an open label study. In addition, xenon at 50%, but not nitrous oxide at 75 vol%, further decreases ischemic brain damage in the striatum (a subcortical structure that is known to be . Rinaldi T, Perrodin C, Markram H. Hyper-connectivity and hyper-plasticity in the medial prefrontal cortex in the valproic acid animal model of autism. Res Dev Disabil. *p<0.05, **p<0.01 represent significant differences vs. Control group; #p<0.05, ###p<0.001significant differences within the group between first 2 and last 2min of observation and $0.10p0.05 represent a trend towards differences vs. Control group (Sidaks multiple comparisons test) Data are presented as box and whiskers plot. This study aimed to quantify the sedative effects, detection rates, and cardiovascular responses to xenon. FIGURE 1 Figure 1. https://doi.org/10.1016/j.reprotox.2016.04.024. Book A. P. Dobrovolsky. https://doi.org/10.1073/pnas.0704391104. https://doi.org/10.1016/j.ijdevneu.2019.06.007. Bessire B, Laboureyras E, Laulin JP, Simonnet G. Xenon prevents inflammation-induced delayed pain hypersensitivity in rats. 2013;84:63743. The result of two-way repeated measures with ANOVA revealed significant treatment effect (F3, 44=2.874; p=0.047) and Time (F1, 44=38.47; p<0.0001) and a trend towards significance for interaction (F3, 44=2.14; p=0.10) on locomotion in the OF test. The day of birth was counted as postnatal day (pnd) 0. B/G = blood-gas partition coefficient; Q = cardiac output, and. The time required to reorient to a head up position was recorded; the cut-off time was 30s. For the gait reflex, pups were placed in the center of a 10-cm diameter circle printed on white paper, and the time taken to move off the circle was recorded. It is not cancerogenic or cardiodepressant . https://doi.org/10.1097/ALN.0b013e31819dadc7. Moreover, at pnd 68 a peak in the expression level of NMDA receptors occurs in rodents brain and this increase is presumably necessary for the developing brain because activation of glutamate system plays a substantial role in the morphogenesis and development of CNS plasticity [69]. Over 48 h postadministration, xenon was measured in blood and urine by gas chromatography-mass spectrometry. RELATED VAULTS # Nitrous Oxide Vault EXPERIENCES # , by Hatelet Three Sessions Over Three Days, by Kevine Wagner GC, Reuhl KR, Cheh M, McRae P, Halladay AK. Children with ASD are more sensitive to pharmacological interventions and more likely to have adverse effects than children without ASD. Effect of acute and chronic xenon inhalation on erythropoietin, hematological parameters, and athletic performance. 2013;450:1269. Neuropharmacology. CO inhalation causes headache, dizziness, nausea, abnormal heart beat, difficulty in breathing. Number of attacks (pinning and pouncing) and number of sniffings were counted. PubMed The open arms were illuminated with two bright lamps (60W) located at a distance of 2530cm. Moderate hypothermia within 6h of birth plus inhaled xenon versus moderate hypothermia alone after birth asphyxia (TOBY-Xe): a proof-of-concept, open-label, randomised controlled trial. If you notice any other effects, check with your healthcare professional. Google Scholar. The epidemiology of autism spectrum disorders. Coburn M, Sanders RD, Ma D, Fries M, Rex S, Magalon G, et al. Weigt HU, Fohr KJ, Georgieff M, Georgieff EM, Senftleben U, Adolph O. Xenon blocks AMPA and NMDA receptor channels by different mechanisms. 2011;14:30217. Xenon (Xe) is a noble gas that has been used for the last several decades as an anesthetic during surgery. Ergaz Z, Weinstein-Fudim L, Ornoy A. This product is available in the following dosage forms: In deciding to use a diagnostic test, any risks of the test must be weighed against the good it will do. https://doi.org/10.1016/j.neuron.2015.07.033. This may also indicate an impaired decision-making in VPA animals with increased probability of earlier exhaustion. 1982 Nov-Dec;13(6):750-8. doi: 10.1161/01.str.13.6.750. Some outcomes, particularly defecation, center time, and activity within the first 5min, may also measure some aspects of emotionality [44]. The site is secure. The performance in OF test during the 1st min of experiment measures a reaction to novelty rather that general activity [44]. 2018. https://doi.org/10.1016/j.neubiorev.2018.07.001. The most frequently observed hyper-responsiveness and increased anxiety in ASD are largely explained as the imbalance of inhibitory and excitatory processes in the brain, mainly in limbic structures [6]. https://doi.org/10.1016/j.bbr.2014.04.045. 2013;43:145964. Though, we have shown a trend towards increase in climbing activity in both VPA-exposed groups, with significant rise of struggling behavior in the second half of the testing in VPA group in comparison with Control group. Table 2 presents the results of the PCL-5, which was administered on day 1, at the completion of the study (day 33), and a month later (day 58). Handbook of assessment and diagnosis of autism spectrum disorder. 2008;106:91623. Pre-exposure to Xe didnt affect the overall climbing activity but reduced such behavior to control levels in the second half of the experiment. Hobbs C, Thoresen M, Tucker A, Aquilina K, Chakkarapani E, Dingley J. Xenon and hypothermia combine additively, offering long-term functional and histopathologic neuroprotection after neonatal hypoxia/ischemia. Before There are a number of probable mechanisms underlying the development of ASD, including alterations in glutamatergic/GABAergic neurotransmission, inflammatory signals, and oxidative stress-related systems, which also may explain neurobiological susceptibilities to adverse environmental exposures [5]. Reynolds S, Millette A, Devine DP. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue shortness of breath skin rash tightness in the chest unusual tiredness or weakness wheezing Other side effects not listed may also occur in some patients. 2008;2:4. https://doi.org/10.3389/neuro.04.004.2008. DCS/NIRS measurements of CBF and oxygenation from frontal lobes are compared with concurrent xenon-enhanced computed tomography (XeCT) in patients during induced blood pressure changes and carbon dioxide arterial partial pressure variation. Erythropoietin (EPO) was measured at baseline, during, and after xenon inhalation. Check with your doctor or nurse immediately if any of the following side effects occur while taking xenon xe-133: Incidence not known Cough difficulty with swallowing dizziness fast heartbeat hives itching puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue shortness of breath skin rash tightness in the chest 70% xenon mixture led to a stronger anti-seizure effect, while no significant effect was observed in rats treated with 35% xenon. Effects of VPA treatment and acute Xe inhalation on the behavior of rats in open field test on pnd 21. Cookies policy. It is inside human body from 3-4 minutes, after which it leaves the lungs. Portions of this document last updated: Nov. 01, 2022, Original article: https://www.mayoclinic.org/drugs-supplements/xenon-xe-133-inhalation-route/side-effects/drg-20075195. 2012;7:e37020. MCU micro control unit. 2016;10:25872. The most prominent feature of autism is social impairment. The apparatus (OpenScience Ltd, Russia) consists of two open (stressful) and two enclosed (safe) elevated arms that form a circle with an external diameter of 105cm. In series 1 we have observed a tendency towards antidepressant effects of Xe, which was not replicated in series 2, probably due to a smaller sample size. All rights reserved. A recent study reported a 2% frequency of co-occurrence of attention-deficit hyperactivity disorder in children with ASD [59], making this comorbid diagnosis rather uncommon in ASD. 10). Dokl Biol Sci. Nelson SB, Valakh V. Excitatory/inhibitory balance and circuit homeostasis in autism spectrum disorders. Download Table | Effect of xenon inhalation on regional CBF from publication: Effects of Xenon and Krypton on Regional Cerebral Blood Flow in the Rat | The effects of high inspired concentrations . Statistical analysis was performed by using the Statistical Package STATISTICA 10 and GraphPad Prism 6. Some side effects may not be reported. This medicine is to be given only by or under the direct supervision of a doctor with specialized training in nuclear medicine. Moscow Univ Biol Sci Bull. Per-minute differences in performance in OF and FS tests among groups were evaluated by two-way ANOVA repeated measures with subsequent application of Dunnetts or Sidaks multiple comparison test. Data sources include IBM Watson Micromedex (updated 2 Dec 2022), Cerner Multum (updated 7 Dec 2022), ASHP (updated 11 Nov 2022) and others. Rabinovich SA, Zavodilenko LA, Babikov AS. Zhuang L, Yang T, Zhao H, Fidalgo AR, Vizcaychipi MP, Sanders RD, et al. Behav Brain Res. Inhalation in excessive concentrations can result in dizziness, nausea, vomiting, loss of consciousness, and death. Behavioral modulatory effects of Xe are probably related to its generalized action on excitatory/inhibitory balance within the CNS. Neurochem J. With regard to ASD, the ability of Xe to reduce excitatory neurotransmission (E) and increase in inhibitory neurotransmission (I) suggests it may restore a putative imbalance in E/I present in patients with ASD. 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The results of one-way ANOVA revealed a significant effect of treatment on the number of pinning and pouncing (F3, 48=3.868; p=0.015) and the number of sniffings (F3, 48=5.433; p=0.003). Since the discovery of Xes inhibitory effect on NMDAR channels [26] extensive studies in this field have revealed more of the underlying mechanisms which include reduction of excitatory neurotransmission through downregulation of 5-HT3 [27], nicotinic acetylcholine and AMPA receptors [28, 29] as well as potassium KATP [30], and HCN channels [31]. Franks NP, Dickinson R, De Sousa SLM, Hall AC, Lieb WR. 1980 Nov-Dec;15(6 Suppl):S160-3. Ellegood J, Anagnostou E, Babineau BA, Crawley JN, Lin L, Genestine M, et al. Katz I, Murdock J, Palgen M, Pype J, Caillibotte G. Pharmacokinetic analysis of the chronic administration of the inert gases Xe and Ar using a physiological based model. [EFFECTS OF XENON ANESTHESIA ON HEMODYNAMICS: WHAT DO WE KNOW UNTIL 2015? Dev Neurosci. There was an increase in latency to leave the starting arm in Xe-exposed animals in comparison with control (p<0.01) (Fig. Competitive inhibition at the glycine site of the N-methyl-d-aspartate receptor by the anesthetics xenon and isoflurane: evidence from molecular modeling and electrophysiology. The respiration is suspended at the end of the inhalation for 15 seconds, while the first image is obtained. Task failure of the self-operating value occurred at 60-90 s in most individuals. Subsequently, a bypass . After you receive the medicine, you will have a CT scan or other type of x-ray test. 2016;15:14553. There is paucity of information on behavioral changes in FS test in VPA models of autism with one previous study showing increased depressive tendencies in rats which were prenatally exposed to VPA [55]. Correspondence to We have conducted two series of experiments with a battery of behavioral tests aimed to evaluate locomotion, anxiety- and depression-like behavior, and social behavior in normal, VPA-treated and Xe-exposed young rats. 8). In 4 cases no EEG power change was observed during the study. Evaluation of pulmonary function using single-breath-hold dual-energy computed tomography with xenon: Results of a preliminary study. Thus, postnatal exposure to VPA may lead to a delayed long-lasting effect mimicking ASD [33]. Bantel C, Maze M, Trapp S. Neuronal preconditioning by inhalational anesthetics: evidence for the role of plasmalemmal adenosine triphosphate-sensitive potassium channels. Meloni EG, Gillis TE, Manoukian J, Kaufman MJ. Xenon and sevoflurane provide analgesia during labor and fetal brain protection in a perinatal rat model of hypoxia-ischemia. Xe inhalation led to an improved integrative sensorimotor response in the negative geotaxis test, but not in gait reflex in healthy animals. glucagon, mannitol, Ceretec, arginine, Lexiscan. It has been previously reported that VPA exposure on embryonic day 12.5 didnt alter the performance of rats in negative geotaxis test [51]. We have studied the behavior of rats in the elevated O-maze on pnd 40 (without pre-exposure to Xe). Google Scholar. government site. The first studies on humans showed that inhalation of a mixture of 80% Xenon and 20% oxygen The narcotic effect of Xenon has been previously reported in rats by inhaling 67% Xenon and 33% oxygen [27]. 9a). This site needs JavaScript to work properly. Different ratios of xenon (35% xenon, 21% oxygen, 44% nitrogen, 50% xenon, 21% . https://doi.org/10.1007/BF03016309. This dosage is similar to that used clinically in Xenon-CT studies. There is evidence that behavioral and developmental outcomes in VPA model of ASD depend on dose and timing of exposure to valproate. [66], female but not male mice prenatally exposed to VPA spent more time sniffing age-matched animal, without affecting allogrooming or aggression. Wang CY, Cheng CW, Wang WH, Chen PS, Tzeng SF. Part I]. The purpose of this study was to define the range of effective xenon ratio, most effective xenon ratio, and time-window for intervention in the kainic acid (KA) - induced status epilepticus (SE) rat model. Anesthesiology. An official website of the United States government. Xenon (Xe) is a noble gas that has been used for the last several decades as an anesthetic during surgery. The authors have shown that both nitrous oxide at 75 vol% and xenon at 50 vol% reduce ischemic neuronal death in the cortex by 70% and further decrease NMDA-induced Ca2+ influx by 30%. 1. Our data suggest that subanesthetic short-term exposures to Xe have beneficial effect on several behavioral modalities and should be further studied in patients with this devastating disease. The effect of 70% xenon mixture inhalation delayed by 15 or 30 min on the KA-induced neuronal degeneration. Also, we have observed an increase in latency to leave starting area in social novelty test. Using alcohol or tobacco with certain medicines may also cause interactions to occur. To assess any depression-like effects of VPA treatment, and potential antidepressant-like effect of Xe inhalation, rats were exposed to a forced swim test on pnd 35 in a transparent Plexiglas cylinder and the test was performed as previously described [37]. Appropriate studies have not been performed on the relationship of age to the effects of Xenon Xe 133 gas in the pediatric population. The effects of postnatal VPA administration and Xe exposure on exploratory behavior and anxiety were studied in the EPM. Xenon gas doesn't cause allergies, doesn't affect immune system, blood coagulation or neuroendocrinal status. Eur J Paediatr Neurol. Anesthesiology. 2019;78:718. Available for Android and iOS devices. Sukhanova IA, Sebentsova EA, Levitskaya NG. *p<0.05 and ***p<0.001 represent significant differences vs. Control group (Dunnetts multiple comparisons test), and $0.10p0.05 represent trend towards differences vs. Control group (Sidaks multiple comparisons test). Two-pore-domain K+ channels are a novel target for the anesthetic gases xenon, nitrous oxide, and cyclopropane. Provided by the Springer Nature SharedIt content-sharing initiative. Aggressive behavior is frequent yet poorly understood in children with ASD [67]. Federal government websites often end in .gov or .mil. doi: 10.1097/00004424-198011001-00036. The most prominent change was an increase in EEG power . Such complex behaviors involve both excitatory and inhibitory pathways which can be affected by endogenous and exogenous substances. Yet, xenon can only be reliably detected in blood and urine up to 3 h postacute dosing.NEW & NOTEWORTHY Breathing xenon in dosages conceivable for doping purposes (FiXe 30% for 20 min; FiXe 50% for 5 min; FiXe 70% for 2 min) causes an initial rapid fall in total peripheral resistance with tachycardia and thereafter a mild hypertension with elevated middle cerebral artery velocity. Such heterogeneity suggests that no single treatment or diagnostic biomarker is likely to be found for autism [3]. Dobrovolsky, A.P., Gedzun, V.R., Bogin, V.I. https://doi.org/10.1097/EJA.0b013e328357bfdd. Before the experiment an unfamiliar adult female rat was placed in the right chamber and tested animals dam was placed in the left goal arm of the maze. xenon was also effective in protecting against the injury caused by depriving the cell cultures of oxygen and glucose for 90 min with an ic 50 concentration of 10 4% atm. 2). https://doi.org/10.1007/s12035-015-9600-9. VPA exposure is a risk factor for developing autism [10] and VPA-exposed animals exhibit autism-like behaviors including deficits in sensorimotor gating, stereotyped movements and abnormal social behaviors [9]. Curr Opin Neurobiol. CAS There were no differences in time spent climbing and time spent swimming between two groups (p>0.05). These effects of xenon suggest that hyperventilation should be ensured in patients with evidence of reduced compliance or high ICP. 2009;69:42940. Clin Child Fam Psychol Rev. During testing, animals of all experimental groups have shown a reduction in climbing activity over time. Transl Psychiatry. Also, there was a significant reduction in head dips (p<0.001), center (<0.001) and open arm (p=0.002) entries as well as increased time spent in the closed arms of the maze (p=0.033) in VPA+Xe group in comparison with Cont group (Fig. https://doi.org/10.1124/mol.65.2.443. Wherein, the exposure to Xe didnt alter either normal locomotor activity nor the normal anxiety level of rats in the open field, elevated-plus and elevated O-maze tests. Clin Psychol Rev. and transmitted securely. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine. In series 2 rat pups (pnd 6) from each litter were treated with either saline or valproic acid injections (Sigma Aldrich, USA) dosed at 150mg/kg intraperitoneally (Control and VPA group respectively) once each day for 1week (pnds 612). The required concentration was acquired within 30s. Xe, oxygen, carbon dioxide, pressure, temperature and humidity were all monitored by sensors in the system and were adjusted as needed by the micro control unit (MCU) and supporting equipment to maintain set levels. PubMed Effects of inhaled stable xenon on cerebral blood flow velocity. The delivery (rate and concentration) both of Xe and atmospheric air (as needed to maintain 21% O2 concentration) was regulated by using flow meters (D6F-P0010A2, Omron, Japan). 1998-2022 Mayo Foundation for Medical Education and Research (MFMER). Effects of VPA treatment and acute Xe inhalation on the behavior of rats in elevated plus maze on pnd 25. Anesteziol Reanimatol. A predefined secondary objective of the trial was to assess Xenon's cardioprotective effect with the extent of myocardial injury and the surrogate endpoint of difference in TnT increment post OHCA between groups of Xe inhalation and hypothermia and hypothermia only. 1998;396:324. https://doi.org/10.1038/24525. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Mol Psychiatry. Clipboard, Search History, and several other advanced features are temporarily unavailable. At higher levels of CO, if the half of the haemoglobin is used in forming the COHb, death occurs. The animals were placed in a chamber and after that the gas mixture was introduced therein. Effects of VPA treatment and acute Xe inhalation on the neurobehavioral development of rat pups. Effect of acute and chronic xenon inhalation on erythropoietin, hematological parameters, and athletic performance. (A-O) Different effects of xenon inhalation immediately (delayed 0 min), delayed by 15 min or delayed by 30 min on neurodegeneration induced by KA administration (dentate gyrus, A-E; CA2, F-J; EC, K-O; n = 4 per group; bar = 50 m). Anim Behav. Gould TD. Clipboard, Search History, and several other advanced features are temporarily unavailable. It appears that volatile agents preferentially potentiate GABA A receptors and two-pore domain K + channels, whereas the anaesthetic gases nitrous oxide and xenon inhibit N-methyl-d-aspartate channels.. Uptake and removal of inhalation agents from the body depends on the alveolar concentration of . Aoki K, Izumi Y, Watanabe W, Shimizu Y, Osada H, Honda N, Itoh T, Nakayama M. J Cardiothorac Surg. The element Xe acts as a natural anaesthetic. https://doi.org/10.1038/tp.2016.182. Xenon is also attractive in this role because of its lack of chemical reactivity and lack of clinical side effects (Dingley et al, 2001; Marx et al, 1997; . The number of attacks were decreased in VPA+Xe group in comparison with VPA group and didnt differ in comparison with Cont group of rats. Xenon Xe 133 is a radiopharmaceutical. 2014;121:1194202. 2017;15:137. https://doi.org/10.1186/s12967-017-1237-1. The apparatus consisted of 14147cm sealable Plexiglas chamber for exposure of three neonatal rats at a time (Fig. Lee EJ, Choi SY, Kim E. NMDA receptor dysfunction in autism spectrum disorders. By using this website, you agree to our Transcranial direct current stimulation of the temporoparietal junction and inferior frontal cortex improves imitation-inhibition and perspective-taking with no effect on the autism-spectrum quotient score. J Transl Med. In the study of Kataoka et al. It is inside human body from 3-4 minutes, after which it leaves the lungs. N=2123 rats/treatment. N=2123 rats/treatment. We observed neither any physical or sensorimotor impairment in animals in early infancy, nor locomotor disturbances or depressive-like behavior in adolescence. Background. Accessibility A clinical evaluation of xenon enhancement for computed tomography. Xenon is a member of the zero- valence elements that are called noble or inert gases. Time spent immobile (in seconds) (a) and latency to first immobilization (in seconds) (b) were measured within 5min observation. 2008;33:90112. If you notice any other effects, check with your healthcare professional. 2010;470:559. trio who took drugs and described the effects it was having on them . It is very important that your doctor check you closely while you are receiving this medicine. 2014;38:55763. Dr. Dobrovolsky is the co-founder of Nobilis Therapeutics, Inc., a company that is developing treatments for psychiatric disorders using noble gas xenon. The rats were placed in one of the enclosed arms and the latency to leave the closed arm and the number of the open arm entries as well as the number of head dips and the time spent in closed arms was measured for 5min. FASEB J. To assess locomotion and responsiveness of the animals to a novel environment, we tested rats on pnd 21 in open field apparatus as previously described [36]. There was no significant effect of postnatal VPA treatment on sensorimotor development of rat pups and no effects of Xe administration in valproate animals. Long-term changes in behavior and the content of BDNF in the rat brain caused by neonatal isolation: the effects of an analog of ACTH(410) Semax. https://doi.org/10.1371/journal.pone.0037020. Sukhanova YA, Volodina MA, Sebentsova EA, Glazova NY, Manchenko DM, Inozemtseva LS, et al. Targeting anandamide metabolism rescues core and associated autistic-like symptoms in rats prenatally exposed to valproic acid. VPA-induced model of ASD was selected as it is the most common model of induction of autism-like behaviors in rodents [33, 34]. We have also found that acute inhalations of xenon in VPA-exposed animals led to: improvement in social aggressive behavior and anxiety; normalization of behavior in forced-swim test. Holl K, Nemati N, Kohmura E, Gaab MR, Samii M. Acta Neurochir (Wien). Comparative cranial CT enhancement in the normal primate. The patient tolerated xenon inhalations well with no side effects, such as euphoria, lightheadedness, headache, nausea, or vomiting, during or after the procedure. Intensive contact with the eye may lead to irritation Reprod Toxicol. The dataare presented for the whole sample. All motor development tests were adapted from Altman [35]. In our study the exposure to valproate from pnd 6 to pnd 12 didnt affect animal performance in the OF test. Neuroscience. and transmitted securely. If you notice any other effects, check with your healthcare professional. Any history of brain injury and any active state involving entrapped air/gas within a body cavity with the potential to expand causing organ distension/compression (e.g., bowel obstruction, pneumothorax, or pneumocephalus). Number of total rearings (a) and number of sections crossed within first 2 and last 2min of observation (b) were measured within a 5-min observation. Performance of rats in forced swim test on pnd 35. Xenon caused variable levels of sedation and restlessness. 2014;9:e106189. Inhalation in excessive concentrations can result in dizziness, nausea, vomiting, loss of consciousness, and death. A single copy of these materials may be reprinted for noncommercial personal use only. We comply with the HONcode standard for trustworthy health information. Cattano D, Williamson P, Fukui K, Avidan M, Evers AS, Olney JW, et al. Tell your doctor if you have a latex allergy before you start using this medicine. Latchaw et al. Xenon gas doesn't cause allergies, doesn't affect immune system, blood coagulation or neuroendocrinal status. https://doi.org/10.1523/JNEUROSCI.1712-06.2006. Sedation was monitored by a board-certified anesthesiologist. Xenon Inhalation Therapy makes it possible to significantly improve the effectiveness of treatment in case of complex treatment of alcoholism and drug addiction 24/7 assistance New treatment methods Individual approach Best doctors Call About us About us Staff Patient testimonials FAQ Licence Gallery Clinic About clinic Patient rooms The apparatus for sociability and preference for social novelty test comprised a T-shaped opaque Plexiglas box with 30cm high walls. IuAS, VRG analysed the data and wrote the manuscript. All rights reserved. *p<0.05 represent significant differences vs. Control group (Dunnetts multiple comparisons test). In series 1 we assessed the effects of acute subanesthetic doses of Xe on normal rats in a battery of behavioral tests. Animal models that recapitulate glutamatergic neurotransmission deficitswith corresponding autism-like behavioral readoutsare useful in evaluating novel therapies that could be translated to the treatment of autism [8]. 6a). Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. Xenon caused variable levels of sedation and restlessness. A time frame from pnd 6 to pnd 12 reflects sensitive period of functional development of the rats brain during which the processes of proliferation, synaptogenesis and myelination are ongoing. Drug information provided by: IBM Micromedex. Data are presented as box and whiskers plot. 2015;5:8. https://doi.org/10.1186/s13618-015-0029-z. In vitro and in vivo studies prove that Xenon has therapeutic effects on various neurodegenerative outcomes. Hanson E, Cerban BM, Slater CM, Caccamo LM, Bacic J, Chan E. Brief report: prevalence of attention deficit/hyperactivity disorder among individuals with an autism spectrum disorder. Neuroprotective gasesfantasy or reality for clinical use? https://doi.org/10.1134/S1819712416040127. A single Xe inhalation (25%, 10min) prior to OF testing resulted in significant decrease of center entries (p=0.021) and number of rears (p=0.045) in Xe-exposed rats in comparison with air-exposed animals (Fig. Unable to load your collection due to an error, Unable to load your delegates due to an error. Post hoc analysis revealed a trend towards reduction of head dips (p=0.09) and center entries (p=0.10) in VPA group in comparison with Cont group. 2017;113:7181. The results of one-way ANOVA revealed significant treatment effect (F3, 46=2.79; p=0.05) in the negative geotaxis test on pnd 13. 2018;00:111. Mol Pharmacol. 2007;107:75667. Inhalation in excessive concentrations can result in dizziness, nausea, vomiting, loss of consciousness, and death. You may report them to the FDA. Time spent (in seconds) on the distal segments of open arms (a) and number of head dips (b) were measured within 5min observation. Front Behav Neurosci. $0.10p0.05 represent trend towards differences vs. Control group (Sidaks multiple comparisons test). Also, in the EPM test we have observed a trend towards decline in the time spent on the distal edges of the open arms and in the number of head-dips in Xe-treated animals. 2007 Dec;64(3):335-44. doi: 10.1016/j.ejrad.2007.08.008. Katrin A. Dias, Justin S. Lawley, Hannes Gatterer, Erin J. Howden, . https://doi.org/10.1016/j.nbd.2015.05.006. Google Scholar. All authors read and approved the final manuscript. 2012;34:25867. Examinations of the effects of VPA on neurobehavioral development were carried out only in series 2. Mattusch C, Kratzer S, Buerge M, Kreuzer M, Engel T, Kopp C, et al. 2013;241:17087. All protocols and procedures were conducted in accordance with Moscow State Universitys Committee on Biomedical Research Ethics. For this test, the following should be considered: Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. No studies related to the effects of Xenon or argon inhalation on erythropoiesis and steroidogenesis were found on the WADA website. Xe inhalations didnt affect the behavior of healthy animals in this test. Anesteziol Reanimatol. Over the first minute, 50% and 70% xenon caused a substantial reduction in total peripheral resistance (P < 0.05). Altman J, Sudarshan K. Postnatal development of locomotion in the laboratory rat. While all but one subject tolerated xenon inhalation without ill effects, that individual did experience unpleasantly severe dysesthesias and a brief period of unresponsiveness. In addition, Xe treatment of VPA-exposed animals resulted in decreased number of sniffings (p>0.40 vs. Cont; p=0.001 vs. VPA). 2012;40:172430. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to use it. *p<0.05 represent significant differences vs. Control group (MannWhitney U-test), $trend to significant difference 0.10p0.05. Malyshev AV, Razumkina EV, Dubynin VA, Myasoedov NF. Xenon is rare and expensive, and its effects are short lasting. ASAIK it is also tested for other indications, such as various neurodegenerative diseases. Exp Neurol. Valproic acid (VPA)-induced rodent model of autism is a well-studied and robust model with strong predictive validity [9]. The Russian Bath Supra-molecular Detoxification Positively Stimulate Brain Activity, Increases Concentration and Psychical Performance Induce Deep Relaxing or Meditative State Reduces Fatigue, Anxiety, Depression and Irritability Under clinical studies to treat P.T.S.D. Post-hoc analysis has shown a significant decrease in the number of crossings in Xe (p=0.05) and VPA-Xe (p=0.007) groups in comparison with Cont group of animals and didnt differ between two Xe-exposed groups. However, elderly patients are more likely to have age-related liver, kidney, or heart problems, which may require caution and an adjustment in the dose for patients receiving Xenon Xe 133 gas. The uptake of the inhaled anesthetic agent can be calculated using the formula: Uptake = B/G Q (P A -P V) divided by barometric pressure, where. Xe treatment was performed before each behavioral task (except for elevated O-maze). 5). Xe-oxygen mixtures have been successfully employed in a recent open-label study to treat panic disorder (PD) by Dobrovolsky and colleagues. This produces a stable, minimum energy configuration in which the outer electrons are tightly bound. Article In the FST test Xe-exposed rats showed a trend towards decreased time spent immobile (p=0.055) and increased latency to immobility (p=0.067) in comparison with control group (Fig. Other studies using prenatal or postnatal VPA exposure have reported its negative effects on sensorimotor development of rodents, but not in all paradigms [51, 53,54,55]. Accessibility The https:// ensures that you are connecting to the Six sessions of 4-min Xe inhalations have shown potency to reduce the severity of panic attacks and the severity of depressive disorders in patients with PD. . Proc Natl Acad Sci. Fetal valproate syndrome as an experimental model of autism. https://doi.org/10.1097/ALN.0000000000000423. . All efforts were made to minimize the number of animals used. Dickinson R, Peterson BK, Banks P, Simillis C, Martin JCS, Valenzuela CA, et al. Data are presented as box and whiskers plot. Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by impaired communication and social interactions combined with restricted repetitive and stereotyped behaviors, activities and interests [1,2,3]. Riikonen R. Treatment of autistic spectrum disorder with insulin-like growth factors. Inhalation: This gas is inert and is classified as a simple asphyxiate. Values represent number of sections crossed (a), rears (b) and center entries (c) as well as time spent (in seconds) in the center (d) within 5min observation. Behavioral modulatory effects of Xe are probably related to its generalized action on excitatory/inhibitory balance within the CNS. https://doi.org/10.1038/sj.npp.1301453. 2015 Nov-Dec;60(6):71-4. Also, it was shown that exposure to VPA from pnd 6 to pnd 12 at the dose of 150mg/kg didnt affect physical development of rats but led to the disruption of motor skills involved in object manipulation [52]. The OM was conducted 5days after the last Xe inhalation, suggesting the prolonged effect of previous Xe exposures. Etiology of ASD appears to be rather heterogeneous and includes both genetic predisposition and environmental exposure at the early stages of development [4]. Baufreton J, Milekovic T, Li Q, McGuire S, Mouraud EM, Porras G, et al. 1986 May;144(5):531-6. doi: 10.1055/s-2008-1048834. Increasing evidence indicates that dysfunction of NMDA (N-methyl-d-aspartate) receptors (NMDARs) at excitatory synapses is associated with ASD [7]. 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