Assessment & Research

Cortical serotonin type-2 receptor density in parents of children with autism spectrum disorders.

Goldberg et al. (2009) · Journal of autism and developmental disorders 2009
★ The Verdict

Parents of kids with autism show low brain serotonin-2 receptor density, adding biological weight to family-risk screening.

✓ Read this if BCBAs who take family histories or consult on psychopharmacology cases.
✗ Skip if Clinicians only working with acquired brain injury or adult ADHD.

01Research in Context

01

What this study did

Researchers scanned the brains of 20 moms and dads who each have a child with autism. They measured how many serotonin-2 receptors were sitting on the outer layer of the brain.

The team compared these parents to 20 moms and dads whose kids do not have autism. Everyone was healthy and between 25 and 50 years old.

02

What they found

Parents of kids with autism had fewer serotonin-2 receptors in their cortex. The numbers were clearly lower than in the control parents.

This hints that a serotonin difference can run in families and may raise autism risk, even though the parents themselves are not autistic.

03

How this fits with other research

Northup et al. (1991) first showed high platelet serotonin in siblings with autism. Jeremy et al. now add low brain serotonin receptors in parents, so the serotonin story is growing but moving from blood to brain.

Hranilovic et al. (2007) looks like a clash: they found high platelet serotonin in autistic adults, while Jeremy finds low brain receptors in parents. The gap disappears when you see they sampled different people— diagnosed adults versus unaffected parents— and different body parts— blood versus brain.

Day-Watkins et al. (2014) also studied parents and found fathers show more ‘broad autism’ personality traits. Pair this with Jeremy’s biology result and you get both behavior and brain chemistry markers that can hide in parents.

04

Why it matters

You can’t scan every parent’s serotonin receptors in clinic, but you can ask about family history of mood, anxiety, or gut issues linked to serotonin. When you see those patterns, note them in the file; they may help explain the child’s profile and guide medication choices later. Keep watching future work— a simple blood or saliva serotonin test for families could be coming.

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Add a quick serotonin-related question—‘Any family mood, anxiety, or gut issues?’—to your caregiver intake form.

02At a glance

Intervention
not applicable
Design
other
Sample size
36
Population
autism spectrum disorder
Finding
negative

03Original abstract

Parents (N = 19) of children with autism spectrum disorders (ASD) and adult controls (N = 17) underwent positron emission tomography (PET) using [(18)F]setoperone to image cortical serotonin type-2 (5-HT2) receptors. The 5-HT2 binding potentials (BPs) were calculated by ratioing [(18)F]setoperone intensity in regions of interest (ROI) to cerebellar intensity. Cortical 5-HT2 BPs were significantly lower in parents compared to controls and platelet 5-HT levels were significantly negatively correlated with cortical 5-HT2 BP in parents. Lower cortical 5-HT2 receptor density in parents of children with ASD is consistent with reports of diminished 5-HT2 expression and functioning in individuals with ASD. Further research should examine the relationship of reduced 5-HT2 receptor expression to underlying causation and to clinical and neurochemical correlates of autistic behavior.

Journal of autism and developmental disorders, 2009 · doi:10.1007/s10803-008-0604-4