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    How Autism Can Look Very Different, Even in Identical Twins

    en-usMay 10, 2024

    Podcast Summary

    • Identical Twins, Different Traits on Autism SpectrumGenetics don't dictate every aspect of development. Identical twins, despite sharing the same genetic makeup, can exhibit vastly different traits on the autism spectrum.

      While identical twins share the same genetic makeup, their experiences and development can differ significantly, especially when it comes to complex conditions like autism spectrum disorder. I had the opportunity to speak with NPR's John Hamilton about this topic, as part of NPR's series on the science of siblings. He shared the story of Sam and John Fetters, 19-year-old identical twin brothers who are at very different places on the autism spectrum. Despite their identical genes, they have vastly different interests, abilities, and challenges. Sam is a sophomore at Amherst College, an avid conversationalist, and a computer game enthusiast. John, on the other hand, attends a school for people with special needs, struggles with language, repeats words, and flaps his hands. Their differences have had a profound impact on their lives, with Sam able to "present more neurotypical" to avoid bullying and John being more vulnerable. Although scientists have not yet determined why these differences occur, this story serves as a reminder that genetics do not tell the whole story of who we are and how we develop.

    • Identical twins can have different autism symptomsDespite sharing the same genes, identical twins can exhibit varying levels of autism symptoms, indicating that factors beyond genetics play a role in its development and manifestation.

      While identical twins share the same genes, the presence of autism in one twin does not guarantee that the other twin will also have the condition. In fact, studies have shown a high concordance rate, with over 90% of identical twins having the same diagnosis. However, even genetically identical twins can exhibit different levels of autism symptoms. This suggests that there may be other factors involved in the development and manifestation of autism beyond genetics. Scientists are still working to identify these factors, but this discovery underscores the complexity of autism and the importance of continued research.

    • Identical Twins with Different Autism Outcomes: Environmental Factors at PlayEnvironmental factors like infections or injuries can interact with genetics to influence the severity of autism in identical twins. Research on identical twins is crucial to understand the complex interplay between genetics and environment in autism spectrum disorders.

      Environmental factors, such as infections or injuries, may interact with genetic factors to influence the severity of autism in identical twins. This was discussed in relation to Sam and John, who, despite being identical twins, had different experiences and outcomes in their development of autism. John had a congenital heart defect and a severe staph infection, which may have impacted his brain's ability to adapt to genetic differences, potentially contributing to a more severe expression of autism symptoms. While the exact mechanism is not clear, scientists are exploring hypotheses that suggest environmental factors could limit the brain's adaptability to genetic influences. This research highlights the importance of studying identical twins to better understand the complex interplay between genetics and environmental factors in autism spectrum disorders. Additionally, it challenges the outdated belief that autism is solely caused by childhood experiences.

    • The cause of autism is not solely due to genetics or parentingDespite identical genes, identical twins may not develop autism identically due to environmental factors in the womb and epigenetics

      The cause of autism is not due to refrigerator mothers or parenting, as early studies suggested. However, genetics don't fully explain autism either. Research on identical twins led scientists to explore other factors, such as the environment in the womb and epigenetics. Even identical twins, who start with identical genes, may not have identical cells due to non-shared genetic factors. The subtle differences in brain development between an autistic person and a neurotypical person make it challenging for scientists to fully understand the causes of autism.

    • Exploring brain differences in autism through twin studiesIdentifying subtle brain differences in identical twins, one with autism and one without, could lead to new ways of helping individuals with autism communicate effectively.

      While the causes of autism are not yet fully understood, research suggests that there may be subtle differences in brain growth and connectivity. Identifying these differences could lead to new ways of helping individuals with autism communicate more effectively. Twin studies can be useful in this regard, as they allow scientists to compare brain development in identical twins, one of whom has autism and the other does not. Communication is a key challenge for many individuals with autism, and they may rely on nonverbal means, such as touch, to express themselves. Sam, the brother in the story, acts as a translator for his brother John, who has autism. John's preferred method of communication varies, and he may use physical touch or pointing to express his thoughts and feelings. Sam values his brother deeply and recognizes the importance of helping him communicate. He also acknowledges that the challenges John faces are small compared to the bond they share. The episode highlights the importance of understanding the unique communication needs of individuals with autism and the role that family members and caregivers can play in facilitating their expression.

    • Tech's Climate Conundrum: The Carbon Footprint of AITraining AI models contributes to substantial carbon emissions, equivalent to several cars' lifetimes, and addressing this challenge is crucial for sustainable AI development

      While AI and technology offer promising solutions to climate challenges, there's a hidden cost: the significant energy consumption required to train these advanced systems. For instance, training a single AI model like Chargegbt emits as much carbon as five cars over their entire lifetimes. This environmental issue, known as tech's climate conundrum, was discussed on the TED Radio Hour from NPR. The episode featured researcher Sasha Luciani, who emphasized the need to address this challenge and find more sustainable ways to develop and deploy AI technologies. Meanwhile, sponsors Amgen and Capella University were acknowledged for their contributions to NPR and their respective fields: Amgen, a biotech pioneer working on disease solutions, and Capella University, offering flexible online education.

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