Level of neural alteration

Autism-related genes

Potential environmental factors

Sensory receptors

Olfactory

Retinal

Cochlear

Tongue, gut mucosa

Pain, touch

Na, solute channels

SCN7A, SCN1A, SLC25A12, SLC40A1, SLC6A4

Na-H exchanger NHE9/SLC9A9

Aquaporin AQP4

Ca channels CACNA1C

Sensory overload

Prenatal U/S, other radiation

Urban noise, home media

Gut allergens, toxins, bacteria

Sensory deprivation

Decreased sunlight

Synapse connections

Sensory receptors

Presynaptic

Na, solute, Ca channels

Cell adhesion NXRN1

Nutritional deficiencies

Calcium, vitamin D deficiencies

Essential lipids, fatty acids

Decreased breast-feeding initiation and duration

Postsynaptic

Glutamate, GABA receptors

GABRR2 GRIK2

Cell adhesion-neuroligins

NLGN3, NLGN4, NLGN4Y

Formation of sensory maps, pathways (end-organ to thalamus, superior colliculus to cortical regions); central deficits (sensory cortex, amygdala)

Pathway architecture

Sensory integration

Light deprivation (as per myopia)

Sensory overload, deprivation

Gut-brain connections

Integrins ITGA4 ITGB3

Interleukin receptor IL1IRAPL1

Immune/inflammatory factors

Rare vaccine reactions

Neuroendocrine

Thyroid receptor TRIP, Secretin SCT

Maternal hypothyroidism, diabetes

Parental/social interaction (infant touch, gaze stimulation)

Oxytocin receptor OXTR

Maternal depression/drug use

Community, family deficiencies