Phila. becomes hotbed of autism research

October 09, 2011|By Don Sapatkin, Inquirer Staff Writer
  • Samantha Yocum sleeps in the arms of her mother, Beth Yocum, joined by Drexel program staffer Lauren Clay. Samantha's elder sister, Amanda, is autistic and has been under study.

Shortly after their 18-month-old daughter was diagnosed with autism in 2009, Beth and John Yocum enrolled her in a language-learning study at Children's Hospital of Philadelphia. She got a comprehensive evaluation - a full day of examining, questioning, playing - from a team of experts, all of it free.

"They were amazing," Beth said. "We got a lot of very good advice from the doctors about where Amanda stood development-wise from their tests, and what types of therapies we should seek to help her progress."

Now the Yocums have a new baby, and the entire family is part of another study, this one run nationally by Drexel University. It is the largest effort to find environmental triggers of autism.

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Five years ago, Philadelphia was not on the map when it came to researching one of the most mysterious and expensive childhood medical conditions of our time. Now it is among the top cities in the nation, with expertise in nearly all the key fields - genetics, environmental exposure, brain imaging, behavioral interventions - that are critical for finding causes and developing treatments.

Most of the local talent is at the Center for Autism Research at Children's Hospital, which in less than four years has grown into a powerhouse with more than 100 researchers and staff running two dozen studies.

Drexel is jumping in with a much smaller but ambitious Autism Public Health Research Institute, which is poised to lead in some other areas, beginning with environmental exposure. The long-neglected field has suddenly become a priority as evidence builds that genes alone do not explain the disorder.

The goal is to figure out what flips the genetic switch that puts some infants on a path to autism. Only then can scientists begin to understand how the brain changes and what can prevent it, discover treatments, and devise cost-effective ways to teach hundreds of thousands of schoolchildren.

"It takes a community to do this," said Nancy Minshew, a professor of psychiatry and neurology at the University of Pittsburgh.

Autism - the most serious of the Autism Spectrum Disorders, with Asperger's syndrome among the higher-functioning forms - is a developmental disability defined by a set of psychological impairments that typically show up by 18 months.

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