Neurodevelopmental disorders are often systemic in nature – that is, peripheral organ disruptions, dysmorphologies and primary sensory and motor dysfunctions are common in both syndromic and idiopathic disorders (
Carvill, 2001;
Cooper-Brown et al., 2008;
Geschwind, 2009). Despite this however, the cerebral cortex and associated forebrain circuits have been the foci of intensive developmental and clinical investigations. This focus is expected, given the complexity of the cognitive and social-emotional regulatory disturbances that characterize neurodevelopmental disorders, the utilization of pathophysiologic phenotypes in these functional domains as diagnostic features for each disorder, and the well-documented role of neocortical circuitry in higher order information processing. The developmental events in humans, monkeys and model vertebrates that define the assembly of a subset of dorsal pallial structures, including neo- and association cortices and hippocampus, are extraordinarily well-detailed across species (
Rakic, 2009). We know when and where neurogenesis, cell migration, tract formation and neuronal specialization occur. We have a reasonable view of synaptogenesis, though not in nearly the same detail. Furthermore, we know that at some point in time during development, genes that comprise nearly the entire genome are expressed in the brain (
Ramskold et al., 2009), and many of the gene products are functionally pleiotropic. This reflects a combinatorial molecular system that is far more complex than the linear strategies used for perturbation of one gene at a time in animal models. Candidate gene products that are involved in individual histogenic events are plentiful (literally in the thousands), and we know much about their expression patterns in rodents. Knowledge in gyrencephalic animals lags significantly, but new mapping and next generation sequencing methods will provide even more insight into the unique molecular properties of the primate brain. However, even with this additional knowledge, the gaps in mechanistic insight remain significant, and we suggest serve as the primary source of challenges in gaining pathogenic insight of neurodevelopmental disorders.
With a diversity of anatomical and molecular targets on which to focus, it makes sense to highlight the principle information processing unit, the cortical minicolumn (
Mountcastle, 1997), which is both highly conserved in vertebrate evolution, and likely to be a primary or secondary target of disruption based on limited neuropathological studies in a variety of neurodevelopmental disorders (
Casanova et al., 2003;
Casanova et al., 2008;
Courchesne and Pierce, 2005). The importance of deciphering these mechanisms is highlighted by the recent discovery that Eph-ephrin-A signaling mediates the dispersion of clonally related neurons destined for neocortical columns (
Torii et al., 2009). This recent finding is consistent with specific EphA receptors as risk genes for psychosis (
Purcell et al., 2009). It also is an example of a basic-clinical interface that could postulate that in schizophrenia, there is an early disruption of the organization of the key cortical information-processing unit. Expression patterns of EphAs during primate corticogenesis (
Donoghue and Rakic, 1999) can help determine the temporal and spatial vulnerability of specific circuits that, if disrupted during development, can result in psychiatric disorders.
The example referenced above reflects a strategy of addressing core pathogenic mechanisms of neurodevelopmentally based disorders through investigation of the developmental assembly and integrity of both architectural and ultimately functional hierarchies. This approach acknowledges a fundamental property of the nervous system – that basic circuitry components that underlie the organisms ability to utilize sensory information from its environment to respond appropriately and maintain homeostatic balance are built first, followed by an integration of this basic information into complex circuit hierarchies that process demanding information (
Hammock and Levitt, 2006). In fact, this view is supported more by functional studies rather than neurodevelopmental analyses of complex circuitry. Simply stated, we know little about the development of circuit hierarchies from neuroanatomical and molecular perspectives. Instead, data are much more robust regarding functional, fundamental sensory and motor development across vertebrates, and emotional and cognitive development in humans. The hierarchical nature of the emergence of primary sensory modalities, language and then top-down frontal cortical control (executive function) in humans is well reviewed (
Fox et al., 2010). In the structural and molecular domains, however, there are few studies that have examined directly the development of key circuitry involved in higher order information processing. For example knowledge regarding the ontogeny of cortico-thalamic (
Auladell et al., 2000;
Torii and Levitt, 2005), and cortico-striatal connectivity (
Sharpe and Tepper, 1998) (not simply axon penetration into targets) is minimal, despite existing techniques that could probe these connections. Yet the cortex provides the vast majority of the synapses to these sub-cortical structures (
Jones, 2002). Using pseudorabies virus tracing to monitor the onset of synapse formation within the central circuitry that is involved in integrating autonomic and hypothalamo-pituitary-adrenal (HPA) functions, we showed that brainstem to peripheral structure connectivity, and hypothalamus to brainstem connectivity are assembled in the rodent by birth (
Rinaman et al., 2000). While the descending axonal input to brainstem targets from the amygdala and frontal cortex are present during the first few days after birth, the onset of synaptogenesis is delayed by almost one week (
Rinaman et al., 2000). This coincides with the period of time when maternal influences on pup physiology and behavior are most profound (
Moriceau et al., 2006;
Shionoya et al., 2007). In fact, introduction of stressors can change the timing of onset of synapse formation in the higher order, later developing circuits, while having no impact on the basic hypothalamo-brainstem connections (
Banihashemi and Rinaman, 2010;
Card et al., 2005). Molecular physiology methods can be adapted for examining developmental trajectory of circuitry. For example, lentivirustransduced channelrhodopsin could be used to selectively activate anatomically defined circuits. This would allow monitoring of postsynaptic responsiveness, and perhaps even adaptations following particular interventions in animal models (
Cruikshank et al., 2010). The improved resolution of methods used for live imaging provides opportunities to examine circuit function and plasticity over developmental epochs (
Cruz-Martin et al., 2010;
Trachtenberg et al., 2002). These approaches provide opportunities to reveal the importance of timing in terms of disrupting the hierarchical nature of circuit development, and the analysis of the basic elements that comprise more complex behavioral dimensions such as social cognition and executive function (
Hammock and Levitt, 2006). Early alterations to the circuitry underlying a specific functional modality can lead to more widespread disruptions (e.g. autonomic nervous system disruption and systemic dysautonomia (
Axelrod et al., 2002), whereas later perturbations may lead to more specific disruptions within a particular skill set, but may not necessarily have a broad impact (e.g. postnatal toxic stressors and emotional dysregulation (
Caspi et al., 2003;
Plotsky and Meaney, 1993)). Thus, the same insult, but presented at different times during development, is likely to lead to very different outcomes () based on the relative degree of maturation of neural circuits (i.e. the breadth of connections) and the particular role played by a molecular component present during development compared to the adult. In fact, in animal studies examining structure-function effects of prenatal cocaine exposure, timing of exposure was one of several key variables in explaining variance across models (
Stanwood and Levitt, 2008). Similarly, deletion of 5HT1
aR only during development results in very distinct adult-onset emotion regulation outcomes compared to deletion of the gene encoding the receptor in the adult mouse (
Gross et al., 2002). How this temporally circumscribed manipulation results in long-term changes remains unknown. One hypothesis is that this receptor modulates the assembly of relevant circuits during development, and then switches its role as a traditional biogenic aminergic neurotransmitter in the adult. Therefore, disrupting this receptor during development could directly alter neural circuitry. There is precedence for 5-HT serving this novel developmental role (
Bonnin et al., 2007), but relevant studies examining the ontogeny of amygdala and related circuits in the 5HT1
aR conditional null mouse should assess this directly.