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Nitric oxide inhibition ameliorates cortical proteomic changes in the Cntnap2<sup>-/-</sup> and Shank3<sup>Δ4-22</sup> mouse models of autism spectrum disorder.

Overview

Authors: Wisam Bazbaz1, Maryam Kartawy1, Igor Khaliulin1, Haitham Amal1,2
  1. Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem,Jerusalem, Israel
  2. Rosamund Stone Zander and Hansjoerg Wyss Translational Neuroscience Center, Boston Children’s Hospital, Harvard Medical School, Harvard University,Boston, MA USA
Institutions: Hebrew University of Jerusalem (Israel); Harvard University (United States)
Journal: Molecular autism, volume 17, issue 1, article 21
Dates: received 15 August 2025; accepted 2 April 2026; published online 20 April 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI 10.1186/s13229-026-00716-1 · PMID 42010670 · PMCID PMC13107916 · OpenAlex W7155003223
Open access: gold, a free copy (OpenAlex)
Status: data only
Categories: genetics / omics (modality), other (modality), human (organism), mouse (organism), autism (population), cellular / molecular (subfield)
Methods: Statistics, Machine learning
Keywords: Autism spectrum disorder, Behavior, Synapse, Nitric oxide, Neuronal nitric oxide synthase (nNOS), Cntnap2, Shank3, Mouse models, Mass spectrometry, Systems biology
MeSH: Autism Spectrum Disorder*, Cerebral Cortex*, Nerve Tissue Proteins*, Nitric Oxide*, Proteome*, Proteomics*, Animals, Behavior, Animal, Disease Models, Animal, Humans, Male, Membrane Proteins, Mice, Mice, Knockout, Microfilament Proteins, Nitric Oxide Synthase Type I, Signal Transduction (* major topic)
Topic: Autism Spectrum Disorder Research (Cognitive Neuroscience, Neuroscience), according to OpenAlex
Citations: cited by 1 paper (Europe PMC); 135 references in the paper

Abstract

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a strong genetic component, and over a thousand associated genes have been identified, including CNTNAP2 and SHANK3. Our previous work using Cntnap2-/- and Shank3Δ4–22 ASD mouse models implicated dysregulated nitric oxide (NO) signaling in ASD-related behaviors, which were improved by inhibition of neuronal nitric oxide synthase (nNOS) with 7-Nitroindazole (7-NI). However, the molecular mechanisms linking NO signaling to ASD pathology remain poorly defined.

Methods: We performed mass spectrometry-based global proteomic profiling of cortical tissue from both mouse models under baseline conditions and following 7-NI treatment. Systems biology and bioinformatics analyses were used to identify differentially expressed proteins, enriched pathways, and treatment-responsive networks. Cross-model comparisons were performed to assess molecular convergence and overlap with human ASD-risk genes. Behavioral and biochemical assessments were reanalyzed to evaluate ASD-like phenotypes and treatment effects.

Results: Treatment with 7-NI improved ASD-like behavioral deficits in Cntnap2 and Shank3 mutant mice, including increased sociability and reduced anxiety-like behavior. 7-NI was also associated with attenuation of cortical protein alterations across synaptic, neuronal, and metabolic pathways, shifting subsets of dysregulated proteins toward wild-type expression levels. Despite distinct genetic mutations, the two models converged at the protein and pathway levels, including treatment-responsive proteins encoded by high-confidence human ASD risk genes.

Limitations: Analyses were restricted to cortical tissue; additional brain regions may reveal complementary mechanisms. Mass spectrometry may underrepresent low-abundance proteins; larger sample sizes could improve statistical power. Potential off-target effects of 7-NI should also be considered.

Conclusions: These findings show that nNOS inhibition improves ASD-like behaviors and is associated with partial normalization of altered cortical proteins across two genetically distinct ASD mouse models that display convergent molecular changes, including proteins encoded by high-confidence ASD risk genes.

Supplementary Information: The online version contains supplementary material available at 10.1186/s13229-026-00716-1.

Reproduced under the paper's license (CC BY), from the paper cited above.

Code

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Data

Datasets cited

Data availability

The dataset(s) supporting the conclusions of this article are included in this article and its Supplementary Files. Please see the section “Sample preparation” in the Methods for a full list of materials available and where they can be accessed. The mass spectrometry proteomics data have been deposited with the ProteomeXchange Consortium via the PRIDE repository under the dataset identifier PXD068474.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

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Version 1, 29 September 2026: the first record

Recorded: type, language, journal, volume, issue, pages, dates, 4 authors, 10 keywords, 17 MeSH terms, 4 funders, 125 references.

Cite

This paper

Bazbaz, W., Kartawy, M., Khaliulin, I., & Amal, H. (2026). Nitric oxide inhibition ameliorates cortical proteomic changes in the Cntnap2<sup>-/-</sup> and Shank3<sup>Δ4-22</sup> mouse models of autism spectrum disorder. Molecular autism, 17(1), 21. https://doi.org/10.1186/s13229-026-00716-1

BibTeX

@article{bazbaz2026nitric,
author = {Bazbaz, Wisam and Kartawy, Maryam and Khaliulin, Igor and Amal, Haitham},
title = {{Nitric oxide inhibition ameliorates cortical proteomic changes in the Cntnap2\<sup\>-/-\</sup\> and Shank3\<sup\>Δ4-22\</sup\> mouse models of autism spectrum disorder}},
journal = {Molecular autism},
year = {2026},
month = apr,
volume = {17},
number = {1},
pages = {21},
publisher = {BMC},
issn = {2040-2392},
doi = {10.1186/s13229-026-00716-1},
url = {https://doi.org/10.1186/s13229-026-00716-1},
pmid = {42010670},
pmcid = {PMC13107916}
}

RIS

TY - JOUR
AU - Bazbaz, Wisam
AU - Kartawy, Maryam
AU - Khaliulin, Igor
AU - Amal, Haitham
TI - Nitric oxide inhibition ameliorates cortical proteomic changes in the Cntnap2<sup>-/-</sup> and Shank3<sup>Δ4-22</sup> mouse models of autism spectrum disorder
T2 - Molecular autism
J2 - Mol Autism
PY - 2026
DA - 2026/04/20
VL - 17
IS - 1
SP - 21
SN - 2040-2392
PB - BMC
DO - 10.1186/s13229-026-00716-1
UR - https://doi.org/10.1186/s13229-026-00716-1
LA - en
ER -

CSL-JSON

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