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. 2023 Sep 20;16:1201744. doi: 10.3389/fnmol.2023.1201744

Figure 1.

Figure 1

Highlights of sAPPa pathway and putative biochemical mechanism leading to Macrocephaly. Inflammation, infection, and toxins are among the triggers of α-secretase, which are members of the ADAM (A Disintegrin And Metalloprotease domain) family expressed on the surfaces of cells. Cleavage of APP by α-secretase results in the generation of large extracellular sAPPα. ADAM 10 is essential for Notch signaling. Aberrant signaling of the ERK/MAPK pathway may lead to white matter brain overgrowth in ASD. This includes Interleukin 1-beta (IL1β), Endothelial growth factor (EGF) and receptor (EGFR), and Tumor Necrosis Factor-alpha (TNFα,). which are elevated in ASD. External stressors, such as lipopolysaccharide (LPS) and reactive oxidizing species (ROS), generated by oxidative stress, have been connected to ASD. Perturbation of the ERK/MAPK pathway, by a number of causes, can stimulate the ADAM enzymes. ADAMs cleave APP at the α-secretase site, producing sAPPα. They are also required for EGFR signaling and they stimulate NOTCH activity.