Autism Studies and Related Medical Conditions, January 2009 - TACA

autism had a significantly lower percentage of cells expressing CD3 and CD26,
suggesting that they had lower T-cell numbers than their siblings. In conclusion,
this study failed to replicate the findings of others and questions the validity of
the opioid peptide excess theory for the cause of autism.
Jass, J. R. (2005). "The intestinal lesion of autistic spectrum disorder." Eur J
Gastroenterol Hepatol 17(8): 821-2.
This editorial briefly reviews the significance of lymphoid nodular hyperplasia in
the intestinal tract of children with autistic spectrum disorder. The distinction
between physiological and pathological lymphoid hyperplasia of the intestinal
tract is of importance in the context of a possible causative link with autism. A
primary intestinal lesion may occur as part of the broad spectrum of
immunological disorders to which autistic children are prone. This could result in
increased intestinal permeability to peptides of dietary origin which may then
lead to disruption of neuroregulatory mechanisms required for normal brain
development. Alternatively, there could be a primary defect in the translocation
and processing of factors derived from the intestinal lumen. These possibilities
deserve further investigation and should not be lost in the fog of the controversy
regarding the role of measles/mumps/rubella vaccination in the aetiology of
autistic spectrum disorder.
Jyonouchi, H., L. Geng, et al. (2005). "Evaluation of an association between
gastrointestinal symptoms and cytokine production against common dietary proteins in
children with autism spectrum disorders." J Pediatr 146(5): 605-10.
OBJECTIVE: To evaluate an association between cytokine production with
common dietary proteins as a marker of non-allergic food hypersensitivity (NFH)
and gastrointestinal (GI) symptoms in young children with autism spectrum
disorders (ASD). STUDY DESIGN: Peripheral blood mononuclear cells (PBMCs)
were obtained from 109 ASD children with or without GI symptoms (GI [+] ASD,
N = 75 and GI (-) ASD, N = 34], from children with NFH (N = 15), and control
subjects (N = 19). Diarrhea and constipation were the major GI symptoms. We
measured production of type 1 T-helper cells (Th1), type 2 T-helper cells (Th2),
and regulatory cytokines by PBMCs stimulated with whole cow's milk protein
(CMP), its major components (casein, beta-lactoglobulin, and alphalactoalbumin),
gliadin, and soy. RESULTS: PBMCs obtained from GI (+) ASD
children produced more tumor necrosis factor-alpha (TNF-alpha)/interleukin-12
(IL-12) than those obtained from control subjects with CMP, beta-lactoglobulin,
and alpha-lactoalbumin, irrespective of objective GI symptoms. They also
produced more TNF-alpha with gliadin, which was more frequently observed in
the group with loose stools. PBMCs obtained from GI (-) ASD children produced
more TNF-alpha/IL-12 with CMP than those from control subjects, but not with
beta-lactoglobulin, alpha-lactoalbumin, or gliadin. Cytokine production with
casein and soy were unremarkable. CONCLUSION: A high prevalence of elevated
TNF-alpha/IL-12 production by GI (+) ASD PBMCs with CMP and its major
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