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Autism Studies and Related Medical Conditions, January 2009 - TACA

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In seeking the neurologic substrate of the autistic syndrome of childhood,<br />

previous studies have implicated the medial temporal lobe or the ring of<br />

mesolimbic cortex located in the mesial frontal <strong>and</strong> temporal lobes. During an<br />

acute encephalopathic illness, a clinical picture developed in three children that<br />

was consistent with infantile autism. This development was reversible. It was<br />

differentiated from acquired epileptic aphasia, <strong>and</strong> the language disorder was<br />

differentiated aphasia. One child has rises in serum herpes simplex titers, <strong>and</strong> a<br />

computerized tomographic (CT) scan revealed an extensive lesion of the<br />

temporal lobes, predominantly on the left. The other two, with similar clinical<br />

syndromes, had normal CT scans, <strong>and</strong> no etiologic agent was defined. These<br />

cases are examples of an acquired <strong>and</strong> reversible autistic syndrome in childhood,<br />

emphasizing the clinical similarities to bilateral medial temporal lobe disease as<br />

described in man, including the Klüver-Bucy syndrome seen in postencephalitic<br />

as well as postsurgical states.<br />

PMID: 6162440 [PubMed - indexed for MEDLINE]<br />

Denney DR, Frei BW, Gaffney GR. Lymphocyte subsets <strong>and</strong> interleukin-2 receptors in<br />

autistic children. J <strong>Autism</strong> Dev Disord. 1996 Feb;26(1):87-97.<br />

Department of Psychology, University of Kansas, Lawrence 66045, USA.<br />

Blood samples were obtained from 10 male autistic children ages 7-15 years <strong>and</strong><br />

10 age-matched, male, healthy controls. Lymphocyte subsets (helper-inducer,<br />

suppressor-cytotoxic, total T, <strong>and</strong> total B cells) were enumerated using<br />

monoclonal antibodies <strong>and</strong> flow cytometry. Bound <strong>and</strong> soluble interleukin-2<br />

receptors were assayed in unstimulated blood samples <strong>and</strong> in cell cultures<br />

following 72-hour stimulation with phytohemagglutinin. The children with autism<br />

had a lower percentage of helper-inducer cells <strong>and</strong> a lower helper:suppressor<br />

ratio, with both measures inversely related to the severity of autistic symptoms (r<br />

= - .56 <strong>and</strong> - .68, respectively). A lower percentage of lymphocytes expressing<br />

bound interleukin-2 receptors following mitogenic stimulation was also noted,<br />

<strong>and</strong> this too was inversely related to the severity of autistic symptoms.<br />

PMID: 8819772 [PubMed - indexed for MEDLINE]<br />

Engstrom HA, Ohlson S, Stubbs EG, Maciulis A, Caldwell V, Odell JD, Torres A.R.<br />

Decreased Expression of CD95 (FAS/APO-1) on CD4+ T-lymphocytes from Participants<br />

with <strong>Autism</strong>. J Dev Phys Disabil. 2003 Jun 15;2:155-163(9).<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 240

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