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Autism Studies and Related Medical Conditions, January 2009 - TACA

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Silva SC, Correia C, Fesel C, Barreto M, Coutinho AM, Marques C, Miguel TS, Ataide A,<br />

Bento C, Borges L, Oliveira G, Vicente AM. Autoantibody repertoires to brain tissue in<br />

autism nuclear families. J Neuroimmunol. 2004 Jul;152(1-2):176-82.<br />

Instituto Gulbenkian de Ciência, Rua da Quinta Gr<strong>and</strong>e 6, 2781-196 Oeiras,<br />

Portugal.<br />

The hypothesis of an immune dysfunction in autism spectrum disorders has<br />

previously been put forward without, however, compelling evidence of a direct<br />

relation to its etiology or pathogenesis. To further underst<strong>and</strong> if autoimmunity<br />

could play a significant role in autism, we analyzed autoantibody repertoires to<br />

brain tissue extract in the plasma of 171 autism children, their parents, <strong>and</strong> 54<br />

controls, by quantitative immunoblotting. Multiparametric analysis revealed<br />

significant differences between patients <strong>and</strong> controls, <strong>and</strong> showed that one single<br />

reactivity in Section 32 of the blot had the most power to discriminate between<br />

these samples. Family correlation coefficients <strong>and</strong> heritability estimates did not<br />

provide any evidence that this reactivity was genetically determined. While the<br />

molecular weight of the target protein suggested that it might be an isoform of<br />

Myelin Basic Protein (MBP), inhibition assays with human MBP argued against<br />

this hypothesis. The study evidences the widespread occurrence of<br />

autoreactivities to brain tissue in autism patients, which may represent the<br />

immune system's neuroprotective response to a previous brain injury occurred<br />

during neurodevelopment. The molecular identification of the target protein in<br />

Section 32 will contribute to the underst<strong>and</strong>ing of the role of immune responses<br />

against brain antigens in autistic patients.<br />

PMID: 15223250 [PubMed - indexed for MEDLINE]<br />

Singer HS, Morris CM, Williams PN, Yoon DY, Hong JJ, Zimmerman AW. Antibrain<br />

antibodies in children with autism <strong>and</strong> their unaffected siblings. J Neuroimmunol. 2006<br />

Sep;178(1-2):149-155.<br />

Department of Neurology, Johns Hopkins University School of Medicine, Jefferson<br />

Street Building 124, 600 N. Wolfe Street, Baltimore, MD 21287-1000, USA.<br />

hsinger@jhmi.edu<br />

Serum autoantibodies to human brain, identified by ELISA <strong>and</strong> Western<br />

immunoblotting, were evaluated in 29 children with autism spectrum disorder<br />

(22 with autistic disorder), 9 non-autistic siblings <strong>and</strong> 13 controls. More autistic<br />

subjects than controls had b<strong>and</strong>s at 100 kDa in caudate, putamen <strong>and</strong> prefrontal<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 257

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