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Autism Studies and Related Medical Conditions, January 2009 - TACA

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Chlamydia pneumoniae <strong>and</strong> Streptococcus group A." J Neuroimmunol 129(1-2): 168-<br />

77.<br />

We measured autoantibodies against nine different neuron-specific antigens <strong>and</strong><br />

three cross-reactive peptides in the sera of autistic subjects <strong>and</strong> healthy controls<br />

by means of enzyme-linked immunosorbent assay (ELISA) testing. The antigens<br />

were myelin basic protein (MBP), myelin-associated glycoprotein (MAG),<br />

ganglioside (GM1), sulfatide (SULF), chondroitin sulfate (CONSO4), myelin<br />

oligodendrocyte glycoprotein (MOG), alpha,beta-crystallin (alpha,beta-CRYS),<br />

neurofilament proteins (NAFP), tubulin <strong>and</strong> three cross-reactive peptides,<br />

Chlamydia pneumoniae (CPP), streptococcal M protein (STM6P) <strong>and</strong> milk<br />

butyrophilin (BTN). Autistic children showed the highest levels of IgG, IgM <strong>and</strong><br />

IgA antibodies against all neurologic antigens as well as the three cross-reactive<br />

peptides. These antibodies are specific because immune absorption<br />

demonstrated that only neuron-specific antigens or their cross-reactive epitopes<br />

could significantly reduce antibody levels. These antibodies may have been<br />

synthesized as a result of an alteration in the blood-brain barrier. This barrier<br />

promotes access of preexisting T-cells <strong>and</strong> central nervous system antigens to<br />

immunocompetent cells, which may start a vicious cycle. These results suggest a<br />

mechanism by which bacterial infections <strong>and</strong> milk antigens may modulate<br />

autoimmune responses in autism.<br />

Vojdani, A., T. O'Bryan, et al. (2004). "Immune response to dietary proteins, gliadin <strong>and</strong><br />

cerebellar peptides in children with autism." Nutr Neurosci 7(3): 151-61.<br />

The mechanisms behind autoimmune reaction to nervous system antigens in<br />

autism are not understood. We assessed the reactivity of sera from 50 autism<br />

patients <strong>and</strong> 50 healthy controls to specific peptides from gliadin <strong>and</strong> the<br />

cerebellum. A significant percentage of autism patients showed elevations in<br />

antibodies against gliadin <strong>and</strong> cerebellar peptides simultaneously. For examining<br />

cross-reaction between dietary proteins <strong>and</strong> cerebellar antigens, antibodies were<br />

prepared in rabbits, <strong>and</strong> binding of rabbit anti-gliadin, anti-cerebellar peptides,<br />

anti-MBP, anti-milk, anti-egg, anti-soy <strong>and</strong> anti-corn to either gliadin- or<br />

cerebellar-antigen-coated wells was measured. In comparison to anti-gliadin<br />

peptide binding to gliadin peptide at 100%, the reaction of anti-cerebellar<br />

peptide to gliadin peptide was 22%, whereas the binding of anti-myelin basic<br />

protein (MBP), anti-milk, anti-egg <strong>and</strong> anti-soy to gliadin was less than 10%.<br />

Further examination of rabbit anti-gliadin (EQVPLVQQ) <strong>and</strong> anti-cerebellar<br />

(EDVPLLED) 8 amino acid (AA) peptides with human serum albumin (HSA) <strong>and</strong><br />

an unrelated peptide showed no binding, but the reaction of these antibodies<br />

with both the cerebellar <strong>and</strong> gliadin peptides was greater than 60%. This crossreaction<br />

was further confirmed by DOT-immunoblot <strong>and</strong> inhibition studies. We<br />

conclude that a subgroup of patients with autism produce antibodies against<br />

Purkinje cells <strong>and</strong> gliadin peptides, which may be responsible for some of the<br />

neurological symptoms in autism.<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 33

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