没有证据表明自闭症儿童中存在针对GAD65和其他特异性抗原的抗体

Simran Kalra , Peter D. Burbelo , Ahmad Bayat , Kathryn H. Ching , Audrey Thurm , Michael J. Iadarola , Susan E. Swedo
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引用次数: 9

摘要

自身抗体的存在已被提出作为自身免疫在自闭症中的作用的证据。本报告使用荧光素酶免疫沉淀系统(LIPS)免疫测定技术调查自闭症儿童自身抗体的患病率。一组针对几种已知和候选神经系统自身抗原、自身免疫相关自身抗原和病毒的自身抗体被采用。方法对正常发育儿童(55例)、发育迟缓无自闭症儿童(24例)和诊断为自闭症儿童(104例)进行血清学分析。检测抗谷氨酸脱羧酶-65 (GAD65)(一种被认为与自闭症相关的中枢神经系统自身抗原)、抗Ro52、胶质纤维酸性蛋白、酪氨酸羟化酶、水通道蛋白-4和γ烯醇化酶、小鼠乳腺肿瘤病毒和异嗜性小鼠白血病病毒的自身抗体。分析三组间抗体水平和血清阳性患病率的差异有统计学意义。结果绝大多数患儿(98%)血清抗原全部阴性。该队列中未检测到GAD65血清阳性儿童。在这三组的孤立儿童中发现了几种针对几种蛋白质靶点的低水平血清阳性血清,但患病率没有差异。结论使用这组抗原和一种灵敏、可靠的检测方法,在自闭症儿童中没有检测到异常免疫反应性的证据,这为自身免疫对自闭症谱系障碍发病机制中几种先前涉及的蛋白质的作用提供了证据。本报告不支持自身抗体是自闭症病理生理学的潜在原因或生物标志物的观点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

No evidence of antibodies against GAD65 and other specific antigens in children with autism

No evidence of antibodies against GAD65 and other specific antigens in children with autism

Background

The presence of autoantibodies has been proposed as evidence for a role of autoimmunity in autism. This report investigates the prevalence of autoantibodies in children with autism using the luciferase immunoprecipitation systems (LIPS) immunoassay technology. A panel of autoantibody targets against several known and candidate neurological autoantigens, autoimmune-associated autoantigens and viruses was employed.

Methods

Serological analysis was performed on typically developing children (n = 55), developmentally delayed children without autism (n = 24) and children diagnosed with autism (n = 104). Autoantibodies were measured against glutamic acid decarboxylase-65 (GAD65), a CNS autoantigen proposed to be associated with autism and against Ro52, glial fibrillary acidic protein, tyrosine hydroxylase, aquaporin-4, and gamma-enolase, the mouse mammary tumor virus and the xenotropic murine leukemia virus. Antibody levels and seropositivity prevalence were analyzed for statistically significant differences between the three groups.

Results

The majority of the children (98%) were seronegative for all targets in the antigen panel. No GAD65 seropositive children were detected in the cohort. Several low level seropositive sera against several of the protein targets were identified in isolated children in each of the three groups, but there was no difference in prevalence.

Conclusion

Using this panel of antigens and a sensitive, robust assay, no evidence of unusual immunoreactivity was detected in children with autism, providing evidence against a role of autoimmunity against several previously implicated proteins in autism spectrum disorder pathogenesis.

General significance

The idea that autoantibodies represent an underlying cause or are biomarkers for autism pathophysiology is not supported by this report.

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