Sponheim Eili, Myhre Anne Margrethe, Reichelt Karl Ludvig, Aalen Odd O
Senter for psykisk helse-barn og unge Kvinne-Barn-Divisjonen, Ullevål universitetssykehus, Sogn senter for barne- og ungdomspsykiatri, Postboks 26 Vinderen, 0319 Oslo.
Tidsskr Nor Laegeforen. 2006 May 25;126(11):1475-7.
Autism is a severe developmental disorder. The condition is probably not homogenous. Elevated urine peptides have been found in individuals affected by autism spectrum disorders. This finding may be explained by characteristics of the samples studied. Autistic children without mental retardation (high-functioning autism) or mild mental retardation may represent a more homogenous group among those suffering from autism spectrum disorders. The purpose of this study is to compare urine peptide patterns in this group of patients with healthy controls. This has never been done before.
Urine from the first miction was frozen immediately in order to inhibit bacterial growth and enzymatic degeneration. Peptides from the urine samples were later analysed by high pressure liquid chromatography (HPLC).
No significant differences in urine peptide values were found between the autism spectrum disorders group and the controls. There was an age dependent decrease in peptides, with values decreasing with the age of the child. Three individuals in the autism group (17%) and one in the familiar control group (0.05%) had high levels of urine peptides. No one in the same age non-familiar control group had elevated levels of urine peptides.
This study shows that high-functioning autism cannot be identified by the urine peptide pattern.
自闭症是一种严重的发育障碍。这种病症可能并非单一类型。在自闭症谱系障碍患者中发现尿肽水平升高。这一发现可能由所研究样本的特性来解释。无智力障碍的自闭症儿童(高功能自闭症)或轻度智力障碍儿童可能在自闭症谱系障碍患者中代表一个更具同质性的群体。本研究的目的是比较该组患者与健康对照者的尿肽谱。此前从未进行过此类研究。
首次晨尿立即冷冻以抑制细菌生长和酶促降解。随后通过高压液相色谱(HPLC)分析尿样中的肽。
自闭症谱系障碍组与对照组之间的尿肽值未发现显著差异。肽水平随年龄呈依赖性下降,数值随儿童年龄增长而降低。自闭症组中有3人(17%)和亲属对照组中有1人(0.05%)尿肽水平较高。同年龄非亲属对照组中无人尿肽水平升高。
本研究表明,高功能自闭症无法通过尿肽谱来识别。