Center for Aging and Associated Diseases, Helmy Institute of Medical Sciences, Zewail City of Science and Technology, Giza, Egypt.
Basic Research Department, Children's Cancer Hospital, Cairo, Egypt.
Free Radic Res. 2021 Jan;55(1):26-40. doi: 10.1080/10715762.2020.1856376. Epub 2021 Jan 6.
Mitochondrial and immune dysfunctions are often implicated in the aetiology of autism spectrum disorder (ASD). Here, we studied for the first time the relationship between ASD severity measures and mitochondrial respiratory rates in freshly isolated platelets as well as the activity of nicotinamide adenine dinucleotide phosphate (NADPH) oxidase (NOX) in isolated neutrophils. We also verified the impact of hyperbaric oxygen therapy (HBOT) on mitochondrial and immune functions as well as on ASD severity measures. Blood samples were collected from three age-matched male groups (Control (Norm-N), autistic (Aut-N), and autistic + HBOT (Aut-H); =10 per group). Using high resolution respirometry, we found that routine basal respiration, complex I- and complex I + II-dependent oxidative phosphorylation rate were significantly impaired in Aut-N platelets. Similarly, deficits in immune response of neutrophils were evidenced through lower rates of oxygen consumption and reactive oxygen species (ROS) production by phagocytic NOX. ASD-related behavioural outcomes were found to moderately correlate with platelets' mitochondrial bioenergetic parameters as well as with NOX-mediated activity in neutrophils. HBOT was not able to improve mitochondrial dysfunctions or to counteract ASD-related behavioral deficits. Although HBOT improved one measure of the immune response; namely, NOX-mediated superoxide burst, this was not associated with significant changes in trends of recurrent infections between groups. Taken together, our data suggest that ASD-associated mitochondria and immune deficits are detectable in platelets and neutrophils. We also found no evidence that HBOT confers any significant improvement of ASD-associated physiological or behavioural phenotypes.
线粒体和免疫功能障碍通常与自闭症谱系障碍（ASD）的病因有关。在这里，我们首次研究了自闭症严重程度评估与新鲜分离血小板中线粒体呼吸率以及分离中性粒细胞中烟酰胺腺嘌呤二核苷酸磷酸（NADPH）氧化酶（NOX）活性之间的关系。我们还验证了高压氧治疗（HBOT）对线粒体和免疫功能以及 ASD 严重程度评估的影响。从三个年龄匹配的男性组（对照（Norm-N）、自闭症（Aut-N）和自闭症+HBOT（Aut-H）；每组=10）采集血样。使用高分辨率呼吸测量法，我们发现 Aut-N 血小板的常规基础呼吸、复合物 I 和复合物 I+II 依赖性氧化磷酸化率显著受损。同样，通过吞噬性 NOX 的耗氧量和活性氧（ROS）产生率，中性粒细胞的免疫反应缺陷也得到了证明。发现 ASD 相关的行为结果与血小板中线粒体生物能量参数以及中性粒细胞中 NOX 介导的活性中度相关。HBOT 不能改善线粒体功能障碍或抵消 ASD 相关的行为缺陷。尽管 HBOT 改善了免疫反应的一个衡量标准，即 NOX 介导的超氧化物爆发，但这与组间复发性感染趋势的显著变化无关。总之，我们的数据表明，ASD 相关的线粒体和免疫缺陷在血小板和中性粒细胞中是可检测到的。我们也没有发现 HBOT 对 ASD 相关生理或行为表型有任何显著改善的证据。
