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自闭症谱系障碍患儿母亲中抗神经元抗体和8-羟基脱氧鸟苷的评估:一项病例对照研究。

Evaluation of antineuronal antibodies and 8-OHdG in mothers of children with autism spectrum disorder: a case-control study.

作者信息

Bilgen Ulgar Şermin, Ayaydın Hamza, Çelik Hakim, Koyuncu İsmail, Kirmit Adnan

机构信息

Department of Child and Adolescent Psychiatry, Ankara Bilkent City Hospital, Ankara, Turkey.

Department of Child and Adolescent Psychiatry, School of Medicine, Harran University, Şanlıurfa, Turkey.

出版信息

Int J Psychiatry Clin Pract. 2022 Sep;26(3):244-250. doi: 10.1080/13651501.2021.1993925. Epub 2021 Oct 24.

Abstract

OBJECTIVE

The purpose of our study was to investigated the anti-Yo, anti-Hu, anti-Ri, anti-amphiphysin antibody levels and 8-OHdG in mothers of children with autism.

METHODS

This study included 60 participants, 33 of whom were healthy mothers of 3-12-year-old children diagnosed with autism spectrum disorder (ASD) and the 27 others who constituted the control group, were healthy mothers with age-matched healthy children. Two groups were examined for plasma anti-Yo, anti-Hu, anti-amphiphysin and anti-Ri antibodies and, 8-OHdG levels. The participants were asked to accomplish a sociodemographic data form. The severity of ASD symptoms was evaluated according to the Childhood Autism Rating Scale (CARS).

RESULTS

Anti-amphiphysin antibody levels and anti-Ri antibody positivity were significantly higher in the case group ( = 0.001;  = 0.027, respectively). The two groups did not significantly differ in terms of anti-Yo and anti-Hu antibody levels and in terms of 8-OHdG levels ( = 0.065;  = 0.099;  = 0.490, respectively). The two groups did not significantly differ in terms of sociodemographic data ( > 0.05).

CONCLUSIONS

According to the our study, maternal antineuronal antibodies, such as anti-amphiphysin and anti-Ri, may contribute to the risk of childhood autism. Studies with larger samples are needed.KEY POINTSMaternal factors associated with autism should be investigated in order to create early diagnosis and treatment opportunities for autism.Based on the importance of immunological and cerebellar pathologies in autism aetiology, we aimed to investigate antineuronal antibodies in mothers of children with autism.Maternal antineuronal antibodies, such as anti-amphiphysin and anti-Ri, may contribute to the risk of childhood autism.High anti-amphiphysin antibody levels in mothers of children with autism may also occur against the amphiphysin in the structure of the SrGAP3 gene, which is associated with autism.

摘要

目的

本研究旨在调查自闭症儿童母亲体内抗Yo、抗Hu、抗Ri、抗 amphiphysin抗体水平及8-羟基脱氧鸟苷(8-OHdG)水平。

方法

本研究纳入60名参与者,其中33名是3至12岁被诊断为自闭症谱系障碍(ASD)儿童的健康母亲,另外27名作为对照组,是年龄匹配的健康儿童的健康母亲。对两组进行血浆抗Yo、抗Hu、抗 amphiphysin和抗Ri抗体以及8-OHdG水平检测。参与者被要求填写一份社会人口学数据表格。根据儿童自闭症评定量表(CARS)评估ASD症状的严重程度。

结果

病例组抗 amphiphysin抗体水平和抗Ri抗体阳性率显著更高(分别为P = 0.001;P = 0.027)。两组在抗Yo和抗Hu抗体水平以及8-OHdG水平方面无显著差异(分别为P = 0.065;P = 0.099;P = 0.490)。两组在社会人口学数据方面无显著差异(P>0.05)。

结论

根据我们的研究,母亲体内的抗神经元抗体,如抗 amphiphysin和抗Ri,可能会增加儿童患自闭症的风险。需要进行更大样本量的研究。要点为了为自闭症创造早期诊断和治疗机会,应研究与自闭症相关的母亲因素。基于免疫和小脑病理在自闭症病因学中的重要性,我们旨在调查自闭症儿童母亲体内的抗神经元抗体。母亲体内的抗神经元抗体,如抗 amphiphysin和抗Ri,可能会增加儿童患自闭症的风险。自闭症儿童母亲体内高抗 amphiphysin抗体水平也可能是针对与自闭症相关的SrGAP3基因结构中的 amphiphysin产生的。

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