Department for Research and Development, Clinic Orto MD-Parks Dr Dragi Hospital, 21000 Novi Sad, Serbia.
Faculty of Stomatology Pancevo, University Business Academy, 26101 Pancevo, Serbia.
Int J Mol Sci. 2023 Oct 11;24(20):15080. doi: 10.3390/ijms242015080.
Autism spectrum disorder (ASD) has recently been linked to neuroinflammation and an aberrant immune response within the central nervous system. The intricate relationship between immune response and ASD remains elusive, with a gap in understanding the connection between specific immune mechanisms and neural manifestations in autism. In this study, we employed a comprehensive statistical approach, fusing both overarching and granular methods to examine the concentration of 16 cytokines in the cerebrospinal fluid (CSF) across each autologous bone marrow aspirate concentrate (BMAC) intrathecal administration in 63 male and 17 female autism patients. Following a six-month period post the third administration, patients were stratified into three categories based on clinical improvement: Group 1- no/mild (28 subjects), Group 2-moderate (16 subjects), and Group 3-major improvement (15 subjects). Our integrated analysis revealed pronounced disparities in CSF cytokine patterns and clinical outcomes in autism subjects pre- and post-BMAC transplantation. Crucially, our results suggest that these cytokine profiles hold promise as predictive markers, pinpointing ASD individuals who might not exhibit notable clinical amelioration post-BMAC therapy.
自闭症谱系障碍 (ASD) 最近与中枢神经系统内的神经炎症和异常免疫反应有关。免疫反应与 ASD 之间的复杂关系仍难以捉摸,人们对特定免疫机制与自闭症中神经表现之间的联系理解不足。在这项研究中,我们采用了一种综合的统计方法,融合了总体和细化方法,来检测 63 名男性和 17 名女性自闭症患者的每一次自体骨髓抽吸浓缩物 (BMAC) 鞘内给药后 16 种细胞因子在脑脊液 (CSF) 中的浓度。在第三次给药后的六个月后,根据临床改善情况将患者分为三组:第 1 组-无/轻度(28 名患者)、第 2 组-中度(16 名患者)和第 3 组-显著改善(15 名患者)。我们的综合分析显示,在 BMAC 移植前后,自闭症患者的 CSF 细胞因子模式和临床结果存在明显差异。重要的是,我们的结果表明,这些细胞因子谱有望成为预测标志物,指出 BMAC 治疗后可能不会出现明显临床改善的 ASD 个体。