Anastasescu Catalina Mihaela, Gheorman Veronica, Stoicanescu Eugen-Cristi, Popescu Florica, Gheorman Victor, Udriștoiu Ion
Mental Health Center for Children, Neuropsychiatry Hospital of Craiova, 200187 Craiova, Romania.
Department of Medical Semiology, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.
Life (Basel). 2024 Sep 22;14(9):1201. doi: 10.3390/life14091201.
Autism spectrum disorder (ASD) has seen a rise in prevalence, and the immune system's role in brain development is increasingly recognized. This study investigates the relationship between immune dysregulation and ASD by examining serum concentrations of interleukin 6 (IL-6), interleukin 8 (CXCL8), and tumor necrosis factor alpha (TNF-alpha) in children.
Serum samples from 45 children with ASD and 30 controls, aged 2 to 12 years, were analyzed using electrochemiluminescence, chemiluminescent microparticle immunoassay, and chemiluminescent immunoassay. ASD symptoms were assessed using the Autism Spectrum Rating Scale (ASRS) and Social Communication Questionnaire (SCQ).
No significant correlation was observed between CXCL8 levels and ASD. IL-6 levels showed a trend toward elevation in boys with ASD. TNF-alpha levels were significantly higher in children with ASD under 5 years compared to older children and controls, though no correlation with symptom severity was found.
TNF-alpha may be a potential biomarker for early ASD detection, especially in younger children. Further research on larger cohorts is needed to understand the role of immune dysregulation in ASD.
自闭症谱系障碍(ASD)的患病率呈上升趋势,免疫系统在大脑发育中的作用也日益受到认可。本研究通过检测儿童血清中白细胞介素6(IL-6)、白细胞介素8(CXCL8)和肿瘤坏死因子α(TNF-α)的浓度,探讨免疫失调与ASD之间的关系。
采用电化学发光、化学发光微粒子免疫分析和化学发光免疫分析方法,对45例年龄在2至12岁的ASD儿童和30例对照儿童的血清样本进行分析。使用自闭症谱系评定量表(ASRS)和社会交往问卷(SCQ)评估ASD症状。
未观察到CXCL8水平与ASD之间存在显著相关性。ASD男孩的IL-6水平呈升高趋势。与年龄较大的儿童和对照组相比,5岁以下ASD儿童的TNF-α水平显著更高,不过未发现其与症状严重程度相关。
TNF-α可能是早期ASD检测的潜在生物标志物,尤其是在年幼儿童中。需要对更大规模的队列进行进一步研究,以了解免疫失调在ASD中的作用。