학술논문

Pilot Study of Maternal Autoantibody–Related Autism
Document Type
article
Source
Journal of Developmental and Behavioral Pediatrics. 43(8)
Subject
Reproductive Medicine
Biomedical and Clinical Sciences
Behavioral and Social Science
Pediatric Research Initiative
Brain Disorders
Pediatric
Autism
Mental Health
Clinical Research
Intellectual and Developmental Disabilities (IDD)
Mental health
Adult
Autism Spectrum Disorder
Autistic Disorder
Autoantibodies
Child
Child
Preschool
Female
Humans
Mothers
Pilot Projects
autism
maternal autoantibodies
antifetal brain autoantibodies
immune
prenatal and perinatal risk factors
Medical and Health Sciences
Psychology and Cognitive Sciences
Developmental & Child Psychology
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
ObjectiveThe objective of this study was to investigate the presence of maternal autoantibody-related autism spectrum disorder (MAR-ASD) in 2 geographically distinct DBPNet clinical sites (Pennsylvania and Arkansas). MAR-ASD is a biologically defined subtype of ASD that is defined by the presence of autoantibodies specific to proteins in the fetal brain and present in approximately 20% of a Northern California sample but has not been studied in other states.MethodsSixty-eight mothers of children with ASD were recruited from 2 DBPNet clinics and provided blood samples. Mothers also completed behavioral questionnaires about their children, and data from the child's clinical diagnostic assessment were abstracted.ResultsThe mean age of mothers was 38.5 ± 6.1 years, and the mean age of children was 8.3 ± 2.7 years. MAR-ASD was present in 24% of the sample and similar across sites. Children of +MAR mothers had more severe autism symptoms as measured by Autism Diagnostic Observation Schedule comparison scores (W = 3604; p < 0.001) and the Social Communication Questionnaire (W = 4556; p < 0.001). There were no differences in IQ, adaptive function, or aberrant behavior.ConclusionMAR-ASD is a subtype of autism that is present in similar frequencies across 3 states and related to autism severity.