Guest guest Posted October 16, 2008 Report Share Posted October 16, 2008 > > > > Logout of nature.com <http://www.nature.com/foxtrot/svc/logout> > > Nature Reviews Neuroscience homepage > <http://www.nature.com/nrn/index.html> > Search Advanced search > <http://www.nature.com/search/adv_search?sp-a=sp1001702d & sp-x-1=ujournal & sp-q-1=\ Nature%20Reviews%20Neuroscience> > > > Journal home <http://www.nature.com/nrn/index.html> > Archive > <http://www.nature.com/nrn/archive/> > Research Highlight > <http://www.nature.com/nrn/journal/v6/n1/index.html#rhighlts> > Full Text > > > Research Highlight > > Nature Reviews Neuroscience 6, 9 (January 2005) | doi:10.1038/nrn1598 > > > Neurological disorders: A new dimension of autism > > Jane Qiu > > A new dimension of autism > > A marked increase in the number of activated microglia (stained brown) > in the cerebellum from patients with autism (right) compared with > healthy controls (left). Courtesy of C. A. Pardo, Hopkins University. > > Autism is regarded as a developmental disorder of the nervous system — > an idea that is consistent with the gross abnormalities seen in the > brains of patients with autism. The clinical manifestation of the > disease is heterogeneous and the causes remain controversial. > Reporting in the ls of Neurology, Vargas and colleagues have added > another layer of complexity by showing that immune cells are more > active in the brains of patients with autism and cause increased > inflammation. > > Immune dysfunction has been implicated as a potential mechanism for > the pathogenesis of autism, but previous research has focused on > immunological measures made outside the brain. In this study, the > authors analysed pathological changes in brain tissues from 7 healthy > controls and 11 patients with autism. They found that, compared with > brain tissues from the healthy controls, tissues from the patients > with autism showed extensive neuroglial responses in the frontal > cortex, cingulate gyrus and cerebellum. These responses are > characterized by activation of microglia and astroglia, which are the > only immune-competent cells in the nervous system and are important in > both innate and adaptive immune responses. > > As there was no indication of lymphocyte infiltration or deposits of > immunoglobulin and complement in the brain tissues of patients with > autism, the immune activity probably reflects the neuroinflammatory > reaction associated with the central nervous system's innate immune > system. Consistent with this view, there was an increase in the > expression of inflammatory cytokines, such as macrophage > chemoattractant protein 1 (MCP1) and transforming growth factor beta1 > (TGFbeta1), in tissue samples from these regions of the brains of > patients with autism. Astroglia and, to a lesser degree, microglia, > seemed to be the main sources of cytokine production. > > These are interesting findings, but immune activity in living patients > cannot be detected in this way. The authors reasoned that if there is > an ongoing inflammatory reaction in the brains of patients with > autism, their cerebrospinal fluid (CSF) might also contain those > cytokines. They investigated the immune system of six living patients > with autism by measuring the levels of cytokines in their CSF. They > found that there was a significant increase in the levels of MCP1 and > other cytokines, such as interleukin-6 and interferon-gamma, in the > CSF of patients with autism, whereas the expression of TGFbeta1 was > comparable to that of controls. > > Whether these cytokines serve as direct effectors of injury or as > neuroprotectants to repair damage has still to be determined. However, > these findings have important implications for understanding the > pathogenesis of autism and might assist in the diagnosis of this > condition. > > > Links > > > WEB SITE > > * Pardo's laboratory <http://www.neuro.jhmi.edu/neuroimmunopath> > > Top of page > <http://www.nature.com/nrn/journal/v6/n1/full/nrn1598.html#top> > > > References and links > > > ORIGINAL RESEARCH PAPER > > 1. > > Vargas, D. L. /et al/. Neuroglial activation and > neuroinflammation in the brain of patients with autism. ls > Neurol. 15 November 2004 (10.1002/ana.20315) > > > FURTHER READING > > 1. > > Folstein, S. E. & Rosen-Sheidley, B. Genetics of autism: complex > aetiology for a heterogeneous disorder. Nature Rev. 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