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BDNF in ASD

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Biol Psychiatry. 2006 Feb 15;59(4):354-63. Epub 2005 Sep 21.

Brain-derived neurotrophic factor and autoantibodies to neural antigens in

sera of children with autistic spectrum disorders, Landau-Kleffner syndrome, and

epilepsy.

Connolly AM, Chez M, Streif EM, Keeling RM, Golumbek PT, Kwon JM, Riviello JJ,

RG, Neuman RJ, Deuel RM.

Department of Neurology and Pediatrics, Washington University School of

Medicine, St. Louis, Missouri 63110, USA.

BACKGROUND: Brain derived neurotrophic factor (BDNF) elevation in newborn sera

predicts intellectual/social developmental abnormalities. Other autoantibodies

(AAs) to endothelial cells (ECs) and myelin basic protein (MBP) are also

elevated in some children. We tested relationships between BDNF, BDNF AAs, and

other AAs in children with these disorders. METHODS: BDNF levels and IgG/IgM

autoantibodies to BDNF, ECs, MBP, and histones were measured in children with

autism, childhood disintegrative disorder (CDD), pervasive developmental

delay-not otherwise specified (PDD-nos), acquired epilepsy, Landau-Kleffner

syndrome (LKS); healthy children (HC), and children with non-neurological

illnesses (NNI). RESULTS: Mean BDNF levels were elevated in children with autism

and CDD, (p < or = 0.0002) compared to HC or NNI. Mean IgG and IgM BDNF AAs were

elevated in children with autism, CDD and epilepsy (p < or = 0.0005) compared to

HC but not to NNI. Mean IgM AA EC titers detected by immunocytochemistry were

higher in autism, PDD-NOS, epilepsy, and LKS (p < or = 0.005) compared to HC and

NNI. While mean ELISA IgG EC AAs were higher in autism and PPD-NOS (p < 0.005)

compared to HC but not NNI, ELISA IgM EC AAs were higher in children with

autism, CDD, PDD-NOS, and epilepsy compared to both HC and NNI (p < 0.0005).

Mean anti-MBP IgG and IgM titers were higher in all study groups (p < 0.005)

except for LKS compared to both HC and NNI. CONCLUSION: Children with

developmental disorders and epilepsy have higher AAs to several neural antigens

compared to controls.. The presence of both BDNF AAs and elevated BDNF levels in

some children with autism and CDD suggests a previously unrecognized interaction

between the immune system and BDNF.

PMID: 16181614 [PubMed - in process]

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