麻疹病毒和人疱疹病毒-6与自闭症患者脑自身抗体的血清学关系

Vijendra K. Singh, Sheren X. Lin, Victor C. Yang
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引用次数: 181

摘要

考虑到自身免疫和自闭症的联系,在自闭症儿童中发现了髓鞘碱性蛋白(抗mbp)和神经元-轴突丝蛋白(抗nafp)的脑自身抗体。在本研究中,我们通过同时分析麻疹病毒抗体(麻疹- igg)、人疱疹病毒-6抗体(HHV-6-IgG)、抗mbp和抗nafp检测病毒血清学与自身抗体之间的关系。我们发现自闭症儿童的麻疹igg和HHV-6-IgG滴度中等偏高,但与正常对照没有显著差异。此外,我们发现绝大多数病毒血清学阳性的自闭症血清也呈脑自身抗体阳性:(i) 90%的麻疹igg阳性的自闭症血清也呈抗mbp阳性;(ii) 73%的麻疹igg阳性自闭症血清抗nafp也呈阳性;(iii) 84%的hhv -6- igg阳性自闭症患者血清抗mbp也呈阳性;(iv) 72%的hhv -6- igg阳性自闭症血清抗nafp阳性。该研究首次报道了自闭症患者的病毒血清学与脑自身抗体之间的关联;它支持了病毒诱导的自身免疫反应可能在自闭症中起因果作用的假设。
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Serological Association of Measles Virus and Human Herpesvirus-6 with Brain Autoantibodies in Autism

Considering an autoimmunity and autism connection, brain autoantibodies to myelin basic protein (anti-MBP) and neuron–axon filament protein (anti-NAFP) have been found in autistic children. In this current study, we examined associations between virus serology and autoantibody by simultaneous analysis of measles virus antibody (measles-IgG), human herpesvirus-6 antibody (HHV-6-IgG), anti-MBP, and anti-NAFP. We found that measles-IgG and HHV-6-IgG titers were moderately higher in autistic children but they did not significantly differ from normal controls. Moreover, we found that a vast majority of virus serology-positive autistic sera was also positive for brain autoantibody: (i) 90% of measles-IgG-positive autistic sera was also positive for anti-MBP; (ii) 73% of measles-IgG-positive autistic sera was also positive for anti-NAFP; (iii) 84% of HHV-6-IgG-positive autistic sera was also positive for anti-MBP; and (iv) 72% of HHV-6-IgG-positive autistic sera was also positive for anti-NAFP. This study is the first to report an association between virus serology and brain autoantibody in autism; it supports the hypothesis that a virus-induced autoimmune response may play a causal role in autism.

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