Skip to main content
Log in

Behavioral Correlates of Maternal Antibody Status Among Children with Autism

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Autism spectrum disorders (ASDs) affect approximately 1 in 110 children in the United States. This report profiles fetal-brain reactive autoantibodies of a large cohort of mothers of children with autism and controls, yielding significant associations between the presence of IgG reactivity to fetal brain proteins at 37 and 73 kDa and a childhood diagnosis of full autism (p = 0.0005), which also correlated with lower expressive language scores (p = 0.005). Additionally, we report on reactivity to proteins at 39 and 73 kDa, which correlated with the broader diagnosis of ASD (p = 0.0007) and increased irritability on the Aberrant Behavioral Checklist (p = 0.05). This study provides evidence of multiple patterns of reactivity to fetal brain proteins by maternal antibodies associated with ASD and specific childhood behavioral outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Abrahams, B. S., & Geschwind, D. H. (2008). Advances in autism genetics: On the threshold of a new neurobiology. Nature Reviews Genetics, 9(5), 341–355.

    Article  PubMed  Google Scholar 

  • APA. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV text revision. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Atladottir, H. O., Pedersen, M. G., Thorsen, P., Mortensen, P. B., Deleuran, B., Eaton, W. W., et al. (2009). Association of family history of autoimmune diseases and autism spectrum disorders. Pediatrics, 124(2), 687–694.

    Article  PubMed  Google Scholar 

  • Boulanger, L. M., & Shatz, C. J. (2004). Immune signalling in neural development, synaptic plasticity and disease. Nature Reviews Neuroscience, 5(7), 521–531.

    Article  PubMed  Google Scholar 

  • Braunschweig, D., Ashwood, P., Krakowiak, P., Hertz-Picciotto, I., Hansen, R., Croen, L. A., et al. (2008). Autism: Maternally derived antibodies specific for fetal brain proteins. Neurotoxicology, 29(2), 226–231.

    PubMed  Google Scholar 

  • Cabanlit, M., Wills, S., Goines, P., Ashwood, P., & Van de Water, J. (2007). Brain-specific autoantibodies in the plasma of subjects with autistic spectrum disorder. Annals of the New York Academy of Sciences, 1107, 92–103.

    Article  PubMed  Google Scholar 

  • Croen, L. A., Braunschweig, D., Haapanen, L., Yoshida, C. K., Fireman, B., Grether, J. K., et al. (2008). Maternal mid-pregnancy autoantibodies to fetal brain protein: The early markers for autism study. Biological Psychiatry, 64(7), 583–588.

    Article  PubMed  Google Scholar 

  • Dalton, P., Deacon, R., Blamire, A., Pike, M., McKinlay, I., Stein, J., et al. (2003). Maternal neuronal antibodies associated with autism and a language disorder. Annals of Neurology, 53(4), 533–537.

    Article  PubMed  Google Scholar 

  • Edinburgh. (2000). www.cgmh.org.tw/intr/intr1/c0040/web/C/Declaration%20of%20Helsinki.pdf.

  • Garty, B. Z., Ludomirsky, A., Danon, Y. L., Peter, J. B., & Douglas, S. D. (1994). Placental transfer of immunoglobulin G subclasses. Clinical and Diagnostic Laboratory Immunology, 1(6), 667–669.

    PubMed  Google Scholar 

  • Hansen, R. L., Ozonoff, S., Krakowiak, P., Angkustsiri, K., Jones, C., Deprey, L. J., et al. (2008). Regression in autism: Prevalence and associated factors in the CHARGE Study. Ambulatory Pediatrics, 8(1), 25–31.

    Article  PubMed  Google Scholar 

  • Harris, N. L., Spoerri, I., Schopfer, J. F., Nembrini, C., Merky, P., Massacand, J., et al. (2006). Mechanisms of neonatal mucosal antibody protection. Journal of Immunology, 177(9), 6256–6262.

    Google Scholar 

  • Hertz-Picciotto, I., Croen, L. A., Hansen, R., Jones, C. R., van de Water, J., & Pessah, I. N. (2006). The CHARGE study: An epidemiologic investigation of genetic and environmental factors contributing to autism. Environmental Health Perspectives, 114(7), 1119–1125.

    Article  PubMed  Google Scholar 

  • Joseph, R. M., Tager-Flusberg, H., & Lord, C. (2002). Cognitive profiles and social-communicative functioning in children with autism spectrum disorder. Journal of Child Psychology and Psychiatry, 43(6), 807–821.

    Article  PubMed  Google Scholar 

  • Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., et al. (2009). Prevalence of Parent-Reported Diagnosis of Autism Spectrum Disorder Among Children in the US, 2007. Pediatrics.

  • Kvetny, J., & Poulsen, H. (2006). Transient hyperthyroxinemia in newborns from women with autoimmune thyroid disease and raised levels of thyroid peroxidase antibodies. The Journal of Maternal-Fetal & Neonatal Medicine, 19(12), 817–822.

    Google Scholar 

  • Lee, J. Y., Huerta, P. T., Zhang, J., Kowal, C., Bertini, E., Volpe, B. T., et al. (2009). Neurotoxic autoantibodies mediate congenital cortical impairment of offspring in maternal lupus. Nature Medicine, 15, 91–96.

    Article  PubMed  Google Scholar 

  • Lord, C., Pickles, A., McLennan, J., Rutter, M., Bregman, J., Folstein, S., et al. (1997). Diagnosing autism: Analyses of data from the autism diagnostic interview. Journal of Autism and Developmental Disorders, 27(5), 501–517.

    Article  PubMed  Google Scholar 

  • Malek, A., Sager, R., Kuhn, P., Nicolaides, K. H., & Schneider, H. (1996). Evolution of maternofetal transport of immunoglobulins during human pregnancy. American Journal of Reproductive Immunology, 36(5), 248–255.

    Article  PubMed  Google Scholar 

  • Martin, L. A., Ashwood, P., Braunschweig, D., Cabanlit, M., Van de Water, J., & Amaral, D. G. (2008). Stereotypies and hyperactivity in rhesus monkeys exposed to IgG from mothers of children with autism. Brain, Behavior, and Immunity, 22(6), 806–816.

    Article  PubMed  Google Scholar 

  • Mullen, E. (Ed.). (1995). Mullen scale of early learning. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Simister, N. E. (2003). Placental transport of immunoglobulin G. Vaccine, 21(24), 3365–3369.

    Article  PubMed  Google Scholar 

  • Singer, H. S., Morris, C. M., Gause, C. D., Gillin, P. K., Crawford, S., & Zimmerman, A. W. (2008). Antibodies against fetal brain in sera of mothers with autistic children. Journal of Neuroimmunology, 194(1–2), 165–172.

    Article  PubMed  Google Scholar 

  • Singer, H. S., Morris, C., Gause, C., Pollard, M., Zimmerman, A. W., & Pletnikov, M. (2009). Prenatal exposure to antibodies from mothers of children with autism produces neurobehavioral alterations: A pregnant dam mouse model. Journal of Neuroimmunology, 211(1–2), 39–48.

    Article  PubMed  Google Scholar 

  • Sparrow, S. B., Balla, D. A., & Cicchetti, D. V. (1984). Vineland adaptive behavior scales survey form manual. Circle Pines, MN: American Guidance Service.

    Google Scholar 

  • Steinhausen, H. C., & Erdin, A. (1992). Abnormal psychosocial situations and ICD-10 diagnoses in children and adolescents attending a psychiatric service. Journal of Child Psychology and Psychiatry, 33(4), 731–740.

    Article  PubMed  Google Scholar 

  • Stevens, B., Allen, N. J., Vazquez, L. E., Howell, G. R., Christopherson, K. S., Nouri, N., et al. (2007). The classical complement cascade mediates CNS synapse elimination. Cell, 131(6), 1164–1178.

    Article  PubMed  Google Scholar 

  • Taniai, H., Nishiyama, T., Miyachi, T., Imaeda, M., & Sumi, S. (2008). Genetic influences on the broad spectrum of autism: Study of proband-ascertained twins. American Journal of Medical Genetics. Part B, Neuropsychiatric Genetics, 147B(6), 844–849.

    Article  Google Scholar 

  • Tincani, A., Rebaioli, C. B., Taglietti, M., & Shoenfeld, Y. (2006). Heart involvement in systemic lupus erythematosus anti-phospholipid syndrome and neonatal lupus. Rheumatology (Oxford), 454, iv8–iv13.

    Article  Google Scholar 

  • Warren, R. P., Cole, P., Odell, J. D., Pingree, C. B., Warren, W. L., White, E., et al. (1990). Detection of maternal antibodies in infantile autism. Journal of the American Academy of Child and Adolescent Psychiatry, 29(6), 873–877.

    Article  PubMed  Google Scholar 

  • WHO. (1992). ICD-10: International statistical calssification of diseases and related health problems, 10th Revision. Geneva: World Health Organization.

    Google Scholar 

  • Zimmerman, A. W., Connors, S. L., Matteson, K. J., Lee, L. C., Singer, H. S., Castaneda, J. A., et al. (2007). Maternal antibrain antibodies in autism. Brain, Behavior, and Immunity, 21(3), 351–357.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to gratefully acknowledge their funding sources for this work: NIEHS 1 P01 ES11269-01, the U.S. Environmental Protection Agency (U.S. EPA) through the Science to Achieve Results (STAR) program (Grant R829388), the UC Davis M.I.N.D. Institute.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Judy Van de Water.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Braunschweig, D., Duncanson, P., Boyce, R. et al. Behavioral Correlates of Maternal Antibody Status Among Children with Autism. J Autism Dev Disord 42, 1435–1445 (2012). https://doi.org/10.1007/s10803-011-1378-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-011-1378-7

Keywords

Navigation