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September 26, 2016
Researchers Explore Causes of Autism

Could a mother’s autoimmune response increase her child’s risk of developing autism? A team of researchers at the Feinstein Institute for Medical Research hopes to find out, with the help of a $3-million research grant from the National Institutes of Health. 

The two-year grant

awarded to Feinstein researchers Dr. Betty Diamond and Dr. Peter Gregersen is part of a larger effort to identify the combination of genetic and environmental risk factors that might predispose a child to autism. 

“We know that there’s a genetic component and we know that there’s an environmental component, and we know that the mother confers most of the environmental component,” Diamond said. “We’re very interested in environmental components because the incidence of autism is increasing and so that’s probably not due to genetics; that’s due to probably something environmental.” 

Autism spectrum disorder is a group of complex disorders that affect neurodevelopment. The latest issue of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes autistic disorder, Asperger’s syndrome and pervasive developmental disorder within the autism spectrum disorders. 

Data from the Autism and Developmental Disabilities Monitoring Network released by the Centers for Disease Control has shown that autism rates are rising. In 2002, one in 150 children were diagnosed with ASD, in 2012 that number had risen to one in 68, or 14.6 percent of the population. 

The award is part of
the NIH Environmental Influences on Child Health Outcomes Program. On Sept. 21, the NIH announced awards of more than $150 million for research into
environmental influences on child health from conception through early
childhood. 

The Feinstein Institute, which is located in Manhasset, New York, is one of the pediatric cohorts that will analyze existing data and follow children over time to address the environmental origins of identified health outcome areas: upper and lower airway, obesity, neurodevelopment and prenatal, perinatal and postnatal outcomes. 

In their earlier research, Diamond and Gregersen found that
the antibodies in patients with systemic lupus, a difficult-to-diagnose
autoimmune disorder, could alter brain development in a fetus. That research
led them to the question of whether other disorders, including autism, might also be
impacted by maternal antibodies.

“We did some studies of this question and showed that, in
fact, women who have a child with autism spectrum disorder are more likely to
have [these] antibodies,” Diamond said.

Diamond and Gregersen’s new study will take blood tests of 4,500
pregnant women and then follow them for two years after their delivery at
Northwell Health Hospitals in New York. The goal is to identify the presences
of autoimmune diseases and what effects related antibodies might have on the
child.

According to the CDC, autism can be diagnosed in children as
early as age 2, but most children are not diagnosed until age 4.

Diamond is hopeful that some of the
assessments they’re doing may shed light on diseases outside the autism
spectrum as well. “I think that that may help understand more than neurodevelopmental disorders; it may help understand food allergies, asthma. These
parameters in the mother may be involved in lots of different outcomes for the
child.”

 

Members of the pediatric cohort are set to
meet in November. Diamond said the study should begin soon after.

 

If their research uncovers an antibody that
contributes to autism, the next step will be to find a way to ameliorate its
effects.

 

“Our hope is that we could develop a sort
of decoy antigen that we could give the mother that would sponge up the antibodies
and never get to the fetus,” Diamond said.

 

Additional research would have to identify
any potential health risks for the mother. “It’s always a slow process,”
Diamond said.

 

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