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Cerebrospinal fluid insulin-like growth factors IGF-1 and IGF-2 in infantile autism
Raili Riikonen1, Ismo Makkonen, Raija Vanhala
1Department of Child Neurology, Kuopio University Central Hospital, Kuopio, Finland. raili.riikonen@kolumbus.fi
Insights
Low cerebrospinal fluid insulin-like growth factor-1 (IGF-1) in children with autism may indicate early pathogenesis. This finding suggests IGF-1
Area of Science:
- Neuroscience
- Developmental Biology
- Biochemistry
Background:
- Cerebral development in autism spectrum disorder (ASD) lacks comprehensive study of key biological regulators.
- Insulin-like growth factors (IGFs) play crucial roles in neural development and cell survival.
Purpose of the Study:
- To investigate concentrations of insulin-like growth factors (IGF-1 and IGF-2) in cerebrospinal fluid (CSF) of children with autism.
- To explore the relationship between CSF IGF levels, age, and head size in children with and without autism.
Main Methods:
- Radioimmunoassay was used to measure IGF-1 and IGF-2 levels in CSF samples from 25 children with autism and 16 age-matched controls.
- Statistical analyses were performed to compare IGF concentrations between groups and correlate them with age and head circumference.
Main Results:
- Children with autism exhibited significantly lower CSF IGF-1 concentrations compared to the control group, particularly those under 5 years old.
- CSF IGF-1 levels correlated with head circumference in children with autism, but not in controls.
- No significant difference in CSF IGF-2 concentrations was observed between the two groups.
Conclusions:
- Reduced early-life CSF IGF-1 may be associated with the pathogenesis of autism, potentially impacting cerebellar Purkinje cell survival.
- IGF-1 and IGF-2 may influence head growth in children with autism, as reflected by CSF concentrations.
Abstract:
There has been little exploration of major biologic regulators of cerebral development in autism. We measured insulin-like growth factors (IGF) -1 and -2 from cerebrospinal fluid (CSF) by radio immunoassay in 25 children with autism (median age 5y 5mo; range 1y 11mo-15y 10mo; 20 males, 5 females), and in 16 age-matched comparison children without disability (median age 7y 4mo; range 1y 1mo-15y 2mo; eight males, eight females). IGF-1 and -2 concentrations were further correlated with age of patients and head size. CSF IGF-1 concentration was significantly lower in patients with autism than in the comparison group. The CSF concentrations of children with autism under 5 years of age were significantly lower than their age-matched comparisons. The head circumferences correlated with CSF IGF-1 in children with autism but no such correlation was found in the comparison group. There was no difference between the two groups in CSF IGF-2 concentrations. No patients with autism had macrocephaly. We conclude that low concentrations of CSF IGF-1 at an early age might be linked with the pathogenesis in autism because IGF-1 is important for the survival of Purkinje cells of the cerebellum. The head growth might be explained by the actions of IGF-1 and -2 reflected in CSF concentrations.
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