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Measles vaccination and antibody response in autism spectrum disorders
G Baird1, A Pickles, E Simonoff
1Newcomen Centre for Child Development, Guy's & St Thomas' NHS Foundation Trust, London, UK. gillian.baird@gstt.nhs.uk
Objective:
To test the hypothesis that measles vaccination was involved in the pathogenesis of autism spectrum disorders (ASD) as evidenced by signs of a persistent measles infection or abnormally persistent immune response shown by circulating measles virus or raised antibody titres in children with ASD who had been vaccinated against measles, mumps and rubella (MMR) compared with controls.
Design:
Case-control study, community based.
Methods:
A community sample of vaccinated children aged 10-12 years in the UK with ASD (n = 98) and two control groups of similar age, one with special educational needs but no ASD (n = 52) and one typically developing group (n = 90), were tested for measles virus and antibody response to measles in the serum.
Results:
No difference was found between cases and controls for measles antibody response. There was no dose-response relationship between autism symptoms and antibody concentrations. Measles virus nucleic acid was amplified by reverse transcriptase-PCR in peripheral blood mononuclear cells from one patient with autism and two typically developing children. There was no evidence of a differential response to measles virus or the measles component of the MMR in children with ASD, with or without regression, and controls who had either one or two doses of MMR. Only one child from the control group had clinical symptoms of possible enterocolitis.
Conclusion:
No association between measles vaccination and ASD was shown.
Insights
This study found no link between measles vaccination and autism spectrum disorders (ASD). Researchers found no evidence of persistent measles infection or abnormal immune responses in vaccinated children with ASD compared to controls.
Area of Science:
- Immunology
- Neurodevelopmental Disorders
- Vaccinology
Background:
- Concerns persist regarding a potential link between measles vaccination and autism spectrum disorders (ASD).
- Investigating persistent measles virus infection or immune responses in vaccinated children with ASD is crucial.
Purpose of the Study:
- To investigate the hypothesis that measles vaccination contributes to the pathogenesis of ASD.
- To compare measles virus presence and antibody responses in vaccinated children with ASD versus control groups.
Main Methods:
- A community-based, case-control study involving 98 children with ASD and 142 controls (aged 10-12 years) in the UK.
- Serum samples were analyzed for measles virus nucleic acid and measles-specific antibody titers.
- Reverse transcriptase-polymerase chain reaction (RT-PCR) was used to detect measles virus RNA.
Main Results:
- No significant differences in measles antibody response were observed between children with ASD and control groups.
- Measles virus RNA was detected in a small number of children in both ASD and control groups, with no differential pattern.
- No association was found between measles vaccination (one or two doses of MMR) and ASD, even in children with regression.
Conclusions:
- The study provides no evidence to support an association between measles vaccination and the development of autism spectrum disorders.
- Findings do not indicate a role for persistent measles infection or altered immune responses following vaccination in ASD pathogenesis.
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