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Rita Businaro1, Mariangela Corsi2, Gabriella Azzara3

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Interleukin-18 (IL-18) levels are dysregulated in autism spectrum disorder (ASD), showing decreased serum levels in patients and increased brain levels in a mouse model. Further research is needed to explore IL-18 as a potential ASD biomarker.

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Area of Science:

  • Neuroscience
  • Immunology
  • Genetics

Background:

  • Autism spectrum disorder (ASD) is a neurodevelopmental condition with unknown etiology, though neuroinflammation is implicated.
  • Pro-inflammatory cytokines, including interleukin-18 (IL-18), are suspected to play a role in ASD pathogenesis.
  • Previous studies suggest cytokine imbalance in both serum and brain tissue of individuals with ASD.

Purpose of the Study:

  • To investigate the potential dysregulation of IL-18 in the serum of ASD patients across different severity grades.
  • To analyze IL-18 levels in postmortem brain samples from patients with tuberous sclerosis and inflammatory diseases, and in a mouse model of autism (Reeler mice).
  • To quantify IL-18 and its binding protein (IL-18BP) in the serum and brain of Reeler mice.

Main Methods:

  • Serum IL-18 levels were quantified using enzyme-linked immunosorbent assay (ELISA).
  • Immunohistochemistry was employed to localize IL-18 in brain sections from patients and mice.
  • Western blotting was used to determine IL-18 and IL-18BP levels in brain homogenates and plasma.

Main Results:

  • Serum IL-18 levels were significantly decreased in ASD patients compared to healthy controls and in Reeler mice compared to wild-type controls.
  • IL-18 was detected in glial cells and neurons in the brains of patients with tuberous sclerosis and encephalitis, with only weak glial staining in controls.
  • Western blot analysis revealed higher IL-18 and IL-18BP concentrations in the brains of Reeler mice compared to wild-type littermates, while plasma IL-18BP levels showed no significant difference.

Conclusions:

  • Interleukin-18 (IL-18) exhibits dysregulation in autism spectrum disorder (ASD), with decreased serum levels and increased brain levels observed.
  • Further research is required to elucidate the molecular mechanisms underlying IL-18 alterations in ASD.
  • Investigating IL-18 as a potential predictive biomarker for ASD, possibly in conjunction with other markers like BDNF, warrants larger cohort studies.