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Anti-Yo Antibodies in Children With ADHD: First Results About Serum Cytokines
Renato Donfrancesco1, Paola Nativio2, Angela Di Benedetto1
1Ospedale Sandro Pertini, Rome, Italy.
Insights
Attention-deficit/hyperactivity disorder (ADHD) children with anti-Yo antibodies showed higher levels of inflammatory cytokines, specifically Interleukin-6 (IL-6) and Interleukin-10 (IL-10). This suggests a link between immune system activity and ADHD.
Area of Science:
- Neuroimmunology
- Pediatric Neurology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder.
- The role of immune system dysregulation, including inflammation and autoantibodies, in ADHD is an emerging area of research.
Purpose of the Study:
- To investigate the association between anti-Yo antibodies, pro-inflammatory activity, and serum cytokine levels in children with ADHD.
- To compare cytokine profiles in ADHD children positive for anti-Yo antibodies versus healthy controls negative for these antibodies.
Main Methods:
- A case-control study comparing 58 ADHD outpatients with 36 healthy children.
- Measurement of serum levels for Interleukin-4 (IL-4), IL-6, IL-10, IL-17, tumor necrosis factor alpha (TNFα), and interferon gamma (IFNγ).
- Testing for the presence of anti-Yo antibodies in both groups.
Main Results:
- Anti-Yo antibodies were significantly more prevalent in the ADHD group (77.58%) compared to controls (22.42%).
- ADHD children positive for anti-Yo antibodies exhibited significantly higher serum levels of IL-6 and IL-10 compared to controls.
- No significant differences were reported for other tested cytokines.
Conclusions:
- Immune system processes, particularly inflammation mediated by cytokines, are likely implicated in ADHD.
- These findings contribute to understanding the interplay between neural antibodies, cytokines, and the pathophysiology of ADHD.
Abstract:
Objective: We investigated whether ADHD children who are positive to Purkinje cell antibodies display pro-inflammatory activity associated with high cytokine serum levels. Method: Fifty-eight ADHD outpatients were compared with 36 healthy, age- and sex-matched children. Forty-five of the ADHD children were positive to anti-Yo antibodies, whereas 34 of the control children were negative. Interleukin 4 (IL-4), IL-6, IL-10, IL-17, tumor necrosis factor alpha (TNFα), and interferon gamma (IFNγ) cytokine serum levels were tested in ADHD children who were positive to anti-Yo antibodies and in the control children who were negative. Results: Anti-Yo antibodies were present to a greater extent in the ADHD group: 77.58% versus 22.42%. Significant differences emerged between the two groups in IL-6 and IL-10, with higher cytokine levels being detected in ADHD children than in controls. Conclusion: Immune processes in ADHD are likely to be associated with mediators of inflammation, such as cytokines. These results contribute to our understanding of action of neural antibodies and cytokines in ADHD.
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