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Review of Clinical Studies Targeting Inflammatory Pathways for Individuals With Autism
Sina Hafizi1, Dina Tabatabaei2, Meng-Chuan Lai3,4,5
1Department of Psychiatry, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Frontiers in Psychiatry
|December 12, 2019
Summary
Immune dysfunction is linked to autism spectrum disorder (ASD). While anti-inflammatory treatments show promise for specific ASD subgroups, more research, including large trials, is needed to confirm their effectiveness.
Area of Science:
- Neuroscience
- Immunology
- Developmental Psychology
Background:
- Autism spectrum disorder (ASD) is increasingly associated with immune dysfunction and abnormal immune responses.
- Evidence suggests a link between maternal infections during pregnancy and ASD incidence, alongside higher rates of immune-related disorders in individuals with ASD and their families.
- Neuroinflammation and atypical central nervous system immunity are implicated in ASD, potentially linking inflammatory responses to behavioral symptoms.
Purpose of the Study:
- To review current literature on interventions targeting inflammatory pathways in individuals with ASD.
- To evaluate the efficacy of these interventions in improving autism symptoms and adaptation.
Main Methods:
- Literature review of studies investigating anti-inflammatory interventions for ASD.
- Analysis of existing evidence on the impact of immune-targeted therapies on autism symptoms.
Main Results:
- Current literature on the efficacy of anti-inflammatory interventions for ASD is limited.
- Large-scale randomized controlled trials are necessary to establish robust evidence for these interventions.
- Immune-mediated mechanisms may play a role in specific ASD subsets, such as those with gastrointestinal issues or developmental regression.
Conclusions:
- The role of immune-mediated mechanisms in ASD may be specific to certain subgroups.
- Individuals with concurrent immunological disorders, developmental regression, or high irritability might benefit most from immune-targeted interventions.
- Further clinical trials focusing on these specific ASD subsets are warranted.

