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Elevated Plasma Reelin Levels in Children With Autism
Inmaculada Cuchillo-Ibáñez1,2, Patricia Andreo-Lillo3, Lorena Pastor-Ferrándiz3
1Instituto de Neurociencias de Alicante, Department of Molecular Neurobiology and Neuropathology, Universidad Miguel Hernández-CSIC, Sant Joan d'Alacant, Spain.
Frontiers in Psychiatry
|April 16, 2020
Summary
High plasma reelin levels may indicate a distinct subgroup of children with autism spectrum disorder (ASD). This finding, previously unnoticed, suggests a potential difference in pathophysiology for some individuals with ASD.
Area of Science:
- Neuroscience
- Genetics
- Developmental Biology
Background:
- Autism spectrum disorder (ASD) involves complex neurodevelopmental processes with age-dependent gene dysregulation.
- Reelin, a key glycoprotein in brain development, has shown altered levels in adults and children with ASD, but its role in childhood ASD remains unclear.
- Previous studies reported conflicting reelin expression levels in children with ASD, necessitating further investigation.
Purpose of the Study:
- To investigate and compare plasma reelin levels in children diagnosed with autism spectrum disorder (ASD) and neurotypical children (non-ASD).
- To clarify the role of reelin expression during the developmental stages of ASD.
- To identify potential correlations between reelin levels and clinical presentations in childhood ASD.
Main Methods:
- Plasma samples were collected from 19 non-ASD children and 40 children with ASD, with age-matched comparisons.
- Plasma reelin levels were quantified and analyzed between the two groups.
- Statistical analyses were performed to determine significant differences and potential associations.
Main Results:
- Fifty percent of children with ASD exhibited plasma reelin levels comparable to non-ASD controls.
- The remaining 50% of children with ASD showed significantly elevated plasma reelin levels, exceeding non-ASD levels by over 30-fold.
- Male children with ASD demonstrated higher reelin levels compared to female children with ASD, irrespective of clinical presentation, epilepsy, or ADHD.
Conclusions:
- Elevated plasma reelin levels represent a potential biomarker in a previously unrecognized subset of children with ASD.
- The findings suggest a possible distinct pathophysiology or transient reelin fluctuations in this subgroup of ASD.
- Further research is warranted to elucidate the implications of these reelin level variations in ASD.

