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Effects of Infliximab in a Propionic Acid-Induced Experimental Autism Rat Model.
Nur Akman1, Ahmet Ufuk Kömüroğlu2, Salih Çibuk2
1Department of Midwifery, Faculty of Health Sciences, Van Yuzuncu Yil University, 65080 Van, Türkiye.
Biomedicines
|May 4, 2026
Summary
Infliximab treatment for experimental autism spectrum disorder (ASD) did not improve behavior despite reducing tumor necrosis factor-alpha (TNF-α). This suggests TNF-α blockade alone is insufficient for treating neurodevelopmental disorders.
Area of Science:
- Neuroscience
- Immunology
- Developmental Biology
Background:
- Autism spectrum disorder (ASD) is linked to neuroinflammation and altered neurotrophic factors.
- Tumor necrosis factor-alpha (TNF-α) is implicated in ASD, but its blockade effects on neurodevelopment are unclear.
Purpose of the Study:
- To investigate the impact of infliximab (IFX), an anti-TNF-α antibody, on behavioral outcomes, neuroinflammation, and brain-derived neurotrophic factor (BDNF) signaling in an experimental ASD rat model.
- To assess the effects of TNF-α blockade on cytokine-neurotrophin interactions during neurodevelopment.
Main Methods:
- Propionic acid (PPA) induced an ASD model in rats.
- Behavioral tests (Morris Water Maze, social interaction) assessed cognitive and social deficits.
- Cytokine (TNF-α, IL-1β, IL-6) and BDNF levels were measured; glial activation was assessed via immunohistochemistry.
Main Results:
- PPA-induced ASD rats showed learning, memory, and social impairments with elevated cytokines and BDNF.
- IFX treatment reduced TNF-α but failed to improve behavior.
- IFX was associated with persistent IL-1β/IL-6 elevation, sustained glial activation, and altered BDNF levels.
Conclusions:
- Single-agent TNF-α blockade does not normalize the neuroimmune-neurotrophic axis in experimental ASD.
- Non-selective TNF-α blockade during development may not yield behavioral benefits and can alter BDNF signaling.
- Targeting cytokine-BDNF interactions is crucial for developing effective immunomodulatory strategies for neurodevelopmental disorders.

