4.7 Article

Cytokine Dynamics in Autism: Analysis of BMAC Therapy Outcomes

Journal

Publisher

MDPI
DOI: 10.3390/ijms242015080

Keywords

autism; autologous bone marrow aspirate concentrate (BMAC); cytokines; Th1; Th2

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This study investigated the changes in cytokines in the cerebrospinal fluid of autism patients before and after autologous bone marrow transplantation. The results showed significant differences in cytokine patterns and clinical outcomes, suggesting that these patterns may serve as predictive markers for clinical improvement in autism patients after transplantation.
Autism spectrum disorder (ASD) has recently been linked to neuroinflammation and an aberrant immune response within the central nervous system. The intricate relationship between immune response and ASD remains elusive, with a gap in understanding the connection between specific immune mechanisms and neural manifestations in autism. In this study, we employed a comprehensive statistical approach, fusing both overarching and granular methods to examine the concentration of 16 cytokines in the cerebrospinal fluid (CSF) across each autologous bone marrow aspirate concentrate (BMAC) intrathecal administration in 63 male and 17 female autism patients. Following a six-month period post the third administration, patients were stratified into three categories based on clinical improvement: Group 1- no/mild (28 subjects), Group 2-moderate (16 subjects), and Group 3-major improvement (15 subjects). Our integrated analysis revealed pronounced disparities in CSF cytokine patterns and clinical outcomes in autism subjects pre- and post-BMAC transplantation. Crucially, our results suggest that these cytokine profiles hold promise as predictive markers, pinpointing ASD individuals who might not exhibit notable clinical amelioration post-BMAC therapy.

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