Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder

Autism spectrum disorders (ASD) are a group of neurodevelopmental disorders characterised by impairments in communication, social interaction, and the presence of restrictive and repetitive behaviours. Over the past decade, most of the research in ASD has focused on the contribution of genetics, wit...

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Main Authors: Davide Ravaccia, Taravat Ghafourian
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/8/12/557
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author Davide Ravaccia
Taravat Ghafourian
author_facet Davide Ravaccia
Taravat Ghafourian
author_sort Davide Ravaccia
collection DOAJ
description Autism spectrum disorders (ASD) are a group of neurodevelopmental disorders characterised by impairments in communication, social interaction, and the presence of restrictive and repetitive behaviours. Over the past decade, most of the research in ASD has focused on the contribution of genetics, with the identification of a variety of different genes and mutations. However, the vast heterogeneity in clinical presentations associated with this disorder suggests that environmental factors may be involved, acting as a “second hit” in already genetically susceptible individuals. To this regard, emerging evidence points towards a role for maternal immune system dysfunctions. This literature review considered evidence from epidemiological studies and aimed to discuss the pathological relevance of the maternal immune system in ASD by looking at the proposed mechanisms by which it alters the prenatal environment. In particular, this review focuses on the effects of maternal immune activation (MIA) by looking at foetal brain-reactive antibodies, cytokines and the microbiome. Despite the arguments presented here that strongly implicate MIA in the pathophysiology of ASD, further research is needed to fully understand the precise mechanisms by which they alter brain structure and behaviour. Overall, this review has not only shown the importance of the maternal immune system as a risk factor for ASD, but more importantly, has highlighted new promising pathways to target for the discovery of novel therapeutic interventions for the treatment of such a life-changing disorder.
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spelling doaj.art-dd18f2b2f480499fab9b3b66282563872023-11-20T23:05:02ZengMDPI AGBiomedicines2227-90592020-12-0181255710.3390/biomedicines8120557Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum DisorderDavide Ravaccia0Taravat Ghafourian1Brighton and Sussex Medical School, University of Sussex, Brighton, East Sussex BN1 9PX, UKDepartment of Biochemistry and Biomedicine, School of Life Sciences, University of Sussex, Falmer, Brighton BN1 9QG, UKAutism spectrum disorders (ASD) are a group of neurodevelopmental disorders characterised by impairments in communication, social interaction, and the presence of restrictive and repetitive behaviours. Over the past decade, most of the research in ASD has focused on the contribution of genetics, with the identification of a variety of different genes and mutations. However, the vast heterogeneity in clinical presentations associated with this disorder suggests that environmental factors may be involved, acting as a “second hit” in already genetically susceptible individuals. To this regard, emerging evidence points towards a role for maternal immune system dysfunctions. This literature review considered evidence from epidemiological studies and aimed to discuss the pathological relevance of the maternal immune system in ASD by looking at the proposed mechanisms by which it alters the prenatal environment. In particular, this review focuses on the effects of maternal immune activation (MIA) by looking at foetal brain-reactive antibodies, cytokines and the microbiome. Despite the arguments presented here that strongly implicate MIA in the pathophysiology of ASD, further research is needed to fully understand the precise mechanisms by which they alter brain structure and behaviour. Overall, this review has not only shown the importance of the maternal immune system as a risk factor for ASD, but more importantly, has highlighted new promising pathways to target for the discovery of novel therapeutic interventions for the treatment of such a life-changing disorder.https://www.mdpi.com/2227-9059/8/12/557ASDautismimmune systembrain developmentcytokinesantibodies
spellingShingle Davide Ravaccia
Taravat Ghafourian
Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder
Biomedicines
ASD
autism
immune system
brain development
cytokines
antibodies
title Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder
title_full Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder
title_fullStr Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder
title_full_unstemmed Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder
title_short Critical Role of the Maternal Immune System in the Pathogenesis of Autism Spectrum Disorder
title_sort critical role of the maternal immune system in the pathogenesis of autism spectrum disorder
topic ASD
autism
immune system
brain development
cytokines
antibodies
url https://www.mdpi.com/2227-9059/8/12/557
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