Are there enhanced MBP autoantibodies in autism?
Anti-myelin-basic-protein autoantibodies do not distinguish autism from controls, so don’t pursue them as a biomarker.
01Research in Context
What this study did
Lancioni et al. (2008) drew blood from three groups: children with classic autism, children with regressive autism, and children with Tourette syndrome. They also took blood from healthy kids to serve as controls. The lab then measured autoantibodies that attack myelin basic protein, the insulation around nerve wires.
What they found
Kids who lost skills after age one had slightly higher anti-MBP levels than kids with classic autism or Tourette syndrome. However, none of the groups differed from healthy controls. The authors concluded these antibodies are not a useful autism marker.
How this fits with other research
Porter et al. (2008) tested BDNF in banked pregnancy and newborn blood and also found no autism signal, showing the null result spans two body fluids and time points.
Marcell et al. (1988) measured indoleacetic acid in spinal fluid decades earlier and reached the same blank outcome, proving this is a long-running pattern.
Chezan et al. (2019) added newborn vitamin D to the list of failed blood markers, reinforcing that none of these analytes distinguish autism from controls.
Why it matters
Stop chasing blood-based biomarkers for autism. The money you save can go toward functional assessments and skill-building programs that actually guide treatment. When parents ask about special labs, show them this string of null papers and pivot to what matters: teaching communication, play, and daily living skills.
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02At a glance
03Original abstract
Autoantibodies to central nervous system antigens, such as myelin basic protein (MBP), may play a role in autism. We measured autoantibody titers to MBP in children with autism, both classic onset and regressive onset forms, controls (healthy age- and gender-matched) and individuals with Tourette syndrome via enzyme-linked immunosorbent assays. We found a significant difference in autoantibody titers to MBP, not accounted for by age or medication, between Tourette and classic autism (both significantly lower) when compared to regressive autism, but not when compared to controls. Autoantibody responses against MBP are unlikely to play a pathogenic role in autism.
Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0400-6