Assessment & Research

Are there enhanced MBP autoantibodies in autism?

Libbey et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

Anti-myelin-basic-protein autoantibodies do not distinguish autism from controls, so don’t pursue them as a biomarker.

✓ Read this if BCBAs who field parent questions about special blood tests or biological causes.
✗ Skip if Clinicians already focused on behavior-based assessment and intervention.

01Research in Context

01

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.

02

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.

03

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.

04

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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When a parent mentions MBP or other antibody tests, share the null findings and redirect to a preference assessment or baseline data collection.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder, tourette syndrome
Finding
mixed

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