Assessment & Research

Behavioral correlates of maternal antibody status among children with autism.

Braunschweig et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Specific maternal antibodies that attack fetal brain tissue signal higher autism odds and lower expressive language in the child.

✓ Read this if BCBAs who assess toddlers with ASD or language delay and want prenatal red flags.
✗ Skip if Clinicians only serving adults or kids with acquired brain injury.

01Research in Context

01

What this study did

Braunschweig et al. (2012) drew blood from moms of kids with autism and moms of typical kids. They checked which moms had IgG antibodies that stuck to two fetal-brain protein bands, 37/73 kDa and 39/73 kDa.

The team then asked: do moms with those antibodies have children with worse language or more irritability?

02

What they found

Moms who reacted to 37/73 kDa were far more likely to have a child with full autism, not just broad ASD. Their kids also had lower expressive-language scores.

Reaction to 39/73 kDa was tied to any ASD label and to higher irritability scores.

03

How this fits with other research

Peters et al. (2013) ran the exact same lab test in Basque families and got the same pattern—only moms of kids with ASD showed those antibody bands. This direct replication adds confidence.

Lyall et al. (2014) widened the lens. They looked at any maternal autoimmune disease, not just these antibodies. They found a small jump in odds for developmental disorders overall, but not for ASD alone. The antibody work sharpens that picture by pointing to specific proteins.

Zhu et al. (2020) pooled data on moms with rheumatoid arthritis or lupus. Their meta-analysis also shows a small rise in ASD odds. The new detail: Daniel’s antibody test may catch risk even before a mom is diagnosed with full autoimmune disease.

04

Why it matters

You now have a blood-test clue you can watch for. If a mom carries these fetal-brain antibodies, flag her toddler for early language screening and consider extra parent training on irritability. The marker is not a verdict, but it helps you start services sooner.

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Add maternal antibody history to your intake form; if positive, push for immediate language evaluation.

02At a glance

Intervention
not applicable
Design
case control
Population
autism spectrum disorder
Finding
negative

03Original abstract

Autism spectrum disorders (ASDs) affect approximately 1 in 110 children in the United States. This report profiles fetal-brain reactive autoantibodies of a large cohort of mothers of children with autism and controls, yielding significant associations between the presence of IgG reactivity to fetal brain proteins at 37 and 73 kDa and a childhood diagnosis of full autism (p = 0.0005), which also correlated with lower expressive language scores (p = 0.005). Additionally, we report on reactivity to proteins at 39 and 73 kDa, which correlated with the broader diagnosis of ASD (p = 0.0007) and increased irritability on the Aberrant Behavioral Checklist (p = 0.05). This study provides evidence of multiple patterns of reactivity to fetal brain proteins by maternal antibodies associated with ASD and specific childhood behavioral outcomes.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1378-7