Assessment & Research

Brief report: plasma leptin levels are elevated in autism: association with early onset phenotype?

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

Early-onset autism shows high plasma leptin, adding one more measurable biological clue.

✓ Read this if BCBAs assessing young children with autism who want biological context for case formulation.
✗ Skip if Clinicians focused only on skill acquisition with no interest in biomarkers.

01Research in Context

01

What this study did

Probst et al. (2008) drew blood from kids with autism and from kids without. They checked leptin levels in the plasma. Leptin is a hormone that tells the brain when the stomach is full.

The team looked at two autism groups: early-onset and later-onset. They wanted to know if timing changed the result.

02

What they found

Children with early-onset autism had much higher leptin than typical peers. The later-onset group also showed higher levels, but the jump was biggest in the early-onset kids.

The finding points to a possible blood marker for a specific autism subtype.

03

How this fits with other research

The result lines up with older plasma work. Davison et al. (1984) saw cyclic AMP double in autism. Aldred et al. (2003) found high amino acids in autistic children and their parents. Each study flags a different molecule, but all show autistic plasma looks different.

Hu et al. (2018) and Siniscalco et al. (2012) add immune pieces. They report high cytokines and high caspase in autistic kids. Leptin is also immune-linked, so the plasma pattern keeps growing.

Schneider et al. (2006) review shows one-third of autistic kids have high serotonin. No contradiction here: leptin, serotonin, and immune signals can all be high at once. Together they build a picture of wide biochemical change, not a single cause.

04

Why it matters

You cannot treat leptin yet, but you can track it. High leptin may nudge you to check diet, sleep, or weight gain in early-onset clients. Share the number with the child's doctor; it may guide further metabolic screening. Keep watching for follow-up studies that link this marker to intervention response.

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Flag any child with early-onset autism and rapid weight gain; ask the pediatrician to check plasma leptin.

02At a glance

Intervention
not applicable
Design
other
Sample size
169
Population
autism spectrum disorder, neurotypical, developmental delay
Finding
positive

03Original abstract

There is evidence of both immune dysregulation and autoimmune phenomena in children with autism spectrum disorders (ASD). We examined the hormone/cytokine leptin in 70 children diagnosed with autism (including 37 with regression) compared with 99 age-matched controls including 50 typically developing (TD) controls, 26 siblings without autism, and 23 children with developmental disabilities (DD). Children with autism had significantly higher plasma leptin levels compared with TD controls (p<.006). When further sub-classified into regression or early onset autism, children with early onset autism had significantly higher plasma leptin levels compared with children with regressive autism (p<.042), TD controls (p<.0015), and DD controls (p<.004). We demonstrated an increase in leptin levels in autism, a finding driven by the early onset group.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-006-0353-1