Assessment & Research

Immune abnormalities in patients with autism.

Warren et al. (1986) · Journal of autism and developmental disorders 1986
★ The Verdict

Autistic kids often show quiet immune oddities that stay with them and can echo in the gut.

✓ Read this if BCBAs serving children who get frequent infections or GI complaints.
✗ Skip if Clinicians focused only on skill acquisition with medically stable clients.

01Research in Context

01

What this study did

Doctors looked at white-blood-cell tests from 31 autistic patients. They counted T-cells and checked how well the cells responded to germs.

02

What they found

Most patients had weak lymphocyte responses and odd T-cell ratios. The numbers were outside the normal lab range, but the kids did not look sick.

03

How this fits with other research

Schneider et al. (2006) later pooled many papers and still saw these immune quirks, so the 1986 picture held up.

Zhou et al. (2018) moved the lens to the gut and found high stool IgA, showing the immune story also lives in the intestines.

Miot et al. (2023) tracked adults with ASD plus ID and found that immune-gut problems cluster together for years, proving the 1986 signal lasts into adulthood.

04

Why it matters

You cannot fix immune cells with ABA, but knowing these patterns helps you read medical charts and advocate for GI or allergy work-ups when problem behavior spikes. Share the 1986 findings with the child’s doctor if frequent illness or gut issues show up. It gives the team a biologic reason to look deeper instead of blaming "autism behaviors" alone.

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Add a quick health log column for colds, diarrhea, or rashes next to your behavior data.

02At a glance

Intervention
not applicable
Design
case series
Sample size
31
Population
autism spectrum disorder
Finding
not reported

03Original abstract

We have begun an investigation on the immune systems of patients with autism in attempt to determine if immune mechanisms are involved in the development of this severe developmental disorder. A study of 31 autistic patients has revealed several immune-system abnormalities, including reduced responsiveness in the lymphocyte blastogenesis assay to phytohemagglutinin, concanavalin A, and pokeweed mitogen; decreased numbers of T lymphocytes; and an altered ratio of helper to suppressor T cells. Immune-system abnormalities may be directly related to underlying biologic processes of autism, or these changes may be an indirect reflection of the actual pathologic mechanism.

Journal of autism and developmental disorders, 1986 · doi:10.1007/BF01531729