Anti-neuronal antibodies in patients with fragile X syndrome: is there a role of autoimmunity in its pathogenesis?

Neurodegener Dis. 2015;15(1):45-9. doi: 10.1159/000369215. Epub 2014 Dec 11.

Abstract

Background: Fragile X syndrome (FXS) is a single-gene disorder with a broad spectrum of involvement, including cognitive and behavioural impairments of varying degrees with specific physical features and a strong association with autism.

Objectives: In this study, the frequency of serum anti-neural antibodies was investigated in FXS patients who did and those who did not manifest autism spectrum disorders (ASD) in comparison to typically developing controls.

Methods: The study involved 23 males (mean age, 19.78 ± 6.56 years) who harboured a full mutation in the FMR1 gene. The control group comprised 19 healthy students (mean age 24.63 ± 1.89 years). Serum anti-neuronal antibodies were analyzed using Western blotting.

Results: Serum anti-neuronal antibodies were present in 10/23 (43.48%) FXS males.

Conclusion: Serum anti-neuronal antibodies were found in a subgroup of FXS patients. Autistic symptoms in FXS may, in part, be caused by auto-immune factors. Further studies in larger patient and control groups are necessary to elucidate the aetiopathogenic role of anti-neuronal antibodies in FXS patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Anti-Idiotypic / blood*
  • Antibodies, Anti-Idiotypic / immunology
  • Antibodies, Anti-Idiotypic / physiology
  • Autoimmunity / physiology*
  • Case-Control Studies
  • Child Development Disorders, Pervasive / blood
  • Child Development Disorders, Pervasive / etiology
  • Child Development Disorders, Pervasive / immunology
  • Fragile X Mental Retardation Protein / genetics
  • Fragile X Syndrome / blood
  • Fragile X Syndrome / etiology*
  • Fragile X Syndrome / immunology*
  • Humans
  • Intellectual Disability / blood
  • Intellectual Disability / etiology
  • Intellectual Disability / immunology
  • Male
  • Mutation / genetics
  • Neurons / immunology*
  • Young Adult

Substances

  • Antibodies, Anti-Idiotypic
  • FMR1 protein, human
  • Fragile X Mental Retardation Protein