Association of social and cognitive impairment and biomarkers in autism spectrum disorders
Open accessAbstract
OBJECTIVES: The neurological basis for autism is still not fully understood, and the role of the interaction between neuro-inflammation and neurotransmission impairment needs to be clearer. This study aims to test the possible association between impaired levels of gamma aminobutyric acid (GABA), serotonin, dopamine, oxytocin, and interferon-γ-induced protein-16 (IFI16) and the severity of social and cognitive dysfunctions in individuals with autism spectrum disorders. MATERIALS AND METHODS: GABA, serotonin, dopamine, oxytocin, and IFI16 as biochemical parameters related to neurochemistry and inflammation were determined in the plasma of 52 Saudi autistic male patients, categorized as mild-moderate and severe as indicated by their Childhood Autism Rating Scale (CARS) or social responsiveness scale (SRS), and compared to 30 age- and gender-matched control samples. RESULTS: The data indicated that Saudi patients with autism have remarkably impaired plasma levels of the measured parameters compared to age and gender-matched controls. While serotonin in platelet-free plasma and dopamine did not correlated with the severity in social and cognitive dysfunction, GABA, oxytocin, and IFI16 were remarkably associated with the severity of both tested scores (SRS and CARS). CONCLUSIONS: The relationship between the selected parameters confirms the role of impaired neurochemistry and neuro-inflammation in the etiology of autism spectrum disorders and the possibility of using GABA, oxytocin, and IFI16 as markers of autism severity. Receiver operating characteristic analysis together with predictiveness diagrams proved that the measured parameters could be used as predictive biomarkers of clinical symptoms and provide significant guidance for future therapeutic strategy to re-establish physiological homeostasis.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Children with ASD exhibited markedly reduced levels of both OXT and DA.
“Specifically, children with ASD exhibited markedly reduced levels of both OXT and DA.”
From Convergence of oxytocin and dopamine signalling in neuronal circuits: Insights into the neurobiology of social interactions across species (2024) · cites this paper as Alabdali et al., 2014
The decrease in OXT levels, but not DA, was strongly correlated with the severity of ASD scores in these patients.
“In addition, the decrease in OXT levels, but not DA, was strongly correlated with the severity of ASD scores in these patients.”
From Convergence of oxytocin and dopamine signalling in neuronal circuits: Insights into the neurobiology of social interactions across species (2024) · cites this paper as Alabdali et al., 2014
In a study involving boys diagnosed with ASD, significant differences were observed in their plasma levels of OXT and DA when compared with control boys.
“In a study involving boys diagnosed with ASD, significant differences were observed in their plasma levels of OXT and DA when compared with control boys (Alabdali et al., 2014).”
From Convergence of oxytocin and dopamine signalling in neuronal circuits: Insights into the neurobiology of social interactions across species (2024) · cites this paper as Alabdali et al., 2014
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 78 · Cited by 117
Research works printed but not linked: 63
- Esposito G Venuti P Analysis of toddlers’ gait after six months of independent walking to identify autism: a preliminary study Percept Mot Skills 2008 106 1 259 269 10.2466/pms.106.1.259-269 18459375 · DOI
- Lord C Rutter M le Couteur A Autism diagnostic interview-revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders J Autism Dev Disord 1994 24 5 659 685 10.1007/BF02172145 7814313 · DOI · Paper page
- Baranek G Volkmar FR, Paul R, Klin A, Cohen D Sensory and motor features in autism: assessment and intervention Handbook of Autism and Pervasive Developmental Disorders 2005 3 Hoboken NJ: John Wiley & Sons Inc 831 857
- Ozonoff S Young GS Goldring S Greiss-Hess L Herrera AM Steele J Macari S Hepburn S Rogers SJ Gross motor development, movement abnormalities, and early identification of autism J Autism Dev Disord 2008 38 4 644 656 10.1007/s10803-007-0430-0 17805956 PMC4405234 · DOI · Paper page
- Esposito G Venuti P Maestro S Muratori F An exploration of symmetry in early autism spectrum disorders: analysis of lying Brain Dev 2009 31 2 131 138 10.1016/j.braindev.2008.04.005 18534798 · DOI
- Pizzarelli R Cherubini E Alterations of GABAergic signaling in autism spectrum disorders Neural Plast 2011 Article ID 297153 21766041 PMC3134996
- Rogers SJ Vismara LA Evidence-based comprehensive treatments for early autism J Clin Child Adolesc Psychol 2008 37 8 38 10.1080/15374410701817808 18444052 PMC2943764 · DOI · Paper page
- Kałuzna-Czaplińska J Socha E Rynkowski J Determination of homovanillic acid and vanillylmandelic acid in urine of autistic children by gas chromatography/mass spectrometry Med Sci Monit 2010 16 9 445 450 20802418
- Hammock E Veenstra-VanderWeele J Yan Z Kerr TM Morris M Anderson GM Carter CS Cook EH Jacob S Examining autism spectrum disorders by biomarkers: example from the oxytocin and serotonin systems J Am Acad Child Adolesc Psychiatry 2012 51 7 712 721 10.1016/j.jaac.2012.04.010 22721594 PMC3672055 · DOI
- Anderson GM Hertzig ME McBride PA Platelet-poor plasma serotonin in autism J Autism Dev Disord 2012 42 7 1510 1514 10.1007/s10803-011-1371-1 21979109 · DOI
- El-Ansary AK Bacha AB Ayahdi LY Relationship between chronic lead toxicity and plasma neurotransmitters in autistic patients from Saudi Arabia Clin Biochem 2011 44 1116 1120 10.1016/j.clinbiochem.2011.06.982 21763301 · DOI · Paper page
- Fatemi SH Folsom TD Reutiman TJ Thuras PD Expression of GABA(B) receptors is altered in brains of subjects with autism Cerebellum 2009 8 1 64 69 10.1007/s12311-008-0075-3 19002745 PMC2732344 · DOI · Paper page
- Blatt GJ Fatemi SH Alterations in GABAergic biomarkers in the autism brain: research findings and clinical implications Anat Rec (Hoboken) 2011 294 10 1646 1652 10.1002/ar.21252 21901839 PMC3190183 · DOI
- Kubas B Kułak W Sobaniec W Tarasow E Lebkowska U Walecki J Metabolite alterations in autistic children: a 1H MR spectroscopy study Adv Med Sci 2012 57 1 152 156 22472469
- Al-Ayadhi LY Altered oxytocin and vasopressin levels in autistic children in Central Saudi Arabia Neurosciences (Riyadh) 2005 10 1 47 50 22473184
- Haroon E Raison CL Miller AH Psychoneuroimmunology meets neuropsychopharmacology: translational implications of the impact of inflammation on behavior Neuropsychopharmacology 2012 37 137 162 10.1038/npp.2011.205 21918508 PMC3238082 · DOI · Paper page
- Laurence JA Fatemi SH Glial fibrillary acidic protein is elevated in superior frontal, parietal and cerebellar cortices of autistic subjects Cerebellum 2005 4 206 210 10.1080/14734220500208846 16147953 · DOI
- Fatemi SH Folsom TD Reutiman TJ Lee S Expression of astrocytic markers aquaporin 4 and connexin 43 is altered in brains of subjects with autism Synapse 2008 62 501 507 10.1002/syn.20519 18435417 PMC2697054 · DOI
- Müller N Schwarz MJ The immune-mediated alteration of serotonin and glutamate: towards an integrated view of depression Mol Psychiatry 2007 12 988 1000 10.1038/sj.mp.4002006 17457312 · DOI · Paper page
- Pacheco R Gallart T Lluis C Franco R Role of glutamate on T-cell mediated immunity J Neuroimmunol 2007 185 9 19 10.1016/j.jneuroim.2007.01.003 17303252 · DOI
- Coghlan S Horder J Inkster B Mendez MA Murphy DG Nutt DJ GABA system dysfunction in autism and related disorders: From synapse to symptoms Neurosci Biobehav Rev 2012 36 2044 2055 10.1016/j.neubiorev.2012.07.005 22841562 PMC4477717 · DOI
- Hussman JP Suppressed GABAergic inhibition as a common factor in suspected etiologies of autism J Autism Dev Disord 2001 31 2 247 248 10.1023/A:1010715619091 11450824 · DOI · Paper page
- Fatemi SH Folsom TD Kneeland RE Liesch SB Metabotropic glutamate receptor 5 upregulation in children with autism is associated with underexpression of both Fragile X mental retardation protein and GABAA receptor beta 3 in adults with autism Anat Rec (Hoboken) 2011 294 10 1635 1645 10.1002/ar.21299 21901840 PMC3177171 · DOI · Paper page
- Singh VK Plasma increase of interleukin-12 and interferon-gamma: pathological significance in autism J Neuroimmunol 1996 66 143 145 10.1016/0165-5728(96)00014-8 8964908 · DOI
- El-Ansary A Ben Bacha AG Al-Ayadhi LY Proinflammatory and proapoptotic markers in relation to mono and di-cations in plasma of autistic patients from Saudi Arabia J Neuroinflammation 2011 8 142 10.1186/1742-2094-8-142 21999440 PMC3213048 · DOI
- Wei H Alberts I Li X Brain IL-6 and autism Neuroscience 2013 252 12 N 320 325 23994594
- El-Ansary A Al-Ayadhi LY Neuroinflammation in autism spectrum disorders J Neuroinflammation 2012 9 265 10.1186/1742-2094-9-265 23231720 PMC3549857 · DOI
- Boehm U Klamp T Groot M Howard JC Cellular responses to interferon-gamma Annu Rev Immunol 1997 15 749 795 10.1146/annurev.immunol.15.1.749 9143706 · DOI · Paper page
- Mick KA Diagnosing Autism: Comparison of the Childhood Autism Rating Scale (CARS) and the Autism Diagnostic Observation Schedule (ADOS).PhD Dissertation 2005 Kansas: Wichita State University
- Constantino JN Davis SA Todd RD Schindler MK Gross MM Brophy SL Metzger LM Shoushtari CS Splinter R Reich W Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised J Autism Dev Disord 2003 33 427 433 10.1023/A:1025014929212 12959421 · DOI · Paper page
- Hye A Lynham S Thambisetty M Causevic M Campbell J Byers HL Hooper C Rijsdijk F Tabrizi SJ Banner S Shaw CE Foy C Poppe M Archer N Hamilton G Powell J Brown RG Sham P Ward M Lovestone S Proteome-based plasma biomarkers for Alzheimer’s disease Brain 2006 129 3042 3050 10.1093/brain/awl279 17071923 · DOI
- Enticott PG Kennedy HA Rinehart NJ Tonge BJ Bradshaw JL Fitzgerald PB GABAergic activity in autism spectrum disorders: an investigation of cortical inhibition via transcranial magnetic stimulation Neuropharmacology 2013 68 202 209 22727823
- Blatt GJ The neuropathology of autism Scientifica (Cairo) 2012 2012 703675 24278731 PMC3820437
- Mendez MA Horder J Myers J Coghlan S Stokes P Erritzoe D Howes O Lingford-Hughes A Murphy D Nutt D The brain GABA-benzodiazepine receptor alpha-5 subtype in autism spectrum disorder: a pilot [(11)C]Ro15-4513 positron emission tomography study Neuropharmacology 2013 68 195 201 22546616 PMC4489617
- DeLorey TM Handforth A Anagnostaras SG Homanics GE Minassian BA Asatourian A Fanselow MS Delgado-Escueta A Ellison GD Olsen RW Mice lacking the beta3 subunit of the GABAA receptor have the epilepsy phenotype and many of the behavioral characteristics of Angelman syndrome J Neurosci 1998 18 20 8505 8514 9763493 PMC6792844
- Colas D Chuluun B Warrier D Blank M Wetmore DZ Buckmaster P Garner CC Heller HC Short-term treatment with the GABAA receptor antagonist pentylenetetrazole produces a sustained pro-cognitive benefit in a mouse model of Down’s syndrome Br J Pharmacol 2013 169 5 963 973 10.1111/bph.12169 23489250 PMC3696321 · DOI
- Meneses A 5-HT systems: emergent targets for memory formation and memory alterations Rev Neurosci 2013 24 6 629 664 24259245
- Spivak B Golubchik P Mozes T Vered Y Nechmad A Weizman A Strous RD Low platelet-poor plasma levels of serotonin in adult autistic patients Neuropsychobiology 2004 50 2 157 160 10.1159/000079108 15292671 · DOI
- Mostafa GA Al-Ayadhi LY A lack of association between hyperserotonemia and the increased frequency of serum anti-myelin basic protein auto-antibodies in autistic children J Neuroinflammation 2011 22 8 71 21696608 PMC3142225
- Connors SL Zimmerman AW Prenatal β2-adrenergic receptor signaling and autism: dysmaturation and retained fetal function Autism Current Theories and Evidence 2008 Totowa: Humana Press 147 182
- Gorton GE Swirsky-Sacchetti T Sobel R Samuel S Gordon A Avraham C Neuropsychology of childhood mental disorders: interaction of phenomenological, neurobiological, and neuropsychological findings Assessment of Neuropsychological Functions in Psychiatric Disorders 1999 Washington DC: American Psychiatric Press 135 233
- Kuperman S Beeghly JH Burns TL Tsai LY Association of serotonin concentration to behavior and IQ in autistic children J Autism Dev Disord 1987 17 1 133 140 10.1007/BF01487265 3571137 · DOI
- Gillberg C Svennerholm L CSF monoamines in autistic syndromes and other pervasive developmental disorders of early childhood Br J Psychiatry 1987 151 89 94 10.1192/bjp.151.1.89 2445409 · DOI
- Toda Y Mori K Hashimoto T Miyazaki M Nozaki S Watanabe Y Kuroda Y Kagami S Administration of secretin for autism alters dopamine metabolism in the central nervous system Brain Dev 2006 28 99 103 10.1016/j.braindev.2005.05.005 16168596 · DOI
- Previc FH Prenatal influences on brain dopamine and their relevance to the rising incidence of autism Medical Hypotheses 2007 68 46 60 10.1016/j.mehy.2006.06.041 16959433 · DOI
- Narayan M Srinath S Anderson GM Meundi DB Cerebrospinal fluid levels of homovanillic acid and 5-hydroxyindoleacetic acid in autism Biol Psychiatry 1993 33 8–9 630 635 7687150
- Field T Diego M Hernandez-Reif M Figueiredo B Deeds O Ascencio A Schanberg S Cynthia Kuhn Prenatal dopamine and neonatal behavior and biochemistry Infant Behav Dev 2008 31 590 593 10.1016/j.infbeh.2008.07.007 18774177 PMC2610266 · DOI
- Akil M Kolachana BS Rothmond DA Hyde TM Weinberger DR Kleinman JE Catechol-O-methyltransferase genotype and dopamine regulation in the human brain J Neurosci 2003 23 6 2008 2013 12657658 PMC6742018
- Schouwenburg MV Aarts E Cools R Dopaminergic modulation of cognitive control: distinct roles for the prefrontal cortex and the basal ganglia Curr Pharm Des 2010 16 2026 2032 10.2174/138161210791293097 20370667 · DOI
- Hamilton PJ Campbell NG Sharma S Erreger K Herborg Hansen F Saunders C Belovich AN Sahai MA Cook EH Gether U McHaourab HS Matthies HJ Sutcliffe JS Galli A NIH ARRA Autism Sequencing Consortium De novo mutation in the dopamine transporter gene associates dopamine dysfunction with autism spectrum disorder Mol Psychiatry 2013 18 1315 1323 10.1038/mp.2013.102 23979605 PMC4046646 · DOI
- Kaufman S Friedman S Dopamine β-hydroxylase Pharmacol Rev 1965 17 71 100 14294032
- Elston RC Namboodiri KK Hames CG Segregation and linkage analyses of dopamine-β-hydroxylase activity Hum Hered 1979 29 284 292 10.1159/000153059 489028 · DOI
- Robinson PD Schutz CK Macciardi F White BN Holden JJA Genetically determined low maternal serum dopamine β-hydroxylase levels and the etiology of autism spectrum disorders Am J Med Genet 2001 100 30 36 10.1002/ajmg.1187 11337745 · DOI
- Green L Fein D Modahl C Feinstein C Waterhouse L Morris M Oxytocin and autistic disorder: alterations in peptide forms Biol Psychiatry 2001 50 8 609 613 10.1016/S0006-3223(01)01139-8 11690596 · DOI · Paper page
- Cao Y Wu R Tai F Zhang X Yu P An X Qiao X Hao P Neonatal paternal deprivation impairs social recognition and alters levels of oxytocin and estrogen receptor α mRNA expression in the MeA and NAcc, and serum oxytocin in mandarin voles Horm Behav 2014 6 57 65 24291055
- Lukas M Neumann ID Oxytocin and vasopressin in rodent behaviors related to social dysfunctions in autism spectrum disorders Behav Brain Res 2013 251 85 94 22981649
- Hoge EA Pollack MH Kaufman RE Zak PJ Simon NM Oxytocin levels in social anxiety disorder CNS Neurosci Ther 2008 14 3 165 170 10.1111/j.1755-5949.2008.00051.x 18801109 PMC6494012 · DOI
- Borden EC Gene regulation and clinical roles for interferons in neoplastic diseases Oncologist 1998 3 198 203 10388104
- Garcia-Sastre A Biron CA Type I interferons and the virus-host relationship: a lesson in détente Science 2006 312 879 882 10.1126/science.1125676 16690858 · DOI
- Conrady CD Zheng M Mandal NA van Rooijen N Carr DJ IFN-α-driven CCL2 production recruits inflammatory monocytes to infection site in mice Mucosal Immunol 2013 6 1 45 55 10.1038/mi.2012.46 22692455 PMC3449026 · DOI
- Santana-de Anda K Gómez-Martín D Soto-Solís R Alcocer-Varela J Plasmacytoid dendritic cells: key players in viral infections and autoimmune diseases Semin Arthritis Rheum 2013 43 1 131 136 10.1016/j.semarthrit.2012.12.026 23462050 · DOI
- Gugliesi F Mondini M Ravera R Robotti A de Andrea M Gribaudo G Gariglio M Landolfo S Up-regulation of the interferon-inducible IFI16 gene by oxidative stress triggers p53 transcriptional activity in endothelial cells J LeukocBiol 2005 77 5 820 829 15728246
- Malik M Tauqeer Z Sheikh AM Wen G Nagori A Yang K Brown WT Li X NF-κB signaling in the brain of autistic subjects Mediators Inflamm 2011 Article ID 785265 22046080 PMC3199189
- Authors
- Alabdali, A., Al-Ayadhi, L., & El-Ansary, A.
- Affiliations
- King Saud University (SA)
- Corresponding author
- El-Ansary, Afaf
- Venue
- Journal of Neuroinflammation
- Published
- 2014-01-08
- Volume
- 11
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1742-2094 (ISSN-L)
- PMC
- PMC3896747
- OpenAlex
- W1992353280
- Cited by
- 117
- References
- 78
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 8 · 2023: 6 · 2022: 9 · 2021: 7 · 2020: 12 · 2019: 8 · 2018: 16 · 2017: 11 · 2016: 15 · 2015: 8 · 2014: 4 · 2013: 1
- FWCI
- 7.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Neuroinflammation (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- King Saud University
- King Abdulaziz City for Science and Technology
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Social Sciences › Psychology › Social Psychology › Neuroendocrine regulation and behavior
- Keywords
- autism spectrum disorder, social dysfunction, cognitive impairment, biomarkers, GABA, serotonin, dopamine, oxytocin, IFI16, neuroinflammation, neurochemistry, autism severity, plasma biomarkers
- MeSH terms
- Child, Child Development Disorders, Pervasive, Child, Preschool, Cognition Disorders, Enzyme-Linked Immunosorbent Assay, Humans, Male, Oxytocin, Statistics as Topic, Biomarkers, Neurotransmitter Agents, Area Under Curve, Mitochondrial Proteins
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review