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The Janus face of NK cells in neurodevelopment.

Trends in immunology2026

Bian Qiwu, Fu Binqing

What this study means for families

This research review looks at how immune system cells called NK cells might contribute to autism development. When mothers experience infections or inflammation during pregnancy, it may activate these immune cells in ways that affect brain development in their babies. The researchers suggest that NK cells work with brain immune cells to potentially increase autism risk, though exactly how this happens isn't fully understood yet.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This review examines the role of natural killer (NK) cells in neurodevelopmental disorders, particularly autism spectrum disorder. The authors explore how maternal immune activation during pregnancy may contribute to autism risk through NK cell dysfunction. The review synthesizes evidence from clinical studies and animal models, highlighting microglia as a central component in immune-mediated neurodevelopmental changes. The authors propose that aberrant NK cell activation may contribute to autism pathogenesis through interactions with brain immune cells, though the specific mechanisms remain unclear.

The review calls for further research to understand NK cell-microglia interactions to inform future preventive and therapeutic approaches.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Maternal immune activation during pregnancy is associated with increased risk of neurodevelopmental disorders including autism

    Confidence: moderateRelevance: May inform prenatal care strategies and maternal health monitoring
  • 2

    NK cells may play a previously overlooked role in autism spectrum disorder pathogenesis

    Confidence: emergingRelevance: Could identify new therapeutic targets for autism intervention
  • 3

    Microglia appear to be central mediators in maternal immune activation-induced neurodevelopmental disorders

    Confidence: moderateRelevance: May guide development of brain-targeted immune therapies

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Understanding NK cell involvement in autism may lead to new prevention strategies during pregnancy and novel therapeutic targets. However, translation to clinical practice requires further mechanistic research and validation in human studies.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

This is a review paper that synthesizes existing research rather than presenting new data. The underlying mechanisms linking NK cells to autism remain poorly defined. The clinical evidence appears limited to observational studies and animal models.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Maternal immune activation (MIA), triggered by infection or inflammation during pregnancy, is a well-recognized risk factor for neurodevelopmental disorders (NDDs) such as autism spectrum disorder (ASD). Clinical cohort studies and rodent models suggest that natural killer (NK) cells play a significant role in NDD pathogenesis, but the underlying mechanisms remain poorly defined. Here, we summarize the key immune mediators involved in MIA-induced NDDs, emphasizing microglia as a central hub. We then examine emerging evidence implicating aberrant NK cell activation in ASD, underscoring their overlooked contribution to impaired neurodevelopment.

Finally, we discuss potential mechanisms of NK cell-microglia crosstalk in NDDs. Elucidating these interactions in the context of MIA will be crucial for developing preventive and therapeutic strategies against inflammation-driven NDDs.

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Evidence Grade

Emerging

emerging

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Review
Journal
Trends in immunology
Year
2026
PMID
41139560
DOI
10.1016/j.it.2025.10.001

MeSH Terms

HumansKiller Cells, NaturalAnimalsPregnancyMicrogliaNeurodevelopmental DisordersFemaleAutism Spectrum DisorderInflammation