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Distinct protein profiles in cord blood plasma of children with autism spectrum disorder.

Scientific reports2025

Philosoph Lital Kalich, Yoffe Chen, El Biri Bat, Baryakh Polina, Saar Efrat Glick, Mayorov Margarita, Yosef Omer Bar

What this study means for families

Researchers studied proteins in umbilical cord blood from 30 children with autism and 30 children without autism. They found over 500 proteins that were different between the groups, with most being higher in children with autism. The proteins were related to cell energy production, immune system, and brain development. This suggests that some autism-related changes might happen before birth and involve problems with how cells produce energy and communicate.

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

Research summary

This study examined protein profiles in umbilical cord blood from 30 children with autism spectrum disorder (ASD) and 30 neurotypical controls using advanced proteomic analysis. Researchers identified 565 proteins with significantly different expression levels between groups, with most proteins more abundant in the ASD group. The protein expression patterns showed less variation in the ASD group, suggesting similar cellular activity patterns. Key findings included protein clusters related to mitochondria, endoplasmic reticulum, immune function, and cellular structure.

Twenty-four proteins showed strong predictive value for ASD, with some linked to brain development processes like synaptogenesis and myelination. The findings suggest ASD may involve a common pathway of mitochondrial and cellular dysfunction affecting brain development, potentially originating before birth.

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

Key findings

  • 1

    565 proteins showed significantly different expression levels between ASD and control groups, with most more abundant in ASD

    Confidence: moderateRelevance: Identifies potential biomarkers for early ASD detection and suggests distinct biological processes in ASD
  • 2

    24 proteins showed strong predictive value for ASD, including brain-specific proteins associated with synaptogenesis and myelination

    Confidence: moderateRelevance: Could inform development of prenatal screening tools and understanding of ASD neurobiology
  • 3

    Protein clusters identified involved mitochondria, endoplasmic reticulum, immune system, and cytoskeletal functions

    Confidence: moderateRelevance: Suggests convergent biological pathway involving cellular energy and communication dysfunction in ASD

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

Clinical implications

This research suggests potential for prenatal biomarker development and early ASD identification through cord blood analysis. The findings point to mitochondrial and cellular communication dysfunction as key mechanisms in ASD development, potentially informing future therapeutic targets focused on cellular energy metabolism and synaptic development.

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

Limitations

Single study with relatively small sample size (30 per group). Study type not clearly specified in metadata. Findings require replication in larger, independent cohorts. Clinical significance of protein differences needs validation through longitudinal follow-up studies.

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

Original abstract

Autism spectrum disorder (ASD) has a genetic origin in approximately 30% of cases, while the remaining causes are primarily linked to epigenetic and non-genetic factors. This study aims to identify potential non-genetic causes contributing to ASD by investigating the underlying cellular mechanisms through proteomic analysis. Extracellular vesicles (EVs) mediate cellular communication and are linked to brain development disorders. Here, we utilize mass-spectrometry-based proteomic analysis of EVs derived from umbilical cord blood plasma collected from 30 children diagnosed with non-syndromic ASD and 30 neurotypical controls.

The analysis identified 565 proteins with significantly different expression levels, most of which were more abundant in the ASD group. Notably, the protein expression variances were markedly lower in the ASD group, suggesting a similar cellular activity. Differentially expressed proteins were clustered using String software into 3 groups: mitochondria, endoplasmic reticulum (ER), and a mixture of immune and cytoskeletal proteins. Further statistical analysis identified 11 strongly predictive ASD proteins, while the Human Protein Atlas recognized an additional 13 brain-specific proteins.

A portion of these 24 proteins was associated with synaptogenesis and myelination. These findings suggest that, despite diverse etiologies, ASD may converge on a common final pathway involving mitochondrial and ER dysfunction, resulting in abnormal synaptogenesis. This study presents the first unbiased proteomic analysis of exosomal proteins aimed at determining whether neurodevelopmental disruptions linked to ASD originate prenatally or postnatally.

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Evidence Grade

Emerging

emerging

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

Study Details

Journal
Scientific reports
Year
2025
PMID
41462571
DOI
10.1038/s41598-025-29420-5

MeSH Terms

HumansAutism Spectrum DisorderFetal BloodFemaleMaleChildProteomicsProteomeExtracellular VesiclesBlood ProteinsChild, PreschoolCase-Control StudiesBiomarkers