http://www.discoveryhealth.com/enews?c=280275

New Test May Identify Autism Risk

May 4, 2000
LOS ANGELES (AP) - A new test aimed at helping doctors predict whether 
newborn children will develop autism or mental retardation confirms that 
such disorders are present at birth and are not the result of nurturing, 
researchers said.

Autism likely arises from a combination of genetic defects and exposure to 
toxic chemicals, viruses or other environmental substances, according to the 
California Birth Defects Monitoring Program, which is run jointly by the 
state and the March of Dimes.

The crucial period for such factors is the early weeks of pregnancy as the 
central nervous system forms, the researchers said.

``I don't use the word breakthrough lightly, but that is what this (test) 
looks like to me,'' said Dr. John Harris, chief of the program. ``This could 
potentially have a huge impact on society.''

The findings, reported Wednesday at a San Diego meeting of the American 
Academy of Neurology, could lead to better treatment for patients and new 
ways to prevent the disorders, Harris said.

Experts cautioned that the results have not yet been formally published and 
reviewed by other scientists.

Some parents believe that autism can be caused by adverse reactions to 
disease vaccinations because many children develop the first signs of the 
mental disorder after immunization at 18 months.

A team from the monitoring program examined stored blood samples collected 
from 249 infants during the 1980s. The researchers found unusually high 
levels of four proteins associated with brain development in nearly all the 
samples from children who later were diagnosed with autism or mental 
retardation.

None of the proteins appeared in infants who developed normally.

``This really is an exciting finding, but it doesn't mean scientists have a 
specific test for autism, since mentally retarded children had the same 
elevated protein levels,'' Dr. David Amaral said.

Amaral is director of the MIND Institute at the University of California, 
Davis, which provided part of the funding for the study.

For both mental retardation and autism, this is the first time a clear 
biological marker has been identified at such an early age, said Walter 
Herlihy, president of Repligen Corp. (NasdaqNM:RGEN - news) The company is 
testing a hormone called secretin as a potential treatment for autism.

``I'm going to go back and incorporate this in our clinical trials to see if 
the markers are present in older children as well,'' he said.

To validate its own research, the monitoring program is preparing to study 
as many as 5,000 autistic children, said Dr. Judith K. Grether, the study's 
principal researcher.

The findings will be compared to tests of several thousand healthy children 
serving as a control group, she said. The validation study is expected to 
take five years to complete.




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