Feature | ASD | Schizophrenia | Proposed implication |
---|---|---|---|
General effects | |||
Overall deregulation of the immune system with increased production of pro-inflammatory cytokines, possible as a result of the activation of microglia | (Patterson, 2009; Rodriguez and Kern, 2011; Takano, 2015) | (Patterson, 2009; Takahashi et al. 2016) | Upregulation of iNOS, glutaminase, and inducible cyclooxygenase (COX-2) leading to an increase of nitric oxide (NO), glutamate and prostaglandins, respectively. These substances have a toxic effect in neurons(Fernandes et al. 2014) |
Specific effects—data from analysis of biological materials | |||
Decrease in NK cell function, possibly as a result of increased production of NO by microglia | Enstrom et al., 2009)(Warren et al. 1987) | (Karpinski et al. 2016) | NK cells play important functions in innate immunity, sppecially against intracellular infections. Disfunction of NK cells may predispose to adverse neuroimmune interactions, namely, during development. |
Glutathione (GSH) depletion, possibly caused by i-NOS increase | (Rodriguez and Kern, 2011) | (Ivanova et al. 2015; Zhang et al. 2016) | GSH (an antioxidant) has a protective effect on neurons. Its decrease may lead to easier neuron damage. |
Increase in anti-phospholipid antibodies (APLAs) | Careaga et al., 2013) | NF | Increased risk of blood clotting and pregnancy losses |
Denser distribution of microglia | In fronto-insular and visual cortex (Tetreault et al. 2012) | In pre-frontal white matter (Hercher et al. 2014). In frontal and temporal cortex(Garey, 2010) | Reduced number of neurons and/or disrupted neural connectivity |
Increased levels of glial fibrillary acidic protein (GFAP) in the brain | Cerebrospinal fluid (Ahlsen et al. 1993). Cerebelum(Bailey et al. 1998). Anterior cingulate cortex white matter(Crawford et al. 2015) | Frontal cortex (Rao et al. 2013) | GFAP is an important protein in the central nervous system, in particular in repair after CNS injury. An increase in GFAP is a hallmark of reactive gliosis (Kamphuis et al., 2015), which follows trauma or injury. |
Increases expression of NF-kB in activated microglia | (Young et al. 2011) | (Rao et al. 2013) | NF-kB plays a key role in inflammation, through its ability to induce transcription of pro-inflammatory genes. |
Presence of HLA-DR positive cells | In serum(Lee et al. 2006; Mead and Ashwood, 2015) | Brain, post-mortem (Bayer et al. 1999; Garey, 2010; Radewicz et al. 2000; Rao et al. 2013) | HLA-DR is an immunohistochemical marker that is expressed in antigen presenting cells (B lymphocytes, dendritic cells, macrophages). It reacts with activated microglia cells. |
Increase in calprotectin | Increased levels in feces(de Magistris et al. 2010) | Localization in microglia(Foster et al. 2006) | Calprotectin is a pro-inflammatory marker. Increased fecal levels are due to increased intestinal permeability. |
In vivo data | |||
Activation of microglia found by PET | (Suzuki et al. 2013) | (Bloomfield et al. 2016) | Confirms the importance of neuroinflammation in ASD and schizophrenia revealed by studies based on the analysis of tissues |