Skip to main content
Log in

Hyperserotoninemia and antiserotonin antibodies in autism and other disorders

  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

This study examined the linkage between elevated blood serotonin in autism and the presence of circulating autoantibodies agianst the serotonin 5HT 1A receptor. Information was also obtained on the diagnostic and receptor specificity of these autoantibodies. Blood serotonin was measured as was inhibition of serotonin binding to human cortical membranes by antibody-rich fractions of blood from controls and from patients with childhood autism, schizophrenia, obsessive-compulsive disorder, Tourette's, and multiple sclerosis. The results showed elevated blood serotonin was not closely related to inhibition of serotonin binding by antibody-rich blood fractions. Inhibition of binding was highest for patients with multiple sclerosis and was not specific to the 5HT 1A receptor as currently defined. Although inhibition was not specific to autism, the data were insufficient to establish if people with autism differed from normal controls on this measure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (rev.). Washington, DC: Author.

    Google Scholar 

  • Chandler, C. E., & Parsons, L. M. (1982). Purification of monoclonal antibodies. Technical brochure Berkeley, California: Hana Media.

    Google Scholar 

  • Chapman, A. H., Pilkey, L., & Gibbons, M. J., (1958). A psychosomatic study of eight children with Sydenham's chorea.Pediatrics, 21, 582–595.

    Google Scholar 

  • Chess, S. W. (1977). Follow-up report on autism in congenital rubella.Journal of Autism and Developmental Disorders, 7, 69–81.

    Google Scholar 

  • Cook, E. H., Berry, B. D., Dawson, G., Wainwright, M., & Leventhal, B. L. (1989). Receptor inhibition by IgG fraction of autistic children and their relatives. Scientific Proceedings. 36th Annual Meeting of the American Academy of Child and Adolescent Psychiatry (p. 67) New York: Williams and Wilkins.

    Google Scholar 

  • Field, E. J., Caspary, E. A., & Carnegie, P. R. (1971). Lymphocyte sensitization to basic protein of brain in malignant neoplastic experiments with serotonin and related compounds.Nature, 233, 284–286.

    Google Scholar 

  • Hanna, G. L., Yuwiler, A., & Cantwell, D. P. (1991). Whole blood serotonin in juvenile obsessive-compulsive disorder.Biological Psychiatry, 29, 738–744.

    Google Scholar 

  • Hamilton, M. (1960). A rating scale for depression.Journal of Neurology, Neurosurgery and Psychiatry, 23, 56–62.

    Google Scholar 

  • Husby, G., van de Ryn, I., & Zabriskie, J. B. (1976). Antibodies reacting with the cytoplasm of subthalamic and caudate nuclei neurons in chorea and rheumatic fever.Journal of Experimental Medicine, 144, 1094–1110.

    Google Scholar 

  • Jorgenson, O., Sylvester, V., Goldschmidt, V., & Vestergaard, B. F. (1982). Herpes simplex virus (HSV) antibodies in child psychiatric patients and normal children.Acta Psychiatrica Scandinavica, 66, 42–49.

    Google Scholar 

  • Link, H., Baig, S., Olsson, O., Jiang, Y. P., Hojeverg, G., & Olsson, T. (1990). Persistent anti-myelin basic protein IgG antibody response in multiple sclerosis cerebrospinal fluid.Journal of Neuroimmunology, 28, 237–248.

    Google Scholar 

  • Lowry, O. H., Rosebrough, N. J., Farr, A. L., & Randall, R. J. (1951). Protein determination with the Folin phenol reagent.Journal of Biological Chemistry, 193, 265–275.

    Google Scholar 

  • Murphy, D. L., Zohar, J., Benkelfat, C., Pato, M. T., Pigott, T. A., & Insel, T. R. (1989). Obsessive-compulsive disorder as a 5HT subsystem related behavioral disorder.British Journal of Psychiatry, 155, 15–24.

    Google Scholar 

  • Partington, M. W., Tu, J. B., & Wong, C. Y. (1973). Blood serotonin levels in severe mental retardation.Developments in Medical Child Neurology, 15, 616–627.

    Google Scholar 

  • Pernow, B., & Waldenstrom, J. (1954). Paroxysmal flushing and other symptoms caused by 5-hydroxytryptamine and histamine in patients with malignant tumors.Lancet, 2, 951.

    Google Scholar 

  • Pimparker, B. P., Senesky, D., & Kakaser, M. H. (1961). Blood serotonin in non-tropical sprue.Gastroenterology, 40, 504.

    Google Scholar 

  • Poser, C. M., Paty, D. W., Scheinberg, L., McDonald, W. I., Davis, F. A., Albers, D. C., Johnson, K. T., Sibley, W. A., Silberberg, D. H., & Tourtellotte, W. W. (1983). new diagnostic criteria for multiple sclerosis: Guidelines for research protocols.Annals of Neurology, 13, 227–231.

    Google Scholar 

  • Ransom, R. W., Asarch, K. B., & Shih, J. C. (1985). A trifluoromethylphenyl piperazine derivative with high affinity for 5-hydroxytryptamine-1A sites in rat brain.Journal of Neurochemistry, 44, 875–880.

    Google Scholar 

  • Ritvo, E. R., & Freeman, B. J. (1977). National Society for Autistic Children. Definition of the syndrome of autism.Journal of Pediatric Psychology, 2, 146–148.

    Google Scholar 

  • Root-Bernstein, R. S. (1983). Structure of serotonin and LSD binding site on myelin basic protein.Journal of Theoretical Biology, 100, 373–378.

    Google Scholar 

  • Root-Bernstein, R. S., & Westall, F. C. (1984). Serotonin binding sites.Brain Research Bulletin, 12, 425–436.

    Google Scholar 

  • Schain, R. J., & Freedman, D. X. (1961). Studies on 5-hydroxyindole metabolism in autisitc and other mentally retarded children.Journal of Pediatrics, 58, 315–320.

    Google Scholar 

  • Stubbs, E. G. (1978). Autistic symptoms in a child with congenital cytomegalovirus infection.Journal of Autism and Childhood Schizophrenia, 8, 37–43.

    Google Scholar 

  • Stubbs, E. G., Crawford, M. L., Burger, D. R., & Vandenbark, A. A. (1977). Depressed lymphocyte responsiveness in autistic children.Journal of Autism and Childhood Schizophrenia, 7, 49–55.

    Google Scholar 

  • Stubbs, E. G., Ritvo, E. R., & Mason-Brothers, A. (1985). Autism and shared parental HLA antigens.Journal of the American Academy of Child Psychiatry, 24, 182–185.

    Google Scholar 

  • Swedo, S. E., Rappoport, J. L., Cheslow, D. L., Leonard, H. L., Ayoub, E. M., Hosier, D. M., & Wald, E. R. (1989). High prevalence of obsessive-compulsive symptoms in patients with Sydenham's chorea.American Journal of Psychiatry, 146, 246–249.

    Google Scholar 

  • Todd, R. D., & Ciaranello, R. D. (1985). Demonstration of inter- and intraspecies differences in serotonin binding sites by antibodies from an autistic child.Proceeding of the National Academy of Science, U.S., 82, 612–616.

    Google Scholar 

  • Todd, R. D., Hickok, J. M., Anderson, G. M., & Cohen, J. D. (1988). Antibrain antibodies in infantile autism.Biological Psychiatry, 23, 644–647.

    Google Scholar 

  • Weizman, A., Weizman, R., Szekely, G. A., Wijsenbeek, H., & Livni, E. (1982). Abnormal immune response to brain tissue antigens in the syndrome of autism.American Journal of Psychiatry, 139, 1462–1465.

    Google Scholar 

  • Yuwiler, A., Plotkin, S., Geller, E., & Ritvo, E. R. (1970). A rapid accurate procedure for the determination of serotonin in whole human blood.Biochemical Medicine, 3, 426–436.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Primary funding was provided by the Stallone Foundation grant No: P860627 to AY and the Veterans Administration Medical Research Service. Ancillary support came from grants R37 MH39085 (merit award); Research Scientist Award K05 MH00796; NIMH-DHHS R01 MH 37020 and the Boyd and Elsie Welin Professorship to J. C. Shih from Public Health Service NS 08711 supporting the UCLA MS Research and Treatment Program (GWE) and from a Grant-in-Aid from the Psychoneuroendocrine Program to B. H. King. We are indebted to Richard D. Todd (Washington University School of Medicine) for providing details of his procedure together with a “positive” and “negative” serum sample used in testing our procedure. We thank L. W. Myers, Carole Lerner, and Sharon Craig for collecting MS blood samples and are especially indebted to Selma Plotkin and Bennie L. Bennett for their excellent technical assistance.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yuwiler, A., Shih, J.C., Chen, CH. et al. Hyperserotoninemia and antiserotonin antibodies in autism and other disorders. J Autism Dev Disord 22, 33–45 (1992). https://doi.org/10.1007/BF01046401

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01046401

Keywords

Navigation