ssmuБюллетень сибирской медициныBulletin of Siberian Medicine1682-03631819-3684Siberian State Medical University, the Ministry of Healthcare of the Russian Federation10.20538/1682-0363-2020-4-174-178ssmu-4166Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL PAPERSОсобенности цитокинового профиля у детей с расстройством аутистического спектраFeatures of the cytokine profile in children with autism spectrum disorderhttps://orcid.org/0000-0002-6320-5017ХудяковаМ. И.KhudiakovaM. I.

2, Moscow Trakt, Tomsk, 634055, Russian Federation

khudiakovami@mail.ruhttps://orcid.org/0000-0003-1023-4137ЧеревкоН. А.CherevkoN. A.

2, Moscow Trakt, Tomsk, 634055, Russian Federation

НовиковП. С.NovikovP. S.

2, Moscow Trakt, Tomsk, 634055, Russian Federation

БерезовскаяК. В.BerezovskayaK. V.

22, Trifonova Str., Tomsk, 634055, Russian Federation

Сибирский государственный медицинский университет (СибГМУ)РоссияSiberian State Medical UniversityRussian FederationООО «Центр семейной медицины»РоссияCenter of Family MedicineRussian Federation202007012021194174178Copyright © Худякова М.И., Черевко Н.А., Новиков П.С., Березовская К.В., 20212021Худякова М.И., Черевко Н.А., Новиков П.С., Березовская К.В.Khudiakova M.I., Cherevko N.A., Novikov P.S., Berezovskaya K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://bulletin.ssmu.ru/jour/article/view/4166Цель работы

Цель работы: выявить уровень концентрации цитокинов IL-4, I-L6, IL-10, IL-17, IFNγ в сыворотке крови у детей с расстройством аутистического спектра (РАС).

Материалы и методы

Материалы и методы. Материалом исследования служили образцы крови, полученные от детей двух групп исследования: детей с расстройством аутистического спектра (n = 93) и клинически здоровых детей (n = 30). Средний возраст в обеих группах составил (7 ± 2) лет. В сыворотке крови методом иммуноферментного анализа определяли концентрацию цитокинов IL-17А (с применением набора Bender Medsystems, Австрия) и IL-4, IL-6, IL-10, IFNγ (Вектор-Бест, Россия). Оценку когнитивных и  психофизиологических показателей проводили с помощью анкеты Autism TreatmentEvaluation Checklist (АТЕС).

Результаты

Результаты. У детей с РАС повышены значения концентрации IL-17A (U = 54; p = 0,015) и IFNγ (U = 4,64; p = 0,006) и снижены – IL-6 (U = 327; p = 0,001) и IL-4 (U = 177; p = 0,001) по сравнению с этими показателями у детей в контрольной группе. Установлены корреляции между концентрацией IL-6 и IL-4 (r = 0,68; p < 0,05); между IL-17A и IFNγ (r = 0,41; p < 0,05), IL-6 (r = 0,87; p < 0,05), количеством баллов АТЕС (r = 0,24; p < 0,05) у детей с РАС.

Заключение

Заключение. Установленный нами дисбаланс цитокинов у детей с РАС подтверждает гипотезу его участия в развитии РАС и свидетельствует об Th17-направлении  иммунорегуляции в патогенезе расстройств аутистического спектра.

The aim of the study

The aim of the study: to reveal the particularities of the concentration of cytokines IL4, IL6, IL10, IL17, IFNγ in blood serum in children with autism spectrum disorder (ASD).

Materials and methods

Materials and methods. The blood samples obtained from children of two study groups: children with autism spectrum disorder (n = 93) and clinically healthy children (n = 30), served as the material for the  study. Cytokine concentrations were determined in blood serum using the Bender Medsystems (Austria) kits  for IL17A and Vector-Best (Russia) kits for IL4, IL6, IL10, IFNγ. Serum cytokine concentrations were determined by enzyme immunoassay using kits for IL17A (Bender Medsystems, Austria), IL4, IL6, IL10, IFNγ (Vector-Best, Russia). Assessment of cognitive and psychophysiological indicators in children was performed using the  Autism Treatment Evaluation Checklist (ATEC).

Results

Results. The concentrations of IL17A (U = 54; p = 0,015) and IFNγ (U = 4.64; p = 0,006) were increased and the concentrations of IL6 (U = 327; p = 0.001) and IL4 (U = 177; p = 0.001) were decreased in children with ASD. The concentration of IL6 correlates with the concentration of IL4 (r = 0.68; p < 0.05). The concentration of IL17A correlates with the concentration of IFNγ (r = 0.41; p < 0.05), IL6 (r = 0.87; p < 0.05) and ATEC score (r = 0.24; p < 0.05) in the group of children with ASD.

Conclusion

Conclusion. The cytokine disbalance in children with ADS, which was observed in our study, confirms the  hypothesis of their participation in the development of the disease and clearly shows the Th17  immunoregulation pathway in the pathogenesis of the autism spectrum disorder.

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The authors declare that there are no conflicts of interest present.