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Maternal immune activation during pregnancy is associated with more difficulties in socio-adaptive behaviors in autism spectrum disorder.
Ellul, Pierre; Maruani, Anna; Vantalon, Valérie; Humeau, Elise; Amestoy, Anouck; Anchordoqui, Andrea; Atzori, Paola; Baleyte, Jean-Marc; Benmansour, Safiyah; Bonnot, Olivier; Bouvard, Manuel; Cartigny, Ariane; Coulon, Nathalie; Coutelle, Romain; Da Fonseca, David; Demily, Caroline; Givaudan, Marion; Gollier-Briant, Fanny; Guénolé, Fabian; Koch, Andrea; Leboyer, Marion; Lefebvre, Aline; Lejuste, Florian; Levy, Charlotte; Mendes, Eugénie; Robert, Natalia; Schroder, Carmen M; Speranza, Mario; Zante, Elodie; Peyre, Hugo; Rosenzwajg, Michelle; Klatzmann, David; Tchitchek, Nicolas; Delorme, Richard.
Afiliación
  • Ellul P; Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France. Pierre.ellul@aphp.fr.
  • Maruani A; Immunology, Immunopathology, Immunotherapy, INSERM U959, Pitié Salpétrière Hospital, Sorbonne University, Paris, France. Pierre.ellul@aphp.fr.
  • Vantalon V; Fondation FondaMental, Créteil, France. Pierre.ellul@aphp.fr.
  • Humeau E; Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France.
  • Amestoy A; Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France.
  • Anchordoqui A; Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France.
  • Atzori P; Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France.
  • Baleyte JM; Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France.
  • Benmansour S; Fondation FondaMental, Créteil, France.
  • Bonnot O; Fondation FondaMental, Créteil, France.
  • Bouvard M; Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France.
  • Cartigny A; Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France.
  • Coulon N; Fondation FondaMental, Créteil, France.
  • Coutelle R; Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France.
  • Da Fonseca D; Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France.
  • Demily C; Fondation FondaMental, Créteil, France.
  • Givaudan M; Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France.
  • Gollier-Briant F; Fondation FondaMental, Créteil, France.
  • Guénolé F; INSERM, IMRB, Translational Neuropsychiatry, AP-HP, DMU IMPACT, FHU ADAPT, Univ Paris Est Créteil, 94010, Créteil, France.
  • Koch A; Fondation FondaMental, Créteil, France.
  • Leboyer M; INSERM, IMRB, Translational Neuropsychiatry, AP-HP, DMU IMPACT, FHU ADAPT, Univ Paris Est Créteil, 94010, Créteil, France.
  • Lefebvre A; Fondation FondaMental, Créteil, France.
  • Lejuste F; Psychiatrie de L'enfant et de l'Adolescent, CHU and Universite de Nantes, Nantes, France.
  • Levy C; Fondation FondaMental, Créteil, France.
  • Mendes E; Centre Hospitalier Charles-Perrens, Pôle Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Bordeaux Cedex, France.
  • Robert N; Aquitaine Institute for Cognitive and Integrative Neuroscience, UMR 5287, CNRS, INCIA, University of Bordeaux, Bordeaux, France.
  • Schroder CM; Child and Adolescent Psychiatry Department, Robert Debré Hospital, University of Paris Cité, Paris, France.
  • Speranza M; Fondation FondaMental, Créteil, France.
  • Zante E; Centre Expert TSA-SDI/Centre Référent de Réhabilitation Psychosociale, CH Alpes Isère, Grenoble, France.
  • Peyre H; Fondation FondaMental, Créteil, France.
  • Rosenzwajg M; Expert Centre for Autism and NDD, Fondation FondaMental, Department for Child and Adolescent Psychiatry, Strasbourg University Hospitals and University of Strasbourg, Versailles, France.
  • Klatzmann D; CNRS UPR 3212Service Universitaire de Psychiatrie de L'enfant Et de L'adolescent, Centre Hospitalier de VersaillesUMR1018, CESPUVSQ, Université Paris Saclay, Versailles, France.
  • Tchitchek N; Fondation FondaMental, Créteil, France.
  • Delorme R; Child and Adolescent Psychiatry Unit, Salvator University Hospital, Public Assistance-Marseille Hospitals, Aix-Marseille University, Marseille, France.
Sci Rep ; 13(1): 17687, 2023 10 17.
Article en En | MEDLINE | ID: mdl-37848536
Autism spectrum disorder (ASD) are neurodevelopmental conditions characterised by deficits in social communication and interaction and repetitive behaviours. Maternal immune activation (MIA) during the mid-pregnancy is a known risk factor for ASD. Although reported in 15% of affected individuals, little is known about the specificity of their clinical profiles. Adaptive skills represent a holistic approach to a person's competencies and reflect specifically in ASD, their strengths and difficulties. In this study, we hypothesised that ASD individual with a history of MIA (MIA+) could be more severely socio-adaptively impaired than those without MIA during pregnancy (MIA-). To answer this question, we considered two independent cohorts of individuals with ASD (PARIS study and FACE ASD) screened for pregnancy history, and used supervised and unsupervised machine learning algorithms. We included 295 mother-child dyads with 14% of them with MIA+. We found that ASD-MIA+ individuals displayed more severe maladaptive behaviors, specifically in their socialization abilities. MIA+ directly influenced individual's socio-adaptive skills, independent of other covariates, including ASD severity. Interestingly, MIA+ affect persistently the socio-adaptive behavioral trajectories of individuals with ASD. The current study has a retrospective design with possible recall bias regarding the MIA event and, even if pooled from two cohorts, has a relatively small population. In addition, we were limited by the number of covariables available potentially impacted socio-adaptive behaviors. Larger prospective study with additional dimensions related to ASD is needed to confirm our results. Specific pathophysiological pathways may explain these clinical peculiarities of ASD- MIA+ individuals, and may open the way to new perspectives in deciphering the phenotypic complexity of ASD and for the development of specific immunomodulatory strategies.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Trastorno del Espectro Autista Límite: Female / Humans / Pregnancy Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Tardíos de la Exposición Prenatal / Trastorno del Espectro Autista Límite: Female / Humans / Pregnancy Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido