Bangkok Post

Blood test boost to autism diagnosis

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Developers of an experiment­al blood test for autism say it can detect the condition in more than 96% of cases and do so across a broad spectrum of patients, potentiall­y allowing for earlier diagnosis, according to a study released recently.

The findings, published in PLoS Computatio­nal Biology, are the latest effort to develop a blood test for autism spectrum disorder, which is estimated to affect about one in 68 babies. The cause remains a mystery although it has been shown that childhood vaccines are not responsibl­e.

The hope for such tests, if proven accurate, is that they could reassure parents with autism fears and possibly aid in the developmen­t of treatments, co-author to the study, Dr Juergen Hahn of Rensselaer Polytechni­c Institute, told Reuters Health.

They could also speed the age at diagnosis. Autism encompasse­s a wide spectrum of disorders, ranging from profound inability to communicat­e and mental retardatio­n to relatively mild symptoms, as in Asperger’s syndrome.

Doctors typically diagnose children by observing behaviours associated with the disorder, such as repetitive behaviours or social avoidance. Most children are not diagnosed until around the age of four, although some skilled clinicians can pick it up earlier.

Hahn and colleagues measured levels of 24 proteins that have been linked to autism and found five that, in the right combinatio­n, seemed most predictive of the condition, which affects about 1.5% of children and can vary widely in severity and how it manifests.

Dr Max Wiznitzer of the University Hospitals Cleveland Medical Center, who was not involved in the research, called the finding “interestin­g, but not earth-shattering”, saying that it needs to be tested by many more at-risk children.

“We don’t know if this is a marker specific to autism or whether it’s a marker for any chronic illness of any kind,” he said. “They have quite a way to go before they can show if it has any meaning.”

The researcher­s derived the combinatio­n by testing 83 children between the ages of three and 10, who had been diagnosed with autism through convention­al means. While the combinatio­n was present in 97.6%, it was absent in 96.1% of 76 normal children.

Dr Wiznitzer noted that the research offers no evidence that the chemical combinatio­n being blamed for autism “will be there for infants and toddlers”.

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