Autism Spectrum Disorder Clinical Trial
Official title:
The Association Between Herpes Simplex Viruses (Type One and Two) and Autism Spectrum Disorders
Autism spectrum disorders are pervasive developmental disorders that include autistic disorder, Asperger's disorder, and pervasive developmental disorder-not otherwise specified.They are characterized by stereotypic behaviors, variable deficits in language and social skills and a wide range of other behavioral problems. Autism spectrum disorders manifest during childhood and at least thirty percent present with sudden clinical regression of development around three years of age.
Over the last twenty years, there has been an impressive rise in Autism spectrum disorders
with current prevalence estimates being about one over one hundred children.
Herpes simplex virus encephalitis is the leading cause of sporadic, nonepidemic encephalitis
in children and adults in the United States. It is an acute necrotizing infection generally
involving the frontal and/or temporal cortex and the limbic system and, beyond the neonatal
period, is almost always caused by Herpes simplex virus type on.
The etiology of autism is unknown; data suggest that autism results from multiple etiologies
with both genetic and environmental contributions. One proposed etiology for autism is viral
infection very early in development. The mechanism, by which viral infection may lead to
autism, be it through direct infection of the central nervous system, through infection
elsewhere in the body acting as a trigger for disease in the central nervous system, through
alteration of the immune response of the mother or offspring, or through a combination of
these, is not yet known.
Many encephalitic patients had temporal lobe involvement. Autism results from neuropathology
relating to the temporal lobes. They speculate the differences in the extent and
neuropathologies of the temporal lobes contribute to the heterogeneity of autism. Also,
herpes viruses can induce a variety of proinflammatory cytokines during infections, along
with elevated interferon in the brain during Herpes simplex virus encephalitis.
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