Etude de cohorte comparant des femmes atteintes de trouble du spectre de l'autisme avec et sans hypermobilite articulaire generalisee
Titre original en anglais : A Cohort Study Comparing Women with Autism Spectrum Disorder with and without Generalized Joint Hypermobility
Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». deux auteur·ices de cette publication sont identifié·es comme autistes dans le projet.
À propos de la mention auteur·ice autisteCasanova, M., Sharp, J. L., Edelson, S., Kelly, D., & Casanova, M. (2018). A Cohort Study Comparing Women with Autism Spectrum Disorder with and without Generalized Joint Hypermobility. Behavioral Sciences, 8(3), 35. https://doi.org/10.3390/bs8030035
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Auteurs
Résumé
Des rapports suggerent une comorbidite entre le trouble du spectre de l'autisme (TSA) et le trouble du tissu conjonctif, le syndrome d'Ehlers-Danlos (SED). Les personnes atteintes de SED et du spectre plus large de l'hypermobilite articulaire generalisee (HJG) presentent souvent des affections mediees par les systemes immunitaire et endocrinien. Par ailleurs, la deregulation immunitaire/endocrinienne est un theme populaire dans la recherche sur l'autisme. Nous avons interroge un groupe de femmes atteintes de TSA avec/sans HJG afin de determiner les differences dans les exophenotypes immunitaires/endocriniens. Les femmes atteintes de TSA agees de 25 ans ou plus ont ete invitees a participer a une enquete en ligne. Les participantes ont rempli un questionnaire concernant les diagnostics, les antecedents de symptomes immunitaires/endocriniens, les experiences de douleur et les antecedents de crises convulsives. Les femmes atteintes de TSA avec HJG (TSA/HJG) ont signale davantage d'affections mediees par les systemes immunitaire et endocrinien que leurs homologues sans HJG (p = 0.001). Les affections auto-immunes etaient particulierement importantes dans le groupe TSA/HJG (p = 0.027). La presence de symptomes a mediation immunitaire coexistait souvent avec d'autres symptomes de ce type (p < 0.001-0.020), de meme que les symptomes a mediation endocrine (p < 0.001-0.045), independamment du groupe. Enfin, le nombre de symptomes a mediation immunitaire et endocrine presentait une forte interrelation (p < 0.001), suggerant une interaction potentielle entre les systemes. Bien que nos resultats ne permettent pas d'estimer la comorbidite, ils renforcent les concepts d'une relation etiologique entre le TSA et l'HJG. Par ailleurs, les femmes atteintes de TSA/HJG presentent des exophenotypes immunitaires/endocriniens complexes par rapport a leurs homologues sans HJG. Nous examinons egalement comment le tissu conjonctif regule le systeme immunitaire et comment les systemes immunitaire/endocrinien peuvent a leur tour moduler la synthese du collagene, ce qui pourrait entrainer des taux plus eleves de HJG dans cette sous-population.
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