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 autiste

Casanova, 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

Publication date: 17/03/2018 Ajout dans AutiHub: 14/09/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
5
Auteur·ices de la publication identifié·es comme autistes
2 / 5 (40,0 %)

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.

Reports suggest comorbidity between autism spectrum disorder (ASD) and the connective tissue disorder, Ehlers-Danlos syndrome (EDS). People with EDS and the broader spectrum of Generalized Joint Hypermobility (GJH) often present with immune- and endocrine-mediated conditions. Meanwhile, immune/endocrine dysregulation is a popular theme in autism research. We surveyed a group of ASD women with/without GJH to determine differences in immune/endocrine exophenotypes. ASD women 25 years or older were invited to participate in an online survey. Respondents completed a questionnaire concerning diagnoses, immune/endocrine symptom history, experiences with pain, and seizure history. ASD women with GJH (ASD/GJH) reported more immune- and endocrine-mediated conditions than their non-GJH counterparts (p = 0.001). Autoimmune conditions were especially prominent in the ASD/GJH group (p = 0.027). Presence of immune-mediated symptoms often co-occurred with one another (p < 0.001–0.020), as did endocrine-mediated symptoms (p < 0.001–0.045), irrespective of the group. Finally, the numbers of immune- and endocrine-mediated symptoms shared a strong inter-relationship (p < 0.001), suggesting potential system crosstalk. While our results cannot estimate comorbidity, they reinforce concepts of an etiological relationship between ASD and GJH. Meanwhile, women with ASD/GJH have complex immune/endocrine exophenotypes compared to their non-GJH counterparts. Further, we discuss how connective tissue regulates the immune system and how the immune/endocrine systems in turn may modulate collagen synthesis, potentially leading to higher rates of GJH in this subpopulation.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 14/09/2026 14:22.

Références citées
96
Avec un DOI
84
Sans DOI, à partir du texte brut de la bibliographie
11
0 / 96 (0,0 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
7 / 96 (7,3 %)
Références avec noms d’auteurices détectés
89 / 96 (92,7 %)
Sans nom d’auteurice détecté
7
Sans titre structuré
7
Sans identifiant stable
8
Références avec noms bruts d’auteurices restant à vérifier
7
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
532
À partir du DOI ou de métadonnées externes
532
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
7
17 / 532 (3,2 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 515 / 532 (96,8 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
0 / 532 (0,0 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 0 / 17 (0,0 %). Personnes distinctes identifiées comme autistes : 0 / 498 (0,0 %).
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