Whole Blood Serotonin Levels and Platelet 5-HT2A Binding in Autism Spectrum Disorder

J Autism Dev Disord. 2019 Jun;49(6):2417-2425. doi: 10.1007/s10803-019-03989-z.

Abstract

Elevated whole blood serotonin (WB5-HT) is a well-replicated biomarker in autism spectrum disorder (ASD). Decreased platelet serotonin receptor 5-HT2A binding has been reported in ASD. WB5-HT levels and platelet 5-HT2A specific binding were obtained from 110 individuals with ASD and 18 controls. Individuals with ASD had significantly higher WB5-HT levels than controls. There was no difference in the platelet 5-HT2A specific binding between groups. Multiple regression analyses revealed that platelet 5-HT2A binding significantly predicted WB5-HT in the control sample but not in the ASD sample. These results indicate that the relationship between WB5-HT and platelet 5-HT2A binding differs depending on ASD diagnosis, suggesting differences in platelet 5-HT system regulation in ASD.

Keywords: Autism spectrum disorder; Biomarker; Hyperserotonemia; Receptor; Serotonin.

MeSH terms

  • Autism Spectrum Disorder / blood*
  • Autism Spectrum Disorder / diagnosis*
  • Biomarkers / blood
  • Blood Platelets / metabolism*
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Male
  • Protein Binding / physiology
  • Receptor, Serotonin, 5-HT2A / blood*
  • Serotonin / blood*

Substances

  • Biomarkers
  • Receptor, Serotonin, 5-HT2A
  • Serotonin