Autism likely results from several different etiologies or a combinati
on of pathological mechanisms. Recent studies suggest that this disord
er may be associated with immune abnormalities, pathogen-autoimmune pr
ocesses and perhaps the major histocompatibility complex (MHC). In a p
reliminary study we found that 22 autistic subjects had an increased f
requency of the extended or ancestral MHC haplotype B44-SC30-DR4. The
current study attempted to confirm this observation by studying 23 add
itional randomly chosen autistic subjects, most of their parents and 6
4 unrelated normal subjects. In agreement with earlier findings B44-SC
30-DR4 was associated with autism. In combining the data from the orig
inal and current studies, B44-SC30-DR4 or a substantial fragment of th
is extended haplotype was represented in 40% of the autistic subjects
and/or their mothers as compared to about 2% of the unrelated subjects
. It is concluded that one or more genes of the MHC is (are) involved
in the development of some cases of autism.