The pterins, neopterin and biopterin, occur naturally in body fluids i
ncluding urine. It is well established that increased neopterin levels
are associated with activation of the cellular immune system and that
reduced biopterins are essential for neurotransmitter synthesis. It h
as been suggested that some autistic children may be suffering from an
autoimmune disorder. To investigate this further we performed high pe
rformance liquid chromatography analyses of urinary pterins in a group
of pre-school autistic children, their siblings and age-matched contr
ol children. Both urinary neopterin and biopterin were raised in the a
utistic children compared to controls and the siblings showed intermed
iate values. This supports the possible involvement of cell-mediated i
mmunity in the aetiology of autism. (C) 1998 Elsevier Science Ireland
Ltd.