The elevated activity of brain opioids has been implicated in the path
ogenesis of autistic disorder. Research on plasma and cerebrospinal fl
uid levels of endogenous opioids in subjects with autistic disorder ha
s produced conflicting results. The author suggests that the level of
brain opioid activity is a contributing but not the determining factor
in the pathogenesis of autistic disorder. The author further suggests
that the development of autistic disorder is related to the interacti
on between the endogenous opioid system and various neurotransmitter s
ystems in the brain.