The purpose of the research was to study effectiveness of combined immunotherapy with Propes and
Inflamafertin in NK and NKT cell deficiency in children with autism spectrum disorders associated
with genetic deficiency of the folate cycle. This single-center, prospective, controlled, nonrandomized
clinical trial included 96 children aged 2 to 10 years with autism spectrum disorders associated with a
genetic folate deficiency (study group, SG). Children of SG received Propes at a dose of 2 ml IM every
other day for 3 consecutive months (45 injections), and Inflamafertin at a dose of 2 ml IM every other
day for 3 months in a row, alternating with Propes (45 injections). The number of NK cells reached the
lower limit of normal in 39 out of 53 patients (74% of cases), with the resulting deficiency of these
lymphocytes, and the average number of NK cells in the blood in SG almost doubling during the 3-
month course of immunotherapy (??0.05; Z?Z0.05). The number of NKT cells was normalized in 78
out of 87 patients (89% of cases) with an initial deficiency of these cells, and the average number of
NKT cells in the blood in the DG increased during the course of immunotherapy by half (??0.05;
Z?Z0.05) and continued to grow for the next 2 months after the discontinuation of immunotropic drugs
(??0.05; Z?Z0.05). Combination immunotherapy with Propes and Inflamafertin is effective strategy for
the treatment of immunodeficiency caused by genetic deficiency of the folate cycle in children with
autism spectrum disorders.
Author(s): Dmitry Maltsev*, Volodymyr Stefanyshyn
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