Carlos A. Pardo, M.D. M.I.N.D. Institute Distinguished Lecturer Series – January 9, 2008 Biographical Information Carlos A. Pardo, M.D., is an associate professor of neurology and pathology (neuropathology) in the Division of Neuroimmunology and Neuroinfectious Disorders at Johns Hopkins University School of Medicine. He also serves as co-director of the Transverse Myelitis Center, staff neurologist of the Multiple Sclerosis Center and a member of the HIV Neurosciences Research Group at Johns Hopkins Hospital. His medical specialization and clinical focus is on neuroimmunological and infectious disorders of the nervous system, with particular focus on multiple sclerosis, transverse myelitis and neurological complications of autoimmune disorders. Dr. Pardo’s research interests focus on neuroimmunology and neuropathology and his laboratory research includes studies of immunopathological mechanisms in neurodevelopmental disorders such as autism, epilepsy and Rasmussen’s syndrome; the role of cytokines, chemokines and chemokines receptors in neurological disorders; animal models of neurological disorders; and immunopathological and molecular mechanisms of disease in HIV neurological disorders. His research has been funded through the National Institutes of Health, The Epilepsy Foundation of America, Cure Autism Now, The Peter Emch Fund for Autism Research and The Bart Mclean Fund for Neuroimmunology Research. Presentation Abstracts Is Neuroimmunity Involved in the Pathogenesis of Autism?(4 pm) Autism is a complex neurodevelopmental disorder of early onset that is highly variable in its clinical presentation. Although the causes of autism in most patients remain unknown, several lines of research support the view that both polygenic and environmental factors influence the development of abnormal cortical circuitry that underlies autistic cognitive processes and behaviors. The role of the immune system in the development of autism is controversial. Several studies showing peripheral immune abnormalities support immune hypotheses, however until recently there have been no demonstration of immune abnormalities within the central nervous system (CNS). Our laboratory recently demonstrated the presence of neuroglial and innate neuroimmune system activation in brain tissues and cerebrospinal fluid of patients with autism, findings that support the view that neuroimmune abnormalities occur in the CNS of autistic patients and may contribute to the diversity of the autistic phenotypes. The role of neuroglial activation and neuroinflammation is still uncertain but could be critical in maintaining, if not also in initiating, some of the CNS abnormalities present in autism. A better understanding of the role of neuroinflammation in the pathogenesis of autism may have important clinical and therapeutic implications. Future studies should focus on the interaction of neuroimmune factors and brain development as a factor involved in the pathogenesis of autism. Is There Brain Inflammation in Autism? (6 pm) Autism is a complex neurodevelopmental disorder of early onset that is highly variable in its clinical presentation. The role of the immune system in the development of autism is controversial. Several studies showing peripheral immune abnormalities support immune hypotheses. However, until recently there have been no demonstration of immune abnormalities within the central nervous system (CNS). Our laboratory recently demonstrated the presence of neuroglial and innate neuroimmune system activation in brain tissues and cerebrospinal fluid of patients with autism, findings that support the view that neuroimmune abnormalities occur in the CNS of autistic patients and may contribute to the diversity of the autistic phenotypes. The role of neuroglial activation and neuroinflammation is still uncertain but could be critical in maintaining, if not also in initiating, some of the CNS abnormalities present in autism. A better understanding of the role of neuroinflammation in the pathogenesis of autism may have important clinical and therapeutic implications.