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Folate plays a critical role in brain development, neurotransmitter synthesis, DNA repair, methylation, and normal neurological function.
In some individuals, the immune system produces autoantibodies against the folate receptor alpha (FRα), a protein responsible for transporting folate across the blood-brain barrier. These autoantibodies may interfere with folate transport into the central nervous system despite normal blood folate levels.
FRAT® measures folate receptor autoantibodies and helps identify patients who may have impaired cerebral folate transport, a condition that has been associated with cerebral folate deficiency, autism spectrum disorder, developmental delay, neurological disorders, and other neurodevelopmental conditions.
Cerebral Folate Deficiency (CFD)
Autism Spectrum Disorder
Developmental Delay
Speech and Language Delay
Epilepsy
Movement Disorders
Hypotonia
Neuropsychiatric Symptoms
Certain Mitochondrial Disorders
Several studies have demonstrated that a subset of individuals with autism spectrum disorder and cerebral folate deficiency have elevated folate receptor autoantibodies and may respond to targeted folinic acid or leucovorin therapy, under physician supervision.
Identification of folate receptor autoantibodies
Investigation of cerebral folate deficiency pathways
Support for personalized treatment planning
Identification of patients who may benefit from specialist evolution
Guidance for further metabolic or neurological investigations
Monitoring of folate receptor autoantibody status over time
Autism Spectrum Disorder
Developmental Delay
Speech Delay
Intellectual Disability
Cerebral Folate Deficiency
Epilepsy
Hypotonia
Regression
Neurological Symptoms of Unclear Origin
Mitochondrial Dysfunction
Neurodevelopmental Disorders
FRAT® evaluates two classes of folate receptor alpha autoantibodies:
Demyelination
Brain Autoimmunity
Results should be expected approximately 60 days from the date the sample reaches our lab partners.
International shipping for this test is available. Please consult our team for information regarding your specific country.
Contact UsFRAT® is not intended to diagnose autism spectrum disorder, cerebral folate deficiency, or any neurological condition on its own. Results should always be interpreted alongside clinical history, symptoms, physical examination, laboratory findings, and specialist evaluation.

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