1. An Update on Microbial Interventions in Autism Spectrum Disorder with Gastrointestinal Symptoms
- Author
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Moreno, Rachel J and Ashwood, Paul
- Subjects
Biochemistry and Cell Biology ,Biological Sciences ,Medicinal and Biomolecular Chemistry ,Chemical Sciences ,Microbiology ,Intellectual and Developmental Disabilities (IDD) ,Clinical Research ,Microbiome ,Brain Disorders ,Autism ,Nutrition ,Digestive Diseases ,Behavioral and Social Science ,Complementary and Integrative Health ,Pediatric ,Mental Health ,2.1 Biological and endogenous factors ,Mental health ,Humans ,Autism Spectrum Disorder ,Gastrointestinal Microbiome ,Probiotics ,Fecal Microbiota Transplantation ,Dysbiosis ,Prebiotics ,Gastrointestinal Diseases ,Anti-Bacterial Agents ,Animals ,autism ,prebiotics ,synbiotics ,probiotics ,diet ,fetal microbiota transplant ,FMT ,antibiotics ,inflammation ,behavior ,gut ,brain-gut ,gastrointestinal symptoms ,GI ,autism spectrum disorder ,ASD ,brain–gut ,Other Chemical Sciences ,Genetics ,Other Biological Sciences ,Chemical Physics ,Biochemistry and cell biology ,Medicinal and biomolecular chemistry - Abstract
In the United States, autism spectrum disorder (ASD) affects 1 in 33 children and is characterized by atypical social interactions, communication difficulties, and intense, restricted interests. Microbial dysbiosis in the gastrointestinal (GI) tract is frequently observed in individuals with ASD, potentially contributing to behavioral manifestations and correlating with worsening severity. Moreover, dysbiosis may contribute to the increased prevalence of GI comorbidities in the ASD population and exacerbate immune dysregulation, further worsening dysbiosis. Over the past 25 years, research on the impact of microbial manipulation on ASD outcomes has gained substantial interest. Various approaches to microbial manipulation have been preclinically and clinically tested, including antibiotic treatment, dietary modifications, prebiotics, probiotics, and fecal microbiota transplantation. Each method has shown varying degrees of success in reducing the severity of ASD behaviors and/or GI symptoms and varying long-term efficacy. In this review, we discuss these microbiome manipulation methods and their outcomes. We also discuss potential microbiome manipulation early in life, as this is a critical period for neurodevelopment.
- Published
- 2024