2020
DOI: 10.7759/cureus.11226
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The Role of the Gut Microbiota and the Immune System in the Development of Autism

Abstract: Autism‌ ‌spectrum‌ ‌disorders‌ ‌(ASDs)‌ ‌are‌ ‌neurodevelopmental‌ ‌disorders‌ ‌that‌ ‌present‌ ‌with‌ ‌social‌ skills‌ ‌and‌ ‌communication‌ ‌challenges,‌ ‌restricted‌ ‌interest,‌ ‌and‌ ‌repetitive‌ ‌behavior.‌ ‌The‌ ‌specific‌ cause ‌of‌ ‌autism‌ ‌is‌ ‌not‌ ‌well‌ ‌understood‌ ‌yet.‌ ‌However,‌ ‌numerous‌ ‌studies‌ ‌indicated‌ ‌that‌ ‌environmental‌ ‌and‌ ‌genetic‌ ‌factors,‌ ‌dysregulated‌ ‌immune‌ ‌response,‌ ‌and‌ ‌alterations‌ ‌to‌ ‌the‌ ‌balance‌ ‌and‌ ‌content‌ ‌of‌ ‌the‌ ‌gut‌ ‌microbiota‌ ‌are‌ ‌impl… Show more

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Cited by 10 publications
(10 citation statements)
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“…The patients also have many repetitive behaviors, eye contact avoidance, and difficulties in adaptation to changing routines. [5,81] According to several studies, this disorder happens in males more than females, with a ratio of 4:1. [80] In addition to cognitive impairments, it is well-known that ASD children have various GI problems, such as gut dysfunction, constipation, diarrhea, and recurrent abdominal pain.…”
Section: Gut Microbiota and Asdmentioning
confidence: 99%
See 1 more Smart Citation
“…The patients also have many repetitive behaviors, eye contact avoidance, and difficulties in adaptation to changing routines. [5,81] According to several studies, this disorder happens in males more than females, with a ratio of 4:1. [80] In addition to cognitive impairments, it is well-known that ASD children have various GI problems, such as gut dysfunction, constipation, diarrhea, and recurrent abdominal pain.…”
Section: Gut Microbiota and Asdmentioning
confidence: 99%
“…A brief introduction Schizophrenia is a significant cause of disability with varied causes, and gut microbiome has been linked to its development [45][46][47][48][49][50] Depression is a prevalent cause of disability worldwide, with the gut microbiome being implicated in its pathogenesis [60][61][62] Generalized anxiety disorder (GAD) is a prevalent and enduring type of anxiety, affecting 4%-6% of the total population [70] Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects social interaction and communication and is typically identified in early childhood [1,5,77,78] Neurotransmitters involved in the mental disorders Impairment in the tryptophan to serotonin conversion pathway is plausibly linked to schizophrenia [9] Researchers suggest that d-serine could be associated with schizophrenia [54,57] The role of GABAergic transmission in schizophrenia has recently risen in significance [54] Tryptophan and Serotonin are centrally involved in the pathogenesis of depression [9] Modifying dopamine levels may have therapeutic applications for depression [21] GABA has been associated with treating depression [31] Glutamatergic signaling has been linked to depression [42,44] Tryptophan and serotonin also play a crucial role in the pathogenesis of anxiety [9] Modifying dopamine levels can have therapeutic applications for anxiety [21] GABA can also reduce anxiety [31] Modifying dopamine levels can have therapeutic applications on autism [21] Glutamate metabolization may be linked to autism [38,42] Microbiota effect on the neurotransmitters -Numerous bacterial species have reportedly expressed serotonin-synthesizing properties [14] -Gut commensal strains Lactobacillus and Bifidobacterium have been found able to produce GABA [54] -Altering gut microbial may modify the metabolism of d-amino acids…”
Section: Schizophrenia Depression Anxiety Disorder Autism Spectrum Di...mentioning
confidence: 99%
“…This duality of neuroprotective/antidepressant effects are likely due to some overlap of circuitries as well as common neurobiological substrates involved in dysregulation of mood and neurodegenerative phenotypes, particularly in PD (Tizabi 2016 ; Tizabi et al 2019 ). Moreover, recent advances also strongly connect gut microbiota not only with neurodegenerative diseases as discussed above but also with pain (Russo et al, 2018 ), neurodevelopmental disorders such as autism (Almeida et al 2020 ; Lungba et al 2020 ; O'Connor et al 2021 ), neuropsychiatric disorders such as schizophrenia (Dinan and Cryan 2020 ; Kelly et al 2020 ), and particularly depression (Caspani et al 2019 ; Cruz-Pereira and Cryan, 2020 ). Several mechanisms including deficits in neurogenesis and synaptogenesis, reduced cortical and hippocampal expression of brain-derived neurotrophic factor (BDNF), exaggerated hypothalamic pituitary adrenal (HPA) axis response, and neuroinflammation have been implicated in dysbiosis and depressive-like characteristics (Caspani et al 2019 ; Getachew et al 2019b ; Getachew and Tizabi 2019 ; Cruz-Pereira and Cryan 2020 ).…”
Section: Butyratementioning
confidence: 99%
“…Multiple studies have found evidence that the gut-microbiome-brain axis is important for the mental and cognitive health of children with ASD [14][15][16]. Despite this, there have been relatively few clinical studies in humans that provide clear evidence of the role in the aetiology of neurodevelopmental disorders [17,18]. On the other hand, a paper published in 2021 by Yap et al [19] establishes that the microbiota does not participate in autistic manifestations and that gut dysbiosis is a consequence of central symptoms in ASD.…”
Section: Introductionmentioning
confidence: 99%