Arnold Georgianne L, Hyman Susan L, Mooney Robert A, Kirby Russell S
Department of Pediatrics, University of Rochester Medical Center, Rochester, New York 14642, USA.
J Autism Dev Disord. 2003 Aug;33(4):449-54. doi: 10.1023/a:1025071014191.
The plasma amino acid profiles of 36 children with autism spectrum disorders were reviewed to determine the impact of diet on amino acid patterns. Ten of the children were on gluten and casein restricted diets administered by parents, while the other 26 consumed unrestricted diets. No amino acid profile specific to autism was identified. However, children with autism had more essential amino acid deficiencies consistent with poor protein nutrition than an age/gender matched control group. There was a trend for children with autism who were on restricted diets to have an increased prevalence of essential amino acid deficiencies and lower plasma levels of essential acids including the neurotransmitter precursors tyrosine and tryptophan than both controls and children with autism on unrestricted diets. These data indicate that larger, more focused studies of protein nutrition in children with autism are needed in order to determine the extent to which restricted diets might place the developing brains of children with autism at risk from protein malnutrition. The high rate of tryptophan and tyrosine deficiency in this group is also of concern given their role as neurotransmitter precursors.
回顾了36名自闭症谱系障碍儿童的血浆氨基酸谱,以确定饮食对氨基酸模式的影响。其中10名儿童由父母实施麸质和酪蛋白限制饮食,另外26名儿童食用无限制饮食。未发现特定于自闭症的氨基酸谱。然而,与年龄/性别匹配的对照组相比,自闭症儿童有更多与蛋白质营养不良一致的必需氨基酸缺乏。与对照组和食用无限制饮食的自闭症儿童相比,接受限制饮食的自闭症儿童有必需氨基酸缺乏患病率增加和必需氨基酸血浆水平降低的趋势,这些必需氨基酸包括神经递质前体酪氨酸和色氨酸。这些数据表明,需要对自闭症儿童的蛋白质营养进行更大规模、更有针对性的研究,以确定限制饮食可能使自闭症儿童发育中的大脑面临蛋白质营养不良风险的程度。鉴于色氨酸和酪氨酸作为神经递质前体的作用,该组中色氨酸和酪氨酸缺乏的高发生率也令人担忧。