Lynch Rhoda, Diggins Eileen L, Connors Susan L, Zimmerman Andrew W, Singh Kanwaljit, Liu Hua, Talalay Paul, Fahey Jed W
Department of Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts.
Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts.
Glob Adv Health Med. 2017 Oct 26;6:2164957X17735826. doi: 10.1177/2164957X17735826. eCollection 2017.
Autism spectrum disorder (ASD) affects 1 in 68 children, is characterized by impaired social interaction and communication as well as restricted or repetitive behaviors, and varies widely with respect to its causes and presentations. There are no validated pharmacologic treatments for the core symptoms of ASD. The social, medical, and economic burdens of ASD on families and caregivers are profound. We recently showed in a small clinical trial that sulforaphane (SF) from broccoli sprouts could significantly reduce the behavioral symptoms of ASD.
After we completed the intervention phase of the original trial (2011-2013), many caregivers used over-the-counter dietary SF supplements in order to attempt to maintain improvements similar to those noted during the intervention. We periodically followed the progress of study participants through the summer of 2016.
Families of 16 of the 26 subjects who received SF as part of the original study responded to requests for further information. Of these subjects, 6 did not continue taking SF supplements after the study. Nine of the 16 subjects are still taking an SF supplement and a 10th planned to. We present the edited testimonials of their caregivers in this case series.
Many parents and caregivers articulated the positive effects of SF, both during the intervention phase and in the ensuing 3 years reported herein. These observations may contribute to understanding ASD and to treatments that may alleviate some of its symptoms. Diet- and supplement-based therapies deserve careful consideration for their potential to provide vital clinical as well as biochemical information about ASD.
自闭症谱系障碍(ASD)影响着每68名儿童中的1名,其特征为社交互动和沟通受损以及存在受限或重复行为,并且在病因和表现方面差异很大。目前尚无针对ASD核心症状的有效药物治疗方法。ASD给家庭和照料者带来了沉重的社会、医疗和经济负担。我们最近在一项小型临床试验中表明,西兰花芽中的萝卜硫素(SF)可显著减轻ASD的行为症状。
在我们完成原试验的干预阶段(2011 - 2013年)后,许多照料者使用非处方膳食SF补充剂,试图维持与干预期间观察到的改善相似的效果。我们在2016年夏季之前定期跟踪研究参与者的进展情况。
在最初研究中接受SF治疗的26名受试者中,有16名受试者的家属回应了进一步信息请求。在这些受试者中,6人在研究结束后未继续服用SF补充剂。16名受试者中有9人仍在服用SF补充剂,第10人计划服用。在此病例系列中,我们展示了其照料者编辑后的推荐意见。
许多家长和照料者都阐述了SF在干预阶段以及本文所报告的随后3年中的积极作用。这些观察结果可能有助于了解ASD以及可能减轻其某些症状的治疗方法。基于饮食和补充剂的疗法因其有可能提供有关ASD的重要临床和生化信息而值得仔细考虑。