Department of Integrated Medical Care, Medical University of Bialystok, Marii Sklodowskiej-Curie 7A, 15-096, Bialystok, Poland.
Department of Hygiene, Epidemiology and Ergonomics, Medical University of Bialystok, 15-089, Bialystok, Poland.
BMC Public Health. 2020 Mar 23;20(1):383. doi: 10.1186/s12889-020-08496-w.
Explanation of the pathogenesis and treatment of autism spectrum disorders (ASD) is one of the most significant challenges for scientists today. It is believed that a major pathogenetic factor of this condition is epigenetic changes caused by environmental factors, including toxic metals (cadmium (Cd), lead (Pb), mercury (Hg), aluminium (Al), and arsenic (As)). The nervous system may also be affected by deficiencies of both micro- and macroelements (e.g. calcium (Ca), zinc (Zn)). The aim of the study was to analyze the concentrations of Pb, As, and Ca in the hair of children with ASD and a control group.
The materials for the study comprised hair samples collected from 30 children diagnosed with ASD (case group) and 30 children randomly selected from the general population of Bialystok and surrounding region (control group). Concentrations of Pb, As, and Ca were tested with electron microscopy scanning method. Next, the content of the analyzed elements in the hair was assessed as well as their impact on autism development in the children and the mutual interactions between them. The obtained results were statistically analyzed with Statistica PL 12.5., using the Mann-Whitney U test, and Spearman correlation coefficient.
Mean Ca level in the hair of the case group was lower than the mean level of this element in the control group. Mean As and Pb concentration in the hair of children with ASD was statistically significantly higher than the mean concentration of this element in the hair of children without neurological disorders. Statistically insignificant weak positive correlations between Ca and As content and negative between Ca and Pb in the hair of children from the case group were noted. Also, statistically significant mean positive correlations between Pb and As were observed.
In this small study, according to the observations, children diagnosed with ASD suffer from Ca deficiency and toxic metal overload (As and Pb). These abnormalities may play the main role, as an environmental factor, in the pathogenesis of the analyzed disorder.
自闭症谱系障碍(ASD)的发病机制和治疗方法的解释是当今科学家面临的最大挑战之一。据信,这种疾病的一个主要发病因素是环境因素引起的表观遗传变化,包括有毒金属(镉(Cd)、铅(Pb)、汞(Hg)、铝(Al)和砷(As))。神经系统也可能受到微量元素和宏量元素(如钙(Ca)、锌(Zn))缺乏的影响。本研究的目的是分析 ASD 儿童和对照组儿童头发中的 Pb、As 和 Ca 浓度。
本研究的材料包括 30 名被诊断为 ASD 的儿童(病例组)和 30 名从比亚韦斯托克及其周边地区随机选择的儿童(对照组)的头发样本。采用电子显微镜扫描法检测 Pb、As 和 Ca 的浓度。接下来,评估了分析元素在头发中的含量及其对儿童自闭症发展的影响,以及它们之间的相互作用。使用 Statistica PL 12.5 对获得的结果进行统计分析,使用 Mann-Whitney U 检验和 Spearman 相关系数。
病例组儿童头发中 Ca 的平均水平低于对照组儿童的平均水平。ASD 儿童头发中 As 和 Pb 的平均浓度明显高于无神经紊乱儿童头发中该元素的平均浓度。病例组儿童头发中 Ca 和 As 含量之间存在统计学上无显著性的弱正相关,Ca 和 Pb 之间存在负相关。此外,还观察到 Pb 和 As 之间存在统计学显著的正相关。
在这项小型研究中,根据观察结果,被诊断为 ASD 的儿童患有 Ca 缺乏和有毒金属(As 和 Pb)超载。这些异常可能作为环境因素,在分析障碍的发病机制中起主要作用。