Kim Amanda, Zisman Corina R, Holingue Calliope
Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Psychology, Pennsylvania State University, University Park, PA, USA.
Curr Top Behav Neurosci. 2023;61:141-161. doi: 10.1007/7854_2022_371.
Autism Spectrum Disorder is a developmental condition associated with impairments in communication and social interactions, and repetitive and restricted behavior or interests. Autistic individuals are more likely to experience gastrointestinal (GI) symptoms than neurotypical individuals. This may be partially due to dysbiosis of the gut microbiome. In this article, we describe the interaction of the microbiome and immune system on autism etiology. We also summarize the links between the microbiome and gastrointestinal and related symptoms among autistic individuals. We report that microbial interventions, including diet, probiotics, antibiotics, and fecal transplants, and immune-modulating therapies such as cytokine blockade during the preconception, pregnancy, and postnatal period may impact the neurodevelopment, behavior, and gastrointestinal health of autistic individuals.
自闭症谱系障碍是一种与沟通和社交互动受损以及重复和受限行为或兴趣相关的发育状况。自闭症个体比神经典型个体更容易出现胃肠道(GI)症状。这可能部分归因于肠道微生物群的失调。在本文中,我们描述了微生物群与免疫系统在自闭症病因学上的相互作用。我们还总结了自闭症个体中微生物群与胃肠道及相关症状之间的联系。我们报告称,包括饮食、益生菌、抗生素和粪便移植在内的微生物干预措施,以及在孕前、孕期和产后进行的免疫调节疗法,如细胞因子阻断,可能会影响自闭症个体的神经发育、行为和胃肠道健康。