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Autism Studies and Related Medical Conditions, January 2009 - TACA

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occasionally occurred. If this pharmacologic practice is to continue, it is<br />

important from a public safety st<strong>and</strong>point that each nutrient be examined for<br />

potential toxicities so that appropriate purity st<strong>and</strong>ards can be developed <strong>and</strong> the<br />

risks weighed against the benefits when considering their use.<br />

PMID: 10837313 [PubMed - indexed for MEDLINE]<br />

Filipek PA, Juranek J, Nguyen MT, Cummings C, Gargus JJ. Relative carnitine deficiency<br />

in autism. J <strong>Autism</strong> Dev Disord. 2004 Dec;34(6):615-23.<br />

Department of Pediatrics, College of Medicine, University of California, Irvine, CA,<br />

USA. filipek@uci.edu<br />

A r<strong>and</strong>om retrospective chart review was conducted to document serum carnitine<br />

levels on 100 children with autism. Concurrently drawn serum pyruvate, lactate,<br />

ammonia, <strong>and</strong> alanine levels were also available in many of these children.<br />

Values of free <strong>and</strong> total carnitine (p < 0.001), <strong>and</strong> pyruvate (p = 0.006) were<br />

significantly reduced while ammonia <strong>and</strong> alanine levels were considerably<br />

elevated (p < 0.001) in our autistic subjects. The relative carnitine deficiency in<br />

these patients, accompanied by slight elevations in lactate <strong>and</strong> significant<br />

elevations in alanine <strong>and</strong> ammonia levels, is suggestive of mild mitochondrial<br />

dysfunction. It is hypothesized that a mitochondrial defect may be the origin of<br />

the carnitine deficiency in these autistic children.<br />

PMID: 15679182 [PubMed - indexed for MEDLINE]<br />

Friedman SD, Shaw DW, Artru AA, Richards TL, Gardner J, Dawson G, Posse S, Dager<br />

SR. Regional brain chemical alterations in young children with autism spectrum<br />

disorder. Neurology. 2003 Jan 14;60(1):100-7.<br />

Department of Radiology, University of Washington School of Medicine, Seattle<br />

98105-6099, USA.<br />

OBJECTIVE: The authors evaluated regional brain chemistry for evidence of<br />

increased neuronal packing density in autism. METHODS: Forty-five 3- to 4-yearold<br />

children with autism spectrum disorder (ASD), 13 children with typical<br />

development (TD), <strong>and</strong> 15 children with delayed development (DD) were studied<br />

using dual-echo proton echoplanar spectroscopic imaging (32 x 32 matrix-1<br />

cm(3) voxels) to measure brain chemical concentrations <strong>and</strong> relaxation times.<br />

Chemical quantification was corrected for tissue partial volume <strong>and</strong> relative<br />

measures of chemical relaxation (T(2r)) were calculated from the paired echoes.<br />

Measures from averaged <strong>and</strong> individual regions were compared using analysis of<br />

variance corrected for multiple comparisons. RESULTS: ASD subjects<br />

demonstrated reduced N-acetylaspartate (NAA) (-10%), creatine (Cre) (-8%),<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 192

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