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Autism Studies and Related Medical Conditions, January 2009 - TACA

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oligonucleotide probes targeting predominant components of the gut flora. The<br />

faecal flora of ASD patients contained a higher incidence of the Clostridium<br />

histolyticum group (Clostridium clusters I <strong>and</strong> II) of bacteria than that of healthy<br />

children. However, the non-autistic sibling group had an intermediate level of the<br />

C. histolyticum group, which was not significantly different from either of the<br />

other subject groups. Members of the C. histolyticum group are recognized toxinproducers<br />

<strong>and</strong> may contribute towards gut dysfunction, with their metabolic<br />

products also exerting systemic effects. Strategies to reduce clostridial population<br />

levels harboured by ASD patients or to improve their gut microflora profile<br />

through dietary modulation may help to alleviate gut disorders common in such<br />

patients.<br />

Quigley, E. M. <strong>and</strong> D. Hurley (2000). "<strong>Autism</strong> <strong>and</strong> the gastrointestinal tract." Am J<br />

Gastroenterol 95(9): 2154-6.<br />

Reichelt, K. L. (1991). "[Gluten-free diet in infantile autism]." Tidsskr Nor Laegeforen<br />

111(10): 1286-7.<br />

Reichelt, K. L., K. Hole, et al. (1981). "Biologically active peptide-containing fractions in<br />

schizophrenia <strong>and</strong> childhood autism." Adv Biochem Psychopharmacol 28: 627-43.<br />

It is well documented that peptides have a major role in the effective functioning<br />

of higher animals at all levels from enzyme stabilization to homeostatic<br />

mechanisms governing essential functions such as eating, sexual behavior, <strong>and</strong><br />

temperature regulation. The effects of exogenously administered peptides on<br />

neurotransmitter release, uptake, metabolism <strong>and</strong> behavioral consequences are<br />

also well established. We have attempted to extend these findings by postulating<br />

peptidergic neurons as transducers of multisignal inputs, <strong>and</strong> that development<br />

of pathological states may be due to genetically-determined reduced levels of<br />

activity of key peptidases, leading to excretion of regulatory peptides into the<br />

circulation. We have been able to demonstrate that, in schizophrenia <strong>and</strong> autism<br />

(in well defined clinical cases), the patterns of peptides <strong>and</strong> associated proteins<br />

from urinary samples differ considerably from each other <strong>and</strong> from normal<br />

controls. In addition to this, further purification of the material obtained has led<br />

to the discovery of a number of factors capable of modulating the function of<br />

major neurotransmitters. Some of these are in the final stages of characterization<br />

as peptides, while the remainder are also probably peptides, as purification has<br />

been followed by both biological testing <strong>and</strong> chemical analysis for peptidic<br />

material. We have outlined a number of parameters which we consider relevant<br />

in any attempt to put psychiatric disorders on a biological foundation. Any new<br />

advances in the neurochemical underst<strong>and</strong>ing of such disorders must take into<br />

consideration the observations of several different disciplines including genetics<br />

<strong>and</strong> psychology. However, at this stage of research it is far too early to speculate<br />

on the relevance of the various biological activities to the etiology <strong>and</strong><br />

symptomatology of schizophrenia <strong>and</strong> childhood autism.<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 27

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