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Autism Studies and Related Medical Conditions, January 2009 - TACA

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exhibit higher than average levels of <strong>and</strong>rogens. Spironolactone is an aldosterone<br />

antagonist <strong>and</strong> potassium-sparing diuretic with a desirable safety profile. It<br />

possesses potent anti-inflammatory <strong>and</strong> immune modifying properties that might<br />

make it an excellent medical intervention for autism spectrum disorders.<br />

Furthermore, spironolactone demonstrates substantial anti-<strong>and</strong>rogen properties<br />

that might further enhance its appeal in autism, particularly in a definable subset<br />

of hyper<strong>and</strong>rogenic autistic children. One case report is briefly reviewed<br />

demonstrating objective clinical improvements in an autistic child after<br />

spironolactone administration. Additional research in controlled trials is now<br />

needed to further define the risks <strong>and</strong> benefits of spironolactone use in children<br />

with autism.<br />

Brudnak, M. A., B. Riml<strong>and</strong>, et al. (2002). "Enzyme-based therapy for autism spectrum<br />

disorders -- is it worth another look?" Med Hypotheses 58(5): 422-8.<br />

<strong>Autism</strong> is a developmental disease usually manifesting within the first three years<br />

of life. To date, no causative agent has been found. Similarly, treatment options<br />

have been limited. Of the treatment options available, a number of them have<br />

been nutritionally based in an attempt to address one or more of the theories<br />

regarding the etiology of the disease. An example would be enzyme therapy for<br />

the digestion of purported offending neuroactive peptides collectively known as<br />

exorphins. This paper discusses the exorphin theory of autism <strong>and</strong> subsequent<br />

treatment with dietary enzyme therapy. Novel data are presented in support of<br />

the theory that enzymes play a critical role in autism. Forty-six patients between<br />

the ages of 5 <strong>and</strong> 31 were selected for inclusion in the study based on a<br />

diagnosis placing them in the category of the autism spectrum disorders (ASD).<br />

The diets were supplemented with a novel dietary enzyme formulation,<br />

ENZYMAID, for a period of 12 weeks. Progress was tracked according to the<br />

Symptom Outcome Survey (SOS) (1) form method of symptom charting <strong>and</strong><br />

presented in a table for further analysis. The novel enzyme formula, ENZYMAID,<br />

beneficially <strong>and</strong> safely affected all 13 of the parameters measured.<br />

Improvements ranged from 50-90%, depending on the parameter measured.<br />

Enzyme therapy to treat ASD may indeed a viable option in treatment protocols.<br />

These results indicate that further controlled studies are warranted.<br />

Chez, M. G., T. Dowling, et al. (2007). "Elevation of tumor necrosis factor-alpha in<br />

cerebrospinal fluid of autistic children." Pediatr Neurol 36(6): 361-5.<br />

Recent reports implicating elevated cytokines in the central nervous system in a<br />

small number of patients studied with autism have reported clinical regression.<br />

These studies have not focused on tumor necrosis factor-alpha as a possible<br />

marker for inflammatory damage. A series of 10 children with autism had clinical<br />

evaluation of their serum <strong>and</strong> spinal fluid for inflammatory changes <strong>and</strong> possible<br />

metabolic disease as part of their neurological evaluation. Elevation of<br />

cerebrospinal fluid levels of tumor necrosis factor-alpha was significantly higher<br />

(mean = 104.10 pg/mL) than concurrent serum levels (mean = 2.78 pg/mL) in<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 61

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