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Autism Studies and Related Medical Conditions, January 2009 - TACA

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Chauhan, V., A. Chauhan, et al. (2004). "Alteration in amino-glycerophospholipids levels<br />

in the plasma of children with autism: a potential biochemical diagnostic marker." Life<br />

Sci 74(13): 1635-43.<br />

Currently, there is no biochemical test to assist in the behavioral diagnosis of<br />

autism. We observed that levels of phosphatidylethanolamine (PE) were<br />

decreased while phosphatidylserine (PS) were increased in the erythrocyte<br />

membranes of children with autism as compared to their non-autistic<br />

developmentally normal siblings. A new method using Trinitrobenezene sulfonic<br />

acid (TNBS) for the quantification of PE <strong>and</strong> PS (amino-glycerophospholipids, i.e.,<br />

AGP) in the plasma of children was developed <strong>and</strong> st<strong>and</strong>ardized. Wavelength<br />

scans of TNBS-PE <strong>and</strong> TNBS-PS complexes gave two peaks at 320 nm <strong>and</strong> 410<br />

nm. When varying concentrations of PS <strong>and</strong> PE were used, a linear regression<br />

line was observed at 410 nm with TNBS. Using this assay, the levels of AGP were<br />

found to be significantly increased in the plasma of children with autism as<br />

compared to their non-autistic normal siblings. It is proposed that plasma AGP<br />

levels may function as a potential diagnostic marker for autism.<br />

Chez, M. G., C. P. Buchanan, et al. (2002). "Double-blind, placebo-controlled study of L-<br />

carnosine supplementation in children with autistic spectrum disorders." J Child Neurol<br />

17(11): 833-7.<br />

L-Carnosine, a dipeptide, can enhance frontal lobe function or be<br />

neuroprotective. It can also correlate with gamma-aminobutyric acid (GABA)-<br />

homocarnosine interaction, with possible anticonvulsive effects. We investigated<br />

31 children with autistic spectrum disorders in an 8-week, double-blinded study<br />

to determine if 800 mg L-carnosine daily would result in observable changes<br />

versus placebo. Outcome measures were the Childhood <strong>Autism</strong> Rating Scale, the<br />

Gilliam <strong>Autism</strong> Rating Scale, the Expressive <strong>and</strong> Receptive One-Word Picture<br />

Vocabulary tests, <strong>and</strong> Clinical Global Impressions of Change. Children on placebo<br />

did not show statistically significant changes. After 8 weeks on L-carnosine,<br />

children showed statistically significant improvements on the Gilliam <strong>Autism</strong><br />

Rating Scale (total score <strong>and</strong> the Behavior, Socialization, <strong>and</strong> Communication<br />

subscales) <strong>and</strong> the Receptive One-Word Picture Vocabulary test (all P < .05).<br />

Improved trends were noted on other outcome measures. Although the<br />

mechanism of action of L-carnosine is not well understood, it may enhance<br />

neurologic function, perhaps in the enterorhinal or temporal cortex.<br />

Corbett, B. A., S. Mendoza, et al. (2006). "Cortisol circadian rhythms <strong>and</strong> response to<br />

stress in children with autism." Psychoneuroendocrinology 31(1): 59-68.<br />

BACKGROUND: <strong>Autism</strong> is a severe neurodevelopmental disorder characterized by<br />

impairment in communication, social interaction, repetitive behaviors <strong>and</strong><br />

difficulty adapting to novel experiences. The Hypothalamic-Pituitary-<br />

Adrenocortical (HPA) system responds consistently to perceived novel or<br />

unfamiliar situations <strong>and</strong> can serve as an important biomarker of the response to<br />

a variety of different stimuli. Previous research has suggested that children with<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 77

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