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Autism Studies and Related Medical Conditions, January 2009 - TACA

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symptoms <strong>and</strong> comorbidities observed in autism including: cognitive impairment,<br />

language deficits, abnormal energy metabolism, chronic gastrointestinal<br />

problems, abnormalities in fatty acid oxidation, <strong>and</strong> increased oxidative stress.<br />

MtD <strong>and</strong> oxidative stress may also explain the high male to female ratio found in<br />

autism due to increased male vulnerability to these dysfunctions. Biomarkers for<br />

mitochondrial dysfunction have been identified, but seem widely under-utilized<br />

despite available therapeutic interventions. Nutritional supplementation to<br />

decrease oxidative stress along with factors to improve reduced glutathione, as<br />

well as hyperbaric oxygen therapy (HBOT) represent supported <strong>and</strong> rationale<br />

approaches. The underlying pathophysiology <strong>and</strong> autistic symptoms of affected<br />

individuals would be expected to either improve or cease worsening once<br />

effective treatment for MtD is implemented.<br />

Rossignol, D. A. <strong>and</strong> L. W. Rossignol (2006). "Hyperbaric oxygen therapy may improve<br />

symptoms in autistic children." Med Hypotheses 67(2): 216-28.<br />

<strong>Autism</strong> is a neurodevelopmental disorder that currently affects as many as 1 out<br />

of 166 children in the United States. Recent research has discovered that some<br />

autistic individuals have decreased cerebral perfusion, evidence of<br />

neuroinflammation, <strong>and</strong> increased markers of oxidative stress. Multiple<br />

independent single photon emission computed tomography (SPECT) <strong>and</strong> positron<br />

emission tomography (PET) research studies have revealed hypoperfusion to<br />

several areas of the autistic brain, most notably the temporal regions <strong>and</strong> areas<br />

specifically related to language comprehension <strong>and</strong> auditory processing. Several<br />

studies show that diminished blood flow to these areas correlates with many of<br />

the clinical features associated with autism including repetitive, self-stimulatory<br />

<strong>and</strong> stereotypical behaviors, <strong>and</strong> impairments in communication, sensory<br />

perception, <strong>and</strong> social interaction. Hyperbaric oxygen therapy (HBOT) has been<br />

used with clinical success in several cerebral hypoperfusion syndromes including<br />

cerebral palsy, fetal alcohol syndrome, closed head injury, <strong>and</strong> stroke. HBOT can<br />

compensate for decreased blood flow by increasing the oxygen content of<br />

plasma <strong>and</strong> body tissues <strong>and</strong> can even normalize oxygen levels in ischemic<br />

tissue. In addition, animal studies have shown that HBOT has potent antiinflammatory<br />

effects <strong>and</strong> reduces oxidative stress. Furthermore, recent evidence<br />

demonstrates that HBOT mobilizes stem cells from human bone marrow, which<br />

may aid recovery in neurodegenerative diseases. Based upon these findings, it is<br />

hypothesized that HBOT will improve symptoms in autistic individuals. A<br />

retrospective case series is presented that supports this hypothesis.<br />

Rossignol, D. A., L. W. Rossignol, et al. (2007). "The effects of hyperbaric oxygen<br />

therapy on oxidative stress, inflammation, <strong>and</strong> symptoms in children with autism: an<br />

open-label pilot study." BMC Pediatr 7(1): 36.<br />

ABSTRACT: BACKGROUND: Recently, hyperbaric oxygen therapy (HBOT) has<br />

increased in popularity as a treatment for autism. Numerous studies document<br />

oxidative stress <strong>and</strong> inflammation in individuals with autism; both of these<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 96

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