题名

Gut microbiota and Autism Spectrum Disorder: From pathogenesis to potential therapeutic perspectives

DOI

10.1016/j.jtcme.2022.03.001

作者

Anshula Mehra;Geetakshi Arora;Gaurav Sahni;Manmohit Kaur;Hasandeep Singh;Balbir Singh;Sarabjit Kaur

关键词

Autism ; Gut dysbiosis ; Gut-brain-axis ; Dietary intervention ; Probiotics and prebiotics ; Herbal remedies

期刊名称

Journal of Traditional and Complementary Medicine

卷期/出版年月

13卷2期(2023 / 03 / 01)

页次

135 - 149

内容语文

英文

中文摘要

Autism is a complex neurodevelopmental disorder which disrupts communication, social and interactive skills followed by appearance of repetitive behavior. The underlying etiology remains incomprehensible but genetic and environmental factors play a key role. Accumulated evidence shows that alteration in level of gut microbes and their metabolites are not only linked to gastrointestinal problems but also to autism. So far the mix of microbes that is present in the gut affects human health in numerous ways through extensive bacterial-mammalian cometabolism and has a marked influence over health via gut-brain- microbial interactions. Healthy microbiota may even ease the symptoms of autism, as microbial balance influences brain development through the neuroendocrine, neuroimmune, and autonomic nervous systems. In this article, we focused on reviewing the correlation between gut microbiota and their metabolites on symptoms of autism by utilizing prebiotics, probiotics and herbal remedies to target gut microflora hence autism.

主题分类 醫藥衛生 > 中醫藥學
参考文献
  1. Abdellatif, B,McVeigh, C,Bendriss, G,Chaari, A(2020).The promising role of probiotics in managing the altered gut in autism spectrum disorders.Int J Mol Sci.,21(11),4159.
  2. Agus, A,Planchais, J,Sokol, H(2018).Gut microbiota regulation of tryptophan metabolism in health and disease.Cell Host Microbe,23(6),716-724.
  3. Allen, AP,Hutch, W,Borre, YE(2016).Bifidobacterium longum 1714 as a translational psychobiotic: modulation of stress, electrophysiology and neurocognition in healthy volunteers.Transl Psychiatry,6(11),1-7.
  4. Altieri, L,Neri, C,Sacco, R(2011).Urinary p-cresol is elevated in small children with severe autism spectrum disorder.Biomarkers,16(3),252-260.
  5. Altun, H,Kurutaş, EB,Şahin, N,Güngör, O,Fındıklı, E(2018).The levels of vitamin D, vitamin D receptor, homocysteine and complex B vitamin in children with autism spectrum disorders.Clin Psychopharmacol Neurosci,16(4),383-390.
  6. Alzghoul, L,Abdelhamid, SS,Yanis, AH,Qwaider, YZ,Aldahabi, M,Albdour, SA(2019).The association between levels of inflammatory markers in autistic children compared to their unaffected siblings and unrelated healthy controls.Turk J Med Sci.,49(4),1047-1053.
  7. Amin, M,Khikmawati, NH,Suryadi(2020).Chemical interaction analysis of L-Theanine compounds from Camellia sinensis L. with kainate glutamate receptors and their toxicity effect as anti autism candidates based on in silico.AIP Conf Proc,2237(1),020072.
  8. Arena, A,Bisignano, C,Stassi, G,Mandalari, G,Wickham, MS,Bisignano, G(2010).Immunomodulatory and antiviral activity of almond skins.Immunol Lett,132(1-2),18-23.
  9. Arnold, LE,Luna, RA,Williams, K(2019).Probiotics for gastrointestinal symptoms and quality of life in autism: a placebo-controlled pilot trial.J Child Adolesc Psychopharmacol,29(9),659-669.
  10. Ashwood, P,Krakowiak, P,Hertz-Picciotto, I,Hansen, R,Pessah, I,Van de Water, J(2011).Elevated plasma cytokines in autism spectrum disorders provide evidence of immune dysfunction and are associated with impaired behavioral outcome.Brain Behav Immun,25(1),40-45.
  11. Bang, M,Lee, SH,Cho, SH(2017).Herbal medicine treatment for children with autism spectrum disorder: a systematic review.Evid Based Complement Alternat Med,2017,8614680.
  12. Bhandari, P,Kamdod, M(2012).Emblica officinalis (Amla): a review of potential therapeutic applications.Int J Green Pharm,6,257.
  13. Bhandari, R,Paliwal, JK,Kuhad, A(2020).Dietary phytochemicals as neurotherapeutics for autism spectrum disorder: plausible mechanism and evidence.Adv Neurobiol,24,615-646.
  14. Boccuto, L,Chen, CF,Pittman, AR(2013).Decreased tryptophan metabolism in patients with autism spectrum disorders.Mol Autism,4(1),16.
  15. Bölte, S,Girdler, S,Marschik, PB(2019).The contribution of environmental exposure to the etiology of autism spectrum disorder.Cell Mol Life Sci.,76(7),1275-1297.
  16. Buffington, SA,Di Prisco, GV,Auchtung, TA,Ajami, NJ,Petrosino, JF,CostaMattioli, M(2016).Microbial reconstitution reverses maternal diet-induced social and synaptic deficits in offspring.Cell,165(7),1762-1775.
  17. Burger-van Paassen, N,Vincent, A,Puiman, PJ(2009).The regulation of intestinal mucin MUC2 expression by short-chain fatty acids: implications for epithelial protection.Biochem J.,420(2),211-219.
  18. Burrus, CJ(2012).A biochemical rationale for the interaction between gastrointestinal yeast and autism.Med Hypotheses,79(6),784-785.
  19. Cekici, H,Sanlier, N(2019).Current nutritional approaches in managing autism spectrum disorder: a review.Nutr Neurosci,22(3),145-155.
  20. Cenit, MC,Sanz, Y,Codoñer-Franch, P(2017).Influence of gut microbiota on neuro-psychiatric disorders.World J Gastroenterol,23(30),5486-5498.
  21. Chang, JP,Su, KP(2020).Nutritional neuroscience as mainstream of psychiatry: the evidence-based treatment guidelines for using omega-3 fatty acids as a new treatment for psychiatric disorders in children and adolescents.Clin Psychopharmacol Neurosci,30(4),469.
  22. Chauhan, A,Chauhan, V(2006).Oxidative stress in autism.Pathophysiology,13(3),171-181.
  23. Cheng, B,Zhu, J,Yang, T(2021).Vitamin A deficiency increases the risk of gastrointestinal comorbidity and exacerbates core symptoms in children with autism spectrum disorder.Pediatr Res,89(1),211-216.
  24. Cheng, YS,Tseng, PT,Chen, YW(2017).Supplementation of omega 3 fatty acids may improve hyperactivity, lethargy, and stereotypy in children with autism spectrum disorders: a meta-analysis of randomized controlled trials.Neuropsychiatric Dis Treat,13,2531.
  25. Cho, K-h,Kim, T-H,Jin, C,Lee, JE,Kwon, S(2018).The literary trends of herbal prescription ukgan-san and its application in modern traditional Korean medicine.J Korean Med,39(3),17-27.
  26. Chu, DM,Antony, KM,Ma, J(2016).The early infant gut microbiome varies in association with a maternal high-fat diet.Genome Med,8(1),77.
  27. Coleman, M,Blass, JP(1985).Autism and lactic acidosis.J Autism Dev Disord,15(1),1-8.
  28. Costantini, L,Molinari, R,Farinon, B,Merendino, N(2017).Impact of omega-3 fatty acids on the gut microbiota.Int J Mol Sci.,18(12)
  29. Critchfield, JW,van Hemert, S,Ash, M,Mulder, L,Ashwood, P(2011).The potential role of probiotics in the management of childhood autism spectrum disorders.Gastroenterol Res Pract,2011,161358.
  30. Cryan, JF,O'Riordan, KJ,Cowan, CS(2019).The microbiota-gut-brain axis.Physiol Rev,99,1877-2013.
  31. Davani-Davari, D,Negahdaripour, M,Karimzadeh, I(2019).Prebiotics: definition, types, sources, mechanisms, and clinical applications.Foods,8(3)
  32. De Angelis, M,Piccolo, M,Vannini, L(2013).Fecal microbiota and metabolome of children with autism and pervasive developmental disorder not otherwise specified.PLoS One,8(10),e76993.
  33. de Theije, CG,Wu, J,da Silva, SL(2011).Pathways underlying the gut-to-brain connection in autism spectrum disorders as future targets for disease management.Eur J Pharmacol,668(Suppl 1),S70-S80.
  34. Desbonnet, L,Clarke, G,Traplin, A(2015).Gut microbiota depletion from early adolescence in mice: implications for brain and behaviour.Brain Behav Immun,1,165-173.
  35. Dinan, TG,Cryan, JF(2015).The impact of gut microbiota on brain and behaviour: implications for psychiatry.Curr Opin Clin Nutr Metab Care,18(6),552-558.
  36. Dinan, TG,Cryan, JF(2017).Gut instincts: microbiota as a key regulator of brain development, ageing and neurodegeneration.J Physiol,595(2),489-503.
  37. Ding, HT,Taur, Y,Walkup, JT(2017).Gut microbiota and autism: key concepts and findings.J Autism Dev Disord.,47(2),480-489.
  38. Doenyas, C(2018).Gut microbiota, inflammation, and probiotics on neural development in autism spectrum disorder.Neuroscience,374,271-286.
  39. Eisenstein, M(2016).Microbiome: bacterial broadband.Nature,533(7603),S104-S106.
  40. El-Ansary, A,Bacha, AB,Bjørklund, G(2018).Probiotic treatment reduces the autistic-like excitation/inhibition imbalance in juvenile hamsters induced by orally administered propionic acid and clindamycin.Metab Brain Dis,33(4),1155-1164.
  41. Elder, JH,Shankar, M,Shuster, J,Theriaque, D,Burns, S,Sherrill, L(2006).The glutenfree, casein-free diet in autism: results of a preliminary double blind clinical trial.J Autism Dev Disord.,36(3),413-420.
  42. Evangeliou, A,Vlachonikolis, I,Mihailidou, H(2003).Application of a ketogenic diet in children with autistic behavior: pilot study.J Child Neurol,18(2),113-118.
  43. Farombi, EO,Abolaji, AO,Adetuyi, BO,Awosanya, O,Fabusoro, M(2018).Neuro-protective role of 6-Gingerol-rich fraction of Zingiber officinale (Ginger) against acrylonitrile-induced neurotoxicity in male Wistar rats.J Basic Clin Physiol Pharmacol,30(3)
  44. Finegold, SM,Dowd, SE,Gontcharova, V(2010).Pyrosequencing study of fecal microflora of autistic and control children.Anaerobe,16(4),444-453.
  45. Finegold, SM,Molitoris, D,Song, Y(2002).Gastrointestinal microflora studies in late-onset autism.Clin Infect Dis.,35(Suppl 1),S6-S16.
  46. Fiorentino, M,Sapone, A,Senger, S(2016).Blood-brain barrier and intestinal epithelial barrier alterations in autism spectrum disorders.Mol Autism,7,49.
  47. Forsythe, P,Bienenstock, J,Kunze, WA(2014).Vagal pathways for microbiome-brain-gut axis communication.Adv Exp Med Biol,817,115-133.
  48. Frye, RE,Rose, S,Slattery, J,MacFabe, DF(2015).Gastrointestinal dysfunction in autism spectrum disorder: the role of the mitochondria and the enteric microbiome.Microb Ecol Health Dis,26,27458.
  49. Frye, RE,Slattery, J,MacFabe, DF(2015).Approaches to studying and manipulating the enteric microbiome to improve autism symptoms.Microb Ecol Health Dis,26,26878.
  50. Gaspar, P,Cases, O,Maroteaux, L(2003).The developmental role of serotonin: news from mouse molecular genetics.Nat Rev Neurosci,4(12),1002-1012.
  51. Gevi, F,Zolla, L,Gabriele, S,Persico, AM(2016).Urinary metabolomics of young Italian autistic children supports abnormal tryptophan and purine metabolism.Mol Autism,7,47.
  52. Ghanizadeh, A,Berk, M.(2015).Beta-lactam antibiotics as a possible novel therapy for managing epilepsy and autism, a case report and review of literature.Iran J Child Neurol,9(1),99-102.
  53. Golechha, M,Bhatia, J,Arya, DS(2010).Hydroalcoholic extract of Emblica officinalis Gaertn. affords protection against PTZ-induced seizures, oxidative stress and cognitive impairment in rats.Indian J Exp Biol,48(5),474-478.
  54. Golubeva, AV,Joyce, SA,Moloney, G(2017).Microbiota-related changes in bile acid & tryptophan metabolism are associated with gastrointestinal dysfunction in a mouse model of autism.EBioMedicine,24,166-178.
  55. Gottschall, E.(2004).Digestion-gut-autism connection: the specific carbohydrate diet.Med. Veritas J. Med. Truth,1,261-271.
  56. Grabrucker, AM(2013).Environmental factors in autism.Front Psychiatr,3,118.
  57. Grimaldi, R,Gibson, GR,Vulevic, J(2018).A prebiotic intervention study in children with autism spectrum disorders (ASDs).Microbiome,6(1),133.
  58. Group, NHW,Peterson, J,Garges, S(2009).The NIH human microbiome project.Genome Res.,19(12),2317-2323.
  59. Haba, R,Shintani, N,Onaka, Y(2012).Lipopolysaccharide affects exploratory behaviors toward novel objects by impairing cognition and/or motivation in mice: possible role of activation of the central amygdala.Behav Brain Res,228(2),423-431.
  60. Hoban, AE,Moloney, RD,Golubeva, AV(2016).Behavioural and neurochemical consequences of chronic gut microbiota depletion during adulthood in the rat.Neuroscience.,339,463-477.
  61. Hodges, H,Fealko, C,Soares, N(2020).Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation.Transl Pediatr,9(Suppl 1),S55-S65.
  62. Hsiao, EY,McBride, SW,Hsien, S(2013).Microbiota modulate behavioral and physiological abnormalities associated with neurodevelopmental disorders.Cell,155(7),1451-1463.
  63. Iglesias-Vázquez, L,Van Ginkel Riba, G,Arija, V,Canals, J(2020).Composition of gut microbiota in children with autism spectrum disorder: a systematic review and meta-analysis.Nutrients,12(3),792.
  64. Israelyan, N,Margolis, KG(2019).Reprint of: serotonin as a link between the gut-brain-microbiome axis in autism spectrum disorders.Pharmacol Res,140,115-120.
  65. Johnson, D,Letchumanan, V,Thurairajasingam, S,Lee, LH(2020).A revolutionizing approach to autism spectrum disorder using the microbiome.Nutrients,12(7),1983.
  66. Jonkers, D,Penders, J,Masclee, A,Pierik, M(2012).Probiotics in the management of inflammatory bowel disease: a systematic review of intervention studies in adult patients.Drugs,72(6),803-823.
  67. Kałużna-Czaplińska, J,Błaszczyk, S(2012).The level of arabinitol in autistic children after probiotic therapy.Nutrition,28(2),124-126.
  68. Kang, DW,Adams, JB,Coleman, DM(2019).Long-term benefit of Microbiota Transfer Therapy on autism symptoms and gut microbiota.Sci Rep,9(1),5821.
  69. Kang, DW,Adams, JB,Gregory, AC(2017).Microbiota Transfer Therapy alters gut ecosystem and improves gastrointestinal and autism symptoms: an open-label study.Microbiome,5(1),10.
  70. Kang, DW,Park, JG,Ilhan, ZE(2013).Reduced incidence of Prevotella and other fermenters in intestinal microflora of autistic children.PLoS One,8(7),e68322.
  71. Kantarcioglu, AS,Kiraz, N,Aydin, A(2016).Microbiota-gut-brain Axis: yeast species isolated from stool samples of children with suspected or diagnosed autism spectrum disorders and in vitro susceptibility against nystatin and fluconazole.Mycopathologia,181(1-2),1-7.
  72. Karhu, E,Zukerman, R,Eshraghi, RS(2020).Nutritional interventions for autism spectrum disorder.Nutr Rev,78(7),515-531.
  73. Kastin, AJ,Pan, W.(2010).Concepts for biologically active peptides.Curr Pharmaceut Des.,16(30),3390-3400.
  74. Knivsberg, AM,Reichelt, KL,Høien, T,Nødland, M(2002).A randomised, controlled study of dietary intervention in autistic syndromes.Nutr Neurosci,5(4),251-261.
  75. Li, Q,Han, Y,Dy, ABC,Hagerman, RJ(2017).The gut microbiota and autism spectrum disorders.Front Cell Neurosci,11,120.
  76. Li, W,Dowd, SE,Scurlock, B,Acosta-Martinez, V,Lyte, M(2009).Memory and learning behavior in mice is temporally associated with diet-induced alterations in gut bacteria.Physiol Behav,96(4-5),557-567.
  77. Liu, F,Li, J,Wu, F,Zheng, H,Peng, Q,Zhou, H(2019).Altered composition and function of intestinal microbiota in autism spectrum disorders: a systematic review.Transl Psychiatry,9(1),43.
  78. Liu, J,Zhang, M,Kong, XJNA(2016).Gut microbiome and autism: recent advances and future perspectives.N A J Med Sci,9(3),104-115.
  79. Lord, C,Risi, S,Lambrecht, L(2000).The autism diagnostic observation schedulegeneric: a standard measure of social and communication deficits associated with the spectrum of autism.J Autism Dev Disord.,30(3),205-223.
  80. Luczynski, P,McVey Neufeld, KA,Oriach, CS,Clarke, G,Dinan, TG,Cryan, JF(2016).Growing up in a bubble: using germ-free animals to assess the influence of the gut microbiota on brain and behavior.Int J Neuropsychopharmacol,19(8),1-17.
  81. Lungba, RM,Khan, SZA,Ajibawo-Aganbi, U(2020).The role of the gut microbiota and the immune system in the development of autism.Cureus,12(10),e11226.
  82. Ma, J,Prince, AL,Bader, D(2014).High-fat maternal diet during pregnancy persistently alters the offspring microbiome in a primate model.Nat Commun,5(1),3889.
  83. Macfabe, DF(2012).Short-chain fatty acid fermentation products of the gut microbiome: implications in autism spectrum disorders.Microb Ecol Health Dis.,23,19260.
  84. Manev, R,Manev, H(2001).Aminoglycoside antibiotics and autism: a speculative hypothesis.BMC Psychiatr,1,5.
  85. Mangiola, F,Ianiro, G,Franceschi, F,Fagiuoli, S,Gasbarrini, G,Gasbarrini, A(2016).Gut microbiota in autism and mood disorders.World J Gastroenterol,22(1),361-368.
  86. Mao, QQ,Xu, XY,Cao, SY(2019).Bioactive compounds and bioactivities of ginger (zingiber officinale roscoe).Foods,8(6)
  87. Meyza, KZ,Defensor, EB,Jensen, AL(2013).The BTBR T+ tf/J mouse model for autism spectrum disorders-in search of biomarkers.Behav Brain Res,251,25-34.
  88. Millward, C,Ferriter, M,Calver, S,Connell-Jones, G(2008).Gluten- and casein-free diets for autistic spectrum disorder.Cochrane Database Syst Rev,2,Cd003498.
  89. Mondal, TK(2011).Camellia.Wild Crop Relatives: Genomic and Breeding Resources: Plantation and Ornamental Crops,Berlin, Heidelberg:
  90. Namita, P,Mukesh, R,Vijay, K(2012).Camellia sinensis (green tea): a review.Global J Pharmacol,6,52-59.
  91. Naseer, MI,Bibi, F,Alqahtani, MH(2014).Role of gut microbiota in obesity, type 2 diabetes and Alzheimer's disease.CNS Neurol Disord - Drug Targets,13(2),305-311.
  92. Navarro, F,Liu, Y,Rhoads, JM(2016).Can probiotics benefit children with autism spectrum disorders?.World J Gastroenterol,22(46),10093-10102.
  93. Newell, C,Bomhof, MR,Reimer, RA,Hittel, DS,Rho, JM,Shearer, J(2016).Ketogenic diet modifies the gut microbiota in a murine model of autism spectrum disorder.Mol Autism,7(1),37.
  94. Ng, QX,Loke, W,Venkatanarayanan, N,Lim, DY,Soh, AYS,Yeo, WS(2019).A systematic review of the role of prebiotics and probiotics in autism spectrum disorders.Medicina,55(5),129.
  95. Ng, QX,Peters, C,Ho, CYX,Lim, DY,Yeo, WS(2018).A meta-analysis of the use of probiotics to alleviate depressive symptoms.J Affect Disord,228,13-19.
  96. Onore, C,Careaga, M,Ashwood, P(2012).The role of immune dysfunction in the pathophysiology of autism.Brain Behav Immun,26(3),383-392.
  97. Park, HS,Yi, SY,Yoon, SA,Hong, SB(2018).Comparison of the autism diagnostic observation schedule and childhood autism rating Scale in the diagnosis of autism spectrum disorder: a preliminary study.Soa Chongsonyon Chongsin Uihak,29(4),172-177.
  98. Parracho, H,Gibson, G,Knott, F,Bosscher, D,Kleerebezem, M,McCartney, A(2010).A double-blind, placebo-controlled, crossover-designed probiotic feeding study in children diagnosed with autistic spectrum disorders.Int J Probiotics,5,69-74.
  99. Pärtty, A,Kalliomäki, M,Wacklin, P,Salminen, S,Isolauri, E(2015).A possible link between early probiotic intervention and the risk of neuropsychiatric disorders later in childhood: a randomized trial.Pediatr Res,77(6),823-828.
  100. Patel, P,Nankova, BB,LaGamma, EF(2005).Butyrate, a gut-derived environmental signal, regulates tyrosine hydroxylase gene expression via a novel promoter element.Brain Res Dev Brain Res.,160(1),53-62.
  101. Patel, VB(ed.),Preedy, VR(ed.),Martin, CR(ed.)(2014).Comprehensive Guide to Autism.New York, NY:Springer New York.
  102. Patusco, R,Ziegler, J(2018).Role of probiotics in managing gastrointestinal dysfunction in children with autism spectrum disorder: an update for practitioners.Adv Nutr,9(5),637-650.
  103. Pennesi, CM,Klein, LC(2012).Effectiveness of the gluten-free, casein-free diet for children diagnosed with autism spectrum disorder: based on parental report.Nutr Neurosci,15(2),85-91.
  104. Persico, AM,Napolioni, V(2013).Urinary p-cresol in autism spectrum disorder.Neurotoxicol Teratol,36,82-90.
  105. Qiu, S,Li, L,Weeber, EJ,May, JM(2007).Ascorbate transport by primary cultured neurons and its role in neuronal function and protection against excitotoxicity.J Neurosci Res.,85(5),1046-1056.
  106. Qu, W,Liu, S,Zhang, W(2019).Impact of traditional Chinese medicine treatment on chronic unpredictable mild stress-induced depression-like behaviors: intestinal microbiota and gut microbiome function.Food Funct,10(9),5886-5897.
  107. Rezapour, S,Bahmani, M,Afsordeh, O,Rafieian, R,Sheikhian, A(2016).Herbal medicines: a new hope for autism therapy.J HerbmedPharmacol,5(3),89-91.
  108. Rinninella, E,Raoul, P,Cintoni, M(2019).What is the healthy gut microbiota composition? A changing ecosystem across age, environment, diet, and diseases.Microorganisms,7(1),14.
  109. Ristori, MV,Quagliariello, A,Reddel, S(2019).Autism, gastrointestinal symptoms and modulation of gut microbiota by nutritional interventions.Nutrients,11(11)
  110. Ruskin, DN,Svedova, J,Cote, JL(2013).Ketogenic diet improves core symptoms of autism in BTBR mice.PLoS One,8(6),e65021.
  111. Sabit, H,Tombuloglu, H,Rehman, S(2021).Gut microbiota metabolites in autistic children: an epigenetic perspective.Heliyon,7(1),e06105.
  112. Sanctuary, MR,Kain, JN,Chen, SY(2019).Pilot study of probiotic/colostrum supplementation on gut function in children with autism and gastrointestinal symptoms.PLoS One,14(1),e0210064.
  113. Sandler, RH,Finegold, SM,Bolte, ER(2000).Short-term benefit from oral vancomycin treatment of regressive-onset autism.J Child Neurol,15(7),429-435.
  114. Santocchi, E,Guiducci, L,Fulceri, F(2016).Gut to brain interaction in Autism Spectrum Disorders: a randomized controlled trial on the role of probiotics on clinical, biochemical and neurophysiological parameters.BMC Psychiatr,16,183.
  115. Sekirov, I,Russell, SL,Antunes, LC,Finlay, BB(2010).Gut microbiota in health and disease.Physiol Rev,90(3),859-904.
  116. Shaaban, SY,El Gendy, YG,Mehanna, NS(2018).The role of probiotics in children with autism spectrum disorder: a prospective, open-label study.Nutr Neurosci,21(9),676-681.
  117. Shamsi, Y,Nikhat, S,Mukhgerjee, A,Gombar, V,Sinha, S(2019).Role of Unani neuro-protective herbal drugs in the management of autism.Int J Res & Rev,6,12-20.
  118. Sharma, B,Chouhan, K(2016).Prevention & management of autism-an ayurvedic perspective.Journal of research in traditional medicine. J Res Tradit Med,2,117-121.
  119. Sharma, RA,Gescher, AJ,Steward, WP(2005).Curcumin: the story so far.Eur J Cancer,41(13),1955-1968.
  120. Shimmura, C,Suda, S,Tsuchiya, KJ(2011).Alteration of plasma glutamate and glutamine levels in children with high-functioning autism.PLoS One,6(10),e25340.
  121. Shin, NR,Whon, TW,Bae, JW(2015).Proteobacteria: microbial signature of dysbiosis in gut microbiota.Trends Biotechnol,33(9),496-503.
  122. Singh, I,Sharma, A,Jindal, A,Soyal, D,Goyal, P(2006).Fruit extract of emblica officinalis (amla) protects radiation induced biochemical lesions in the brain of Swiss albino mice.Ann Neurosci,13,65-71.
  123. Sivamaruthi, BS,Suganthy, N,Kesika, P,Chaiyasut, C(2020).The role of microbiome, dietary supplements, and probiotics in autism spectrum disorder.Int J Environ Res Publ Health,17(8),2647.
  124. Srikantha, P,Mohajeri, MH(2019).The possible role of the microbiota-gut-brain-Axis in autism spectrum disorder.Int J Mol Sci.,20(9)
  125. Srivastava, AK(ed.),Kannaujiya, VK(ed.),Singh, RK(ed.),Singh, D(ed.)(2021).Evolutionary Diversity as a Source for Anticancer Molecules.Academic Press.
  126. Strati, F,Cavalieri, D,Albanese, D(2017).New evidences on the altered gut microbiota in autism spectrum disorders.Microbiome,5(1),24.
  127. Sultan, MT,Butt, MS,Qayyum, MM,Suleria, HA(2014).Immunity: plants as effective mediators.Crit Rev Food Sci Nutr,54(10),1298-1308.
  128. Szklany, K,Wopereis, H,de Waard, C(2020).Supplementation of dietary nondigestible oligosaccharides from birth onwards improve social and reduce anxiety-like behaviour in male BALB/c mice.Nutr Neurosci,23(11),896-910.
  129. Taha, Z,Abdalhai, KA(2021).A review of the efficacy of the dietary intervention in autism spectrum disorder.Open Access Maced J Med Sci.,9(F),88-94.
  130. Tengeler, AC,Kozicz, T,Kiliaan, AJ(2018).Relationship between diet, the gut microbiota, and brain function.Nutr Rev,76(8),603-617.
  131. Thomas, RH,Meeking, MM,Mepham, JR(2012).The enteric bacterial metabolite propionic acid alters brain and plasma phospholipid molecular species: further development of a rodent model of autism spectrum disorders.J Neuroinflammation,9,153.
  132. Tochitani, S,Ikeno, T,Ito, T,Sakurai, A,Yamauchi, T,Matsuzaki, H(2016).Administration of non-absorbable antibiotics to pregnant mice to perturb the maternal gut microbiota is associated with alterations in offspring behavior.PLoS One,11(1),e0138293.
  133. Toh, MC,Allen-Vercoe, E(2015).The human gut microbiota with reference to autism spectrum disorder: considering the whole as more than a sum of its parts.Microb Ecol Health Dis,26,26309.
  134. Urdaneta, KE,Castillo, MA,Montiel, N,Semprún-Hernández, N,Antonucci, N,Siniscalco, D(2018).Autism spectrum disorders: potential neuropsychopharmacotherapeutic plant-based drugs.Assay Drug Dev Technol.,16(8),433-444.
  135. Van de Wouw, M,Boehme, M,Lyte, JM(2018).Short-chain fatty acids: microbial metabolites that alleviate stress-induced brain-gut axis alterations.J Physiol,596(20),4923-4944.
  136. Vulevic, J,Tzortzis, G,Juric, A,Gibson, GR(2018).Effect of a prebiotic galactooligosaccharide mixture (B-GOS®) on gastrointestinal symptoms in adults selected from a general population who suffer with bloating, abdominal pain, or flatulence.Neuro Gastroenterol Motil,30(11),e13440.
  137. Wajner, M,Latini, A,Wyse, AT,Dutra-Filho, CS(2004).The role of oxidative damage in the neuropathology of organic acidurias: insights from animal studies.J Inherit Metab Dis.,27(4),427-448.
  138. Wake, R,Miyaoka, T,Furuya, M,Hashioka, S,Horiguchi, J(2016).Effects of yokukansan, a Japanese kampo medicine for symptoms associated autism spectrum disorder.CNS Neurol Disord - Drug Targets,15(5),551-563.
  139. Wake, R,Miyaoka, T,Inagaki, T(2013).Yokukansan (TJ-54) for irritability associated with pervasive developmental disorder in children and adolescents: a 12-week prospective, open-label study.J Child Adolesc Psychopharmacol,23(5),329-336.
  140. Wang, L,Christophersen, CT,Sorich, MJ,Gerber, JP,Angley, MT,Conlon, MA(2012).Elevated fecal short chain fatty acid and ammonia concentrations in children with autism spectrum disorder.Dig Dis Sci.,57(8),2096-2102.
  141. Wang, L,Christophersen, CT,Sorich, MJ,Gerber, JP,Angley, MT,Conlon, MA(2013).Increased abundance of Sutterella spp. and Ruminococcus torques in feces of children with autism spectrum disorder.Mol Autism,4(1),42.
  142. Wang, Y,Kasper, LH(2014).The role of microbiome in central nervous system disorders.Brain. Behav Immun.,38,1-12.
  143. Xiao, L,Yan, J,Yang, T(2021).Fecal microbiome transplantation from children with autism spectrum disorder modulates tryptophan and serotonergic synapse metabolism and induces altered behaviors in germ-free mice.mSystems,6(2),e01343.
  144. Xiong, X,Liu, D,Wang, Y,Zeng, T,Peng, Y(2016).Urinary 3-(3-Hydroxyphenyl)-3-hydroxypropionic acid, 3-hydroxyphenylacetic acid, and 3-hydroxyhippuric acid are elevated in children with autism spectrum disorders.BioMed Res Int,2016,9485412.
  145. Xu, M,Xu, X,Li, J,Li, F(2019).Association between gut microbiota and autism spectrum disorder: a systematic review and meta-analysis.Front Psychiatr,10,473.
  146. Yarandi, SS,Peterson, DA,Treisman, GJ,Moran, TH,Pasricha, PJ(2016).Modulatory effects of gut microbiota on the central nervous system: how gut could play a role in neuropsychiatric health and diseases.J Neurogastroenterol Motil,22(2),201-212.
  147. Zhang, Y,Hu, N,Cai, Q(2020).Treatment with the traditional Chinese medicine BuYang HuanWu Tang induces alterations that normalize the microbiome in ASD patients.Biosci Microbiota Food Health,39(3),109-116.
  148. Zhu, Y,Carvey, PM,Ling, Z(2007).Altered glutathione homeostasis in animals prenatally exposed to lipopolysaccharide.Neurochem Int,50(4),671-680.