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Published on: February 3, 2016
Fecal lactoferrin and Clostridium spp. in stools of autistic children
Gayane Martirosian1, Alicja Ekiel, Małgorzata Aptekorz
1Department of Medical Microbiology, Medical University of Silesia, Katowice, Poland. gmartir@sum.edu.pl
Insights
Fecal lactoferrin (FLA) was elevated in some autistic boys, but no toxins were found. Clostridium perfringens was more frequent in autistic children, suggesting a potential role for gut bacteria in autism.
Area of Science:
- Microbiology
- Neuroscience
- Gastroenterology
Background:
- Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition.
- Gut microbiome alterations have been implicated in ASD pathophysiology.
- Fecal inflammatory markers and specific bacterial species are of interest.
Purpose of the Study:
- To investigate fecal lactoferrin (FLA) levels in autistic children.
- To detect toxins from Clostridium difficile and Clostridium perfringens.
- To analyze the prevalence of Clostridium species in autistic and healthy children.
Main Methods:
- Stool samples analyzed for FLA, C. difficile toxins, and C. perfringens enterotoxin.
- Fecal samples cultured for Clostridium species.
- Comparison between autistic and healthy children's samples.
Main Results:
- Elevated FLA detected in 24.4% of stools, exclusively from boys (31.25%).
- No C. difficile toxins were identified.
- C. perfringens isolated significantly more often from autistic children's stools.
- Intermediate sensitivity of C. perfringens strains to penicillin, clindamycin, and metronidazole noted.
Conclusions:
- Elevated FLA in some autistic boys warrants further investigation.
- The increased prevalence of C. perfringens in autistic children suggests a potential link.
- Further research with larger cohorts is needed to elucidate the role of fecal microflora and inflammatory mediators in neurological deficits associated with autism.
Abstract:
Stools from autistic and healthy children were studied for fecal lactoferrin, Clostridium difficile toxins, Clostridium perfringens enterotoxin and cultured for Clostridium spp. Elevated level of FLA was demonstrated in 24.4% stools, all from boys (31.25%). No toxins were detected. Clostridium spp. was isolated with similar frequency from all samples. C. perfringens were isolated significantly often from the autistic stools, intermediate sensitive strains to penicillin 19%, to clindamycin 11.3%, and to metronidazole 7.5% were detected. Further studies on fecal microflora and inflammatory mediators, with larger groups of patients, are required in order to explain their role in neurological deficits.
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