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A microbial association with autism
Jorge L Benach1, Ellen Li, Margaret M McGovern
1Departments of Molecular Genetics and Microbiology, Medicine and Pediatrics, Stony Brook University, Stony Brook, New York, USA. jorge.benach@stonybrook.edu
Abstract:
Autism is a heterogeneous group of complex developmental disabilities that result from a number of possible etiologies. There are a well-known number of comorbidities associated with autism spectrum disorders (ASD), including, commonly, gastrointestinal (GI) pathology, which can include variable combinations of constipation, diarrhea, abdominal pain, gastroesophageal reflux, and vomiting. An American Academy of Pediatrics consensus panel has recommended that prospective studies be carried out to determine the prevalence of GI disorders in ASD and their pathophysiologic basis. In a recent article, Williams et al. [B. L. Williams, M. Hornig, T. Parekh, and W. I. Lipkin, mBio 3(1):e00261-11, 2012] have provided one such study of autism with GI comorbidities by presenting evidence of Sutterella species in ileal mucosal biopsy specimens from patients diagnosed with ASD but not in control children with GI symptoms, suggesting a specific role for Sutterella in ASD. Sutterella sequences represented ~1 to 7% of the total bacterial sequences, and this is a very large effect size on the ileal mucosal composition of the autism phenotype, rivaling or perhaps exceeding the effect size of the ileal Crohn's disease phenotype. This study opens a new field of investigation to study the etiology or consequences of GI comorbidities in ASD.
Insights
Researchers found Sutterella bacteria in the ileal tissue of children with autism spectrum disorder (ASD) but not in controls. This suggests a potential role for Sutterella in ASD gastrointestinal issues.
Area of Science:
- Microbiology
- Neurodevelopmental Disorders
- Gastroenterology
Background:
- Autism spectrum disorder (ASD) is a complex developmental disability with frequent gastrointestinal (GI) comorbidities.
- A consensus panel recommended further research into the prevalence and pathophysiology of GI disorders in ASD.
- Previous studies have not fully elucidated the microbial contribution to GI issues in ASD.
Purpose of the Study:
- To investigate the presence of specific bacterial species in the ileal mucosa of children with ASD and GI symptoms.
- To determine if any bacterial species are uniquely associated with ASD in the ileal tissue.
- To explore potential microbial etiologies or consequences of GI comorbidities in ASD.
Main Methods:
- Analysis of ileal mucosal biopsy specimens from children diagnosed with ASD and control children with GI symptoms.
- 16S rRNA gene sequencing to identify bacterial composition.
- Quantification of bacterial sequences, specifically Sutterella species.
Main Results:
- Sutterella species were detected in the ileal mucosal biopsy specimens of children with ASD.
- Sutterella was notably absent in control children presenting with GI symptoms.
- Sutterella sequences constituted a significant proportion (1-7%) of the total bacterial load in ASD patients.
Conclusions:
- The findings suggest a specific association between Sutterella species and the autism phenotype.
- Sutterella may play a role in the pathophysiology of GI comorbidities observed in ASD.
- This study opens new avenues for investigating the gut microbiome's impact on ASD.
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