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Improvement of autism spectrum disorder symptoms in three children by using gastrin-releasing peptide
Michele Michelin Becker1, Cleonice Bosa2, Vera Lorentz Oliveira-Freitas3
1Department of Pediatrics, Child Neurology Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
Insights
Gastrin-releasing peptide shows promise for improving autism symptoms like social interaction and language in a small case series. Further research is needed to confirm these preliminary findings on autism spectrum disorder treatment.
Area of Science:
- Neuroscience
- Pediatric Medicine
- Pharmacology
Background:
- Autism spectrum disorder (ASD) presents complex challenges in social interaction, communication, and behavior.
- Current therapeutic options for ASD have limitations, necessitating exploration of novel treatment modalities.
Observation:
- A case series investigated the safety and efficacy of gastrin-releasing peptide (GRP) in three children diagnosed with ASD.
- GRP was administered intravenously at 160 pmol/kg daily for four consecutive days, with treatment cycles repeated after a two-week interval.
Findings:
- GRP was well-tolerated with no reported adverse effects in any of the participants.
- Two children demonstrated improvements in social interaction, joint attention, and communication.
- Reductions in repetitive behaviors (stereotypes) and enhancements in verbal language were observed in two participants.
- One child experienced a significant reduction in a compulsive behavior (bathing).
- Average reduction in Childhood Autism Rating Scale (CARS) scores was 2.8 points.
- Clinical Global Impression (CGI) scores indicated improvement in all three children, with one rated as 'much better' and two as 'minimally better'.
Implications:
- These preliminary findings suggest that gastrin-releasing peptide may hold therapeutic potential for core symptoms of autism spectrum disorder.
- The observed improvements in social, communicative, and behavioral domains warrant further investigation.
- Larger, randomized, double-blinded clinical trials are essential to validate the efficacy and safety of GRP as an ASD treatment.
Objective:
To evaluate the safety, tolerability and potential therapeutic effects of gastrin-releasing peptide in three children with autistic spectrum disorder.
Methods:
Case series study with the intravenous administration of gastrin-releasing peptide in the dose of 160pmol/kg for four consecutive days. To evaluate the results, parental impressions the Childhood Autism Rating Scale (CARS) and the Clinical Global Impression (CGI) Scale. Each child underwent a new peptide cycle after two weeks. The children were followed for four weeks after the end of the infusions.
Results:
The gastrin-releasing peptide was well tolerated and no child had adverse effects. Two children had improved social interaction, with a slight improvement in joint attention and the interaction initiatives. Two showed reduction of stereotypes and improvement in verbal language. One child lost his compulsion to bathe, an effect that lasted two weeks after each infusion cycle. Average reduction in CARS score was 2.8 points. CGI was "minimally better" in two children and "much better" in one.
Conclusions:
This study suggests that the gastrin-releasing peptide is safe and may be effective in improving key symptoms of autism spectrum disorder, but its results should be interpreted with caution. Controlled clinical trials-randomized, double-blinded, and with more children-are needed to better evaluate the possible therapeutic effects of gastrin-releasing peptide in autism.
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