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Interplay Between Peripheral and Central Inflammation in Autism Spectrum Disorders: Possible Nutritional and
Claudia Cristiano1, Adriano Lama1, Francesca Lembo1
1Department of Pharmacy, School of Medicine, University of Naples Federico II, Naples, Italy.
Insights
Maternal obesity and gut microbiota changes during development can increase autism spectrum disorder (ASD) risk. Interventions targeting inflammation and gut health may help prevent or limit ASD.
Area of Science:
- Neuroscience
- Developmental Biology
- Microbiology
Background:
- Maternal obesity and related factors are linked to increased autism spectrum disorder (ASD) risk in offspring.
- Prenatal exposure to maternal obesity or high-fat diets can induce social communication deficits and repetitive behaviors in animal models.
- Obesity-associated factors like fatty acids, sugars, hormones (insulin, leptin), and inflammation can disrupt neuroendocrine systems and brain circuits.
Purpose of the Study:
- To explore the impact of pre- and post-natal environmental factors on neurodevelopment and ASD risk.
- To investigate the role of maternal obesity, diet, and gut microbiota in neurodevelopmental outcomes.
- To identify potential preventative strategies for ASD targeting environmental and microbial influences.
Main Methods:
- Review of existing research on maternal obesity, diet, and their effects on offspring neurodevelopment.
- Analysis of the mechanisms linking maternal metabolic state and inflammation to brain development.
- Examination of the gut microbiota-brain axis and its role in neurodevelopmental disorders.
Main Results:
- Maternal obesity and high-fat diets are associated with behavioral impairments resembling ASD in offspring.
- Prenatal factors like hormones and inflammation can alter offspring brain development.
- Postnatal factors, including delivery mode, stress, diet, and antibiotics, modify gut microbiota and impact the gut-brain axis.
Conclusions:
- The perinatal and postnatal environment significantly influences neurodevelopment and ASD risk.
- The gut microbiota plays a crucial role in the gut-brain axis and neurodevelopment.
- Interventions focused on improving the perinatal/postnatal environment, manipulating gut microbiota, and nutritional strategies may offer pathways for ASD prevention or mitigation.
Abstract:
Pre- and post-natal factors can affect brain development and function, impacting health outcomes with particular relevance to neurodevelopmental diseases, such as autism spectrum disorders (ASDs). Maternal obesity and its associated complications have been related to the increased risk of ASDs in offspring. Indeed, animals exposed to maternal obesity or high fat diets are prone to social communication impairment and repetitive behavior, the hallmarks of autism. During development, fatty acids and sugars, as well as satiety hormones, like insulin and leptin, and inflammatory factors related to obesity-induced low grade inflammation, could play a role in the impairment of neuroendocrine system and brain neuronal circuits regulating behavior in offspring. On the other side, post-natal factors, such as mode of delivery, stress, diet, or antibiotic treatment are associated to a modification of gut microbiota composition, perturbing microbiota-gut-brain axis. Indeed, the interplay between the gastrointestinal tract and the central nervous system not only occurs through neural, hormonal, and immune pathways, but also through microbe-derived metabolic products. The modification of unhealthy perinatal and postnatal environment, manipulation of gut microbiota, nutritional, and dietary interventions could represent possible strategies in preventing or limiting ASDs, through targeting inflammatory process and gut microbiota.
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