Study of the gut Microbiome Profile in Children with Autism Spectrum Disorder: a Single Tertiary Hospital Experience

Shwikar AbdelSalam Ahmed1, Azza Mahmoud Elhefnawy1, Hanan Galal Azouz2

  • 1Medical Microbiology and Immunology Department, faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Insights

Egyptian autistic children show altered gut microbiome profiles, with higher Bacteroides and Ruminococcus levels. Siblings shared similar gut bacteria, suggesting environmental and genetic influences on autism spectrum disorder (ASD) and gut health.

Area of Science:

  • Microbiology
  • Neuroscience
  • Genetics

Background:

  • The gut microbiome's role in neurodevelopmental disorders, including autism spectrum disorder (ASD), is increasingly recognized.
  • Understanding gut microbiome alterations in specific populations like Egyptian children with ASD is crucial.

Purpose of the Study:

  • To investigate gut microbiome changes in Egyptian children with ASD.
  • To explore correlations between gut microbiome alterations, ASD severity, and gastrointestinal (GI) symptoms.
  • To compare the gut microbiome of ASD children, their siblings, and healthy controls.

Main Methods:

  • Quantitative SYBR Green real-time PCR targeting 16S rRNA of selected bacteria.
  • Analysis of gut bacterial microbiome in 41 ASD children, 45 siblings, and 45 healthy controls.
  • Assessment of Prevotella/Bacteroides (P/B) and Firmicutes/Bacteroidetes (F/B) ratios.

Main Results:

  • ASD children and their siblings exhibited higher relative abundance of Bacteroides and Ruminococcus compared to controls.
  • Significantly lower P/B and F/B ratios were observed in both ASD cases and their siblings.
  • Siblings had higher Bifidobacterium levels than ASD children, suggesting a potential protective effect. No correlation was found between microbiome changes and ASD severity or GI symptoms.

Conclusions:

  • Evidence suggests altered gut microbiome composition in Egyptian children with ASD.
  • The gut microbiome of siblings resembled that of ASD children more than unrelated controls, indicating shared environmental and genetic influences.
  • Diet, living conditions, and host genetics likely impact gut microbiota in the context of ASD.

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