Retracing our steps: A review on autism research in children, its limitation and impending pharmacological

Salam Salloum-Asfar1, Nasser Zawia1, Sara A Abdulla1

  • 1Neurological Disorders Research Center, Qatar Biomedical Research Institute, Hamad Bin Khalifa University, Qatar Foundation, Doha, Qatar.

Pharmacology & Therapeutics
|November 26, 2023
PubMed

Insights

Developing objective diagnostic kits for autism spectrum disorder (ASD) is crucial for personalized treatment. Current management relies on behavioral interventions and medications for associated symptoms, not core ASD features.

Area of Science:

  • Neurodevelopmental Disorders
  • Autism Spectrum Disorder (ASD) Research
  • Clinical Pharmacology

Background:

  • Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by communication, social interaction, and behavioral impairments.
  • ASD presents heterogeneously, often co-occurring with ADHD, anxiety, depression, epilepsy, and metabolic or immune disorders.
  • Current diagnostic methods lack objectivity, complicating tailored pharmacological management for core ASD symptoms.

Purpose of the Study:

  • To highlight the critical need for objective, personalized diagnostic kits for ASD.
  • To review current pharmacological management strategies for ASD-associated symptoms and comorbidities.
  • To explore emerging therapeutic prospects for managing core ASD symptoms.

Main Methods:

  • Literature review of current ASD diagnostic challenges.
  • Analysis of approved pharmacological agents for ASD-related conditions.
  • Exploration of novel therapeutic approaches for ASD.

Main Results:

  • No approved medications directly treat core ASD symptoms; behavioral interventions are primary.
  • Medications like aripiprazole, risperidone, methylphenidate, and melatonin manage associated symptoms (irritability, ADHD, sleep issues).
  • The absence of objective diagnostics hinders personalized treatment development.

Conclusions:

  • Objective diagnostic tools are imperative for individualizing ASD treatment strategies.
  • Current pharmacotherapy targets associated symptoms, not core ASD deficits.
  • Future research should focus on developing personalized treatments and diagnostics for ASD.

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