The Autism Spectrum Disorder and Its Possible Origins in Pregnancy
Rayane M Botelho1, Ana Lúcia M Silva1, Alexandre U Borbely1
1Cell Biology Laboratory, Institute of Biological and Health Sciences, Federal University of Alagoas, Maceio 57072-970, Brazil.
Insights
Maternal exposure to environmental hazards during pregnancy may increase the risk of Autism Spectrum Disorder (ASD) in children. This review explores gestational factors linked to ASD development to aid healthcare professionals in risk identification and prevention strategies.
Area of Science:
- Neurodevelopmental Disorders
- Pediatric Health
- Environmental Epidemiology
Background:
- Autism Spectrum Disorder (ASD) is a prevalent neurodevelopmental disorder affecting approximately 1 in 100 children globally.
- ASD diagnosis requires persistent deficits in social communication and interaction, alongside restricted, repetitive behaviors.
- The exact causes of ASD remain uncertain, with evidence pointing towards multifactorial origins, including prenatal environmental exposures.
Purpose of the Study:
- To review current scientific literature on gestational factors potentially associated with ASD development.
- To identify maternal exposures during pregnancy that may serve as risk factors for ASD.
- To provide health professionals with updated information for ASD prevention and management.
Main Methods:
- Systematic literature review of recent studies on prenatal exposures and ASD.
- Analysis of data linking maternal gestational exposures (biological, chemical, physical) to fetal neurodevelopment.
- Synthesis of findings on environmental hazards impacting the maternal-fetal dyad and ASD outcomes.
Main Results:
- Maternal exposure to various environmental hazards during gestation is increasingly implicated in altered fetal neurodevelopment.
- Specific biological, chemical, and physical agents encountered during pregnancy have been proposed as contributors to ASD.
- Disruption of the maternal-fetal balance by environmental stressors can negatively impact neurodevelopmental trajectories.
Conclusions:
- Gestational environmental exposures represent a significant area of research for understanding ASD etiology.
- Identifying these prenatal risk factors is crucial for developing targeted prevention and intervention strategies.
- Further research is needed to elucidate the precise mechanisms linking maternal exposures to ASD development.
Abstract:
Autism Spectrum Disorder (ASD) belongs to the group of neurodevelopmental disorders, and has a high prevalence, affecting 1 in 100 children according to data from the World Health Organization (WHO). To be diagnosed with ASD, the child must have persistent deficits in communication and social interactions, and restricted and repetitive patterns of behavior, interests, or activities. Despite its prevalence, the etiology of ASD is still uncertain, with multifactorial characteristics, including those associated with the gestational period, where maternal exposure to biological, chemical, or physical hazards occurs, some of which have already been proposed as causes of ASD outcomes. Since pregnancy requires a balance between the maternal-fetal binomial, the breakdown of this balance caused by such environmental hazards can lead to altered fetal neurodevelopment, including ASD. With this firmly in mind, this review aims to compile the most recent data on the gestational causes that may be associated with the development of ASD to help health professionals identify risk factors and act for the prevention and management of ASD.
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