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Gut Microbiota and Clinical Manifestations in Thai Pediatric Patients with Attention-Deficit Hyperactivity Disorder
Jittraporn Panpetch1, Komsan Kiatrungrit2, Siriporn Tuntipopipat3
1Doctoral Program in Nutrition, Faculty of Medicine Ramathibodi Hospital and Institute of Nutrition, Mahidol University, Bangkok 10400, Thailand.
Insights
Gut bacteria profiles differ in children with attention-deficit hyperactivity disorder (ADHD). Specific bacteria like CAG-352 were linked to ADHD symptoms, while others like Eubacterium hallii were associated with lower symptom severity.
Area of Science:
- Microbiome research
- Neurodevelopmental disorders
- Pediatric health
Background:
- Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder.
- Gut dysbiosis is a potential contributing factor to ADHD.
- Understanding the gut microbiome's role in ADHD is crucial for developing new therapeutic strategies.
Purpose of the Study:
- To compare the gut microbiota composition between children with ADHD and healthy controls.
- To identify specific bacterial genera associated with ADHD symptoms.
- To explore potential correlations between gut bacteria, ADHD symptom severity, and dietary intake.
Main Methods:
- Comparative cross-sectional study of 24 treatment-naïve Thai children with ADHD and 24 age/gender-matched healthy children.
- 16S rRNA gene amplicon sequencing of fecal samples to analyze microbial composition.
- Spearman correlation analysis to assess relationships between bacterial genera, ADHD symptoms, and nutrient intake.
Main Results:
- No significant differences in overall microbial diversity were observed between ADHD patients and controls.
- ADHD patients showed enrichment in genera such as *Alloprevotella* and *CAG-352*.
- Healthy controls had higher levels of *Megamonas* and *Eubacterium hallii*.
- *CAG-352* positively correlated with inattention and hyperactivity/impulsivity scores.
- *Eubacterium hallii* and *Megamonas* negatively correlated with ADHD symptom domains.
- Beta-carotene and vitamin B2 intake showed associations with specific bacterial genera.
Conclusions:
- Specific gut microbial profiles are associated with ADHD in children.
- The gut microbiome may play a role in ADHD pathophysiology.
- Further research is needed to clarify the mechanisms linking gut microbiota alterations to ADHD clinical biomarkers.
Abstract:
Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder potentially linked to gut dysbiosis. This comparative cross-sectional study profiled the gut microbiota in 24 treatment-naïve Thai children diagnosed with ADHD and 24 healthy ones matched by age and gender (median age: 7 years). Fecal microbial compositions were genetically analyzed using 16s rRNA gene amplicon sequencing. The study findings indicated no statistically significant differences in microbial diversity between groups, although Firmicutes and Actinobacteria appeared dominant in both groups. Moreover, ADHD patients exhibited enrichment in Alloprevotella, CAG-352, Succinivibrio, and Acidaminococcus genera, while healthy controls had higher levels of Megamonas, Enterobacter, Eubacterium hallii, and Negativibacillus genera. Spearman correlation analysis demonstrated a significant positive association between CAG-352 and inattention and hyperactivity/impulsivity scores, whereas the Eubacterium hallii group and Megamonas exhibited negative correlations with these symptomatology domains. Beta-carotene intake was associated with the Eubacterium hallii group and Succinivibrio: likewise, vitamin B2 intake was associated with Alloprevotella. Additional research should aim to elucidate the underlying mechanisms influencing clinical biomarkers that signify alterations in specific gut microbiome profiles linked to ADHD.
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