Possible Metabolic Alterations among Autistic Male Children: Clinical and Biochemical Approaches

The present cross-sectional, hospital-based study was carried out on 146 Egyptian male children, 73 males with autism who were comparable with another 73 healthy age- and sex-matched children, recruited from the outpatients’ psychiatric clinics of the Neuropsychiatric and Pediatric Departments of So...

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Veröffentlicht in:Journal of molecular neuroscience 2019-02, Vol.67 (2), p.204-216
Hauptverfasser: Hassan, Mohammed H., Desoky, Tarek, Sakhr, Hala M., Gabra, Romany H., Bakri, Ali Helmi
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container_end_page 216
container_issue 2
container_start_page 204
container_title Journal of molecular neuroscience
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creator Hassan, Mohammed H.
Desoky, Tarek
Sakhr, Hala M.
Gabra, Romany H.
Bakri, Ali Helmi
description The present cross-sectional, hospital-based study was carried out on 146 Egyptian male children, 73 males with autism who were comparable with another 73 healthy age- and sex-matched children, recruited from the outpatients’ psychiatric clinics of the Neuropsychiatric and Pediatric Departments of South Valley and Assiut University Hospitals, Egypt. Neuropsychological assessments of autistic males were done using CARS, short sensory profile and intelligent quotients. Serum markers of mitochondrial dysfunction (lactate, pyruvate, and lactate to pyruvate ratio, creatine kinase (CK), l -carnitine, ammonia, lactate dehydrogenase, pyruvate kinase, alanine transaminase and aspartate transaminase), oxidative stress and blood levels of heavy metals (mercury, lead and aluminium) were measured. Serum cholesterol, cortisol, free testosterone, estradiol, dehydroepiandrostenedione, adenosine deaminase and Helicobacter pylori antigen in stool were also performed. There was evidence of mitochondrial dysfunction among autistic children. Additionally, there were significantly lower serum total cholesterol, cortisol and estradiol as well as significantly higher dehydroepiandrostenedione (DHEA) and free testosterone ( p  
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Neuropsychological assessments of autistic males were done using CARS, short sensory profile and intelligent quotients. Serum markers of mitochondrial dysfunction (lactate, pyruvate, and lactate to pyruvate ratio, creatine kinase (CK), l -carnitine, ammonia, lactate dehydrogenase, pyruvate kinase, alanine transaminase and aspartate transaminase), oxidative stress and blood levels of heavy metals (mercury, lead and aluminium) were measured. Serum cholesterol, cortisol, free testosterone, estradiol, dehydroepiandrostenedione, adenosine deaminase and Helicobacter pylori antigen in stool were also performed. There was evidence of mitochondrial dysfunction among autistic children. Additionally, there were significantly lower serum total cholesterol, cortisol and estradiol as well as significantly higher dehydroepiandrostenedione (DHEA) and free testosterone ( p  &lt; 0.05 for all markers). Twenty-eight (38%) cases were positive for H. pylori antigen in their stool with significant higher serum ammonia and lower adenosine deaminase than in H. pylori -negative autistic children. Mitochondrial dysfunction, H. pylori infection and low cholesterol were prevalent among autistic male children, which should be targeted during autism management.</description><identifier>ISSN: 0895-8696</identifier><identifier>EISSN: 1559-1166</identifier><identifier>DOI: 10.1007/s12031-018-1225-9</identifier><identifier>PMID: 30600432</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>17β-Estradiol ; Adenosine ; Adenosine deaminase ; Adenosine Deaminase - blood ; Alanine ; Alanine transaminase ; Aluminum ; Ammonia ; Antigens ; Antigens, Bacterial - analysis ; Aspartate transaminase ; Autism ; Autistic Disorder - blood ; Autistic Disorder - physiopathology ; Biomarkers - blood ; Biomedical and Life Sciences ; Biomedicine ; Blood levels ; Carnitine ; Cell Biology ; Child ; Child, Preschool ; Children ; Cholesterol ; Cholesterol - blood ; Cortisol ; Creatine ; Creatine kinase ; Dehydroepiandrosterone ; Gonadal Steroid Hormones - blood ; Heavy metals ; Helicobacter pylori ; Helicobacter pylori - immunology ; Humans ; Hydrocortisone - blood ; L-Lactate dehydrogenase ; Lactate dehydrogenase ; Lactic acid ; Lead ; Male ; Males ; Markers ; Mercury ; Mercury (metal) ; Metabolome ; Metals, Heavy - blood ; Mitochondria ; Mitochondria - metabolism ; Neurochemistry ; Neurology ; Neurosciences ; Oxidative Stress ; Proteomics ; Pyruvate kinase ; Quotients ; Sex hormones ; Testosterone ; Weight reduction</subject><ispartof>Journal of molecular neuroscience, 2019-02, Vol.67 (2), p.204-216</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Journal of Molecular Neuroscience is a copyright of Springer, (2019). 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Neuropsychological assessments of autistic males were done using CARS, short sensory profile and intelligent quotients. Serum markers of mitochondrial dysfunction (lactate, pyruvate, and lactate to pyruvate ratio, creatine kinase (CK), l -carnitine, ammonia, lactate dehydrogenase, pyruvate kinase, alanine transaminase and aspartate transaminase), oxidative stress and blood levels of heavy metals (mercury, lead and aluminium) were measured. Serum cholesterol, cortisol, free testosterone, estradiol, dehydroepiandrostenedione, adenosine deaminase and Helicobacter pylori antigen in stool were also performed. There was evidence of mitochondrial dysfunction among autistic children. Additionally, there were significantly lower serum total cholesterol, cortisol and estradiol as well as significantly higher dehydroepiandrostenedione (DHEA) and free testosterone ( p  &lt; 0.05 for all markers). Twenty-eight (38%) cases were positive for H. pylori antigen in their stool with significant higher serum ammonia and lower adenosine deaminase than in H. pylori -negative autistic children. Mitochondrial dysfunction, H. pylori infection and low cholesterol were prevalent among autistic male children, which should be targeted during autism management.</description><subject>17β-Estradiol</subject><subject>Adenosine</subject><subject>Adenosine deaminase</subject><subject>Adenosine Deaminase - blood</subject><subject>Alanine</subject><subject>Alanine transaminase</subject><subject>Aluminum</subject><subject>Ammonia</subject><subject>Antigens</subject><subject>Antigens, Bacterial - analysis</subject><subject>Aspartate transaminase</subject><subject>Autism</subject><subject>Autistic Disorder - blood</subject><subject>Autistic Disorder - physiopathology</subject><subject>Biomarkers - blood</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Blood levels</subject><subject>Carnitine</subject><subject>Cell Biology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cholesterol</subject><subject>Cholesterol - blood</subject><subject>Cortisol</subject><subject>Creatine</subject><subject>Creatine kinase</subject><subject>Dehydroepiandrosterone</subject><subject>Gonadal Steroid Hormones - blood</subject><subject>Heavy metals</subject><subject>Helicobacter pylori</subject><subject>Helicobacter pylori - immunology</subject><subject>Humans</subject><subject>Hydrocortisone - blood</subject><subject>L-Lactate dehydrogenase</subject><subject>Lactate dehydrogenase</subject><subject>Lactic acid</subject><subject>Lead</subject><subject>Male</subject><subject>Males</subject><subject>Markers</subject><subject>Mercury</subject><subject>Mercury (metal)</subject><subject>Metabolome</subject><subject>Metals, Heavy - blood</subject><subject>Mitochondria</subject><subject>Mitochondria - metabolism</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Oxidative Stress</subject><subject>Proteomics</subject><subject>Pyruvate kinase</subject><subject>Quotients</subject><subject>Sex hormones</subject><subject>Testosterone</subject><subject>Weight reduction</subject><issn>0895-8696</issn><issn>1559-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1P3DAQhq2qqLss_IBeqki9cEmZseOP9LasWorECg5wNl7HAa-cZLGTA_8ew9JWQuI0Gs0z74weQr4i_EAAeZqQAsMSUJVIKS_rT2SOnNclohCfyRxUzUslajEjhyltAShWqL6QGQMBUDE6J3fXQ0p-E1yxdqPZDMHbYhlGF83ohz4Vphv6-2I5jT6NebQ2mVw9-NBE1_8sVsH33ppQmL4pzvxgH1z32i93uziY3KYjctCakNzxW12Q29-_blZ_ysur84vV8rK0TNKxtCAqZIYLg1yq1iC0m7bKb1ohQUHLKqu4RS4qyViF1ABTtWUNY6JpOEi2ICf73Hz4cXJp1J1P1oVgejdMSVMUVEpJVZXR7-_Q7TDFPn_3SlFBGRWZwj1lY1YUXat30XcmPmkE_aJf7_XrrF-_6Nd13vn2ljxtOtf82_jrOwN0D6Q86u9d_H_649RnC-KNjQ</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Hassan, Mohammed H.</creator><creator>Desoky, Tarek</creator><creator>Sakhr, Hala M.</creator><creator>Gabra, Romany H.</creator><creator>Bakri, Ali Helmi</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QR</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7N</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2698-9438</orcidid></search><sort><creationdate>20190201</creationdate><title>Possible Metabolic Alterations among Autistic Male Children: Clinical and Biochemical Approaches</title><author>Hassan, Mohammed H. ; 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subjects 17β-Estradiol
Adenosine
Adenosine deaminase
Adenosine Deaminase - blood
Alanine
Alanine transaminase
Aluminum
Ammonia
Antigens
Antigens, Bacterial - analysis
Aspartate transaminase
Autism
Autistic Disorder - blood
Autistic Disorder - physiopathology
Biomarkers - blood
Biomedical and Life Sciences
Biomedicine
Blood levels
Carnitine
Cell Biology
Child
Child, Preschool
Children
Cholesterol
Cholesterol - blood
Cortisol
Creatine
Creatine kinase
Dehydroepiandrosterone
Gonadal Steroid Hormones - blood
Heavy metals
Helicobacter pylori
Helicobacter pylori - immunology
Humans
Hydrocortisone - blood
L-Lactate dehydrogenase
Lactate dehydrogenase
Lactic acid
Lead
Male
Males
Markers
Mercury
Mercury (metal)
Metabolome
Metals, Heavy - blood
Mitochondria
Mitochondria - metabolism
Neurochemistry
Neurology
Neurosciences
Oxidative Stress
Proteomics
Pyruvate kinase
Quotients
Sex hormones
Testosterone
Weight reduction
title Possible Metabolic Alterations among Autistic Male Children: Clinical and Biochemical Approaches
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