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Gastrointestinal microflora studies in late-onset autism

Sydney M. Finegold, Denise Molitoris, Yuli Song +20 more2002Clinical Infectious DiseasesJournal Article
10.1086/341914PubMedFree full text
GastrointestinalNeurological

Abstract

Some cases of late-onset (regressive) autism may involve abnormal flora because oral vancomycin, which is poorly absorbed, may lead to significant improvement in these children. Fecal flora of children with regressive autism was compared with that of control children, and clostridial counts were higher. The number of clostridial species found in the stools of children with autism was greater than in the stools of control children. Children with autism had 9 species of Clostridium not found in controls, whereas controls yielded only 3 species not found in children with autism. In all, there were 25 different clostridial species found. In gastric and duodenal specimens, the most striking finding was total absence of non-spore-forming anaerobes and microaerophilic bacteria from control children and significant numbers of such bacteria from children with autism. These studies demonstrate significant alterations in the upper and lower intestinal flora of children with late-onset autism and may provide insights into the nature of this disorder.

Key Biomarkers

Absence of non-spore-forming anaerobesAltered intestinal microflora compositionClostridium species abundanceElevated clostridial counts

Symptom Clusters

Late-onset autismRegressive autism

Cited By (3)

  • Immune activation of peripheral blood and mucosal CD3+ lymphocyte cytokine profiles in children with autism and gastrointestinal symptomsJournal of Neuroimmunology · 2006
  • Differences between the gut microflora of children with autistic spectrum disorders and that of healthy childrenJournal of Medical Microbiology · 2005
  • Therapy and epidemiology of autism-clostridial spores as key elementsMedical Hypotheses · 2008

References (2)

  • Short-term benefit from oral vancomycin treatment of regressive-onset autismJournal of Child Neurology · 2000
  • Antibodies to myelin basic protein in children with autistic behaviorBrain Behavior and Immunity · 1993

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