Urinary p-cresol is elevated in small children with severe autism spectrum disorder

被引:111
作者
Altieri, Laura [2 ]
Neri, Cristina [2 ,3 ]
Sacco, Roberto [2 ]
Curatolo, Paolo [4 ]
Benvenuto, Arianna [4 ]
Muratori, Filippo [5 ,6 ]
Santocchi, Elisa [5 ,6 ]
Bravaccio, Carmela [7 ]
Lenti, Carlo [8 ]
Saccani, Monica [8 ]
Rigardetto, Roberto [9 ]
Gandione, Marina [9 ]
Urbani, Andrea [2 ,3 ]
Persico, Antonio M. [1 ,2 ]
机构
[1] Univ Campus Biomed, Dept Child Neuropsychiat, Lab Mol Psychiat & Neurogenet, I-00128 Rome, Italy
[2] IRCCS Fdn S Lucia, Dept Expt Neurosci, Rome, Italy
[3] Univ Roma Tor Vergata, Dept Internal Med, Rome, Italy
[4] Univ Roma Tor Vergata, Dept Child Neuropsychiat, Rome, Italy
[5] Univ Pisa, Pisa, Italy
[6] IRCCS Stella Maris, Dept Child Neurol & Psychiat, Pisa, Italy
[7] Univ Naples Federico 2, Dept Pediat, Naples, Italy
[8] Univ Milan, Dept Child Neuropsychiat, Milan, Italy
[9] Univ Turin, Dept Child Neuropsychiat, Turin, Italy
关键词
Clostridium; cotinine; gut flora; organic contaminants; pervasive developmental disorders; FECES; MICROFLORA; CLOSTRIDIA; EXCRETION; DIAGNOSIS; GENETICS; BARRIER; PHENOL; TRACT;
D O I
10.3109/1354750X.2010.548010
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Several studies have described in autistic patients an overgrowth of unusual gut bacterial strains, able to push the fermentation of tyrosine up to the formation of p-cresol. We compared levels of urinary p-cresol, measured by high-performance liquid chromatography-ultraviolet, in 59 matched case-control pairs. Urinary p-cresol was significantly elevated in autistic children smaller than 8 years of age (p < 0.01), typically females (p < 0.05), and more severely affected regardless of sex (p < 0.05). Urinary cotinine measurements excluded smoking-related hydrocarbon contaminations as contributors to these differences. Hence, elevated urinary p-cresol may serve as a biomarker of autism liability in small children, especially females and more severely affected males.
引用
收藏
页码:252 / 260
页数:9
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