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Review
.2022 Dec 15:18:2905-2915.
doi: 10.2147/NDT.S382571. eCollection 2022.

Fecal Microbiota Transplantation in Autism Spectrum Disorder

Affiliations
Review

Fecal Microbiota Transplantation in Autism Spectrum Disorder

Youran Li et al. Neuropsychiatr Dis Treat..

Abstract

Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders that begin in infancy. In recent years, the incidence of ASD in the world is increasing year by year. At present, the etiology and pathogenesis of ASD are not clear, and effective treatments are still lacking. In addition to neurobehavioral symptoms, children with ASD often have obvious gastrointestinal symptoms. Gut microbiota is a large microbial community in the human gut, which is closely related to the nervous system and can affect brain development and behavior through the neuroendocrine, neuroimmune and autonomic nervous systems, forming a microbiota-gut-brain axis connection. Recent studies have shown that children with ASD have significant gut microbiota and metabolic disorders, and fecal microbiota transplantation (FMT) is expected to improve ASD-related symptoms by regulating gut microbiota and metabolism. This review paper will therefore focus on FMT in the treatment of ASD, and FMT is effective in improving gastrointestinal and neurobehavioral symptoms in children with ASD.

Keywords: autism spectrum disorder; fecal microbiota transplantation; gastrointestinal symptoms; gut microbiota; microbiota-gut-brain axis.

© 2022 Li et al.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Gut microbiota changes in ASD patients at the genus level. Many studies have shown that the composition of gut microbiota altered in ASD patients. The genus level inside the upward arrow were higher in the ASD patients than those in neurotypical patients. On the contrary, the genus level inside the downward arrow were lower (Figure created with BioRender.com).
Figure 2
Figure 2
The microbiota-gut-brain axis in neurological and psychological diseases. The microbiota-gut-brain axis mainly includes three pathways of interaction: immune, neural and metabolic pathways. These pathways can be involved in the pathophysiology of ASD, depression, anxiety, Parkinson’s disease and Alzheimer’s disease.Lachnospiraceae bacterium A2 increase Treg cells and reduce repetitive behavior.L. rhamnosus reduce stress and anxiety by elevating GABA mRNA expression level.L. reuteri increase OT to improve social defects.E. faecalis reduce corticosterone by inhibiting the HPA axis. αSyn in the intestinal nervous system travels to the brain via the vagus nerve.Bacteroidetes promote motor dysfunction by activating the C/EBPβ/AEP pathway.BL NCC3001 decrease depression scores by upregulating BDNF.B. fragilis promote anxiety behavior through 4-EPS. (Figure created with BioRender.com).
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References

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