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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Psychiatry
2016 ; 16
(ä): 183
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gab.com Text
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Gut to brain interaction in Autism Spectrum Disorders: a randomized controlled
trial on the role of probiotics on clinical, biochemical and neurophysiological
parameters
#MMPMID27260271
Santocchi E
; Guiducci L
; Fulceri F
; Billeci L
; Buzzigoli E
; Apicella F
; Calderoni S
; Grossi E
; Morales MA
; Muratori F
BMC Psychiatry
2016[Jun]; 16
(ä): 183
PMID27260271
show ga
BACKGROUND: A high prevalence of a variety of gastrointestinal (GI) symptoms is
frequently reported in patients with Autism Spectrum Disorders (ASD). The GI
disturbances in ASD might be linked to gut dysbiosis representing the observable
phenotype of a "gut-brain axis" disruption. The exploitation of strategies which
can restore normal gut microbiota and reduce the gut production and absorption of
toxins, such as probiotics addition/supplementation in a diet, may represent a
non-pharmacological option in the treatment of GI disturbances in ASD. The aim of
this randomized controlled trial is to determine the effects of supplementation
with a probiotic mixture (Vivomixx®) in ASD children not only on specific GI
symptoms, but also on the core deficits of the disorder, on cognitive and
language development, and on brain function and connectivity. An ancillary aim is
to evaluate possible effects of probiotic supplementation on urinary
concentrations of phthalates (chemical pollutants) which have been previously
linked to ASD. METHODS: A group of 100 preschoolers with ASD will be classified
as belonging to a GI group or to a Non-GI (NGI) group on the basis of a symptom
severity index specific to GI disorders. In order to obtain four arms, subjects
belonging to the two groups (GI and NGI) will be blind randomized 1:1 to regular
diet with probiotics or with placebo for 6 months. All participants will be
assessed at baseline, after three months and after six months from baseline in
order to evaluate the possible changes in: (1) GI symptoms; (2) autism symptoms
severity; (3) affective and behavioral comorbid symptoms; (4) plasmatic, urinary
and fecal biomarkers related to abnormal intestinal function; (5)
neurophysiological patterns. DISCUSSION: The effects of treatments with
probiotics on children with ASD need to be evaluated through rigorous controlled
trials. Examining the impact of probiotics not only on clinical but also on
neurophysiological patterns, the current trial sets out to provide new insights
into the gut-brain connection in ASD patients. Moreover, results could add
information to the relationship between phthalates levels, clinical features and
neurophysiological patterns in ASD. TRIAL REGISTRATION: ClinicalTrials.gov
Identifier: NCT02708901 . Retrospectively registered: March 4, 2016.