4.7 Article

Autism spectrum disorder: Trace elements imbalances and the pathogenesis and severity of autistic symptoms

Journal

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
Volume 129, Issue -, Pages 117-132

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2021.07.029

Keywords

Autistic spectrum disorder; Autism; Minerals disturbances; Trace elements; Toxic metals; Metallomics

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Identification of biomarkers for neurological developmental disorders like schizophrenia, ADHD, and ASD remains a challenge. Studies show that children with ASD have a reduced ability to eliminate toxic metals, leading to their accumulation and worsening of symptoms. Extensive metallomic studies help understand the role of trace elements in ASD pathogenesis, but further research is needed for relevant tests and reference levels.
The identification of biomarkers as diagnostic tools and predictors of response to treatment of neurological developmental disorders (NDD) such as schizophrenia (SZ), attention deficit hyperactivity disorder (ADHD), or autism spectrum disorder (ASD), still remains an important challenge for clinical medicine. Metallomic profiles of ASD patients cover, besides essential elements such as cobalt, chromium, copper, iron, manganese, molybdenum, zinc, selenium, also toxic metals burden of: aluminum, arsenic, mercury, lead, beryllium, nickel, cadmium. Performed studies indicate that children with ASD present a reduced ability of eliminating toxic metals, which leads to these metals' accumulation and aggravation of autistic symptoms. Extensive metallomic studies allow a better understanding of the importance of trace elements as environmental factors in the pathogenesis of ASD. Even though a mineral imbalance is a fact in ASD, we are still expecting relevant tests and the elaboration of reference levels of trace elements as potential biomarkers useful in diagnosis, prevention, and treatment of ASD.

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