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Fecal microbiota transplantation in a child with severe ASD comorbidities of gastrointestinal dysfunctions—a case report

Bibliographic Data

ID15528627
AuthorsCong Hu (0000-0003-1846-2812, Huazhong University of Science and Technology), Tianyi He (0000-0001-6719-6958, Huazhong University of Science and Technology), Biao Zou (Tongji Hospital), Heli Li (0000-0002-5369-0004, Tongji Hospital), Jinzhu Zhao (Huazhong University of Science and Technology), Chen Hu (0000-0003-0259-6656, Tongji Hospital), J Jean Cui (0009-0006-3098-7952, Huazhong University of Science and Technology), Jinru Cui, Zhihua Huang (0000-0002-2610-1999, Tongji Hospital), Sainan Shu (Tongji Hospital, corresponding author), Yan Hao (0000-0001-8830-8189, Tongji Hospital, corresponding author)
Year2023
Volume14
Pages1219104-1219104
Publication date2023-08-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1219104
PMID37663603
OpenAlexW4385984326
LanguageEN
References cited31

Autism spectrum disorder (ASD) is a neurodevelopmental disorder defined by social communication impairments and restricted, repetitive behaviors. In addition to behavioral interventions and psychotherapies, and pharmacological interventions, in-depth studies of intestinal microbiota in ASD has obvious abnormalities which may effectively influenced in ASD. Several attempts have been made to indicate that microbiota can reduce the occurrence of ASD effectively. Fecal microbiota transplantation (FMT) is a type of biological therapy that involves the transplant of intestinal microbiota from healthy donors into the patient's gastrointestinal tract to improve the gut microenvironment. In this case report, we describe a case of child ASD treated by FMT. The patient have poor response to long-term behavioral interventions. After five rounds of FMT, clinical core symptoms of ASD and gastrointestinal(GI) symptoms were significantly altered. Moreover, the multiple levels of functional development of child were also significantly ameliorated. We found that FMT changed the composition of the intestinal microbiota as well as the metabolites, intestinal inflammatory manifestations, and these changes were consistent with the patient's symptoms. This report suggests further FMT studies in ASD could be worth pursuing, and more studies are needed to validate the effectiveness of FMT in ASD and its mechanisms

Antibiotics · Autism · Autism spectrum disorder · Biology · Fecal bacteriotherapy · Functional gastrointestinal disorder · Gastrointestinal tract · Gut flora · Irritable bowel syndrome · Psychiatry · Psychological intervention · Clostridium difficile and Clostridium perfringens research · Gastrointestinal motility and disorders · Gut microbiota and health · Medicine · Immunology · Internal Medicine · Transplantation

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