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Autism and the gut metabolome: Evidence for altered short-chain fatty acid profiles from a systematic review and meta-analysis - PubMed

4 hours ago
  • #Short-chain fatty acids
  • #Autism spectrum disorder
  • #Gut microbiota
  • Growing evidence links gut microbiome dysbiosis and its metabolites, particularly short-chain fatty acids (SCFAs), to autism spectrum disorder (ASD).
  • A systematic review and meta-analysis compared SCFA profiles between individuals with ASD and neurotypical controls.
  • Sixteen studies (473 ASD cases, 514 controls) were included, revealing substantial heterogeneity across studies for most SCFAs.
  • Valeric acid (SMD = 0.76) and hexanoic acid (SMD = 0.60) levels were significantly elevated in individuals with ASD.
  • Isobutyric acid showed a positive association (SMD = 0.21) with lower heterogeneity.
  • No significant overall differences were found for acetic, propionic, or butyric acids, but subgroup analyses indicated variations based on sample source.
  • The findings suggest gut microbial dysbiosis involving distinct metabolic pathways in ASD.
  • Significant heterogeneity and sample-source-dependent effects highlight the complexity of the gut-brain axis in ASD.
  • Future research with standardized protocols and longitudinal designs is needed to clarify the role of SCFAs.