Journal of Pediatric Neurology 2014; 12(04): 171-181
DOI: 10.3233/JPN-140660
Georg Thieme Verlag KG Stuttgart – New York

Role of amino acids in the pathophysiology of autism spectrum disorders in Saudi and Egyptian population samples

Afaf El-Ansary
a   Department of Biochemistry, Science College, King Saud University, Riyadh, Saudi Arabia
b   Department of Medicinal Chemistry, National Research Centre, Giza, Egypt
,
Sohair A. Hassan
b   Department of Medicinal Chemistry, National Research Centre, Giza, Egypt
,
Mona Anwar
c   Department of Research on Children with Special Needs, National Research Centre, Giza, Egypt
,
Ghada Abu Shmais
a   Department of Biochemistry, Science College, King Saud University, Riyadh, Saudi Arabia
,
Ramesa Shafi Bhat
a   Department of Biochemistry, Science College, King Saud University, Riyadh, Saudi Arabia
,
Adel Hashish
c   Department of Research on Children with Special Needs, National Research Centre, Giza, Egypt
,
Rehab O. Khalil
c   Department of Research on Children with Special Needs, National Research Centre, Giza, Egypt
,
Laila Al-Ayadhi
d   Department of Physiology, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
,
Nagwa A. Meguid
c   Department of Research on Children with Special Needs, National Research Centre, Giza, Egypt
› Author Affiliations

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Further Information

Publication History

11 March 2014

09 June 2014

Publication Date:
30 July 2015 (online)

Abstract

Autism spectrum disorders are complex developmental disorders with increasing incidence and poorly understood etiology. Imbalance of amino acids profoundly influences brain function, and is thought to be one of the key players in the pathophysiology of autism. This study aimed to measure the plasma amino acid profiles of 20 Egyptian and 20 Saudi autistic patients in comparison to matching healthy controls to clarify the role of impaired amino acid concentrations in the etiology of autism. Plasma amino acids profiles were measured using high performance liquid chromatography. While plasma levels of glutamic, aspartic, and glycine recorded the most significant percentage elevated amino acids, glutamine, asparagine, arginine, tyrosine and isoleucine recorded the most remarkable percentage decrease in autistic patients from both populations compared to controls. Among the calculated relative values, only acidic/basic, and glutamate/glutamine ratios were significantly higher in autistics compared to controls. Non-essential/essential and glucogenic/ketogenic ratios were unaltered in autistics compared to controls. Increased plasma glutamate/glutamine ratio, together with increased glycine, arginine, aspartate, aspargine levels, and acidic/basic amino acid ratio can serve as a predictive tools for the early detection of autism. These findings suggest that glutamatergic abnormalities in the brain may be associated with the pathobiology of autism.