Guest guest Posted January 27, 2012 Report Share Posted January 27, 2012 Current Print Issues January 2012 January 2012 Subscriber Services Welcome, Guest Log in Home Blogs News Wires iPhone App Multimedia Classified Marketplace Education Lab/CME Behavioral Health Posted on PediatricSuperSite.com January 24, 2012 Bacterial gut samples differed between autistic and non-autistic children BL. mBio. 2012;doi:10.1128/mBio.00261-11. Submit a Comment Email Print Communities of microorganisms that reside in the gut of autistic children with gastrointestinal problems are different than communities residing in non-autistic children, according to study results published in the online journal mBio. Following up on a previous study, which identified that Alcaligenaceae bacterium sequences in ileal and cecal biopsy samples from autistic children with gastrointestinal dysfunction were completely absent from biopsy samples of non-autistic children with gastrointestinal dysfunction, Brent , PhD, and colleagues of the Mailman School of Public Health at Columbia University subjected samples to real-time polymerase chain reaction (PCR) analysis. Researchers analyzed 23 biopsy samples from autistic children with nine biopsy samples from non-autistic children and observed that increased levels of Alcaligenaceae in autistic children resulted from the incidence of elevated levels of members of the genus Sutterella. Utilizing a Sutterella-specific PCR assay for detecting, quantitating and genotyping Sutterella species in the samples, the study found Sutterella 16S ribosomal RNA (rRNA) gene sequences in 12 of 23 autistic children, yet none in the nine non-autistic children. Further phylogenetic analysis identified a high proportion of either S. wadsworthensis or S. stercoricanis in 11 of the Sutterella-positive autistic patients, whereas the remaining patient could not be given a species-level classification based on the 16S rRNA gene sequences of known Sutterella isolates. “The nature of intestinal damage in autism has not been fully defined,” the researchers said. “A defective epithelial barrier could lead to enhanced contact between many members of the microbiota and antigen-presenting cells in the lamina propria. If this turns out to be the case in autism, then antibodies against Sutterella proteins may reflect interindividual, compositional variation in the microbiota, rather than being an indication of Sutterella infection. Additional studies are warranted in order to draw definitive conclusions from this immunological analysis.” Disclosure: The researchers report no relevant financial disclosures. Follow the PediatricSuperSite.com on Twitter. Looking for other CME activities? Visit the Pediatric SuperSite CME Center! Related articles • Combination therapy showed significant benefit in children with ADHD• AAP urges more study on effects of early childhood stress• Gestational diabetes linked to heightened risk for ADHD• This Issue: Treatment of Child and Adolescent Mental Health• Evidence-Based Treatment Approach to Autism Spectrum Disorders The Pediatric SuperSite is intended for physician use and all comments will be posted at the discretion of the editors. We reserve the right not to post any comments with unsolicited information about medical devices or other products. At no time will the Pediatric SuperSite be used for medical advice to patients. There are no comments for this article. Be the first to comment. Cover Story Spike in foodborne outbreaks highlights need for improvements Approximately one in six people are infected with a foodborne illness each year in the United States, according to the CDC. The costs of foodborne illness are vast; Salmonella alone has accounted for $365 million in direct medical costs. Recent outbreaks this year have highlighted the need for improvements in the system — outbreak reporting and diagnosing illness in patients must improve. However, in some instances, positive outcomes have been demonstrated. The quick response time in the Listeria outbreak led to the swift identification of the food vector, which was promptly removed from the market. 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