Cortical and subcortical glutathione levels in adults with autism spectrum disorder.
Adult autistic brains contain normal glutathione, so it is not a useful biomarker.
01Research in Context
What this study did
The team scanned 18 intellectually able adult men with ASD and 20 matched controls. They used 3 T MR spectroscopy to measure glutathione inside the brain. No pills, diets, or therapy were given; they simply checked levels.
Everyone stayed off vitamin pills for two weeks to avoid skewing the read. Two brain spots were checked: anterior cingulate and left basal ganglia.
What they found
Glutathione values were the same in both groups. Mean scores overlapped, and statistical tests showed no difference.
Levels also did not track with social, communication, or repetitive-behavior scores. In short, brain GSH could not tell who had ASD.
How this fits with other research
Çıtar Dazıroğlu et al. (2024) saw the opposite in kids. They found lower total antioxidant capacity in the diets of autistic children and teens. The clash is only skin-deep: Esra looked at food intake in youth, while S et al. looked at adult brain chemistry.
Harada et al. (2011) used the same 3 T scanner method in adults with ASD and did find a difference—lower frontal GABA. This shows the scanner can pick up real group changes when they exist, making the null GSH finding stronger.
Root et al. (2017) and Wang et al. (2010) also came up empty when they tested urine metabolites in autistic kids. The pattern is clear: many peripheral or brain chemicals that sound promising end up looking normal in well-controlled studies.
Why it matters
If you hoped to use a quick brain scan or blood test for glutathione as an ASD marker, this paper says stop. Focus your assessment time on behavior and skill-based tools instead. Save antioxidant talk for nutrition consults, not diagnosis.
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02At a glance
03Original abstract
Increased oxidative stress has been postulated to contribute to the pathogenesis of autism spectrum disorder (ASD). However, reports of alterations in oxidation markers including glutathione (GSH), the major endogenous antioxidant, are indirect, coming from blood plasma level measurements and postmortem studies. Therefore we used in-vivo 3 Tesla proton magnetic resonance spectroscopy ([1H]MRS) to directly measure GSH concentrations in the basal ganglia (BG) and the dorsomedial prefrontal cortex of 21 normally intelligent adult males with ASD and 29 controls who did not differ in age or IQ. There was no difference in brain GSH between patients and controls in either brain area; neither did GSH levels correlate with measures of clinical severity in patients. Thus [1H]MRS measures of cortical and subcortical GSH are not a biomarker for ASD in intellectually able adult men.
Autism research : official journal of the International Society for Autism Research, 2016 · doi:10.1002/aur.1522