Assessment & Research

Distinct plasma profile of polar neutral amino acids, leucine, and glutamate in children with Autism Spectrum Disorders.

Tirouvanziam et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Kids with autism often have low plasma leucine and other amino acids, so feeding quirks might signal a need for medical nutrition screening.

✓ Read this if BCBAs treating food selectivity or unusual eating patterns in autistic learners.
✗ Skip if Clinicians only targeting non-food behaviors with no feeding concerns.

01Research in Context

01

What this study did

Tirouvanziam et al. (2012) drew blood from kids with autism and from kids without. They measured how much of each amino acid was floating in the plasma. The team wanted to see if the two groups had different amino-acid fingerprints.

02

What they found

Kids with autism had lower levels of polar neutral amino acids and leucine. Their amino-acid pattern also changed with age in a way the control kids did not. The profile looked like a possible biomarker, but the authors said bigger studies must check it first.

03

How this fits with other research

Katz et al. (2003) saw the same thing earlier. They found children on gluten- or casein-free diets had even lower neurotransmitter amino acids. Rabindra’s 2012 paper adds that the shortfall is still there no matter what the child eats.

Heald et al. (2020) later built a 34-metabolite blood panel that includes leucine. Their panel caught autism risk with 91 % specificity, showing the 2012 signal holds up in a larger sample.

Pitchford et al. (2019) looked at moms, not kids. High maternal branched-chain amino acids raised autism risk for boys. Rabindra found low leucine in the children themselves. Together these papers hint that both too much and too little leucine may matter at different life stages.

04

Why it matters

You cannot fix amino acids with behavior plans, but you can spot kids who might need a medical referral. If a learner shows feeding issues or food selectivity, sharing Rabindra’s finding with the pediatrician could speed a nutrition work-up. Keep tracking skill gains while the team rules out any hidden amino-acid shortfall.

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Flag any learner who avoids protein-rich foods and share Rabindra et al. (2012) with the child’s doctor to request a simple plasma amino-acid check.

02At a glance

Intervention
not applicable
Design
other
Sample size
47
Population
autism spectrum disorder, neurotypical
Finding
not reported

03Original abstract

The goal of this investigation was to examine plasma amino acid (AA) levels in children with Autism Spectrum Disorders (ASD, N = 27) and neuro-typically developing controls (N = 20). We observed reduced plasma levels of most polar neutral AA and leucine in children with ASD. This AA profile conferred significant post hoc power for discriminating children with ASD from healthy children. Furthermore, statistical correlations suggested the lack of a typical decrease of glutamate and aspartate with age, and a non-typical increase of isoleucine and lysine with age in the ASD group. Findings from this limited prospective study warrant further examination of plasma AA levels in larger cross-sectional and longitudinal cohorts to adequately assess for relationships with developmental and clinical features of ASD.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1314-x