Autism & Developmental

Plasma amino acid levels in children with autism and their families.

Aldred et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Autism families share an amino-acid signature, yet the pattern is too weak for diagnosis and may stem from picky eating.

✓ Read this if BCBAs who see food refusal or want a quick science update on metabolic findings.
✗ Skip if Clinicians looking for a lab test to confirm ASD.

01Research in Context

01

What this study did

Aldred et al. (2003) drew blood from children with autism or Asperger syndrome. They also tested the children's parents and siblings.

The lab measured how much of each amino acid was floating in the plasma. A control group of typical families gave the same samples.

02

What they found

The autism families carried higher levels of several amino acids. Their glutamine, a calming brain fuel, was lower than in typical families.

The pattern showed up in the child, mom, dad, and siblings, hinting the trait runs in the family.

03

How this fits with other research

Vargason et al. (2018) tried to repeat the idea. They found only tiny single-acid differences that vanished after statistics. Their computer model got only 70 % of kids right, so plasma amino acids are too shaky to diagnose ASD.

Mulder et al. (2020) pushed the story backward in time. They showed that moms who later had autistic sons already had high branched-chain amino acids during pregnancy. This supports the idea that the same acids matter one generation earlier.

Miltenberger et al. (2013) zoomed out. Their meta-analysis showed kids with ASD eat less calcium and protein. Low intake could partly explain why some acids look high in plasma, linking diet to the family pattern.

04

Why it matters

You can’t use a plasma amino acid test to confirm ASD, but you can add nutrition screening to your intake. Ask about picky eating, milk refusal, and protein sources. If the family mentions food battles, refer to a dietitian. Fixing intake may ease problem behavior and support the whole household.

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02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Plasma amino acid levels were measured in autistic and Asperger syndrome patients, their siblings, and parents. The results were compared with values from age-matched controls. Patients with autism or Asperger syndrome and their siblings and parents all had raised glutamic acid, phenylalanine, asparagine, tyrosine, alanine, and lysine (p < .05) than controls, with reduced plasma glutamine. Other amino acids were at normal levels. These results show that children with autistic spectrum disorders come from a family background of dysregulated amino acid metabolism and provide further evidence for an underlying biochemical basis for the condition.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1022238706604