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New or Emerging Treatments in ASD

Oxytocin

Hyperbaric Oxygen Therapy (HBOT)

Carnosine

Naltrexone


Oxytocin

Oxytocin infusion reduces repetitive behaviours in adults with autistic and Asperger's disorders.
Hollander E, Novotny S, Hanratty M, Yaffe R, DeCaria CM, Aronowitz BR, Mosovich S.

Neuropsychopharmacology. 2003 Jan;28(1):193-8.


Department of Psychiatry, Seaver Autism Research Center, Mount Sinai School of Medicine, New York, NY 10029, USA. eric.hollander@mssm.edu

Autism is a neurodevelopmental disorder characterized by dysfunction in three core behavioral domains: repetitive behaviours, social deficits, and language abnormalities. There is evidence that abnormalities exist in peptide systems, particularly the oxytocin system, in autism spectrum patients. Furthermore, oxytocin and the closely related peptide vasopressin are known to play a role in social and repetitive behaviours. This study examined the impact of oxytocin on repetitive behaviours in 15 adults with autism or Asperger's disorder via randomised double-blind oxytocin and placebo challenges. The primary outcome measure was an instrument rating six repetitive behaviours: need to know, repeating, ordering, need to tell/ask, self-injury, and touching. Patients with autism spectrum disorders showed a significant reduction in repetitive behaviours following oxytocin infusion in comparison to placebo infusion. Repetitive behaviour in autism spectrum disorders may be related to abnormalities in the oxytocin system, and may be partially ameliorated by synthetic oxytocin infusion.

 

Oxytocin, vasopressin and pair bonding: implications for autism.

Hammock EA, Young L

 

Philos Trans R Soc Lond B Biol Sci. 2006 Dec;361(1476):2187-98.

Department of Psychiatry and Behavioural Sciences, Centre for Behavioural
Neuroscience, Yerkes National Primate Research Centre, Emory University,
Atlanta, GA 30329, USA.


Understanding the neurobiological substrates regulating normal social behaviours may provide valuable insights in human behaviour, including developmental disorders such as autism that are characterized by pervasive deficits in social behaviour. Here, we review the literature which suggests that the neuropeptides oxytocin and vasopressin play critical roles in modulating social
behaviours, with a focus on their role in the regulation of social bonding in monogamous rodents. Oxytocin and vasopressin contribute to a wide variety of social behaviours, including social recognition, communication, parental care, territorial aggression and social bonding. The effects of these two neuropeptides are species-specific and depend on species-specific receptor distributions in the brain. Comparative studies in voles with divergent social structures have revealed some of the neural and genetic mechanisms of social-bonding behaviour. Prairie voles are socially monogamous; males and females form long-term pair bonds, establish a nest site and rear their offspring together. In contrast, montane and meadow voles do not form a bond with a mate and only the females take part in rearing the young. Species differences in the density of receptors for oxytocin and vasopressin in ventral forebrain reward circuitry differentially reinforce social-bonding behaviour in the two species. High levels of oxytocin receptor (OTR) in the nucleus accumbens and high levels of vasopressin 1a receptor (V1aR) in the ventral pallidum contribute to monogamous social structure in the prairie vole. While little is known about the genetic factors contributing to species-differences in OTR distribution, the species-specific distribution pattern of the V1aR is determined in part by a species-specific repetitive element, or 'microsatellite', in the 5' regulatory
region of the gene encoding V1aR (avpr1a). This microsatellite is highly expanded in the prairie vole (as well as the monogamous pine vole) compared to a very short version in the promiscuous montane and meadow voles. These species differences in microsatellite sequence are sufficient to change gene expression in cell culture. Within the prairie vole species, intraspecific variation
in the microsatellite also modulates gene expression in vitro as well as receptor distribution patterns in vivo and influences the probability of social approach and bonding behaviour. Similar genetic variation in the human AVPR1A may contribute to variations in human social behaviour, including extremes outside the normal range of behaviour and those found in autism spectrum
disorders. In sum, comparative studies in pair-bonding rodents have revealed neural and genetic mechanisms contributing to social-bonding behaviour. These studies have generated testable hypotheses regarding the motivational systems and underlying molecular neurobiology involved in social engagement and social bond formation that may have important implications for the core social deficits characterizing autism spectrum disorders.
PMID: 17118932 [PubMed - in process]

 

Hyperbaric Oxygen Therapy (HBOT)

For more links see:

www.hbotmanual.com

http://health.groups.yahoo.com/group/HDOTherapyforAutism/ for more info on HBOT and an online support group

Here is a blog from a mom showing change from the day they started till this month. http://toyou-myamazingson.blogspot.com/

The effects of hyperbaric oxygen therapy on oxidative stress,
inflammation, and symptoms in children with autism: an open-label pilot
study
Download pdf article (Nov 2007)

Yahoo Discussion Group on HBOT: http://health.groups.yahoo.com/group/HDOTherapyforAutism/ (Nov 2007)

 

Carnosine

L-Carnosine is an amino acid dipeptide that may indirectly affect the electrochemical process in the brain. Oral supplementation with L-Carnosine has resulted in demonstrable improvements in autistic behaviors as well as increases in language comprehension.  Although the mechanism of action of the amino acid is not well understood, it is believed that it acts to modulate neurotransmission and affect metal ion transfer of zinc and copper in the entorhinal cortex of the brain.  This may enhance neurological function or act in a neuroprotective fashion. 

For more information on carnosine see:

http://www.autismcoach.com/Carnosine%20Study.htm

http://www.carn-aware.com/studies.htm 

Naltrexone

The major effect of the drug naltrexone is to reduce natural opioid activity in the brain. Naltrexone is also an immune enhancer. Low dose naltrexone (LDN) seems to be helping a subgroup of autistic children. Many who have used it with their children report seeing clear, occasionally dramatic improvements. Others obtain very little benefit, and on rare occasions there is even a worsening of symptoms. 

LDN is not being used as an opiate antagonist for ASD children.   In fact it is counter productive to apply transdermal-LDN when a child still has an opiate effect. Low dose naltrexon is being used for ASD kids to balance their immune system. Dr Jaqueline McCandless, one of the leading doctors treating ASD children in the US, has extensive experience using naltrexone. It is being used for the same reason as MS patients are using it, to modulate/enhance the immune system.  It also seems to stimulate the amygdala in the brain.  This stimulation could be one of the reasons so many are seeing better connected kids who are becoming better communicators. Dr. McCandless's strongly urges parents to be GFCF before adding transdermal-LDN to their child's biomedical program. 

For more information on naltrexone use in ASD see the links below:

Naltrexone and Autism

LDN - Low-Dose Naltrexone For Immunomodulation - Jaquelyn McCandless, M.D., July 2005


 

 

Disclaimer

This website has no financial connection to the supplement or health products industry.

The information on this website is provided as a guide to your healthcare options only.  The All Natural Advantage website makes no statements, representations or warranties about the accuracy or completeness of, and should not be relied on as a sole source of information.  We take no responsibility or liability (including without limitation, liability in negligence) for any expenses, losses, damages or costs you might incur as a result of the information being inaccurate or incomplete in any way, and for any reason including but not limited to, you deciding whether or not to choose specific treatment based on the information.

Please contact me or another qualified health professional before embarking on any health treatment program

 
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Last modified: 12/13/10

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