[Imbalance of plasma amino acids in patients with autism and subjects with attention deficit/hyperactivity disorder]. / Desequilibrio de aminoácidos plasmáticos en pacientes autistas y en sujetos con trastorno de déficit de atención o hiperactividad.

INTRODUCTION: Plasma and brain amino acids are influenced by dietary intake. Alterations of plasma amino acid concentrations have been reported in neuropsychiatric disorders. OBJECTIVE: To analyse the plasma amino acid values in subject diagnosed with autism, with attention deficit/hyperactivity disorder (ADHD), and healthy subjects as controls. PATIENTS AND METHODS: Forty subjects affected by autism, 11 with ADHD and 41 healthy subjects (age range 3 18 years old) were included in this study. Peripheral venous blood was obtained in fasting condition, collected in EDTA tubes and centrifuged. Plasma was de proteinised with sulfosalicylic acid. Amino acids were analysed by ion exchange liquid chromatography with an LKB amino acid analyser with sodium citrate elution system and ninhydrin reaction. Results were expressed as mmol/L. RESULTS AND CONCLUSIONS: In both disorders a diminution of phenylalanine and glutamine plasma concentrations was observed beside an increase of glycine. Lysine appeared increased only in autistic subjects. These alterations produce an imbalance with the rest of plasma amino acids competing at the brain blood barrier by the same transport system thus causing alterations in the metabolism and/or transport of amino acids to the brain, altering CNS functions. The phenylalanine decreasing, beside glycine increasing appear to support the hypothesis of a disorder in the inhibitory neurotransmission system, especially in ADHD. The diminution of phenylalanine and the increasing of lysine in autism are suggestive that these two amino acids are metabolically related.

Imbalance of Individual Plasma Amino acids Relative to Valine and Taurine as Potential Markers of Childhood Malnutrition.

In the present study a typical plasma amino acid profile for a defined population of healthy Venezuelan children was established and, further, the possibility was examined that deviations from such normalized amino acid patterns can be of use to warn of an impending nutritional deficiency, caused, in part, by adverse socio-economic conditions. This study comprised 152 children of both sexes ranging in age from 1 to 6 years. Classification into different socio-economic strata, ranging from impoverished to privileged, was evaluated by Graffar's method, as previously adapted by Mendez Castellano for Venezuela. The results of clinical and anthropometric examinations were used to group these children into 5 classes of nutritional sufficiency, ranging from adequate nutrition to severe undemutrition. The present data indicate that deviations in the plasma amino acid concentration profile, standardized for a defined population, can be used in combination with clinical evaluations to determine the type as well as the severity of inadequate nutrition. Abnormal ratios of several individual amino acids relative to Val and Tau may serve as early signs of (impending) undemutrition or malnutrition in children; the amino acid changes are detectable even in groups of children without any clinical signs but where sociological circumstances suggest a possibility of inadequate nutrition. Other uses for such plasma amino acid profiles may be to distinguish whether the detected amino acid abnormalities are of dietary or genetic origin, provided that the selected groups or individuals studied derive from a population with more or less the same genetic homogeneity and similar dietary customs.