Evidence map›Paper›PMID 29397522›Full record

ArticleMetabolic brain disease2018

Relationship between absolute and relative ratios of glutamate, glutamine and GABA and severity of autism spectrum disorder.

Hanoof Al-Otaish, Laila Al-Ayadhi, Geir Bjørklund, Salvatore Chirumbolo, Mauricio A Urbina, Afaf El-Ansary

Abstract read
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Article in Metabolic brain disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 103 citations in OpenAlex.

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  17. Brain glutathione and GABA+ levels in autistic children.Autism research : official journal of the International Society for Autism Research · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 5 countries.

Hanoof Al-OtaishBiochemistry Department, Science College, King Saud University, Riyadh, Saudi Arabia.
Laila Al-AyadhiAutism Research and Treatment Center, Riyadh, Saudi Arabia.
Geir BjørklundCouncil for Nutritional and Environmental Medicine, Toften 24, 8610, Mo i Rana, Norway. bjorklund@conem.org.ORCID 0000-0003-2632-3935
Salvatore ChirumboloDepartment of Neurological and Movement Sciences, University of Verona, Verona, Italy.
Mauricio A UrbinaDepartment of Zoology, University of Concepcion, Concepción, Chile.
Afaf El-AnsaryAutism Research and Treatment Center, Riyadh, Saudi Arabia.
King Saud University · SAThe Research Council of Norway · NOUniversity of Concepción · CLUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental pathology characterized by an impairment in social interaction, communication difficulties, and repetitive behaviors. Glutamate signaling abnormalities are thought to be considered as major etiological mechanisms leading to ASD. The search for amino-acidic catabolytes related to glutamate in patients with different levels of ASD might help current research to clarify the mechanisms underlying glutamate signaling and its disorders, particularly in relation to ASD. In the present study, plasma levels of the amino acids and their derivatives glutamate, glutamine, and γ-aminobutyric acid (GABA), associated with their relative ratios, were evaluated using an enzyme-linked immunosorbent assay (ELISA) technique in 40 male children with ASD and in 38 age- and gender-matched neurotypical health controls. The Social Responsiveness Scale (SRS) was used to evaluate social cognition, and the Childhood Autism Rating Scale (CARS) was used to assess subjects' behaviors. Children with ASD exhibited a significant elevation of plasma GABA and glutamate/glutamine ratio, as well as significantly lower levels of plasma glutamine and glutamate/GABA ratios compared to controls. No significant correlation was found between glutamate levels and the severity of autism, measured by CARS and SRS. In receiver operating characteristic (ROC) curve analysis, the area under the curve for GABA compared to other parameters was close to one, indicating its potential use as a biomarker. Glutamine appeared as the best predictive prognostic markers in the present study. The results of the present study indicate a disturbed balance between GABAergic and glutamatergic neurotransmission in ASD. The study also indicates that an increased plasma level of GABA can be potentially used as an early diagnostic biomarker for ASD.

Indexed as

AdolescentAutism Spectrum DisorderBiomarkersChildCognitiongamma-Aminobutyric AcidGlutamic AcidGlutamineHumansMaleSeverity of Illness IndexSocial BehaviorBiomarkersgamma-Aminobutyric AcidGlutamic AcidGlutamineautismchildhood autism rating scalegamma-aminobutyric acidglutamate excitotoxicityglutamineneurotransmitter

Identifiers

PMID29397522
OpenAlexW2786716084

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.