Study of the Link Between Intestinal Dysbiosis and the Integrity of the Blood Brain Barrier in Autism

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Autism Spectrum Disorder (ASD) is characterised by an impairment of social interactions and communication, associated with repetitive behaviour and restrictive interests. Clinical phenotypes of this neurodevelopmental disorder are heterogeneous and surprisingly up to 70% of ASD patients have gastro-intestinal (GI) disorders, associated with ASD severity and influence by feeding disorders. Gut-brain axis seems to play a key role in neurodevelopment and ASD pathophysiology. Indeed an intestinal dysbiosis is observed in ASD, as well as intestinal inflammation and permeability. Aspecific inflammatory pattern suggests neuroinflammation processes in ASD. Neuroinflammation is involved in blood brain barrier (BBB) integrity and there are some arguments for a putative BBBimpairment in ASD. Nevertheless, no study has explored all together these parameters in ASD patients. Here we hypothesise that intestinal dysbiosis in ASD could lead to a BBB impairment through neuroinflammation processes. Furthermore, this association between intestinal dysbiosis and BBB impairment could be influenced by a lot of clinical characteristics, such as ASD severity or GI disorders presence. The principal aim of our study is to determine if the gut microbiota composition is associated with the BBB integrity in ASD. The secondary objectives are i) too identify in children with ASD some physiopathological pathways involved in this association, with a focus on associations betweenintestinal dysbiosis, intestinal permeability, intestinal permeability, the Th1/Th2 immune response, neuroinflammation and the BBB integrity; ii) to evaluate the influence of these associations on several clinical features of ASD such as ASD severity or GI disorders intensity; iii) to evaluate the influence of nutritional status on biological and clinical parameters. This study will assess a lot of clinical and biological parameters together, some of them were never explored in ASD children. It will allow to better understand ASD pathophysiology, to highlight new therapeutic pathway, and to promote personalised medicine.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 6
Maximum Age: 16
Healthy Volunteers: f
View:

• Child from the ELENA cohort who received at least 3 years of follow-up in this cohort and a diagnosis of ASD

• Aged 6 to 16 years

• Living in Languedoc-Roussillon

• Consent to participate in the study signed by the legal representative

Locations
Other Locations
France
Centre de Ressources Autisme
RECRUITING
Montpellier
Contact Information
Primary
Stéphanie MIOT, MD-PhD
s-miot@chu-montpellier.fr
467339687
Backup
Amaria BAGHDADLI, PU-PH
a-baghadadli@chu-montpellier.fr
467336383
Time Frame
Start Date: 2021-04-26
Estimated Completion Date: 2025-02-26
Participants
Target number of participants: 60
Treatments
Other: Children with Autism spectrum disorder
Patients will realised quesstionnaires, a blood sample will be collected, the feces will be collected too.~The analysis of intestinal microbiota and neuroinflammation markers will be processed.
Related Therapeutic Areas
Sponsors
Collaborators: Institut National de la Santé Et de la Recherche Médicale, France, UMR 5203, InsermU1191, IGF, Montpellier, LBPC, Inserm 1183, IRMB CHU Montpellier
Leads: University Hospital, Montpellier

This content was sourced from clinicaltrials.gov