Abstract

The gut microbiota of autism spectrum disorder (ASD) children differs from that of children without ASD. The maternal gut microbiota impacts offspring gut microbiota. However, the relationship between the development of ASD and gut bacteria shared between children and their mothers remains elusive. Our study recruited 76 children with ASD and 47 age- and gender-matched children with typical development (TD), as well as the mothers of both groups, and investigated their gut microbiota using amplicon sequence variants (ASVs). The gut microbiota of ASD children was altered compared with that of children with TD, while no significant alterations were found in their mothers. We established 30 gut bacterial coabundance groups (CAGs) and found the relative abundances of CAG15 and CAG16 significantly decreased in ASD children. CAG15 showed a positive correlation with developmental level. The proportion of ASD children who shared either one of the two Lachnospiraceae ASVs from CAG15 with their mothers was significantly lower than that of children with TD. Moreover, we found that CAG12, CAG13, and CAG18 negatively correlated with the severity of social deficits in ASD children. ASD children who shared any one of the four (two Ruminococcaceae, one Lachnospiraceae, and one Collinsella) ASVs in CAG13 and CAG18 with their mothers showed a lower level of social deficits than ASD children that did not share those with their mothers. These data demonstrate that these shared gut bacteria in ASD children are associated with their developmental level and social deficits. This work provides a new direction toward understanding the role of the gut microbiota in the pathogenesis and development of ASD. (This study has been registered in the Chinese Clinical Trial Registry under number ChiCTR-RPC-16008139.)IMPORTANCE Gut microbiota may contribute to the pathogenesis and development of autism spectrum disorder. The maternal gut microbiota influences offspring gut microbial structure and composition. However, the relationship between the clinical symptoms of autism spectrum disorder and the gut bacteria shared between children and their mothers is not yet known. In our study, the gut microbiota of children with autism spectrum disorder differed from that of children with typical development, but there were no differences in the gut microbiota of their mothers. More importantly, gut bacteria shared between children with autism spectrum disorder and their mothers were related to developmental disabilities and social deficits. Thus, our study suggests that these shared gut bacteria may play an important role in the development of autism spectrum disorder. This provides a new direction for future studies aiming to explore the role of the gut microbiota in autism spectrum disorder.

Highlights

  • IMPORTANCE Gut microbiota may contribute to the pathogenesis and development of autism spectrum disorder

  • In the Children’s Mental Health Research Center of the Affiliated Brain Hospital of Nanjing Medical University, 76 children (2.6 to 8.2 years old) were screened using the childhood autism rating scale (CARS) and were diagnosed with Autism spectrum disorder (ASD) based on the autism msphere.asm.org 2

  • The age and sexual ratios were not significantly different between the ASD and typical development (TD) groups (Table 1), and there were no significant differences in mode of delivery in childbirth, body height, body weight, body mass index (BMI), head circumference, and waist/hip ratio between the two groups

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Summary

Introduction

IMPORTANCE Gut microbiota may contribute to the pathogenesis and development of autism spectrum disorder. Gut bacteria shared between children with autism spectrum disorder and their mothers were related to developmental disabilities and social deficits. Our study suggests that these shared gut bacteria may play an important role in the development of autism spectrum disorder. 5-aminovaleric acid (5AV) and taurine, two gut microbial metabolites, alleviated social deficits and repetitive behaviors in the offspring of mice transplanted with the gut microbiota from ASD patients [16]. These findings suggest that alterations in the gut microbiota may contribute to the pathophysiology of ASD. Gut bacteria shared between children with ASD and their mothers were found to be associated with ASD behavioral symptoms

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