Autism and Allergies

Greetings Earthlings!

Leading on from my previous post about the immune system, this week I’d like to talk about the interesting link between autism and allergies.

I’ve developed a lot of allergies during my lifetime- sticking plaster, grass, common medicines, certain shampoos, perfumes and hand soaps, and according to my blood work, I’m a tiny bit allergic to cow hair😂 Interestingly, I recently found out that there is a link between autism and allergies.

Studies have shown that children with autism tend to have higher levels of IgE and IgG (immunoglobulin E and G)- the antibodies that are produced in response to allergens. Other studies have suggested that autists may be twice as likely to suffer from food allergies and that boys with autism have higher rates of respiratory and skin allergies than their neurotypical peers.

But first things first, what exactly are allergies and what’s happening to your body?

An allergy occurs when the immune system thinks that normally harmless foreign substances are a threat to the body. The immune system then attacks healthy tissues in an attempt to defend the body against that substance, inflaming them and resulting in an allergic reaction. Symptoms can vary but common reactions may include itching, rashes, sneezing, headaches, nausea and swelling. Severe allergic reactions can cause anaphylaxis- a life threatening reaction where the immune system floods the body with chemicals which can cause it to go into shock requiring an Epipen injection.

So why might autists be more prone to allergies?

As previously discussed, the immune system tends to be abnormally activated in autists resulting in higher levels of inflammation and autoimmune diseases, making the body more likely to overreact to a harmless substance. Why the immune system behaves this way remains unclear. As with most autistic co-morbidities, an unknown genetic mutation likely underpins it. Furthermore as I’ve discussed in previous posts, some theories suggest that dietary sensitivities may contribute to autistic symptoms. Given that autists are twice as likely to suffer from food allergies, it’s possible that these could in fact play a role in autism.

Hope you enjoyed this post dear Earthlings!

Have a lovely weekend! 🙂

Aoife

Autism and Climate Change

Greetings Earthlings! 🙂

I know what you’re all thinking, she’s lost it- what on earth has autism got to do with climate change?!

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Well, nothing really, but what I’m referring to is the impact of the recent Lancet report about the need to change our eating habits to stave off climate change and it’s potential impacts for the autistic community. If you’ve been living under a rock and haven’t heard about the report you can check out the paper here:

https://linkinghub.elsevier.com/retrieve/pii/S0140673618331799

or alternatively here’s a handy little summary news report:

https://www.irishtimes.com/business/agribusiness-and-food/meat-consumption-must-drop-by-90-to-avert-climate-crisis-report-warns-1.3760363

The bottom line of the report- we need to reduce our meat consumption by 90% and significantly increase our consumption of fruits, vegetables, nuts and beans to achieve our daily recommended caloric intake (18 times as much dry beans, soy and nuts in fact! 😲)

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As a scientist, I’m all for finding ways to reverse the impact of climate change,  however, I have found this report quite infuriating!

I haven’t really talked about food too much as an issue on this blog (mainly because it’s a subject that’s going to take some time to write about!), but food issues are perhaps my biggest struggle. Troubles with textures, tastes, smells- it can be a nightmare sometimes; but if the Lancet report is to be taken seriously, my nightmare has only just begun!

I’m a real meat lover, and vegetables for me mainly consists of baked beans and the old Irish favourite potatoes (some stereotypes are based in fact after all! 😛 😉 ). If this report is to be seriously considered, this would restrict my daily intake of chicken (my staple) to 29g or the equivalent of one and a half chicken nuggets. Worse still for my beloved potato the Lancet recommends 50g or 39 calories of potatoes per day- roughly a quarter of a medium-sized potato!

So basically if we start to crack down on these foodstuffs, I’ll be living on fresh air and sugar- I’ll have a killer figure for sure, albeit with a side of diabetes 😛

What I am most concerned about is the larger autistic community. My food issues are mild in comparison to other autists-what about the poor struggling parents who’s child will only eat the same meal day in day out, or will only eat McDonalds or foods of a particular colour? Has no one stopped to consider the struggles that these recommendations will bring?

Don’t even get me started on the implications for those with food and nut allergies, of which a high percentage of the autistic community suffer from!

The agricultural industry in Europe is responsible for a mere 10% of our carbon footprint whereas our energy consumption stands over a whopping 80%! Why must our food habits change when our energy consumption is so staggeringly high?

It beggars belief that the medical community would think that such a radical overhaul of our eating habits is our best option in the fight against climate change.

What we really need are cleaner fuel alternatives, better range of and services for hybrid cars, and better public transport systems for rural communities (a huge issue here in Ireland- if you don’t have a car, rural life is extremely isolating. Where I live one would have to walk for 45 minutes to get a bus to the nearest town!) to cut down our carbon footprint.

Hope you enjoyed this post dear Earthlings! 🙂

Have a wonderful weekend!

Aoife

Autism 101- Digestive Problems

Greetings Earthlings! 🙂

Today I’m going to discuss the issue of digestive problems for people on the spectrum- but don’t worry, I’ll stick to the science! I won’t regale you with any personal tales on this occasion 😛 😉

Gastrointestinal (GI) problems are among the most commonly associated conditions with autism.

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Evidence suggests that autists may be over 3.5 times more likely to suffer from issues such as diarrhea, constipation, food allergies, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS) and inflammatory bowel diseases (i.e. Crohn’s disease and ulcerative colitis).

I know- not the most pleasant of subjects, but we can all be adults right? 😉

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Joking aside- these are serious issues for people with autism, especially for children. Autists are already sensitive to such stimuli as sound and touch. Adding GI discomfort to the mix can make things so much more difficult. The associated pain from these conditions can worsen behaviors, and in some cases, trigger regressions.

So what does science have to say about all of this?

As with autism, it’s another game of Cluedo- research is ongoing to determine ‘who-dunnit’. There are many suspects, but the culprit remains unclear.

Bacterial Abnormalities & Carbohydrate Digestion-The gut is home to trillions of bacteria naturally living in harmony with us.  Our gut provides them with food and shelter, and in return they digest certain dietary substances and produce vitamins B and K for us to absorb. This forms what is known as the gut microbiome. Ordinarily bacteria and host exist in harmony, however, if there is an overabundance of certain bacterial strains, this can lead to a number of GI problems. Studies have shown that such overabundance exists in children with autism.

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Abnormalities in carbohydrate digestion have also been reported in cases of autism. The cells of the intestines appear to have difficulty in breaking down and transporting carbohydrates in the gut causing malabsorption of these vital nutrients.

It’s been suggested that these issues with carbohydrates may be connected to the high level of bacteria present in the autistic gut as digestive alterations may influence nutrient availability within the microbiome, but further investigation is needed.

Furthermore, in recent years, evidence is emerging that gut microbes can influence brain development and behavior!

Wuttttttt???!!!

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I know!!!

In particular, there is evidence to suggest that people with autism are missing one specific bacterium- Lactobacillus reuteri.

One study in mice showed that following the addition of this bacterial strain to their diet,  the natural microbiome of the was gut restored AND further restored some behaviors associated with ASD’s! Interestingly, L. reuteri promotes the production of oxytocin, which as previously discussed, is essential for human bonding and social behavior.

Who knew that bacteria could control our brains this way?!

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Brain-Gut Communication and the Role of Serotonin-As in the picture below, the brain and the gut share a very close relationship in the human body.

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The gut in actual fact has it’s own complex nervous system (the enteric nervous system) which regulates the activity of the gut- kind of like a second brain. Together, the gut and the brain form what is known as the brain-gut axis, a two way street where each can influence the other. For example, signals travelling from gut to brain can influence satiety, whereas stress/anxiety signals from the brain to the gut affect gut sensitivity.

Serotonin is an important neurotransmitter (chemical messengers that allow neurons to communicate) within this axis. For example, serotonin plays an important role in the control of intestinal motility. As such, alterations in serotonin levels have been implicated in a number of GI problems.

But how does this relate to autism?

Yep- you guessed it, serotonin levels, like oxytocin, are dysregulated in autism, and therefore likely contribute to associated GI issues.

Further to this, there is also evidence to suggest that certain gut bacteria are involved in the production of serotonin in the body by interacting with serotonin producing cells (enterochromaffin cells). So perhaps alterations in these serotonin producing bacterial colonies may also contribute to these GI issues.

Diet-As people with autism often have restrictive eating habits, it was proposed that perhaps diet may contribute to GI issues. However, studies have shown that although autistic diets may differ, overall nutritional intake does not. On the other hand, many people report improvements in both GI and autistic symptoms following gluten (a protein found in grains like wheat) and casein (a protein found in dairy) free diets, but there is insufficient scientific evidence to support this.

Genetics- Finally, scientists believe that as with autism, genetic abnormalities likely contribute to these GI issues. Moreover, as autism and GI problems are so frequently linked, researchers have suggested that perhaps they both share the same underlying genetic mutation or may be caused by some other unknown biological mechanism.

So there we have it! 🙂

Hope you enjoyed this ‘alimentary’ introduction to digestive issues and the spectrum! 😉

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Aoife

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