Journal of Toxicology · 2009 · 161 citations · 14 references
PharmacyChild HealthToxicologyAutism Spectrum DisordersDevelopmental ToxicologyHeavy Metal ToxicologyEnvironmental Heavy Metal ExposureMetal ToxicityBiomonitoring Of Metal BurdenBlood Heavy Metal LevelsDevelopmental Exposure To Heavy MetalsDimercaptosuccinic Acid TreatmentGlutathione HomeostasisToxic Element BurdenUrinary Metal BiomarkersUrine Heavy Metal Levels
This study investigated the relationship of children's autism symptoms with their toxic metal body burden and red blood cell (RBC) glutathione levels. In children ages 3-8 years, the severity of autism was assessed using four tools: ADOS, PDD-BI, ATEC, and SAS. Toxic metal body burden was assessed by measuring urinary excretion of toxic metals, both before and after oral dimercaptosuccinic acid (DMSA). Multiple positive correlations were found between the severity of autism and the urinary excretion of toxic metals. Variations in the severity of autism measurements could be explained, in part, by regression analyses of urinary excretion of toxic metals before and after DMSA and the level of RBC glutathione (adjusted R(2) of 0.22-0.45, P < .005 in all cases). This study demonstrates a significant positive association between the severity of autism and the relative body burden of toxic metals.
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S. Jill James, Stepan Melnyk, Stefanie Jernigan et al. · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · 2006 · 606 citations · Full text