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Published in: BMC Psychiatry 1/2001

Open Access 01-12-2001 | Hypothesis

Aminoglycoside antibiotics and autism: a speculative hypothesis

Authors: Radmila Manev, Hari Manev

Published in: BMC Psychiatry | Issue 1/2001

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Abstract

Background

Recently, it has been suspected that there is a relationship between therapy with some antibiotics and the onset of autism; but even more curious, some children benefited transiently from a subsequent treatment with a different antibiotic. Here, we speculate how aminoglycoside antibiotics might be associated with autism.

Presentation

We hypothesize that aminoglycoside antibiotics could a) trigger the autism syndrome in susceptible infants by causing the stop codon readthrough, i.e., a misreading of the genetic code of a hypothetical critical gene, and/or b) improve autism symptoms by correcting the premature stop codon mutation in a hypothetical polymorphic gene linked to autism.

Testing

Investigate, retrospectively, whether a link exists between aminoglycoside use (which is not extensive in children) and the onset of autism symptoms (hypothesis "a"), or between amino glycoside use and improvement of these symptoms (hypothesis "b"). Whereas a prospective study to test hypothesis "a" is not ethically justifiable, a study could be designed to test hypothesis "b".

Implications

It should be stressed that at this stage no direct evidence supports our speculative hypothesis and that its main purpose is to initiate development of new ideas that, eventually, would improve our understanding of the pathobiology of autism.
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Metadata
Title
Aminoglycoside antibiotics and autism: a speculative hypothesis
Authors
Radmila Manev
Hari Manev
Publication date
01-12-2001
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2001
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-1-5

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