Hyperserotonemia and amine metabolites in autistic and retarded children
Abstract
Mean whole blood serotonin (5-HT) levels were elevated in groups of autistic and severely retarded children. Eight of 27 (30%) individual autistic children, 13 of 25 (52%) severely retarded children, two of 23 (9%) mildly retarded children, and none of the control children had statistically significant blood 5-HT levels elevations (hyperserotonemia). Hyperserotonemic autistic children excreted more urinary 5-HT, 5-hydroxyindoleacetic acid (5-HIAA), tryptamine, and vanillylmandelic acid than did mildly retarded children with normal blood 5-HT levels. Rates of depletion and repletion of blood 5-HT levels in these two groups following reserpine therapy were identical. Oral tryptophan administration doubled urinary 5-HIAA excretion in both groups and raised urinary 5-HT levels in hyperserotonemic autistic children, but lowered urinary 5-HT in mildly retarded, normal blood 5-HT children. No clear mechanism for hyperserotonemia was found; the rationale for further investigations is discussed.
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In patients with ASD, altered function and metabolism of neurotransmitters such as 5-HT and catecholamines, and dysfunction of the serotonergic system, have been reported to contribute to symptomatology.
“In patients with ASD, altered function and metabolism of neurotransmitters, such as 5′-HT and catecholamines, and dysfunction of the serotonergic system have been reported to contribute to symptomatology [188,192,193,194,195,196].”
From Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions (2019) · cites this paper as [196]
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- Authors
- Hanley, H. G.
- Corresponding author
- Hanley, Henry G.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1977-05-01
- Volume
- 34
- Issue
- 5
- Pages
- 521
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2054586661
- Cited by
- 230
- References
- 73
- Citations by year
- 2026: 5 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 6 · 2016: 7 · 2015: 6 · 2014: 10 · 2013: 3 · 2012: 5
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- hyperserotonemia, serotonin, autism spectrum disorder, intellectual disability, 5-hydroxyindoleacetic acid, urinary excretion, tryptamine, vanillylmandelic acid, reserpine, tryptophan, amine metabolites, blood serotonin levels
- MeSH terms
- Adolescent, Adult, Age Factors, Autistic Disorder, Child, Child, Institutionalized, Child, Preschool, Humans, Hydroxyindoleacetic Acid, Intelligence, Intellectual Disability, Motor Activity, Reserpine, Serotonin, Tryptamines, Tryptophan, Vanilmandelic Acid
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