Molecular Characterization of Probiotics and Their Influence on Children with Autism Spectrum Disorder
Abstract
Children with autism spectrum disorder (ASD) are usually unable to express abdominal discomfort properly, and thus gastrointestinal symptoms (GIS) are sometimes shadowed by aggression, which is sometimes misunderstood as a behavioral characteristic of ASD. Several studies have reported interesting correlations between the severity of behavioral and gastrointestinal symptoms in ASD children. The present study aimed to investigate the potential effects of probiotics as an adjuvant therapy to modulate the clinical status of ASD children. This study included 40 children with ASD aged 2-5 years. The feeding product was prepared from whey powder (without casein) and some minced cooked yellow vegetables in adequate ratios fortified with the studied probiotic strains (Bifidobacterium spp. and Lactobacillus spp.). Bifidobacterium strains were assessed from stool samples of children with ASD. Bifidobacterium strains were analyzed in the stools of ASD children. Recruited ASD patients received 10 g of the nutritional supplement once a day for 3 months. Childhood Autism Rating Scale (CARS) and Autism Diagnostic Interview-Revised (ADIR) were reevaluated clinically. Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III Version was used for all children with ASD before and after. There is a significant increase in the colony counts of both Bifidobacterium spp. and Lactobacillus spp., which present in the stool of ASD children after probiotic supplementation for 3 months. It was highly significant in the case of Bifidobacterium spp. (p value 0.000) and a significant increase in Lactobacillus spp. (p value 0.015). The present study showed reduced anxiety and observation of deep sleep for children with ASD (80%) after taking the supplementation. This indicates that probiotics may have a potential effect in reducing symptoms and severity of ASD and in correcting dysbiosis.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In a study by Meguid et al. of 40 children with ASD aged 2-5 years, daily administration of a whey-based nutritional supplement fortified with Bifidobacterium spp. and Lactobacillus spp. for three months produced significant increases in stool colony counts of Bifidobacterium spp. (p = 0.000) and Lactobacillus spp. (p = 0.015).
“A study by Meguid et al. examined the effects of probiotics as an adjuvant therapy in 40 children with ASD, aged 2–5 years. Participants were administered a whey-based nutritional supplement fortified with Bifidobacterium spp. and Lactobacillus spp. daily for three months. The study reported significant increases in stool colony counts of Bifidobacterium spp. (p = 0.000) and Lactobacillus spp. (p”
From The Gut–Brain–Microbiota Connection and Its Role in Autism Spectrum Disorders (2025) · cites this paper as [127]
Cites
Database resources of the National Center for Biotechnology Information: update
Wheeler, D. L. (2003) · Nucleic Acids Research · doi:10.1093/nar/gkh073 · Cited by 10,691 · see citing works
Cryan, J. F., O'Riordan, K. J., Cowan, C. S. M., Sandhu, K. V., Bastiaanssen, T. F. S., Boehme, M., Codagnone, M. G., Cussotto, S., Fulling, C., Golubeva, A. V., et al. (2019) · Physiological Reviews · doi:10.1152/physrev.00018.2018 · Cited by 5,286 · cited 1× · see citing works
“The gut-brain axis theory, now well-accepted, reported that the gut and the brain communicate and influence each other [2].”
BackgroundCole, J. R. (2003) · Nucleic Acids Research · doi:10.1093/nar/gkg039 · Cited by 1,432 · see citing works
Gastrointestinal Symptoms in Autism Spectrum Disorder: A Meta-analysis
McElhanon, B. O., McCracken, C., Karpen, S., & Sharp, W. G. (2014) · Pediatrics · doi:10.1542/peds.2013-3995 · Cited by 831 · see citing works
Probiotic species in the modulation of gut microbiota: An overview
Azad, M. A. K., Sarker, M., Li, T., & Yin, J. (2018) · BioMed Research International · doi:10.1155/2018/9478630 · Cited by 803 · see citing works
Gastrointestinal Microflora Studies in Late‐Onset Autism
Finegold, S. M., Molitoris, D., Song, Y., Liu, C., Vaisanen, M., Bolte, E., McTeague, M., Sandler, R., Wexler, H., Marlowe, E. M., et al. (2002) · Clinical Infectious Diseases · doi:10.1086/341914 · Cited by 742 · see citing works
Autism Spectrum Disorders and the Gut Microbiota
Fattorusso, A., Di Genova, L., Dell’Isola, G., Mencaroni, E., & Esposito, S. (2019) · Nutrients · doi:10.3390/nu11030521 · Cited by 484 · see citing works
The role of probiotics in children with autism spectrum disorder: A prospective, open-label study
Shaaban, S. Y., El Gendy, Y. G., Mehanna, N. S., El-Senousy, W. M., El-Feki, H. S. A., Saad, K., & El-Asheer, O. M. (2018) · Nutritional Neuroscience · doi:10.1080/1028415x.2017.1347746 · Cited by 374 · see citing works
Database resources of the National Center for Biotechnology Information
Wheeler, D. L. (2005) · Nucleic Acids Research · doi:10.1093/nar/gkj158 · Cited by 370 · see citing works
The role of inflammation in irritable bowel syndrome (IBS)
Ng, Q. X., Soh, A. Y. S., Loke, W., Lim, D. Y., & Yeo, W. S. (2018) · Journal of Inflammation Research · doi:10.2147/jir.s174982 · Cited by 360 · see citing works
The Role of Microbiome in Insomnia, Circadian Disturbance and Depression
Li, Y., Hao, Y., Fan, F., & Zhang, B. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00669 · Cited by 294 · see citing works
Psychobiotics in mental health, neurodegenerative and neurodevelopmental disorders
Cheng, L.-H., Liu, Y.-W., Wu, C.-C., Wang, S. Z., & Tsai, Y.-C. (2019) · Journal of Food and Drug Analysis · doi:10.1016/j.jfda.2019.01.002 · Cited by 292 · see citing works
Design and evaluation of Bacteroides DNA probes for the specific detection of human fecal pollution
Kreader, C. A. (1995) · Applied and Environmental Microbiology · doi:10.1128/aem.61.4.1171-1179.1995 · Cited by 198 · see citing works
Intestinal Microbiota Influences Non-intestinal Related Autoimmune Diseases
Opazo, M. C., Ortega-Rocha, E. M., Coronado-Arrázola, I., Bonifaz, L. C., Boudin, H., Neunlist, M., Bueno, S. M., Kalergis, A. M., & Riedel, C. A. (2018) · Frontiers in Microbiology · doi:10.3389/fmicb.2018.00432 · Cited by 179 · see citing works
Gut microbiota and dietary patterns in children with attention-deficit/hyperactivity disorder
Wang, L., Yang, C., Chou, W., Lee, M., Chou, M., Kuo, H., Yeh, Y., Lee, S.-Y., Huang, L., & Li, S. (2019) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-019-01352-2 · Cited by 174 · see citing works
Impact of Microbial Metabolites on Microbiota–Gut–Brain Axis in Inflammatory Bowel Disease
Banfi, D., Moro, E., Bosi, A., Bistoletti, M., Cerantola, S., Crema, F., Maggi, F., Giron, M. C., Giaroni, C., & Baj, A. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22041623 · Cited by 159 · see citing works
Drug–gut microbiota interactions: implications for neuropharmacology
Walsh, J., Griffin, B. T., Clarke, G. A., & Hyland, N. P. (2018) · British Journal of Pharmacology · doi:10.1111/bph.14366 · Cited by 150 · see citing works
Gut microbiota composition is associated with temperament traits in infants
Aatsinki, A.-K., Lahti, L., Uusitupa, H.-M., Munukka, E., Keskitalo, A., Nolvi, S., O'Mahony, S., Pietilä, S., Elo, L. L., Eerola, E., et al. (2019) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2019.05.035 · Cited by 148 · see citing works
Targeting gut microbiome: a novel and potential therapy for autism
Yang, Y., Tian, J., & Yang, B. (2018) · Life Sciences · doi:10.1016/j.lfs.2017.12.027 · Cited by 140 · see citing works
Serotonin as a link between the gut-brain-microbiome axis in autism spectrum disorders
Israelyan, N., & Margolis, K. G. (2018) · Pharmacological Research · doi:10.1016/j.phrs.2018.03.020 · Cited by 122 · see citing works
Eltokhi, A., Janmaat, I. E., Genedi, M., Haarman, B. C. M., & Sommer, I. E. (2020) · Journal of Neuroscience Research · doi:10.1002/jnr.24616 · Cited by 100 · see citing works
Kandeel, W. A., Meguid, N. A., Bjørklund, G., Eid, E. M., Farid, M. N., Mohamed, S. K., Wakeel, K. E., Chirumbolo, S., Elsaeid, A., & Hammad, D. Y. (2020) · Journal of Molecular Neuroscience · doi:10.1007/s12031-020-01482-2 · Cited by 69 · see citing works
Niesler, B., & Rappold, G. (2020) · Molecular Psychiatry · doi:10.1038/s41380-020-0778-5 · Cited by 44 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Feng, P., Zhao, S., Zhang, Y., & Li, E. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1123462 · Cited by 62 · see citing works
The role of probiotics in personalized therapeutics: Advances in gut microbe-driven interventions
Manan, M. A. (2025) · The Microbe · doi:10.1016/j.microb.2025.100497 · Cited by 49 · see citing works
The Gut–Brain–Microbiota Connection and Its Role in Autism Spectrum Disorders
Młynarska, E., Barszcz, E., Budny, E., Gajewska, A., Kopeć, K., Wasiak, J., Rysz, J., & Franczyk, B. (2025) · Nutrients · doi:10.3390/nu17071135 · Cited by 44 · see citing works
Advances in the Treatment of Autism Spectrum Disorder: Current and Promising Strategies
Yenkoyan, K. B., Ounanian, Z., Mirumyan, M., Hayrapetyan, L., Zakaryan, N., Sahakyan, R., & Bjørklund, G. (2023) · Current Medicinal Chemistry · doi:10.2174/0109298673252910230920151332 · Cited by 31 · see citing works
Li, Y., Hu, W., Lin, B., Ma, T., Zhang, Z., Hu, W., Zhou, R., Kwok, L., Sun, Z., Zhu, C., et al. (2024) · Gut Microbes · doi:10.1080/19490976.2024.2434675 · Cited by 29 · see citing works
Probiotics and Prebiotics in the Treatment of Autism Spectrum Disorder: A Narrative Review
Zhang, S., Han, F., Wang, Q., & Fan, F. (2024) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2301020 · Cited by 24 · see citing works
Fang, Z., Zhou, Y., Chen, K. G., Wang, J., Liu, X., & Jia, P. (2025) · Frontiers in Neuroscience · doi:10.3389/fnins.2025.1587818 · Cited by 22 · see citing works
Hawkins, B., Montgomery, M., Bokota, G., Santoyo, M., Giron, E., & Eltokhi, A. (2025) · Gut Microbes · doi:10.1080/19490976.2025.2574934 · Cited by 22 · see citing works
The Microbiome–Genetics Axis in Autism Spectrum Disorders: A Probiotic Perspective
Mihailovich, M., Tolinački, M., Bajić, S. S., Leštarević, S., Pejovic-Milovancevic, M., & Golić, N. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms252212407 · Cited by 14 · see citing works
Mamun, A. A., Geng, P., Wang, S., Shao, C., & Xiao, J. (2024) · Pharmacological Research · doi:10.1016/j.phrs.2024.107559 · Cited by 13 · see citing works
Taha, H. A., Issa, A., Muhanna, Z., Al-Shehab, M., Wadi, T., Awamleh, S., Ateiwi, Y. A., Abusido, M., & Berggren, V. (2025) · Frontiers in Microbiology · doi:10.3389/fmicb.2025.1648118 · Cited by 11 · see citing works
Rocchetti, M. T., Chiano, M. D., Elouardi, I., & Fiocco, D. (2025) · Global Pediatrics · doi:10.1016/j.gpeds.2025.100266 · Cited by 5 · see citing works
Aldegheri, L., Kharrat, F., Conti, A., Monica, F., Busa, F., Campisciano, G., Zanotta, N., Cason, C., & Comar, M. (2024) · Microorganisms · doi:10.3390/microorganisms12081625 · Cited by 4 · see citing works
Bohra, R., Bhardwaj, K., & Rajawat, N. K. (2026) · Nutritional Psychiatry · doi:10.1016/j.nupsyc.2026.100027 · Cited by 2 · see citing works
Gonçalves, T. G., Guimarães, J. Q., Terra, L. S., Padovan, A. C. B., & Cardoso, E. J. R. (2023) · Arquivos de Ciências da Saúde da UNIPAR · doi:10.25110/arqsaude.v27i5.2023-077 · Cited by 2 · see citing works
Advancement on the Association between Gut Microbiota and Autism Spectrum Disorder in Children
Abulaiti, A., Yu, H., Ma, J., Wuji, A., & Chi, H. (2025) · Annals of Nutrition and Metabolism · doi:10.1159/000549716 · Cited by 1 · see citing works
Neuroprotection Through Probiotic Intervention: Lessons From Autism Research
Bjørklund, G., Meguid, N. A., & El-Ansary, A. K. (2023) · Ars medica tomitana · doi:10.2478/arsm-2023-0015 · Cited by 1 · see citing works
Role of Diet in Improving Gut Microbiota in Autism
Sneha, G., Krishnamoorthy, N. K., Hediyal, T. A., Kendaganna, P. H., & Chidambaram, S. B. (2024) · Springer eBooks · doi:10.1007/978-981-19-3949-5_41-1
Role of Diet in Improving Gut Microbiota in Autism
Sneha, G., Krishnamoorthy, N. K., Hediyal, T. A., Kendaganna, P. H., & Chidambaram, S. B. (2024) · Springer eBooks · doi:10.1007/978-981-99-7557-0_41
Probiotic Treatment and Autism Spectrum Disorder
Uçar, A., & Önal, S. (2025) · Springer eBooks · doi:10.1007/978-3-031-40858-8_293-1
Carta, A., Riccio, M. P., Miola, A., Cavassa, V., Puci, M. V., Abbracciavento, G., Carucci, S., Sambataro, F., Bravaccio, C., & Sotgiu, S. (2026) · Frontiers in Child and Adolescent Psychiatry · doi:10.3389/frcha.2026.1835043
Al‐Beltagi, M., Saeed, N. K., & Elbeltagi, Y. M. (2026) · World Journal of Clinical Pediatrics · doi:10.5409/wjcp.121115
Dias, M. F., Nogueira, Y. J. D. A., Júnior, A. M. D. Á., Silva, M. C. F., Romano‐Silva, M. A., & de Miranda, D. M. (2026) · Nutritional Neuroscience · doi:10.1080/1028415x.2026.2723173
Fang, Y., Dou, Z., Liu, Y., Zong, Y., Wang, S., Li, S., He, N., & Li, N. (2026) · Metabolites · doi:10.3390/metabo16100749
- Authors
- Meguid, N. A., Mawgoud, Y. I. A., Bjørklund, G., Mehanne, N. S., Anwar, M., Effat, B. A. E.-K., Chirumbolo, S., & Elrahman, M. M. A.
- Affiliations
- National Research Centre (EG)
- Council for Nutritional and Environmental Medicine (NO)
- Heliopolis University (EG)
- University of Verona (IT)
- Corresponding author
- Bjørklund, Geir
- Venue
- Molecular Neurobiology
- Published
- 2022-09-01
- Volume
- 59
- Issue
- 11
- Pages
- 6896-6902
- ISSN
- 0893-7648 (ISSN-L)
- 1559-1182
- OpenAlex
- W4294044011
- Cited by
- 24
- References
- 23
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 7 · 2023: 4
- FWCI
- 2.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Neurobiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Keywords
- autism spectrum disorder, probiotics, Bifidobacterium, Lactobacillus, gut microbiota, dysbiosis, gastrointestinal symptoms, anxiety, sleep, adjuvant therapy, children
- MeSH terms
- Autism Spectrum Disorder, Bifidobacterium, Caseins, Child, Gastrointestinal Diseases, Humans, Powders, Probiotics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review