Day and nighttime excretion of 6-sulphatoxymelatonin in adolescents and young adults with autistic disorder
Abstract
Background Several reports indicate that nocturnal production of melatonin is reduced in autism. Our objective was to examine whether melatonin production is decreased during the whole 24-h cycle, whether the melatonin circadian rhythm is inverted, and whether the reduction in melatonin production is related to the severity of autistic behavioral impairments.Method Day and nighttime urinary excretion of 6-sulphatoxymelatonin (6-SM) was examined during a 24-h period in post-pubertal individuals with autism (N=43) and typically developing controls (N=26) matched for age, sex and pubertal stage.Results Low 6-SM excretion (mean ± SEM) was observed in autism, both at daytime (0.16 ± 0.03 vs. 0.36 ± 0.05 μg/h, p<0.01), nighttime (0.52 ± 0.07 vs. 1.14 ± 0.23 μg/h, p<0.05), and during 24h (8.26 ± 1.27 vs. 18.00 ± 3.43 μg/24-h collection, p<0.001). Intra-individual nighttime-daytime differences (delta values) in 6-SM excretion were smaller in individuals with autism than in controls (0.36 ± 0.07 vs. 0.79 ± 0.23 μg/h, p<0.05). Nocturnal excretion of 6-SM was negatively correlated with autism severity in the overall level of verbal language (Spearman ρ=-0.30, p<0.05), imitative social play (Spearman ρ=-0.42, p<0.05), and repetitive use of objects (Spearman ρ=-0.36, p<0.05).Conclusion A deficit in melatonin production is present both at daytime and at nighttime in individuals with autism, particularly in the most severely affected individuals. These results highlight interest in potential therapeutic uses of melatonin in autistic disorder, especially in individuals with severe autistic impairment and/or low urinary 6-SM excretion.
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The summer-birth association strengthens the hypothesis of a possible role of a deficit in melatonin in the development of ASD.
“It strengthens the hypothesis developed by several authors [for a review, see Ref. (83–85)] of a possible role of a deficit in melatonin in the development of ASD (the production of melatonin is powerfully suppressed by light acting through the retino-hypothalamic tract).”
From Gene × Environment Interactions in Autism Spectrum Disorders: Role of Epigenetic Mechanisms (2014) · cites this paper as [84]
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- Authors
- Tordjman, S., Anderson, G. M., Bellissant, E., Botbol, M., Charbuy, H., Camus, F., Graignic, R., Kermarrec, S., Fougerou, C., Cohen, D., & Touitou, Y.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Yale University (US)
- Pitié-Salpêtrière Hospital (FR)
- Centre Hospitalier Guillaume Régnier (FR)
- Inserm (FR)
- Corresponding author
- Tordjman, Sylvie
- Venue
- Psychoneuroendocrinology
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 37
- Issue
- 12
- Pages
- 1990-1997
- ISSN
- 0306-4530 (ISSN-L)
- OpenAlex
- W2117696756
- Cited by
- 129
- References
- 44
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 11 · 2023: 10 · 2022: 14 · 2021: 8 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 10 · 2016: 11 · 2015: 5 · 2014: 12 · 2013: 10
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychoneuroendocrinology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Foundation de France (Paris)
- Alan B. Slifka Foundation (New York City)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- autism spectrum disorder, melatonin, 6-sulfatoxymelatonin, urinary excretion, circadian rhythm, melatonin deficiency, autism severity, social dysfunction, repetitive behavior, melatonin therapy
- MeSH terms
- Adolescent, Autistic Disorder, Circadian Rhythm, Female, Humans, Male, Melatonin, Neuropsychological Tests, Urine, Case-Control Studies, Young Adult
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