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Influência da modulação da microbiota intestinal nos sintomas do Transtorno do Espectro Autista
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Palavras-chave

Transtorno do Espectro Autista
Transplante de microbiota fecal
Microbiota intestinal

Como Citar

Influência da modulação da microbiota intestinal nos sintomas do Transtorno do Espectro Autista. (2025). Revista Eletrônica Acervo Médico, 25, e21098. https://doi.org/10.25248/reamed.e21098.2025

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A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.

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Resumo

Objetivo: Analisar a modulação da microbiota intestinal e seus impactos nos sintomas do Transtorno do Espectro Autista. Métodos: Trata-se de uma revisão integrativa realizada, no idioma português, nas bases de dados Pubmed, Scopus e BVS. Para inclusão dos artigos foram utilizados os seguintes critérios: artigos em língua inglesa e espanhola publicados entre os anos de 2020 a 2025, com abordagem da modulação da microbiota em pessoas com TEA. Já os critérios de exclusão foram revisões sistemáticas, metanálises, artigos de opinião, teses de doutorado e dissertações. Resultados: Dos estudos selecionados, a intervenção com prebióticos, probióticos, simbióticos e/ou transplante de microbiota fecal em pessoas com TEA resultaram na alteração da microbiota intestinal, no padrão comportamental e melhora nos sintomas gastrointestinais. Considerações finais: Pode se considerar que alterações na microbiota intestinal são frequentemente observadas em indivíduos com Transtorno do Espectro Autista e estão, muitas vezes, relacionadas a sintomas gastrointestinais e comportamentais. As intervenções com probióticos, prebióticos, simbióticos e transplante de microbiota fecal surgem como estratégias promissoras. 

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Referências

ADAK A, KHAN MR. An insight into gut microbiota and its functionalities. Cellular and mollecular life sciences, 2019; 76: 473-493.

ALLAN NP, et al. Ketogenic Diet Induced Shifts in the Gut Microbiome Associate with Changes to Inflammatory Cytokines and Brain-Related miRNAs in Children with Autism Spectrum Disorder. Nutrients, 2024; 16 (10): 1401.

BILLECI L, et al. A randomized controlled trial into the effects of probiotics on electroencephalography in preschoolers with autism. Autism, 2022; 27(1): 117-132.

CHEN Y, et al. Causal effects of gut microbiota on autism spectrum disorder: A two-sample mendelian randomization study. Medicine, 2024; 103(9): e37284.

DARWESH MAK, et al. Unraveling the relative abundance of psychobiotic bacteria in children with autism spectrum disorder. Nature Scientific Reports, 2024; 14(1): 1-12.

DUQUE ALRF et al. Effect of probiotic, prebiotic, and synbiotic on the gut microbiota of autistic children using an in vitro gut microbiome model. Food Research International, 2021; 149: 110657.

FLESCH AGT, et al. O uso terapêutico dos simbióticos. ABCD Arquivos Brasileiros de Cirurgia Digestiva, 2014; 27(3): 206-209.

FRANCA GM, et al. Efeito imunomodulador da microbiota intestinal, as consequências de seu desequilíbrio e a profilaxia probiótica. Revista Ibero-Americana de Humanidades, Ciências e Educação, 2021; 7(9): 151-175.

GUIDETTI C, et al. Randomized Double-Blind Crossover Study for Evaluating a Probiotic Mixture on Gastrointestinal and Behavioral Symptoms of Autistic Children. Journal of Clinical Medicine, 2022;. 11(18): 5263.

HEIJTZ RD, et al. Normal gut microbiota modulates brain development and behaviour. Proceedings of the National Academy of Sciences 2011; 108(7): 3047-3052.

HRNCIAROVA J, et al. Modulation of gut microbiome and autism symptoms of ASD children supplemented with biological response modifier: a randomized, double-blinded, placebo-controlled pilot study. Nutrients, 2024; 16: 1-14.

KANG DW, et al. Long-term benefit of Microbiota Transfer Therapy on autism symptoms and microbiota. Scientific Report, 2019; 9: 5821

KONG XJ, et al. Probiotic and oxytocin combination therapy in patients with autism spectrum disorder: a randomized, double-blinded, placebo-controlled pilot trial. Nutrients, 2021; 13: 1-17.

LI H, et al. Alteration of the gut microbiota profile in children with autism spectrum disorder in China. Frontiers in Microbiology, 2024; 14: 1-12

LI N, et al. Fecal microbiota transplantation relieves gastrointestinal and autism symptoms by improving the gut microbiota in an open-label study. Frontiers Cellular Infection Microbiology, 2021; 11: 1-13.

LI Y, et al. Omic characterizing and targeting gut dysbiosis in children with autism spectrum disorder: symptom alleviation through combined probiotic and medium-carbohydrate diet intervention - a pilot study. Gut Microbes, 2024;16(1): 2434675.

LORD C, et al. Autism Spectrum Disorder. The Lancet, 2018; 392: 508-520.

MARQUES SMS, et al. Métodos de pesquisa: revisão sistemática, revisão integrativa e pesquisa documental. Contribuciones a las ciencias sociales, 2025; 18(2): 1-15.

MITCHELL LK, et al. Gastrointestinal, Behaviour and Anxiety Outcomes in Autistic Children Following an Open Label, Randomised Pilot Study of Synbiotics vs Synbiotics and Gut-Directed Hypnotherapy. Journal of autism and developmental disorders, 2025; 55(1): 391.

MORENO X, et al. Relación de niveles de zinc y cobre con disbiosis intestinal en niños con trastorno autista. Archivos Venezolanos de puericultura y pediatria, 2021; 84: 4–10.

NAKAZAWA-MIKLASEVICA M, et al. Alterations of Gut Microbiota among Children with Autism Spectrum Disorder. Molecular Genetics Microbiology and Virology, 2021; 36(S1): S29-S36.

NOVAU-FERRÉ N, et al. Gut microbiome differences in children with attention deficit hyperactivity disorder and autism spectrum disorder and effects of probiotic supplementation: a randomized controlled trial. Research in developmental disabilities, 2025; 161: 1-12.

PALMER JK, et al. A double-blind randomised controlled trial of prebiotic supplementation in children with autism: effects on parental quality of life, child behaviour, gastrointestinal symptoms, and the microbiome. Journal of autism and developmental disorders, 2025; 55: 775-788.

PAN ZY, et al. Beneficial effects of repeated washed microbiota transplantation in children with autism. Front. Pediatr., 2022; 10: 928785.

PANDA, PK et al. Efficacy of oral folinic acid supplementation in children with autism spectrum disorder: a randomized double-blind, placebo-controlled trial.European journal of pediatrics, 2024; 183(11): 4827–4835.

RETUERTO M, et al. Analysis of gut bacterial and fungal microbiota in children with autism spectrum disorder and their non-autistic siblings. Nutrients, 2024; 16(17): 3004.

VASCONCELOS QDJS, et al. Effects of whey protein supplementation on gut microbiota of Wistar rats with valproic acid-induced autism symptoms. Future Microbiology, 2023; 19: 213-226.

VINDIGNI SM, SURAWICZ C. Fecal microbiota transplantation. Gastroenterology Clinics of North America, 2017; 46(1): 171-185.

WANG H, et al. Gut microbiota signature in children with autism spectrum disorder who suffered from chronic gastrointestinal symptoms. BMC Pediatrics, 2023; 23(1): 476.

WANG Q, et al. The microbiota–gut–brain axis and neurodevelopmental disorders. Protein & Cell, 2023; 14(10): 762-775.

WANG Y, et al. Probiotics and fructo-oligosaccharide intervention modulate the microbiota-gut brain axis to improve autism spectrum reducing also the hyper-serotonergic state and the dopamine metabolism disorder. Pharmacological Research, 2020; 157: 104784.

ZHANG L, et al. The role of probiotics in children with autism spectrum disorders: A study protocol for a randomised controlled trial. PloS One, 2022; 17(2): 0263109.

ZHAO Y, et al. Altered Gut Microbiota as Potential Biomarkers for Autism Spectrum Disorder in Early Childhood. Neuroscience, 2023; 523: 118–131.