Simplifying study of fever's dramatic relief of autistic behavior

Clin Nutr ESPEN. 2017 Feb:17:1-7. doi: 10.1016/j.clnesp.2016.09.002. Epub 2016 Oct 20.

Abstract

Dramatic relief of autistic behavior by infectious fever continues to tantalize parents and practitioners, yet researchers still hesitate to study its physiology/biochemistry, fearing stress and heat of brain imaging, contagion, and fever's complexity. Yet what could be more revealing than a common event that virtually 'normalizes' autistic behavior for a time? This paper proposes study of three simplified scenarios: (1) improvements appearing hours before fever, (2) return of autistic behavior soon after fever, (3) improvements persisting long after fever. Each scenario limits some risk - and some explanation - inviting triangulation of decisive factor(s) in relief and recurrence. Return of autistic behavior after fever may be most revealing. The complex mechanisms that generated fever have all abated; simpler cooling mechanisms prevail - how many plausible explanations can there be? The decisive factor in fever's benefit is concluded to be water drawn/carried from brain myelin and astrocytes by osmolytes glutamine and taurine released from muscles and brain; the decisive factor in return of autistic behavior after fever is return of water.

Keywords: Astrocytes; Autism; Benefit; Blood; Fever; Glutamine; Myelin; Taurine; Water.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adolescent Behavior*
  • Adolescent Development
  • Astrocytes / metabolism
  • Autistic Disorder / diagnosis
  • Autistic Disorder / metabolism
  • Autistic Disorder / physiopathology
  • Autistic Disorder / psychology*
  • Body Temperature Regulation*
  • Body Water / metabolism
  • Brain / metabolism
  • Brain / physiopathology*
  • Child
  • Child Behavior*
  • Child Development
  • Female
  • Fever / diagnosis
  • Fever / metabolism
  • Fever / physiopathology
  • Fever / psychology*
  • Glutamine / metabolism
  • Humans
  • Male
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / physiopathology
  • Myelin Sheath / metabolism
  • Taurine / metabolism
  • Time Factors

Substances

  • Glutamine
  • Taurine