Exploration of homocysteine metabolism and genetics in Autism Spectrum Disorder
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ABSTRACT: This project investigated the genetic and metabolic profiles of Lebanese children and adolescents with Autism Spectrum Disorder (ASD) to better understand the disorder’s etiology and identify potential biomarkers. Specifically, the study focused on methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms (rs1801133 and rs1801131) and their relationship with homocysteine metabolism, as well as plasma levels of vitamin B9, vitamin B12, glucose, and lipid profiles.
A total of 172 participants (86 individuals with ASD and 86 age-, sex-, and region-matched neurotypical controls) aged between 3 and 18 years were recruited across Lebanon between June 2022 and June 2023. ASD diagnosis was confirmed using DSM-5 criteria and the Childhood Autism Rating Scale (CARS). Blood samples were collected under fasting conditions to measure biochemical parameters (homocysteine, vitamin B9, vitamin B12, glucose, lipid panel), while DNA was extracted for genotyping of the MTHFR variants using PCR and Sanger sequencing.
The results revealed that while the MTHFR rs1801133 and rs1801131 polymorphisms were not significantly associated with ASD risk, individuals with ASD had significantly higher homocysteine levels and lower vitamin B9 concentrations compared to controls. Vitamin B12, glucose, and lipid concentrations showed no significant group differences. However, the TT genotype of the rs1801133 variant was strongly associated with elevated homocysteine levels among individuals with ASD.
These findings suggest that hyperhomocysteinemia and folate deficiency may contribute to the pathophysiology of ASD, highlighting their potential role as metabolic biomarkers. Although no direct genetic association was observed between MTHFR variants and ASD susceptibility in the Lebanese population, the correlation between the rs1801133 TT genotype and elevated homocysteine underscores the importance of integrating genetic and metabolic data.
This work represents the first Lebanese case-control study combining genetic and biochemical approaches to ASD. It emphasizes the need for further research on metabolic pathways, nutritional interventions (particularly folate supplementation), and additional enzymes involved in homocysteine metabolism. Ultimately, this project aims to contribute to the development of personalized intervention strategies and improve understanding of ASD within the Middle Eastern context.
INSTRUMENT(S): -
ORGANISM(S): Homo Sapiens
SUBMITTER: Holy Spirit University of Kaslik and University of Tours
PROVIDER: PRJEB96538 | EVA | 2025-08-30
REPOSITORIES: EVA
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