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EmergingRandomised Controlled Trial

Anti-Inflammatory Diet and Probiotic Supplementation as Strategies to Modulate Immune Dysregulation in Autism Spectrum Disorder.

Nutrients2025

Naranjo-Galvis Carlos Andrés, Trejos-Gallego Diana María, Correa-Salazar Cristina, Triviño-Valencia Jessica, Valencia-Buitrago Marysol, Ruiz-Pulecio Andrés Felipe, Méndez-Ramírez Luisa Fernanda, Zabaleta Jovanny, Meñaca-Puentes Miguel Andres, Ruiz-Villa Carlos Alberto, Orjuela-Rodriguez Marcela, Carmona-Hernández Juan Carlos, Salamanca-Duque Luisa Matilde

What this study means for families

Researchers studied how diet and probiotics affect immune system inflammation in 30 autistic children over 12 weeks. Children followed either a special anti-inflammatory diet (avoiding gluten, dairy, and artificial additives while eating foods rich in omega-3s) or took probiotic supplements. The anti-inflammatory diet showed better results at reducing inflammation markers and stabilizing immune function compared to probiotics alone. This suggests dietary changes might help manage immune-related issues commonly seen in autism.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This randomized controlled trial examined immune system changes in 30 children with autism following 12 weeks of either an anti-inflammatory diet or probiotic supplementation. The anti-inflammatory diet (low in gluten, FODMAPs, casein, and artificial additives; high in omega-3s and polyphenols) significantly reduced IFN-γ levels and stabilized immune profiles. Probiotic supplementation (16 strains) increased IL-8 and MIP-1β while decreasing IFN-γ, suggesting changes in innate immune responses. Eight of eleven biomarkers showed significant differences between groups post-intervention.

Results indicate that anti-inflammatory diets may provide broader and more consistent immune regulation effects compared to probiotics alone in children with ASD.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Anti-inflammatory diet significantly reduced IFN-γ levels (p=0.0090) and stabilized immune profiles in children with ASD

    Confidence: moderateRelevance: Suggests dietary intervention may help normalize inflammatory responses in autism
  • 2

    Probiotic supplementation increased IL-8 (+66.6 pg/mL, p=0.0350) and MIP-1β (+74.5 pg/mL, p=0.0100) while decreasing IFN-γ (p=0.0070)

    Confidence: moderateRelevance: Indicates probiotics may reconfigure innate immune responses, though effects differ from dietary intervention
  • 3

    Eight out of eleven biomarkers showed significant post-intervention differences between treatment groups

    Confidence: moderateRelevance: Demonstrates distinct immunological effects of different interventions, supporting personalized approaches

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Findings suggest anti-inflammatory dietary approaches may be more effective than probiotics alone for immune regulation in autism. This supports considering precision nutrition strategies as complementary interventions. However, larger, longer-term studies examining both immune and behavioral outcomes are needed before making clinical recommendations. Individual responses may vary significantly.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Small sample size (30 children with ASD) limits generalizability. Short 12-week intervention period may not capture long-term effects. Study did not report on behavioral or functional outcomes, focusing only on immune biomarkers. Control group composition and randomization details are unclear from the abstract.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

: Autism spectrum disorder (ASD) is a neurodevelopmental condition associated with behavioral and cognitive impairments. Increasing evidence also links ASD with systemic immune dysregulation, including abnormal cytokine profiles and chronic low-grade inflammation. Emerging evidence suggests that targeted dietary strategies and probiotic supplementation may modulate immune responses and gut-brain interactions in patients with ASD. This study aimed to evaluate the immunomodulatory effects of a structured anti-inflammatory diet () compared to multi-strain probiotics in children with ASD.is a nutritionally complete anti-inflammatory dietary protocol that targets gut integrity, inflammation, and mitochondrial function.

It includes a diet low in gluten, FODMAPs, casein, and artificial additives, and a high intake of omega-3 fatty acids, polyphenols, and fermentable fibers.: A total of 30 children with ASD and 12 neurotypical controls were enrolled in a 12-week randomized controlled nutritional trial. Participants received either aanti-inflammatory diet, probiotic supplementation (16 strains ofand Bifidobacterium), or no intervention. Plasma levels of 20 cytokines and chemokines were measured pre- and post-intervention using multiplex Luminex immunoassays. Principal component analysis (PCA) was used to explore shifts in the immune profile.: Patients treated with thediet significantly reduced IFN-γ levels (= 0.0090) and showed a stabilizing effect on immune profiles, as evidenced by PCA clustering.

Probiotic supplementation led to a significant increase in IL-8 (+66.6 pg/mL;= 0.0350) and MIP-1β (+74.5 pg/mL;= 0.0100), along with a decrease in IFN-γ (= 0.0070), suggesting reconfiguration of innate immune responses. Eight out of eleven biomarkers showed significant post-intervention differences between groups, indicating distinct immunological effects.: This study provides evidence that anti-inflammatory diets exert broader and more consistent immunoregulatory effects than probiotics alone in children with ASD. These findings support the inclusion of precision dietary strategies as non-pharmacological interventions to mitigate immune-related dysfunction in patients with ASD.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Type
Randomised Controlled Trial
Journal
Nutrients
Year
2025
PMID
40871692
DOI
10.3390/nu17162664

MeSH Terms

HumansProbioticsAutism Spectrum DisorderMaleChildFemaleDietary SupplementsCytokinesChild, PreschoolDietInflammationAnti-Inflammatory Agents