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This study explores the relationship between gluten and casein consumption and autism symptoms, highlighted through a case involving a child diagnosed with infantile autism. It details the nutritional changes before and after the implementation of a gluten-free and casein-free (GFCF) diet, emphasizing notable behavioral improvements. The research utilizes LC-MS/MS techniques to analyze neuropeptides in urine and their correlations with dietary triggers, environmental factors, and genetic predispositions. The findings suggest a potential link between diet, gut permeability, and neurobehavioral outcomes.
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Interactions Epigenetics Environmental «triggers» Genetics • Nutrition • Lifestyle • Stress • Infections • Microbiota • ++++ You
Neuropeptides in urineLC- MS/MS Dag Tveiten Adrian Finvold 2013
Peptides to nervous system • Incomplete breakdown of gluten and casein • Permeability – “Leaky gut syndrome” • Pathway • Diet and effect
UV- spectrum of urine • UV-spectrum of urine with given wavelengths
Derek - 27 • Difficult birth – normal weight • Reduced weight soon after birth • 9,5 kg when 2,5 years old • Diagnosed with Infantile Autism - 4 years old • Often GI symptoms – pain, diarea • Angry often/aggressive behaviour
Derek ? Derek 2007 – 64 kg Derek 2005 – 50 kg With permission from parents
Derek Gluten- and casein free diet Before GFCF diet: • Rigid, stiffness, unrelaxed • Hardly no eye contact • Aggressive • Tramping with his feet • Biting and kicking After GFCF diet: • More relaxed • Smiling more often • More happy • Eyecontact • More communicative Parents say: One hour after ingestion of ”forbidden” food – marked increased aggressive behaviour
Project LC-MSMS • Autumn 2011 • Investment Ms • Cooperation with HIOA, RH (Medinova) • 4 students Bachelor in Chemistry
Peptide structures • Casomorphine 1-4 Gluten exorphine C - Mass: 522,2 g/mol - Mass: 591.3 g/mol
Mass spectrometry Conclusions • Fast • Selective • Sensitive • Reliable
Patient example • Patient lab results – Antibodies/Peptides IgGcowmilk 68 U/mL (<20) IgGcasein 40 U/mL (<20) IgAcasein 13 U/mL (<12) Casomorphin 1-4 41,4 nmol/L/kreatinin Casomorphin 1-5 45,2 nmol/L/kreatinin Casomorphin 1-7 200,1 nmol/L/kreatinin Casomorphin 1-8 145,2 nmol/L/kreatinin
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