Definition
Autism spectrum disorders (ASD) comprise a group of diagnoses that are collectively characterized by qualitative impairments in social interaction and communication along with stereotyped and repetitive behaviors and interests. The underlying cause, or etiology, of ASD is poorly understood but may be multifactorial with both genetic and environmental factors playing a role. The “leaky gut syndrome,” as it applies to ASD, is based on the theory that the lining, or mucosa, of the intestinal wall is damaged, allowing the contents of the intestine, such as undigested food, toxins, bacteria, and waste, to “leak through” an abnormally permeable bowel wall. There are many theories involving the leaky gut, or increased intestinal permeability specific to ASD. One of these is the leaky gut-opioid excess theory, which posits that incompletely digested proteins derived from the diet are absorbed through a leaky gut, thereby entering the central nervous system and interfering with...
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References and Readings
Buie, T., Campbell, D. B., Fuchs, G. J., Furuta, G. T., Levy, J., Van de Water, J., et al. (2010). Evaluation, diagnosis, and treatment of gastrointestinal disorders in individuals with ASDs: A consensus report. Pediatrics, 125, S1–S18.
Campbell, D. B., Buie, T. M., Winter, H., Bauman, M., Sutcliffe, J. S., Perrin, J. M., et al. (2009). Distinct genetic risk based on association of MET in families with co-occurring autism gastrointestinal conditions. Pediatrics, 123, 1018–1024.
Cass, H., Gringas, P., March, J., McKendrick, I., O'Hare, A. E., Owen, L., et al. (2008). Absence of urinary opioid peptides in children with autism. Archives of Disease in Childhood, 93, 745–750.
Christison, G. W., & Ivany, K. (2006). Elimination diets in autism spectrum disorders: Any wheat amidst the chaff? Journal of Developmental and Behavioral Pediatrics, 27, S162–S171.
de Magistris, L., Familiari, V., Pascotto, A., Sapone, A., Frolli, A., Iardino, P., et al. (2010). Alterations of the intestinal barrier in patients with autism spectrum disorders and their first degree relatives. Journal of Pediatric Gastroenterology and Nutrition, 51, 418–424. doi:10.1097/MPG.0b013e3181dcc4a5.
D'Eufemia, P., Celli, M., Finocchiaro, R., Pacifico, L., Viozzi, M., Zaccagnini, M., et al. (1996). Abnormal intestinal permeability in children with autism. Acta Paediatrica, 85, 1076–1079.
Dohan, F. C. (1988). Genetic hypothesis of idiopathic schizophrenia: Its exorphin connection. Schizophrenia Bulletin, 14, 489–494.
Erickson, C. A., Stigler, K. A., Corkins, M. R., Posey, D. J., Fitzgerald, J. F., & McDougle, C. J. (2005). Gastrointestinal factors in autistic disorder: A critical review. Journal of Autism and Developmental Disorders, 35, 713–727.
Harris, G. (2010). Journal retracts 1998 paper linking autism to vaccines. The New York Times. Retrieved from July 2011. http://www.nytimes.com
Hornig, M., Briese, T., Buie, T., Bauman, M. L., Lauwers, G., Siemetzki, U., et al. (2008). Lack of association between measles virus vaccine and autism with enteropathy: A case-control study. PLoS One, 3(9), e3140. doi:10.1371/journal.pone.0003140.
Horvath, K., & Perman, J. A. (2002). Autism and gastrointestinal symptoms. Current Gastroenterology Reports, 4, 251–258.
Hyman, S., Stewart, P. A., Smith, T., Foley, J., Cain, U., Peck, R., et al. (2010). The gluten free and casein free (GFCF) diet: A double blind, placebo controlled challenge study. Platform presentation presented at International Meeting for Autism Research. Retrieved from http://imfar.confex.com/imfar/2010/webprogram/Paper6183.html
Ibrahim, S. H., Voigt, R. G., Katusic, A. K., Weaver, A. L., & Barbaresi, W. J. (2009). Incidence of gastrointestinal symptoms in children with autism in Olmsted County, Minnesota, 1976–1997: A population-based study. Pediatrics, 124, 680–686.
Liu, Z., Li, N., & Neu, J. (2005). Tight junctions, leaky intestines, and pediatric diseases. Acta Paediatrica, 94, 386–393.
Millward, C., Ferriter, M., Calver, S. J., & Connell-Jones, G. G. (2009). Gluten- and casein-free diets for autistic spectrum disorder. Cochrane Database of Systemic Reviews, 2. doi:10.1002/14651858.CD003498.pub3.
Panksepp, J. (1979). A neurochemical theory of autism. Trends in Neurosciences, 2, 174–177.
Robertson, M. A., Sigalet, D. L., Holst, J. J., Meddings, J. B., Wood, J., & Sharkey, K. A. (2008). Intestinal permeability and glucagon-like peptide-2 in children with autism: A controlled pilot study. Journal of Autism and Developmental Disorders, 38, 1066–1071.
Wakefield, A. J., Ashwood, P., Limb, K., & Anthony, A. (2005). The significance of ileocolonic lymphoid nodular hyperplasia in children with autism spectrum disorder. European Journal of Gastroenterology and Hepatology, 17, 827–836.
Wakefield, A. J., Murch, S. H., Anthony, A., Linnell, J., Casson, D. M., & Malik, M. (2010). Retraction–ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. The Lancet, 351, 375–445.
Wang, L. W., Tancredi, D. J., & Thomas, D. W. (2011). The prevalence of gastrointestinal problems in children across the United States with autism spectrum disorders from families with multiple affected members. Journal of Developmental and Behavioral Pediatrics, 32, 1–10.
White, J. F. (2003). Intestinal pathophysiology in autism. Experimental Biology and Medicine, 228, 639–649.
Whitely, P., Haracopos, D., Knivsberg, A. M., Reichelt, K. L., Parlar, S., Jacobsen, J., et al. (2010). The ScanBrit randomised, controlled, single-blind study of a gluten- and casein-free dietary intervention for children with autism spectrum disorders. Nutritional Neuroscience, 13, 87–100.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this entry
Cite this entry
Johnson, K. (2013). Leaky Gut Syndrome. In: Volkmar, F.R. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1698-3_29
Download citation
DOI: https://doi.org/10.1007/978-1-4419-1698-3_29
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4419-1697-6
Online ISBN: 978-1-4419-1698-3
eBook Packages: Behavioral Science