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By Aaditi Godse
The precise biological mechanisms responsible for the Autism Spectrum disorder have been an enigma in psychiatry to this day. However, a multi-site study by scientists at the McGovern Medical School has revealed that pancreatic enzyme replacement therapy may reduce behavioral problems in young children diagnosed with ASD. Chymotrypsin, an enzyme produced by the pancreas, aids in the breakdown of proteins into their constituents, amino acids.
When levels of Chymotrypsin drop, essential amino acids including tryptophan(needed to produce serotonin) and phenylalanine(needed to produce dopamine) also become scarce. This scarcity, in turn, manifests in behavioral and cognitive malfunction. About 65% of autistic children have shown a deficiency of Chymotrypsin.
The study was conducted in two phases with a total of 190 preschool-aged children diagnosed with ASD. The first one was double-blinded and lasted two weeks. In this phase, 92 of the participants received 900mg of the supplement three times a day, while the remaining 98 received a placebo. The second 24-week phase was non-blinded, and all of the children took the supplement for the entire duration.
Leading scientist Dr. Pearson reports that in the first phase, children who received the supplement were reported to have significantly “low irritability, hyperactivity, non-compliance, and inappropriate speech.” Furthermore, children of the second cohort also had lower levels of the above traits, along with decreased “levels of lethargy and social withdrawal.”
Traditionally, ASD has been attributed to genetic predisposition (family history of ASD), exposure to certain environmental toxins, and advanced maternal and paternal ages at the time of conception. While these remain valid contributors, advanced research has increasingly pointed to certain maternal risk factors and complications in utero as key influences. For example, research has found that mitochondrial dysfunction, oxidative stress, and hormonal imbalance might make a fetus prone to developing autism. This research marks a pivotal step forward in our understanding of the disorder as it highlights the connection between ASD and differences in microbial gut flora. Therefore, identifying potential biomarkers could enable early intervention–even during pregnancy.
Ultimately, the onset of ASD stems from a combination of these factors, underscoring the need for large-scale epidemiological research into how these underlying pathways interact.
Sources:
Bennett, A., Hayes, A. T., Thompson, A. J., & Goldwater, P. N. (2023). The role of maternal microbiota in the development of autism spectrum disorder: A review. International Journal of Molecular Sciences, 24(22), 16411. https://doi.org/10.3390/ijms242216411
Bjorklund, G., Saad, K., Chirumbolo, S., Kern, J. K., Geier, D. A., & Geier, M. R. (2020). Mechanisms of neuroimmune and mitochondrial dysfunction in autism spectrum disorder. Free Radical Biology and Medicine, 151, 45–63. https://doi.org/10.1016/j.freeradbiomed.2019.11.015
Deakin University. (2025, July). Understanding how prenatal risk factors contribute to autism. IMPACT: Deakin Research News. https://impact.deakin.edu.au/2025/07/understanding-how-prenatal-risk-factors-contribute-to-autism/
SAGE Publications. (n.d.). Autism. https://journals.sagepub.com/home/aut