PMID- 32351702 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 2055-0294 (Print) IS - 2055-0294 (Electronic) IS - 2055-0294 (Linking) VI - 6 DP - 2020 TI - Evaluation of the efficacy of drug treatment based on measurement of the oxidative stress, using reactive oxygen metabolites and biological antioxidant potential, in children with autism spectrum disorder and attention deficit hyperactivity disorder. PG - 8 LID - 10.1186/s40780-020-00164-w [doi] LID - 8 AB - BACKGROUND: Autism spectrum disorder (ASD) is a neurodevelopmental disorder, mainly characterized by impairment of social communication and restricted interests. ASD is frequently accompanied by attention deficit hyperactivity disorder (ADHD), which is characterized by carelessness, hyperactivity and impulsivity (ASD/ADHD). It has been suggested that ASD and ADHD are associated with oxidative stress, that is, that patients with ASD/ADHD are in a state of increased oxidative stress. There are currenr tly no objective or biological test criteria for evaluating the efficacy of drug therapy in these patients. The purpose of this study was to evaluate whether oxidative stress markers [serum reactive oxygen metabolites (d-ROMs) levels and biological antioxidant potential (BAP)] can be used as objective indicators for evaluating the efficacy of drug treatment in ASD/ADHD patients. METHODS: The subjects of this study subjects were 50 Japanese patients with ASD/ADHD aged 4 to 14 years old. Serum samples were obtained from the patients to measure the serum levels of d-ROMs and the serum BAP. The study subjects were divided into two age groups: preschool children (4 to 6 years old) and school-age children (7 to 14 years old), and the serum levels of d-ROMs, serum BAP, serum BAP/d-ROMs ratio (hereinafter, the prefix serum will be dropped), and scores on the Parent-interview ASD Rating Scales-Text Revision (PARS-TR) and ADHD Rating Scale (ADHD-RS) were determined before and after drug therapy and compared between the two groups. In addition, changes in the d-ROMs, BAP and BAP/d-ROMs ratio and changes in the scores on the PARS-TR and ADHD-RS after treatment were also analyzed. RESULTS: Significant decrease of the d-ROMs, BAP, and scores on the PARS-TR and ADHD-RS, with a significant increase of the BAP/d-ROMs ratio, was observed after treatment. In addition, a significant correlation was observed between the changes in the d-ROMs and changes in the scores on the PARS-TR and ADHD-RS after treatment in the school-age ASD/ADHD children. CONCLUSION: Our results suggest the possibility that the serum level of d-ROMs may be useful as an objective assessment marker to supplement the subjective assessment of the effects of drug treatment in school-age children with ASD/ADHD. CI - (c) The Author(s) 2020. FAU - Kitaoka, Taisuke AU - Kitaoka T AD - 1Tokushima Bunri University, Graduate School of Pharmaceutical Sciences, Nishihamahouji, Yamashiro-cho, Tokushima-shi, Tokushima, 770-8514 Japan. GRID: grid.412769.f. ISNI: 0000 0001 0672 0015 FAU - Morimoto, Masahito AU - Morimoto M AD - Department of pharmacy, Japanese Red Cross Tokushima Hinomine Rehabilitation Center for People with Disabilities, Shinbiraki, Chuden-cho, Komathushima-shi, Tokushima, 773-0014 Japan. FAU - Hashimoto, Toshiaki AU - Hashimoto T AD - Department of pediatrics, Japanese Red Cross Tokushima Hinomine Rehabilitation Center for People with Disabilities, Shinbiraki, Chuden-cho, Komathushima-shi, Tokushima, 773-0014 Japan. FAU - Tsuda, Yoshimi AU - Tsuda Y AD - Department of pediatrics, Japanese Red Cross Tokushima Hinomine Rehabilitation Center for People with Disabilities, Shinbiraki, Chuden-cho, Komathushima-shi, Tokushima, 773-0014 Japan. FAU - Nakatsu, Tadanori AU - Nakatsu T AD - Department of pediatrics, Japanese Red Cross Tokushima Hinomine Rehabilitation Center for People with Disabilities, Shinbiraki, Chuden-cho, Komathushima-shi, Tokushima, 773-0014 Japan. FAU - Kyotani, Shojiro AU - Kyotani S AD - 1Tokushima Bunri University, Graduate School of Pharmaceutical Sciences, Nishihamahouji, Yamashiro-cho, Tokushima-shi, Tokushima, 770-8514 Japan. GRID: grid.412769.f. ISNI: 0000 0001 0672 0015 LA - eng PT - Journal Article DEP - 20200425 PL - England TA - J Pharm Health Care Sci JT - Journal of pharmaceutical health care and sciences JID - 101672177 PMC - PMC7183642 OTO - NOTNLM OT - Attention deficit hyperactivity disorder OT - Autism spectrum disorder OT - Objective assessment marker OT - Oxidative stress OT - Pediatrics OT - Reactive oxygen metabolites COIS- Competing interestsThe authors declare that they have no competing interests. EDAT- 2020/05/01 06:00 MHDA- 2020/05/01 06:01 PMCR- 2020/04/25 CRDT- 2020/05/01 06:00 PHST- 2020/02/02 00:00 [received] PHST- 2020/04/16 00:00 [accepted] PHST- 2020/05/01 06:00 [entrez] PHST- 2020/05/01 06:00 [pubmed] PHST- 2020/05/01 06:01 [medline] PHST- 2020/04/25 00:00 [pmc-release] AID - 164 [pii] AID - 10.1186/s40780-020-00164-w [doi] PST - epublish SO - J Pharm Health Care Sci. 2020 Apr 25;6:8. doi: 10.1186/s40780-020-00164-w. eCollection 2020.