Review Article

Efficacy of Faecal Microbiota Transplantation for the Treatment of Autism in Children: Meta-Analysis of Randomised Controlled Trials

Table 2

Characteristics of included studies on animals.

ReferenceSpeciesStudy designSampleTherapyAdministration routeGI effects of treatmentNeurological effects of treatment

Chen et al. [30]ASD mouse modelSaline group (C);
maternal immune activation mice offspring(M);
gut microbiota group: original donor (M + F);
vitro cultured donor (C + F)
C: 5
M: 10
M + F: 7
C + F: 8
Gut microbiota transplantationGastric routeSignificantly modified several key differential taxa in gut microbial compositionAssessed by behavioural assessment (open field, three-chamber social, marble burying, and self-grooming) and serum levels of chemokines
GMT treatment with original and cultured donor gut microbiota significantly ameliorated anxiety-like and repetitive behaviours

Goo et al. [31]Normal mice and Fmr1 KO mouse modelAnimal modelNAFMTGastric routeNoneFMT ameliorated autistic-like behaviours, especially memory deficits and social withdrawal by several behavioural tests

Sharon et al. [32]GF WT miceOffspring of mice with FMT from human ASD patients
Relevant groups: (all GF WT mice)
FMT:
(1) Offspring human mild ASD-FMT
(2) Offspring human ASD-FMT
(3) Offspring human ND-FMT
14–121 per groupFMTOral gavageNo differences in intestinal barrier function or cytokines from ileum or colon between group 2 and group 3Assessed by marble burying (MB), open-field testing (OFT), and ultrasonic vocalization (USV), and the three-chamber sociability test (CST)
MB, OFT, and USV: group 2 vs. other groups: more ASD-like behavioural deficits.
3-CST: no differences.
DSI: decreased in group 2 vs. 3. Alternative splicing pattern of ASD-relevant genes in brains of group 2 vs. 3

Aabed et al. [33]PPA hamster modelAnimal model:
FMT:
(1) PPA + N-FMT
No FMT:
(2) Control
(3) PPA
(4) Clindamycin
(5) PPA + bee pollen
(6) PPA + Propolis
10 per groupFMTAnorectallyNAMore oxidative stress in brains of group 3 and 4 vs. all other groups