Abstract
Autism spectrum disorder (ASD) is an umbrella term for developmental disorders characterized by social and communication impairments, language difficulties, restricted interests, and repetitive behaviors. Current management approaches for ASD aim to resolve its clinical manifestations based on the type and severity of the disability. Although some medications like risperidone show potential in regulating ASD-associated symptoms, a comprehensive treatment strategy for ASD is yet to be discovered. To date, identifying appropriate therapeutic targets and treatment strategies remains challenging due to the complex pathogenesis associated with ASD. Therefore, a comprehensive approach must be tailored to target the numerous pathogenetic pathways of ASD. From currently viable and basic treatment strategies, this review explores the entire field of advancements in ASD management up to cutting-edge modern scientific research. A novel systematic and personalized treatment approach is suggested, combining the available medications and targeting each symptom accordingly. Herein, summarize and categorize the most appropriate ways of modern ASD management into three distinct categories: current, promising, and prospective strategies.
[http://dx.doi.org/10.15585/mmwr.mm6745a7] [PMID: 30439872]
[http://dx.doi.org/10.1186/s13229-020-00367-w] [PMID: 32867850]
[http://dx.doi.org/10.1016/j.bbr.2017.04.038] [PMID: 28499914]
[http://dx.doi.org/10.1001/jama.2011.1638] [PMID: 22068992]
[http://dx.doi.org/10.1002/ajmg.b.32222] [PMID: 24453138]
[http://dx.doi.org/10.1038/nrn1327] [PMID: 14735113]
[http://dx.doi.org/10.3389/fncel.2018.00470] [PMID: 30627085]
[http://dx.doi.org/10.1007/s00221-009-2002-3] [PMID: 19760408]
[http://dx.doi.org/10.1016/j.cell.2008.10.017] [PMID: 18984149]
[http://dx.doi.org/10.1016/j.conb.2017.12.004] [PMID: 29331932]
[http://dx.doi.org/10.3389/fnhum.2013.00417] [PMID: 23898259]
[http://dx.doi.org/10.1007/s13311-022-01183-1] [PMID: 35029811]
[http://dx.doi.org/10.1101/sqb.2007.72.020] [PMID: 18419324]
[http://dx.doi.org/10.1007/s11689-009-9023-x] [PMID: 20664807]
[http://dx.doi.org/10.3389/fped.2014.00070] [PMID: 25072038]
[http://dx.doi.org/10.1016/j.neuron.2015.07.033] [PMID: 26291155]
[PMID: 23823984]
[http://dx.doi.org/10.1097/00004583-199905000-00015] [PMID: 10230185]
[http://dx.doi.org/10.1021/acschemneuro.8b00159] [PMID: 29695153]
[http://dx.doi.org/10.1007/s10803-012-1723-5] [PMID: 23212807]
[http://dx.doi.org/10.1089/cap.2012.0058] [PMID: 24350813]
[http://dx.doi.org/10.1002/14651858.CD005040.pub2] [PMID: 17253538]
[PMID: 17256292]
[http://dx.doi.org/10.1016/j.neuropharm.2016.09.014]
[http://dx.doi.org/10.1038/sj.bjp.0704153] [PMID: 11454649]
[http://dx.doi.org/10.1016/j.jpsychires.2013.04.004] [PMID: 23664672]
[http://dx.doi.org/10.1007/s00702-017-1836-2] [PMID: 29302750]
[http://dx.doi.org/10.1146/annurev-micro-121809-151619] [PMID: 22746332]
[http://dx.doi.org/10.3390/ph16010001] [PMID: 36678498]
[http://dx.doi.org/10.4103/abr.abr_100_18] [PMID: 30320040]
[http://dx.doi.org/10.1089/cap.2021.0010] [PMID: 34543081]
[http://dx.doi.org/10.1089/cap.2015.0146] [PMID: 26978327]
[http://dx.doi.org/10.1016/j.biopsych.2011.01.026] [PMID: 21481844]
[http://dx.doi.org/10.1186/s13229-015-0062-8] [PMID: 26770664]
[http://dx.doi.org/10.1016/j.brainresbull.2013.05.003] [PMID: 23685206]
[http://dx.doi.org/10.3389/fcell.2021.781327] [PMID: 35198562]
[http://dx.doi.org/10.4161/15384101.2014.989114] [PMID: 25790165]
[http://dx.doi.org/10.1038/npp.2015.66] [PMID: 25754761]
[http://dx.doi.org/10.1007/s00787-019-01333-5] [PMID: 30980177]
[http://dx.doi.org/10.3389/fncel.2018.00046] [PMID: 29541022]
[http://dx.doi.org/10.1016/j.clinph.2021.03.046] [PMID: 34011467]
[http://dx.doi.org/10.1136/bmjopen-2020-046830] [PMID: 34233985]
[http://dx.doi.org/10.3389/fncel.2018.00355] [PMID: 30356897]
[http://dx.doi.org/10.1126/science.1247190] [PMID: 24503856]
[http://dx.doi.org/10.1073/pnas.1705521114] [PMID: 28696286]
[http://dx.doi.org/10.1186/s13229-020-0313-1] [PMID: 31969977]
[http://dx.doi.org/10.1038/s41398-020-01069-w] [PMID: 33159033]
[http://dx.doi.org/10.1016/j.freeradbiomed.2018.05.070] [PMID: 29782990]
[http://dx.doi.org/10.3389/fpsyt.2021.788779] [PMID: 35002805]
[http://dx.doi.org/10.1007/978-3-030-30402-7_7]
[http://dx.doi.org/10.3390/antiox9100944] [PMID: 33019596]
[http://dx.doi.org/10.17179/excli2020-2487] [PMID: 33013262]
[http://dx.doi.org/10.1007/s00726-021-02960-6] [PMID: 33704575]
[http://dx.doi.org/10.1089/cap.2017.0026] [PMID: 29027815]
[http://dx.doi.org/10.4331/wjbc.v10.i1.7] [PMID: 30622681]
[http://dx.doi.org/10.1016/j.rasd.2012.07.006]
[http://dx.doi.org/10.3390/brainsci9060137] [PMID: 31200524]
[http://dx.doi.org/10.1097/WNF.0000000000000544] [PMID: 36735565]
[http://dx.doi.org/10.1111/j.1751-7915.2010.00244.x] [PMID: 21375722]
[http://dx.doi.org/10.1139/w2012-059] [PMID: 22697044]
[http://dx.doi.org/10.1038/s41598-018-36430-z] [PMID: 30670726]
[http://dx.doi.org/10.1016/j.neuropharm.2015.11.003] [PMID: 26577018]
[http://dx.doi.org/10.1016/j.neuint.2016.06.011] [PMID: 27346602]
[http://dx.doi.org/10.3390/ijms20081878] [PMID: 30995737]
[http://dx.doi.org/10.1159/000492113] [PMID: 30157484]
[http://dx.doi.org/10.1007/s12035-015-9667-3] [PMID: 26738854]
[http://dx.doi.org/10.1074/jbc.M113.521062] [PMID: 24371138]
[http://dx.doi.org/10.1186/s13041-018-0423-2] [PMID: 30621732]
[http://dx.doi.org/10.1016/S0891-5849(01)00480-4] [PMID: 11368918]
[PMID: 27010152]
[http://dx.doi.org/10.1007/s10803-007-0492-z] [PMID: 18027081]
[http://dx.doi.org/10.12659/MSM.905567] [PMID: 29348398]
[http://dx.doi.org/10.1089/acm.2009.0177] [PMID: 20804367]
[http://dx.doi.org/10.1371/journal.pone.0146797] [PMID: 26799654]
[http://dx.doi.org/10.2217/bmm-2017-0109] [PMID: 28770615]
[http://dx.doi.org/10.3945/ajcn.2008.26615] [PMID: 19056591]
[http://dx.doi.org/10.1186/s13229-017-0165-5] [PMID: 29026509]
[http://dx.doi.org/10.3390/nu8060337] [PMID: 27338456]
[http://dx.doi.org/10.1179/1476830514Y.0000000142] [PMID: 25087906]
[http://dx.doi.org/10.1186/s40168-016-0225-7] [PMID: 28122648]
[http://dx.doi.org/10.1002/aur.1253] [PMID: 22997101]
[http://dx.doi.org/10.1007/s10803-013-1973-x] [PMID: 24193577]
[http://dx.doi.org/10.1186/s12888-016-0887-5] [PMID: 27260271]
[http://dx.doi.org/10.1038/nrn3346] [PMID: 22968153]
[http://dx.doi.org/10.1542/peds.2013-3995] [PMID: 24777214]
[http://dx.doi.org/10.1186/s40168-017-0242-1] [PMID: 28222761]
[http://dx.doi.org/10.1590/S1517-83822012000400001] [PMID: 24031948]
[http://dx.doi.org/10.1007/s11011-018-0212-8] [PMID: 29582256]
[http://dx.doi.org/10.1111/nmo.12295] [PMID: 24372793]
[http://dx.doi.org/10.3389/fnut.2018.00040] [PMID: 29868601]
[http://dx.doi.org/10.1186/s40168-018-0523-3] [PMID: 30071894]
[http://dx.doi.org/10.1007/s12035-022-02963-8] [PMID: 36050597]
[http://dx.doi.org/10.3402/mehd.v23i0.19260] [PMID: 23990817]
[http://dx.doi.org/10.1371/journal.pone.0210064] [PMID: 30625189]
[http://dx.doi.org/10.1016/j.ymgme.2016.10.009] [PMID: 27825584]
[http://dx.doi.org/10.1371/journal.pone.0192925] [PMID: 29447237]
[http://dx.doi.org/10.3402/mehd.v26.27458] [PMID: 25956238]
[http://dx.doi.org/10.1371/journal.pone.0024585] [PMID: 21949732]
[http://dx.doi.org/10.1016/j.physbeh.2014.10.033] [PMID: 25446201]
[http://dx.doi.org/10.1128/AAC.02008-17] [PMID: 29203484]
[http://dx.doi.org/10.1093/infdis/jiv319] [PMID: 26044292]
[http://dx.doi.org/10.1016/j.fm.2011.07.009] [PMID: 22029913]
[http://dx.doi.org/10.1007/s10156-009-0007-2] [PMID: 20054601]
[http://dx.doi.org/10.1016/0166-2236(79)90071-7]
[http://dx.doi.org/10.1001/archpsyc.1985.01790310042005] [PMID: 4015322]
[http://dx.doi.org/10.1016/S0924-977X(99)00010-3] [PMID: 10422898]
[http://dx.doi.org/10.1016/S0021-9258(17)30243-0] [PMID: 372181]
[http://dx.doi.org/10.1517/14728222.6.2.175] [PMID: 12223079]
[http://dx.doi.org/10.4049/jimmunol.0803181] [PMID: 19299713]
[http://dx.doi.org/10.1097/MOG.0b013e32830edc1e] [PMID: 19122516]
[http://dx.doi.org/10.1007/s12519-016-0040-z] [PMID: 27286693]
[http://dx.doi.org/10.1179/1476830512Y.0000000003] [PMID: 22564339]
[http://dx.doi.org/10.1007/s10882-010-9217-x]
[http://dx.doi.org/10.1007/s10803-006-0079-0] [PMID: 16555138]
[http://dx.doi.org/10.1097/MCO.0000000000000228] [PMID: 26418822]
[http://dx.doi.org/10.1038/mp.2016.153] [PMID: 27646260]
[http://dx.doi.org/10.1080/1028415X.2015.1133029] [PMID: 26856821]
[http://dx.doi.org/10.3389/fnhum.2013.00858] [PMID: 24399946]
[http://dx.doi.org/10.1007/s11011-017-0088-z] [PMID: 28808808]
[http://dx.doi.org/10.1177/08830738030180020501] [PMID: 12693778]
[http://dx.doi.org/10.1007/978-3-030-30402-7_19]
[http://dx.doi.org/10.3390/biom10020235] [PMID: 32033229]
[http://dx.doi.org/10.3390/molecules24183247] [PMID: 31489907]
[http://dx.doi.org/10.1007/s00204-017-2100-0] [PMID: 29063135]
[http://dx.doi.org/10.1016/j.etap.2014.10.005] [PMID: 25461563]
[http://dx.doi.org/10.1002/14651858.CD010766.pub2] [PMID: 26114777]
[http://dx.doi.org/10.4172/2165-7890.1000170] [PMID: 27695658]
[http://dx.doi.org/10.1007/s00787-015-0786-1] [PMID: 26514973]
[http://dx.doi.org/10.1186/2040-2392-6-3] [PMID: 25874075]
[http://dx.doi.org/10.1186/s12974-015-0370-0] [PMID: 26259787]
[http://dx.doi.org/10.1096/fj.13-246546] [PMID: 24558199]
[http://dx.doi.org/10.1111/jcpp.12652] [PMID: 27868194]
[http://dx.doi.org/10.1186/1471-2431-9-21] [PMID: 19284641]
[PMID: 28615394]
[http://dx.doi.org/10.3390/ijms21238941] [PMID: 33255662]
[http://dx.doi.org/10.1002/syn.20683] [PMID: 19623531]
[http://dx.doi.org/10.1097/MCO.0b013e32833df61a] [PMID: 20689416]
[http://dx.doi.org/10.4137/NMI.S6349]
[http://dx.doi.org/10.1016/j.neulet.2022.136896] [PMID: 36202195]
[http://dx.doi.org/10.1016/0022-510X(84)90163-1] [PMID: 6726279]
[http://dx.doi.org/10.1016/j.jtemb.2016.09.009] [PMID: 27707611]
[http://dx.doi.org/10.1016/j.jnutbio.2022.109034] [PMID: 35500829]
[http://dx.doi.org/10.1007/978-3-319-95390-8_10]
[http://dx.doi.org/10.1155/2014/164938] [PMID: 24734177]
[http://dx.doi.org/10.1016/j.ccr.2016.10.009]
[http://dx.doi.org/10.1007/s10534-015-9857-5] [PMID: 25947386]
[http://dx.doi.org/10.1007/s11011-017-9996-1] [PMID: 28326463]
[http://dx.doi.org/10.3390/nu10060730] [PMID: 29882776]
[http://dx.doi.org/10.3390/ijerph10116027] [PMID: 24284360]
[http://dx.doi.org/10.7762/cnr.2015.4.1.1] [PMID: 25713787]
[http://dx.doi.org/10.1016/j.bbamcr.2018.08.003] [PMID: 30992134]
[http://dx.doi.org/10.1038/s41398-020-01135-3] [PMID: 33414386]
[http://dx.doi.org/10.1097/00041552-200207000-00006] [PMID: 12105390]
[http://dx.doi.org/10.3390/ijms21093293] [PMID: 32384730]
[http://dx.doi.org/10.1515/revneuro-2017-0015] [PMID: 28665792]
[http://dx.doi.org/10.5765/jkacap.190036] [PMID: 32612412]
[http://dx.doi.org/10.7556/jaoa.2018.037] [PMID: 29480918]
[http://dx.doi.org/10.1136/pmj.78.925.641] [PMID: 12496316]
[http://dx.doi.org/10.3389/fgene.2013.00222] [PMID: 24204377]
[http://dx.doi.org/10.1016/0006-3223(85)90019-8] [PMID: 3886023]
[http://dx.doi.org/10.1007/s12031-018-1237-5] [PMID: 30607900]
[http://dx.doi.org/10.1179/1476830515Y.0000000019] [PMID: 25876214]
[http://dx.doi.org/10.1016/j.clinthera.2017.03.021] [PMID: 28438353]
[http://dx.doi.org/10.1096/fj.14-268342] [PMID: 25713056]
[http://dx.doi.org/10.3390/nu14204353] [PMID: 36297037]
[http://dx.doi.org/10.1186/2049-3002-1-16] [PMID: 24280319]
[http://dx.doi.org/10.1016/j.tice.2019.09.005] [PMID: 31759410]
[http://dx.doi.org/10.3945/an.113.005207] [PMID: 25593152]
[http://dx.doi.org/10.1017/S0029665199000580] [PMID: 10466189]
[http://dx.doi.org/10.1016/j.phrs.2021.105437] [PMID: 33493659]
[http://dx.doi.org/10.1016/j.freeradbiomed.2020.07.017] [PMID: 32745763]
[http://dx.doi.org/10.1007/s12035-019-01742-2] [PMID: 32026227]
[http://dx.doi.org/10.1176/ajp.135.4.472] [PMID: 345827]
[http://dx.doi.org/10.1007/s11011-018-0199-1] [PMID: 29497932]
[http://dx.doi.org/10.1080/10408398.2017.1357534] [PMID: 28799778]
[http://dx.doi.org/10.1007/s11011-017-0045-x] [PMID: 28608247]
[http://dx.doi.org/10.21307/ane-2017-025] [PMID: 28094817]
[http://dx.doi.org/10.1038/s41398-018-0214-7] [PMID: 30097568]
[http://dx.doi.org/10.1016/j.ejim.2018.01.003] [PMID: 29325791]
[http://dx.doi.org/10.1186/s12888-019-2259-4] [PMID: 31664964]
[http://dx.doi.org/10.5041/RMMJ.10386] [PMID: 32017680]
[http://dx.doi.org/10.3390/brainsci10090572] [PMID: 32825313]
[http://dx.doi.org/10.1038/s41598-018-37570-y] [PMID: 30655581]
[http://dx.doi.org/10.1016/j.expneurol.2017.04.010] [PMID: 28455196]
[http://dx.doi.org/10.1126/science.aad0314] [PMID: 26822608]
[http://dx.doi.org/10.1177/09636897231163217] [PMID: 36999673]
[http://dx.doi.org/10.3389/fped.2022.897398] [PMID: 35601435]
[http://dx.doi.org/10.3727/096368914X684916] [PMID: 25302490]
[http://dx.doi.org/10.1186/1479-5876-11-196] [PMID: 23978163]
[http://dx.doi.org/10.1002/sctm.16-0474] [PMID: 28378499]
[http://dx.doi.org/10.1016/j.jpeds.2020.03.011] [PMID: 32444220]
[http://dx.doi.org/10.2147/SCCAA.S155410] [PMID: 30425534]
[http://dx.doi.org/10.1038/mp.2017.185] [PMID: 28948968]
[http://dx.doi.org/10.1038/mp.2014.141] [PMID: 25385366]
[http://dx.doi.org/10.1007/s12035-016-9961-8] [PMID: 27356918]
[http://dx.doi.org/10.1002/stem.37] [PMID: 19415771]