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Air pollution a strong risk factor for Autism Spectrum Disorder

Extreme heat due to climate change, combined with wildfires and desert dust, is having a pernicious effect on air quality, human health and the environment, a WMO report stated.

Air pollution linked to autism spectrum disorder in a meta analysis study

HQ Team

November 14, 2024: Recent research published in Brain Medicine found air pollution as a significant environmental risk factor for Autism Spectrum Disorder (ASD). This is a review research synthesizing findings from multiple studies, revealing how pollutants like fine particulate matter (PM), nitrogen oxides (NO, NO₂), sulfur dioxide (SO₂), and ozone (O₃) may contribute to neurodevelopmental disorders, particularly ASD.

Mechanisms of impact

Global autism rates are 1-1.5% of the population, and scientists have identified air pollution as a significant environmental risk factor for autism. The research has examined how common air pollutants like particulate matter and nitrogen oxides can trigger complex biological changes affecting brain development.

Vulnerable populations

Pregnant women and young children are particularly at risk due to their critical stages of brain development. The timing of exposure is crucial; studies have shown that prenatal exposure to PM2.5 significantly increases the risk of ASD, especially during the third trimester

Similarly, early childhood exposure to nitrogen oxides has been linked to heightened ASD prevalence.

“Different kinds of neurological disorders, including autism spectrum disorder, can be associated with this environmental factor,” explains Professor Haitham Amal from the Hebrew University of Jerusalem, the study’s senior author. “The timing of exposure appears crucial, with heightened vulnerability during prenatal development and early childhood when critical neurodevelopmental processes occur.”

The review identifies several biological mechanisms through which air pollution may influence ASD risk:

  • Neuroinflammation: Exposure to pollutants can trigger inflammatory responses in the developing brain, potentially disrupting normal neural development.
  • Oxidative Stress: Pollutants may lead to an imbalance between free radicals and antioxidants, causing cellular damage that affects brain function.
  • Epigenetic Modifications: Air pollution can alter gene expression without changing the DNA sequence, impacting critical developmental pathways.
  • Disruption of Neurotransmitter Systems: Pollutants can interfere with neurotransmitters like glutamate and GABA, which are essential for normal brain function.
Specific pollutants and their effects

Fine Particulate Matter (PM): Comprising particles less than 2.5 micrometers in diameter can penetrate deep into the respiratory system and even cross the placental barrier. Research indicates that exposure during pregnancy correlates with an increased risk of ASD.

Nitrogen Oxides (NO and NO₂): Emitted from vehicles and industrial processes, these pollutants have been directly linked to ASD. Disruptions in neuronal migration and myelination during critical developmental windows are particularly concerning.

Ozone (O₃): This reactive pollutant can damage brain cells through oxidative stress. Studies suggest that combined exposure to ozone and PM2.5 further elevates ASD risk.

 Sulfur Dioxide (SO₂) and Volatile Organic Compounds: Maternal exposure to SO₂ during pregnancy has been associated with higher ASD risk. Similarly, volatile organic compounds like benzene can have synergistic effects when combined with other pollutants.

The findings from this review highlight an urgent need for public health policies aimed at reducing air pollution levels, especially in urban areas where vulnerable populations reside. Further research is essential to find out the complex interactions between pollution and neural health.

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