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Metaanálisis2025Acceso abierto

Investigating the clinical efficacy, safety and molecular mechanism of sulforaphane in autism spectrum disorder: an integrated study combining meta-analysis, network pharmacology, and computational biology

Long J, Liao X, Tang Z, Han K, Chen J, Wang X, Liu J, Zhang Y, Zhang H

BMC pharmacology & toxicology · 1 cita

Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento
Consumo medido con
No se indica

Quién lo pagó

Financiación
Financiación independiente
Organización sin fines de lucro
China Disabled Persons’ Federation
Organización sin fines de lucro
China Disabled Persons' Federation

Según 2 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2025-11-22 · BMC Pharmacol Toxicol · vol. 26 · número 1 · pág. 217
Editorial
BioMed Central
Citado
1 cita · más que el 60% de estudios similares · 0.3× el promedio de su campo
Referencias
66 trabajos
Acceso
Acceso abierto (revista) · CC-BY-NC-ND
Áreas de investigación
Genomics, phytochemicals, and oxidative stress · Curcumin's Biomedical Applications · Nuclear Receptors and Signaling
Palabras clave
Autism, Computational model, Autism spectrum disorder, Systems biology, Mechanism (biology), Modelling biological systems
MeSH
humans, isothiocyanates, sulfoxides, computational biology, randomized controlled trials as topic, molecular dynamics simulation, molecular docking simulation, autism spectrum disorder, network pharmacology

9 autores

  • Junzi Long🇨🇳Capital Medical University; China Rehabilitation Research Center; Changping Laboratory
  • Xingxing Liao🇨🇳Capital Medical University; China Rehabilitation Research Center; Changping Laboratory
  • Zhiqing Tang🇨🇳Capital Medical University; China Rehabilitation Research Center
  • Kaiyue Han🇨🇳Capital Medical University; China Rehabilitation Research Center
  • Jiarou Chen🇨🇳Wenzhou Medical University; China Rehabilitation Research Center
  • Xianna Wang🇨🇳Capital Medical University; China Rehabilitation Research Center
  • Jianjun Liu🇨🇳Capital Medical University; China Rehabilitation Research Center
  • Yan Zhang🇨🇳Capital Medical University; China Rehabilitation Research Center
  • Hao Zhang🇨🇳 · autor de correspondenciaCapital Medical University; Wenzhou Medical University; China Rehabilitation Research Center; CRRC (China); Changping Laboratory

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Sulforaphane, a natural antioxidant rich in cruciferous vegetables, has emerged as a promising dietary supplement for autism spectrum disorder (ASD). However, its therapeutic efficacy remains controversial, and the pharmacological mechanisms are not fully elucidated.

Methods

Eligible randomized controlled trials were retrieved from PubMed, Web of Science, Embase, and Cochrane Library databases. Review Manager 5.4 was used for meta-analysis and bias risk assessment. Network pharmacology, Mendelian randomization, GEO data analyses, molecular docking, and molecular dynamics simulation were employed to explore the mechanisms of sulforaphane in ASD.

Results

Six trials involving 333 participants were included in the meta-analysis. Pooled results demonstrated that both 4-5 weeks and 8-10 weeks of sulforaphane supplementation significantly decreased the scores on the Social Responsiveness Scale compared to placebo controls. No significant difference was observed in the incidence of adverse events. Network pharmacology identified 10 core targets of sulforaphane in ASD, including AKT1, EGFR, HSP90AA1, SRC, CASP3, STAT1, MAPK1, MMP9, MAPK8, and JAK2. These targets were implicated in the PI3K-Akt signaling pathway, MAPK signaling pathway, Chemokine signaling pathway, Chemical carcinogenesis - reactive oxygen species, TNF signaling pathway, Th17 cell differentiation, mTOR signaling pathway, and IL-17 signaling pathway. Mendelian randomization further revealed an inverse association between STAT1 levels and ASD risk. GEO transcriptomic data provided independent validation for the network pharmacology predictions. The binding energies between sulforaphane and the top 10 core targets are all ≤ -4.0 kcal/mol. Molecular dynamics simulations further validated the stable interaction between MMP-9 and sulforaphane.

Conclusion

Sulforaphane may serve as an efficacious and safe adjunctive therapy for ASD, mediated by its anti-oxidant and anti-inflammatory effects along with the modulation of autophagy.

Prospero registration number

CRD42025635045.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC-ND).

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