The sulforaphane found in five cents’ worth of broccoli sprouts has been shown to benefit autism in a way no drug ever has in randomized, double-blind, placebo-controlled study.
Best Foods for Autism
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
You may remember my series of videos about the engine-of-aging enzyme, TOR. Well, kids with autism tend to have higher TOR activity in their bodies, and this “hyperactive…TOR…signaling” may actually play a role in causing autism, making TOR a potential target to treat autism—or even theoretically reverse it, if we could target downstream TOR signaling, like between TOR and S6K1. Well, that’s actually one of the ways broccoli compounds kill off prostate cancer cells—by inhibiting the “signal transduction between…TOR and S6K1.” Breast cancer too; sulforaphane is “a potent inhibitor” of breast cancer cells, because “it targets downstream elements of the [TOR] pathway.”
So, if we gave broccoli to those with autism, if it blocks TOR, maybe it would block some of the synaptic dysfunction that contributes to the features of autism. And, that’s in addition to blocking autism pathways four other ways: “oxidative stress and lower antioxidant capacity, [the] mitochondrial dysfunction,” the brain inflammation. And, not just in a petri dish: “sulforaphane can cross the blood-brain-barrier.” You eat broccoli, and sulforaphane “quickly reach[es your brain] to exert its protective effects”—in theory, but you don’t know, until you put it to the test.
But now, you can understand why such a study could attract researchers from leading institutions: Harvard, Hopkins, and get published in one of our most prestigious journals: PNAS (the Proceedings of the National Academy of Sciences). But what did they find? Well, first, what did they do? A “placebo-controlled, double-blind, randomized trial, young men (aged 13–27) with moderate to severe [autism] received…sulforaphane…from broccoli sprout[s], or [an] indistinguishable [sugar pill].” They “were dosed according to body weight.” Those under 100 pounds got about a tablespoon of broccoli sprouts worth of sulforaphane a day, which is about a cup’s worth of broccoli. Between 100 and 200 pounds got about two cups of broccoli’s worth, or two tablespoons of fresh broccoli sprouts, and the big boys got three cups’ worth a day, or a little under a quarter-cup of broccoli sprouts. Why didn’t they just use actual broccoli, or actual sprouts? Because then you couldn’t have a blinded study; the patients, doctors, and parents would know who’s getting the special treatment and who’s not, and that could introduce bias just through the placebo effect. So, instead, no one knew, until the end, who got the sulforaphane, and who just got nothing in a pill.
They chose dietary sulforaphane because of its “capacity to reverse” oxidation, dysfunction, and inflammation. Yeah, but, when put to the test, did it actually work? Well, the placebo didn’t. Give people with autism nothing, and nothing much happens. But, effectively, secretly sneak them some broccoli, and “substantial…improvement…in [behavior], social interaction,…and verbal communication.” But, it all disappeared once the broccoli stopped.
Let me show you what it looks like. This is the ABC score, the “Aberrant Behaviour Checklist,” which includes things like repetitive behaviors. In the placebo group, no big change, which is what you’d expect. But the abnormal behaviors plunged in the sulforaphane group—the group that got the sulforaphane found in about five cents’ worth of broccoli sprouts a day. But, the study ended on week 18, and a month later, things were heading back to where they started.
Similar findings for a “Social Responsiveness Scale”—significant improvements until the treatment was stopped, and then caught right back up to how poorly those in the placebo group continued to function. And, these weren’t just scores on a page. “The substantial improvements…were conspicuous;” the doctors could see them; their parents and caregivers could see the improvements. No drug has ever been shown to have these kinds of effects. And, look, these were young men, starting at age 13. One could imagine it working as well, or even better, for younger children, because their brains are still developing.
And look, what’s the downside? “Broccoli sprouts are widely consumed…all over the world…without any reports of adverse effects.” Now, remember, we’re talking about whole foods, not broccoli or sulforaphane supplements. Remember, I did videos about them. Broccoli sprouts work; commercial broccoli sprout supplements hardly at all. Broccoli has sulforaphane—florets more than the stems.
Broccoli sprouts have like ten times more, but broccoli pills, powders, and supplements have little or none. So, broccoli and cruciferous vegetables for all kids—autism or not—and hey, maybe pregnant women as well, for potential “prenatal prevention” of autism in the first place.
Please consider volunteering to help out on the site.
- Liu H, Talalay P, Fahey JW. Biomarker-Guided Strategy for Treatment of Autism Spectrum Disorder (ASD). CNS Neurol Disord Drug Targets. 2016;15(5):602-13.
- Singh K, Connors SL, Macklin EA, Smith KD, Fahey JW, Talalay P, Zimmerman AW. Sulforaphane treatment of autism spectrum disorder (ASD). Proc Natl Acad Sci U S A. 2014 Oct 28;111(43):15550-5.
- Singh K, Zimmerman AW. Sulforaphane Treatment of Young Men with Autism Spectrum Disorder. CNS Neurol Disord Drug Targets. 2016;15(5):597-601.
- Wang H, Doering LC. Reversing autism by targeting downstream mTOR signaling. Front Cell Neurosci. 2013 Mar 26;7:28.
- Sato A. mTOR, a Potential Target to Treat Autism Spectrum Disorder. CNS Neurol Disord Drug Targets. 2016;15(5):533-43.
- Onore C, Yang H, Van de Water J, Ashwood P. Dynamic Akt/mTOR Signaling in Children with Autism Spectrum Disorder. Front Pediatr. 2017 Mar 15;5:43.
- Wiczk A, Hofman D, Konopa G, Herman-Antosiewicz A. Sulforaphane, a cruciferous vegetable-derived isothiocyanate, inhibits protein synthesis in human prostate cancer cells. Biochim Biophys Acta. 2012 Aug;1823(8):1295-305.
- Pawlik A, Wiczk A, Kaczyńska A, Antosiewicz J, Herman-Antosiewicz A. Sulforaphane inhibits growth of phenotypically different breast cancer cells. Eur J Nutr. 2013 Dec;52(8):1949-58.
- Clarke JD, Hsu A, Riedl K, Bella D, Schwartz SJ, Stevens JF, Ho E. Bioavailability and inter-conversion of sulforaphane and erucin in human subjects consuming broccoli sprouts or broccoli supplement in a cross-over study design. Pharmacol Res. 2011 Nov;64(5):456-63.
- Nakagawa K, Umeda T, Higuchi O, Tsuzuki T, Suzuki T, Miyazawa T. Evaporative light-scattering analysis of sulforaphane in broccoli samples: Quality of broccoli products regarding sulforaphane contents. J Agric Food Chem. 2006 Apr 5;54(7):2479-83.
Image credit: Kristina DeMuth. Image has been modified.
Motion graphics by Avocado Video.
Below is an approximation of this video’s audio content. To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video.
You may remember my series of videos about the engine-of-aging enzyme, TOR. Well, kids with autism tend to have higher TOR activity in their bodies, and this “hyperactive…TOR…signaling” may actually play a role in causing autism, making TOR a potential target to treat autism—or even theoretically reverse it, if we could target downstream TOR signaling, like between TOR and S6K1. Well, that’s actually one of the ways broccoli compounds kill off prostate cancer cells—by inhibiting the “signal transduction between…TOR and S6K1.” Breast cancer too; sulforaphane is “a potent inhibitor” of breast cancer cells, because “it targets downstream elements of the [TOR] pathway.”
So, if we gave broccoli to those with autism, if it blocks TOR, maybe it would block some of the synaptic dysfunction that contributes to the features of autism. And, that’s in addition to blocking autism pathways four other ways: “oxidative stress and lower antioxidant capacity, [the] mitochondrial dysfunction,” the brain inflammation. And, not just in a petri dish: “sulforaphane can cross the blood-brain-barrier.” You eat broccoli, and sulforaphane “quickly reach[es your brain] to exert its protective effects”—in theory, but you don’t know, until you put it to the test.
But now, you can understand why such a study could attract researchers from leading institutions: Harvard, Hopkins, and get published in one of our most prestigious journals: PNAS (the Proceedings of the National Academy of Sciences). But what did they find? Well, first, what did they do? A “placebo-controlled, double-blind, randomized trial, young men (aged 13–27) with moderate to severe [autism] received…sulforaphane…from broccoli sprout[s], or [an] indistinguishable [sugar pill].” They “were dosed according to body weight.” Those under 100 pounds got about a tablespoon of broccoli sprouts worth of sulforaphane a day, which is about a cup’s worth of broccoli. Between 100 and 200 pounds got about two cups of broccoli’s worth, or two tablespoons of fresh broccoli sprouts, and the big boys got three cups’ worth a day, or a little under a quarter-cup of broccoli sprouts. Why didn’t they just use actual broccoli, or actual sprouts? Because then you couldn’t have a blinded study; the patients, doctors, and parents would know who’s getting the special treatment and who’s not, and that could introduce bias just through the placebo effect. So, instead, no one knew, until the end, who got the sulforaphane, and who just got nothing in a pill.
They chose dietary sulforaphane because of its “capacity to reverse” oxidation, dysfunction, and inflammation. Yeah, but, when put to the test, did it actually work? Well, the placebo didn’t. Give people with autism nothing, and nothing much happens. But, effectively, secretly sneak them some broccoli, and “substantial…improvement…in [behavior], social interaction,…and verbal communication.” But, it all disappeared once the broccoli stopped.
Let me show you what it looks like. This is the ABC score, the “Aberrant Behaviour Checklist,” which includes things like repetitive behaviors. In the placebo group, no big change, which is what you’d expect. But the abnormal behaviors plunged in the sulforaphane group—the group that got the sulforaphane found in about five cents’ worth of broccoli sprouts a day. But, the study ended on week 18, and a month later, things were heading back to where they started.
Similar findings for a “Social Responsiveness Scale”—significant improvements until the treatment was stopped, and then caught right back up to how poorly those in the placebo group continued to function. And, these weren’t just scores on a page. “The substantial improvements…were conspicuous;” the doctors could see them; their parents and caregivers could see the improvements. No drug has ever been shown to have these kinds of effects. And, look, these were young men, starting at age 13. One could imagine it working as well, or even better, for younger children, because their brains are still developing.
And look, what’s the downside? “Broccoli sprouts are widely consumed…all over the world…without any reports of adverse effects.” Now, remember, we’re talking about whole foods, not broccoli or sulforaphane supplements. Remember, I did videos about them. Broccoli sprouts work; commercial broccoli sprout supplements hardly at all. Broccoli has sulforaphane—florets more than the stems.
Broccoli sprouts have like ten times more, but broccoli pills, powders, and supplements have little or none. So, broccoli and cruciferous vegetables for all kids—autism or not—and hey, maybe pregnant women as well, for potential “prenatal prevention” of autism in the first place.
Please consider volunteering to help out on the site.
- Liu H, Talalay P, Fahey JW. Biomarker-Guided Strategy for Treatment of Autism Spectrum Disorder (ASD). CNS Neurol Disord Drug Targets. 2016;15(5):602-13.
- Singh K, Connors SL, Macklin EA, Smith KD, Fahey JW, Talalay P, Zimmerman AW. Sulforaphane treatment of autism spectrum disorder (ASD). Proc Natl Acad Sci U S A. 2014 Oct 28;111(43):15550-5.
- Singh K, Zimmerman AW. Sulforaphane Treatment of Young Men with Autism Spectrum Disorder. CNS Neurol Disord Drug Targets. 2016;15(5):597-601.
- Wang H, Doering LC. Reversing autism by targeting downstream mTOR signaling. Front Cell Neurosci. 2013 Mar 26;7:28.
- Sato A. mTOR, a Potential Target to Treat Autism Spectrum Disorder. CNS Neurol Disord Drug Targets. 2016;15(5):533-43.
- Onore C, Yang H, Van de Water J, Ashwood P. Dynamic Akt/mTOR Signaling in Children with Autism Spectrum Disorder. Front Pediatr. 2017 Mar 15;5:43.
- Wiczk A, Hofman D, Konopa G, Herman-Antosiewicz A. Sulforaphane, a cruciferous vegetable-derived isothiocyanate, inhibits protein synthesis in human prostate cancer cells. Biochim Biophys Acta. 2012 Aug;1823(8):1295-305.
- Pawlik A, Wiczk A, Kaczyńska A, Antosiewicz J, Herman-Antosiewicz A. Sulforaphane inhibits growth of phenotypically different breast cancer cells. Eur J Nutr. 2013 Dec;52(8):1949-58.
- Clarke JD, Hsu A, Riedl K, Bella D, Schwartz SJ, Stevens JF, Ho E. Bioavailability and inter-conversion of sulforaphane and erucin in human subjects consuming broccoli sprouts or broccoli supplement in a cross-over study design. Pharmacol Res. 2011 Nov;64(5):456-63.
- Nakagawa K, Umeda T, Higuchi O, Tsuzuki T, Suzuki T, Miyazawa T. Evaporative light-scattering analysis of sulforaphane in broccoli samples: Quality of broccoli products regarding sulforaphane contents. J Agric Food Chem. 2006 Apr 5;54(7):2479-83.
Image credit: Kristina DeMuth. Image has been modified.
Motion graphics by Avocado Video.
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Best Foods for Autism
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Content URLDoctor's Note
This is the big finale to my initial three-part video series on autism. For the background that led researchers down this path of clues, check out Fever Benefits for Autism in a Food and Fighting Autism Brain Inflammation with Food.
Prevent Cancer from Going on TOR is the video to which I alluded.
My video Broccoli: Sprouts vs. Supplements underscores the importance of plants over pills, and Biggest Nutrition Bang for Your Buck tells you how to grow your own.
After producing my initial series on autism, I’ve made even more videos on the topic:
- Autism and Casein from Cow’s Milk
- Does A2 Milk Carry Less Autism Risk?
- Gluten-Free, Casein-Free Diets for Autism Put to the Test
- Are Autism Diet Benefits Just a Placebo Effect?
- Double-Blind Clinical Trial of Diet for Autism
- Pros and Cons of Gluten-Free, Casein-Free Diets for Autism
- Is Autism Really on the Rise?
- The Role of Pesticides and Pollution in Autism
- The Role of the Gut Microbiome in Autism
I have videos on autism coming out pretty regularly. Find all of the latest here.
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