Betaine (TMG) and Gene Therapy as potential alternatives to Bumetanide Treatment in Autism?

Betaine (also known as TMG, or trimethylglycine) is a methyl derivative of glycine, first isolated from sugar beet and hence its name. Today’s post was prompted by our reader, and Covid home-school instructor, AJ. He raised the question of whether betaine can be used like Bumetanide to normalize chloride levels in neurons. I am combing this idea with news from Genoa in Italy, where they have developed gene therapy as an alternative to Bumetanide and in their words :- “This sets the stage for the development of a gene therapy approach to overcome the shortcomings of bumetanide treatment.” The interesting thing is that neither of these ideas come from autism research. The idea to use Betaine was stumbled upon and was then written up in a Norwegian case study about Creatine transporter deficiency. The Italians are trying to improve cognition in brain disorders and their model of choice was Down syndrome. As we have seen time and again, elevated chloride...