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Category 5

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Mechanisms of Action

Mechanisms of action are the way scientists talk about how something works, especially as it relates to the body. This evidence is not all specific to babies, but it all still sheds light on the way that acetaminophen interacts with human bodies.

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The lines of evidence related to mechanisms of action make up 12.5% of the total evidence.

19

Acetaminophen is highly toxic in the presence of oxidative stress (when there's too many things for the body to "burn" or clean out)

Acetaminophen is known to be highly toxic in the presence of oxidative stress. The mechanism by which this toxicity occurs has been established for decades

20

Children with autism cannot metabolize acetaminophen well, which makes the drug much more toxic

Genetic and immune factors associated with an increased risk of autism have a detrimental effect on the body’s ability to metabolize acetaminophen, making the drug much more toxic

21

Individuals with cystic fibrosis are not prone to autism, and they also have metabolism that efficiently processes acetaminophen, which makes the drug much less toxic

Cystic fibrosis is associated with unusually efficient (effective) metabolism of acetaminophen, which makes the drug much less toxic, and concurrently some evidence suggests that the prevalence of autism may be very low in patients with cystic fibrosis

22

Acetaminophen has never been proven to be safe for babies and children

Despite the fact that acetaminophen targets the brain, acetaminophen use in babies and children was only proven safe for short-term side effects, not for brain development

23

Multiple studies show acetaminophen affects the social function of the brain in adults

Acetaminophen use in adults temporarily blunts social trust and awareness, emotional responses to external stimuli, and the ability to identify errors, indicating that the drug targets regions of the brain affected in patients with autism

24

The similarities between autism and fetal alcohol spectrum disorder suggest that autism is chemically induced

The numerous similarities between autism spectrum disorder and fetal alcohol spectrum disorder, including complex phenotypes and associations with multiple genetic and environmental factors, suggest that both can be chemically induced

Copyright © WPLab, Inc. 2025 

WPLab is a not-for-profit company that conducts research and education related to immune system dysfunction in high-income countries. A current focus is the interaction between the immune system and acetaminophen (paracetamol) early in life, and how that interaction affects brain development. For more information on WPLab, please visit www.wplaboratory.org.

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