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自闭症谱系障碍患儿父母的海马体和杏仁核体积

Hippocampus and amygdala volumes in parents of children with autistic disorder.

作者信息

Rojas Donald C, Smith J Allegra, Benkers Tara L, Camou Suzanne L, Reite Martin L, Rogers Sally J

机构信息

Department of Psychiatry, University of Colorado Health Sciences Center, Box C268-68 CPH, 4200 E. 9th Ave., Denver, CO 80262, USA.

出版信息

Am J Psychiatry. 2004 Nov;161(11):2038-44. doi: 10.1176/appi.ajp.161.11.2038.

Abstract

OBJECTIVE

Structural and functional abnormalities in the medial temporal lobe, particularly the hippocampus and amygdala, have been described in people with autism. The authors hypothesized that parents of children with a diagnosis of autistic disorder would show similar changes in these structures.

METHOD

Magnetic resonance imaging scans were performed in 17 biological parents of children with a diagnosis of DSM-IV autistic disorder. The scans were compared with scans from 15 adults with autistic disorder and 17 age-matched comparison subjects with no personal or familial history of autism. The volumes of the hippocampus, amygdala, and total brain were measured in all participants.

RESULTS

The volume of the left hippocampus was larger in both the parents of children with autistic disorder and the adults with autistic disorder, relative to the comparison subjects. The hippocampus was significantly larger in the adults with autistic disorder than in the parents of children with autistic disorder. The left amygdala was smaller in the adults with autistic disorder, relative to the other two groups. No differences in total brain volume were observed between the three groups.

CONCLUSIONS

The finding of larger hippocampal volume in autism is suggestive of abnormal early neurodevelopmental processes but is partly consistent with only one prior study and contradicts the findings of several others. The finding of larger hippocampal volume for the parental group suggests a potential genetic basis for hippocampal abnormalities in autism.

摘要

目的

内侧颞叶,尤其是海马体和杏仁核的结构与功能异常在自闭症患者中已有报道。作者推测,被诊断为自闭症谱系障碍的儿童的父母在这些结构上会表现出类似变化。

方法

对17名被诊断患有DSM-IV自闭症谱系障碍儿童的亲生父母进行磁共振成像扫描。将扫描结果与15名自闭症谱系障碍成人以及17名年龄匹配的对照对象(无个人或家族自闭症病史)的扫描结果进行比较。测量了所有参与者的海马体、杏仁核和全脑体积。

结果

相对于对照对象,自闭症谱系障碍儿童的父母和自闭症谱系障碍成人的左侧海马体体积均更大。自闭症谱系障碍成人的海马体比自闭症谱系障碍儿童的父母的海马体显著更大。相对于其他两组,自闭症谱系障碍成人的左侧杏仁核更小。三组之间全脑体积未观察到差异。

结论

自闭症患者海马体体积增大这一发现提示早期神经发育过程异常,但仅部分与之前一项研究一致,与其他几项研究结果相矛盾。父母组海马体体积增大这一发现提示自闭症患者海马体异常可能存在遗传基础。

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