McDougle Christopher J, Erickson Craig A, Stigler Kimberly A, Posey David J
Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN 46202-4800, USA.
J Clin Psychiatry. 2005;66 Suppl 10:9-18.
Significant progress has been made in the search for underlying pathophysiologic mechanisms in autism over the past 50 years. The cause of the disorder, however, remains largely unknown. This article reviews neurochemical contributions to the pathophysiology of autism with a focus on monoamines, glutamate/gamma-aminobutyric acid systems, and neuropeptides. As these efforts move forward, it will be important to begin to integrate genetic studies with those involving neuroimaging and postmortem research in each of these 3 areas, as well as with pharmacologic treatment approaches.
在过去50年里,自闭症潜在病理生理机制的研究取得了重大进展。然而,该疾病的病因在很大程度上仍然未知。本文综述了神经化学对自闭症病理生理学的贡献,重点关注单胺类、谷氨酸/γ-氨基丁酸系统和神经肽。随着这些研究的推进,将遗传学研究与这三个领域中涉及神经影像学和尸检研究的内容以及药物治疗方法相结合将变得至关重要。