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自闭症与杏仁核:一种内分泌假说。

Autism and the amygdala: an endocrine hypothesis.

作者信息

Schulkin Jay

机构信息

Departments of Physiology and Biophysics and Neuroscience, Center for Brain Basis of Cognition, Georgetown University, Washington, D.C., USA.

出版信息

Brain Cogn. 2007 Oct;65(1):87-99. doi: 10.1016/j.bandc.2006.02.009. Epub 2007 Aug 2.

Abstract

Children become oriented to the world, in part, by coming to understand something of the experiences of others. The facial expressions that people make are an avenue for understanding something about them, as are the diverse forms of bodily responses emitted and interpreted by individuals. People with autism often find bodily communications to be aversive, thereby limiting what they can learn from others during social interactions. The amygdala is an important area of the brain, amongst others, for integrating the internal milieu with the social ambiance. Individuals with autism consistently demonstrate dysregulation of amygdala function. Diverse regions of the amygdala, which contain neuropeptides, figure in the appraisal systems that underlie behavioral approach and avoidance responses. One neuropeptide linked to social recognition and approach behaviors is oxytocin (which is known to be decreased in autistic individuals) and another neuropeptide corticotropin releasing hormone is tied to avoidance behaviors. A neuroendocrine hypothesis is suggested to account for some of the features associated with autism.

摘要

儿童对世界的认知,部分源于对他人经历的理解。人们的面部表情是了解他们的一种途径,个体发出并解读的各种身体反应形式也是如此。自闭症患者通常觉得身体交流令人厌恶,从而限制了他们在社交互动中从他人身上学到的东西。杏仁核是大脑中一个重要区域,在将内部环境与社交氛围整合方面起着重要作用。自闭症患者始终表现出杏仁核功能失调。杏仁核的不同区域含有神经肽,这些区域参与了构成行为趋近和回避反应基础的评估系统。一种与社会认知和趋近行为相关的神经肽是催产素(已知自闭症患者体内催产素水平降低),另一种神经肽促肾上腺皮质激素释放激素则与回避行为有关。本文提出了一种神经内分泌假说,以解释与自闭症相关的一些特征。

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