Department of Psychiatry, University of California, San Francisco, 401 Parnassus Ave, Box F-0984, San Francisco, CA 94143-0984, USA.
Med Hypotheses. 2009 Dec;73(6):950-4. doi: 10.1016/j.mehy.2009.06.032. Epub 2009 Jul 19.
Autism is a syndrome with a number of etiologies with differing mechanisms that lead to abnormal development. This review highlights the need to identify autism subgroups as they each might require unique approaches for prevention or treatment.
Targeting treatments to specific mechanisms and utilizing biomarkers can more rapidly advance our understanding of how to classify and treat autism subgroups based on translational mechanisms. We illustrate this approach using mechanisms that may influence the course of autism and provide rationale for selected biomarkers that could guide treatments targeted anywhere from DNA to symptom expression.
The use of potential biomarkers that point to specific mechanisms of disordered neurodevelopment will help identify meaningful subtypes of autism and will help tailor treatment or prevention strategies for each mechanism rather than solely to a symptom category.
自闭症是一种具有多种病因和不同机制的综合征,这些机制导致了异常发育。本综述强调了需要识别自闭症亚组的必要性,因为它们各自可能需要针对预防或治疗的独特方法。
针对特定机制的靶向治疗以及利用生物标志物可以更快速地推进我们对如何根据转化机制对自闭症亚组进行分类和治疗的理解。我们使用可能影响自闭症进程的机制来说明这种方法,并为选定的生物标志物提供理论依据,这些标志物可以指导从 DNA 到症状表达的靶向治疗。
使用指向神经发育障碍特定机制的潜在生物标志物将有助于识别自闭症的有意义亚型,并帮助针对每种机制量身定制治疗或预防策略,而不仅仅是针对症状类别。