Edgar J Christopher, Khan Sarah Y, Blaskey Lisa, Chow Vivian Y, Rey Michael, Gaetz William, Cannon Katelyn M, Monroe Justin F, Cornew Lauren, Qasmieh Saba, Liu Song, Welsh John P, Levy Susan E, Roberts Timothy P L
Department of Radiology, Lurie Family Foundations MEG Imaging Center, The Children's Hospital of Philadelphia, Wood Bldg, Suite 2115, 34th St. and Civic Center Blvd, Philadelphia, PA, 19104, USA,
J Autism Dev Disord. 2015 Feb;45(2):395-405. doi: 10.1007/s10803-013-1904-x.
Previous studies have observed evoked response latency as well as gamma band superior temporal gyrus (STG) auditory abnormalities in individuals with autism spectrum disorders (ASD). A limitation of these studies is that associations between these two abnormalities, as well as the full extent of oscillatory phenomena in ASD in terms of frequency and time, have not been examined. Subjects were presented pure tones at 200, 300, 500, and 1,000 Hz while magnetoencephalography assessed activity in STG auditory areas in a sample of 105 children with ASD and 36 typically developing controls (TD). Findings revealed a profile such that auditory STG processes in ASD were characterized by pre-stimulus abnormalities across multiple frequencies, then early high-frequency abnormalities followed by low-frequency abnormalities. Increased pre-stimulus activity was a 'core' abnormality, with pre-stimulus activity predicting post-stimulus neural abnormalities, group membership, and clinical symptoms (CELF-4 Core Language Index). Deficits in synaptic integration in the auditory cortex are associated with oscillatory abnormalities in ASD as well as patient symptoms. Increased pre-stimulus activity in ASD likely demonstrates a fundamental signal-to-noise deficit in individuals with ASD, with elevations in oscillatory activity suggesting an inability to maintain an appropriate 'neural tone' and an inability to rapidly return to a resting state prior to the next stimulus.
先前的研究已经观察到自闭症谱系障碍(ASD)患者的诱发反应潜伏期以及颞上回(STG)听觉伽马波段异常。这些研究的一个局限性在于,尚未对这两种异常之间的关联以及ASD中振荡现象在频率和时间方面的全貌进行研究。在105名患有ASD的儿童和36名发育正常的对照儿童(TD)的样本中,当向受试者呈现200、300、500和1000赫兹的纯音时,通过脑磁图评估STG听觉区域的活动。研究结果揭示了这样一种情况,即ASD患者的听觉STG过程的特征是在多个频率上存在刺激前异常,然后是早期高频异常,接着是低频异常。刺激前活动增加是一种“核心”异常,刺激前活动可预测刺激后神经异常、组别归属和临床症状(CELF-4核心语言指数)。听觉皮层突触整合缺陷与ASD中的振荡异常以及患者症状相关。ASD患者刺激前活动增加可能表明ASD患者存在基本的信噪比缺陷,振荡活动增强表明无法维持适当的“神经基调”,并且无法在下一个刺激之前迅速恢复到静息状态。