Universidade Federal do Rio Grande do Sul , Porto Alegre , Brazil.
Department of Psychiatry, University of California San Francisco , San Francisco, CA , USA.
Front Psychiatry. 2014 Aug 12;5:100. doi: 10.3389/fpsyt.2014.00100. eCollection 2014.
Autism spectrum disorders (ASDs) are complex, heterogeneous disorders caused by an interaction between genetic vulnerability and environmental factors. In an effort to better target the underlying roots of ASD for diagnosis and treatment, efforts to identify reliable biomarkers in genetics, neuroimaging, gene expression, and measures of the body's metabolism are growing. For this article, we review the published studies of potential biomarkers in autism and conclude that while there is increasing promise of finding biomarkers that can help us target treatment, there are none with enough evidence to support routine clinical use unless medical illness is suspected. Promising biomarkers include those for mitochondrial function, oxidative stress, and immune function. Genetic clusters are also suggesting the potential for useful biomarkers.
自闭症谱系障碍(ASD)是由遗传易感性和环境因素相互作用引起的复杂、异质的疾病。为了更好地针对 ASD 的潜在根源进行诊断和治疗,人们正在努力在遗传学、神经影像学、基因表达和身体代谢测量方面寻找可靠的生物标志物。在本文中,我们回顾了自闭症潜在生物标志物的已发表研究,并得出结论,尽管越来越有希望找到可以帮助我们针对治疗的生物标志物,但除非怀疑患有医学疾病,否则没有足够证据支持常规临床使用的生物标志物。有前途的生物标志物包括那些与线粒体功能、氧化应激和免疫功能相关的生物标志物。遗传簇也表明存在有潜力的生物标志物。