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发育性口吃儿童的性类固醇激素和性激素结合球蛋白水平、CYP17 MSP AI (-34T:C)和CYP19密码子39(色氨酸:精氨酸)变体

Sex steroid hormones and sex hormone binding globulin levels, CYP17 MSP AI (-34T:C) and CYP19 codon 39 (Trp:Arg) variants in children with developmental stuttering.

作者信息

Mohammadi Hiwa, Joghataei Mohammad Taghi, Rahimi Zohreh, Faghihi Faezeh, Khazaie Habibolah, Farhangdoost Hashem, Mehrpour Masoud

机构信息

Department of Neuroscience, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.

Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran; Department of Neuroscience, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Brain Lang. 2017 Dec;175:47-56. doi: 10.1016/j.bandl.2017.09.004. Epub 2017 Oct 6.

Abstract

Developmental stuttering is known to be a sexually dimorphic and male-biased speech motor control disorder. In the present case-control study, we investigated the relationship between developmental stuttering and steroid hormones. Serum levels of testosterone, dihydrotestosterone (DHT), dehydroepiandrosterone (DHEA), oestradiol, progesterone, cortisol, and sex hormone binding globulin (SHBG), as well as the 2nd/4th digit ratio (2D:4D), an indicator of prenatal testosterone level, were compared between children who stutter (CWS) and children who do not stutter (CWNS). Moreover, two SNPs (CYP17 -34 T:C (MSP AI) and CYP19 T:C (Trp:Arg)) of cytochrome P450, which is involved in steroid metabolism pathways, were analysed between the groups. Our results showed significantly higher levels of testosterone, DHT, and oestradiol in CWS in comparison with CWNS. The severity of stuttering was positively correlated with the serum levels of testosterone, DHEA, and cortisol, whereas no association was seen between the stuttering and digit ratio, progesterone, or SHBG. The CYP17CC genotype was significantly associated with the disorder.

摘要

发育性口吃是一种已知的具有性别差异且男性偏向的言语运动控制障碍。在本病例对照研究中,我们调查了发育性口吃与类固醇激素之间的关系。比较了口吃儿童(CWS)和非口吃儿童(CWNS)的血清睾酮、双氢睾酮(DHT)、脱氢表雄酮(DHEA)、雌二醇、孕酮、皮质醇和性激素结合球蛋白(SHBG)水平,以及产前睾酮水平的指标——食指/无名指比例(2D:4D)。此外,还分析了两组之间参与类固醇代谢途径的细胞色素P450的两个单核苷酸多态性(CYP17 -34 T:C(MSP AI)和CYP19 T:C(Trp:Arg))。我们的结果显示,与CWNS相比,CWS的睾酮、DHT和雌二醇水平显著更高。口吃的严重程度与睾酮、DHEA和皮质醇的血清水平呈正相关,而口吃与手指比例、孕酮或SHBG之间未发现关联。CYP17 CC基因型与该疾病显著相关。

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