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基于 RDoC 的杏仁核功能分类及其在自闭症中的意义。

RDoC-based categorization of amygdala functions and its implications in autism.

机构信息

Department of Behavioral Neuroscience and Psychiatric Disorders, Yerkes National Primate Research Center, United States; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, 30329, United States.

Silvio O. Conte Center for Oxytocin and Social Cognition, Department of Psychiatry and Behavioral Sciences, Division of Behavioral Neuroscience and Psychiatric Disorders, Yerkes National Primate Research Center, Emory University, United States.

出版信息

Neurosci Biobehav Rev. 2018 Jul;90:115-129. doi: 10.1016/j.neubiorev.2018.04.007. Epub 2018 Apr 13.

Abstract

Confusion endures as to the exact role of the amygdala in relation to autism. To help resolve this we turned to the NIMH's Research Domain Criteria (RDoC) which provides a classification schema that identifies different categories of behaviors that can turn pathologic in mental health disorders, e.g. autism. While RDoC incorporates all the known neurobiological substrates for each domain, this review will focus primarily on the amygdala. We first consider the amygdala from an anatomical, historical, and developmental perspective. Next, we examine the different domains and constructs of RDoC that the amygdala is involved in: Negative Valence Systems, Positive Valence Systems, Cognitive Systems, Social Processes, and Arousal and Regulatory Systems. Then the evidence for a dysfunctional amygdala in autism is presented with a focus on alterations in development, prenatal valproic acid exposure as a model for ASD, and changes in the oxytocin system therein. Finally, a synthesis of RDoC, the amygdala, and autism is offered, emphasizing the task of disambiguation and suggestions for future research.

摘要

关于杏仁核与自闭症的确切关系,仍然存在混淆。为了帮助解决这个问题,我们转向 NIMH 的研究领域标准 (RDoC),它提供了一种分类方案,确定了心理健康障碍中可能出现病理的不同行为类别,例如自闭症。虽然 RDoC 包含了每个领域的所有已知神经生物学基础,但本综述将主要关注杏仁核。我们首先从解剖学、历史和发展的角度考虑杏仁核。接下来,我们检查了杏仁核涉及的 RDoC 的不同领域和结构:负价系统、正价系统、认知系统、社会过程以及唤醒和调节系统。然后,介绍了自闭症中杏仁核功能失调的证据,重点关注发育异常、产前丙戊酸暴露作为 ASD 的模型,以及其中的催产素系统的变化。最后,提供了 RDoC、杏仁核和自闭症的综合分析,强调了去歧义的任务和对未来研究的建议。

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