Autism Speaks, New York, New York 10016, USA.
Cold Spring Harb Perspect Med. 2019 Oct 1;9(10):a037002. doi: 10.1101/cshperspect.a037002.
This review examines our current understanding of autism spectrum disorder (ASD), its prevalence, impact, behavioral treatment, and outcomes. Building on this knowledge, ASD associated with mutations is introduced and recent human studies of neurobehavioral and neuroimaging findings in patients with mutations with and without ASD are reviewed. In doing so, we present evidence supporting a model of PTEN loss leading to neurobehavioral deficits, including ASD and intellectual disability. Next, we describe the neurobehavioral spectrum observed across mutation cases, adding specificity where possible, based on data from recent studies of child and adult patients. Finally, we end with a discussion of potential clinical recommendations for improving interventions and supports for people with -ASD and future research avenues for understanding and treating the functional and cognitive deficits in -ASD.
本综述探讨了我们目前对自闭症谱系障碍(ASD)的理解,包括其流行程度、影响、行为治疗和结果。在此基础上,介绍了与 突变相关的 ASD,并回顾了最近在 ASD 患者和非 ASD 患者中进行的神经行为和神经影像学研究。通过这样做,我们提供了支持 PTEN 缺失导致神经行为缺陷的模型的证据,包括 ASD 和智力障碍。接下来,我们描述了在 突变病例中观察到的神经行为谱,并根据最近对儿童和成年 患者的研究数据,尽可能地提供了特异性。最后,我们以讨论为患有 -ASD 的人改善干预和支持的潜在临床建议以及理解和治疗 -ASD 中的功能和认知缺陷的未来研究途径结束。