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自闭症谱系障碍患者的发病机制和神经生理学特征:现象与诊断

Pathogenetical and Neurophysiological Features of Patients with Autism Spectrum Disorder: Phenomena and Diagnoses.

作者信息

Jin Yunho, Choi Jeonghyun, Lee Seunghoon, Kim Jong Won, Hong Yonggeun

机构信息

Department of Rehabilitation Science, Graduate School of Inje University, Gimhae 50834, Korea.

Ubiquitous Healthcare & Anti-aging Research Center (u-HARC), Inje University, Gimhae 50834, Korea.

出版信息

J Clin Med. 2019 Oct 2;8(10):1588. doi: 10.3390/jcm8101588.

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that is accompanied by social deficits, repetitive and restricted interests, and altered brain development. The majority of ASD patients suffer not only from ASD itself but also from its neuropsychiatric comorbidities. Alterations in brain structure, synaptic development, and misregulation of neuroinflammation are considered risk factors for ASD and neuropsychiatric comorbidities. Electroencephalography has been developed to quantitatively explore effects of these neuronal changes of the brain in ASD. The pineal neurohormone melatonin is able to contribute to neural development. Also, this hormone has an inflammation-regulatory role and acts as a circadian key regulator to normalize sleep. These functions of melatonin may play crucial roles in the alleviation of ASD and its neuropsychiatric comorbidities. In this context, this article focuses on the presumable role of melatonin and suggests that this hormone could be a therapeutic agent for ASD and its related neuropsychiatric disorders.

摘要

自闭症谱系障碍(ASD)是一种神经发育障碍,伴有社交缺陷、重复和受限的兴趣以及大脑发育改变。大多数ASD患者不仅患有ASD本身,还患有神经精神共病。脑结构改变、突触发育异常和神经炎症调节异常被认为是ASD和神经精神共病的危险因素。脑电图已被用于定量研究ASD中这些大脑神经元变化的影响。松果体神经激素褪黑素有助于神经发育。此外,这种激素具有炎症调节作用,并作为昼夜节律的关键调节因子使睡眠正常化。褪黑素的这些功能可能在缓解ASD及其神经精神共病方面发挥关键作用。在此背景下,本文重点探讨褪黑素的可能作用,并表明这种激素可能是治疗ASD及其相关神经精神疾病的药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19ae/6832208/c8e2228e4c56/jcm-08-01588-g001.jpg

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