Waligóra Aleksandra, Waligóra Sławomir, Kozarska Maria, Damasiewicz-Bodzek Aleksandra, Gorczyca Piotr, Tyrpień-Golder Krystyna
Śląski Uniwersytet Medyczny w Katowicach, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Katedra i Zakład Chemii.
Śląski Uniwersytet Medyczny w Katowicach, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Katedra Psychiatrii.
Psychiatr Pol. 2019 Aug 31;53(4):771-788. doi: 10.12740/PP/89948.
Autism spectrum disorder (ASD) affects people from all regions of the globe, regardless of nationality, living standards or social group. Currently, it is assumed that ASD pathogenesis is multifactorial because there is no one specific cause of the disorder. According to literature, ASD may result from genetic defects, metabolic disorders or exposure to environmental factors. There is a number of hypotheses that attempt to explain the intensity of emotional and behavioral symptoms or the increased sensory threshold that is characteristic of ASD. It is suggested that neurological changes may be due to oxidative stress occurring in early brain tissue development and reduced antioxidative barrier. Due to the abnormalities in the synthesis of neurotransmitters, often occurring in ASD, autism is investigated for disorders of vital biochemical processes of methylation and transsulfuration. Finding a biomarker for a disturbed oxidative-reduction equilibrium, methylation pathway pathology, or other reason could be an important diagnostic tool and the base for individual treatment for patients with varying degrees of severity. This work provides a review of the potential biological indicators for ASD taking into account the occurrence of oxidative stress and the methylation and transsulfuration cycles.
自闭症谱系障碍(ASD)影响着全球各个地区的人们,无论其国籍、生活水平或社会群体如何。目前,人们认为ASD的发病机制是多因素的,因为该疾病没有单一的特定病因。根据文献记载,ASD可能由基因缺陷、代谢紊乱或接触环境因素引起。有许多假说试图解释ASD所特有的情绪和行为症状的强度或感觉阈值的升高。有人认为,神经学变化可能是由于早期脑组织发育过程中发生的氧化应激以及抗氧化屏障的降低所致。由于ASD中经常出现神经递质合成异常,因此针对自闭症患者的重要生化过程甲基化和转硫作用紊乱展开了研究。找到一个用于指示氧化还原平衡失调、甲基化途径病理或其他原因的生物标志物,可能是一种重要的诊断工具,也是对不同严重程度患者进行个体化治疗的基础。这项工作综述了考虑到氧化应激以及甲基化和转硫循环的发生情况后,ASD可能的生物学指标。