The Cognitive Neurophysiology Laboratory, Department of Pediatrics, Albert Einstein College of Medicine & Montefiore Medical Center, Bronx, New York, USA; The Cognitive Neurophysiology Laboratory, Ernest J. Del Monte Institute for Neuroscience, Department of Neuroscience, University of Rochester School of Medicine and Dentistry, Rochester, New York, USA; The Laboratory of Human Higher Nervous Activity, Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, Moscow, Russia.
Department of Neuroontogenesis, Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Science, Moscow, Russia.
Clin Neurophysiol. 2020 Jan;131(1):213-224. doi: 10.1016/j.clinph.2019.11.003. Epub 2019 Nov 21.
OBJECTIVE: Systematically review the abnormalities in event related potential (ERP) recorded in Rett Syndrome (RTT) patients and animals in search of translational biomarkers of deficits related to the particular neurophysiological processes of known genetic origin (MECP2 mutations). METHODS: Pubmed, ISI Web of Knowledge and BIORXIV were searched for the relevant articles according to PRISMA standards. RESULTS: ERP components are generally delayed across all sensory modalities both in RTT patients and its animal model, while findings on ERPs amplitude strongly depend on stimulus properties and presentation rate. Studies on RTT animal models uncovered the abnormalities in the excitatory and inhibitory transmission as critical mechanisms underlying the ERPs changes, but showed that even similar ERP alterations in auditory and visual domains have a diverse neural basis. A range of novel approaches has been developed in animal studies bringing along the meaningful neurophysiological interpretation of ERP measures in RTT patients. CONCLUSIONS: While there is a clear evidence for sensory ERPs abnormalities in RTT, to further advance the field there is a need in a large-scale ERP studies with the functionally-relevant experimental paradigms. SIGNIFICANCE: The review provides insights into domain-specific neural basis of the ERP abnormalities and promotes clinical application of the ERP measures as the non-invasive functional biomarkers of RTT pathophysiology.
目的:系统地回顾雷特综合征(RTT)患者和动物的事件相关电位(ERP)异常,以寻找与特定神经生理过程相关的缺陷的转化生物标志物,这些过程具有已知的遗传起源(MECP2 突变)。
方法:根据 PRISMA 标准,在 Pubmed、ISI Web of Knowledge 和 BIORXIV 上搜索相关文章。
结果:ERP 成分在所有感觉模态中普遍延迟,无论是在 RTT 患者还是其动物模型中,而 ERP 幅度的发现强烈依赖于刺激特性和呈现率。对 RTT 动物模型的研究揭示了兴奋性和抑制性传递的异常是 ERP 变化的关键机制,但表明即使在听觉和视觉领域存在相似的 ERP 改变,其神经基础也存在差异。在动物研究中已经开发了一系列新方法,为 RTT 患者的 ERP 测量提供了有意义的神经生理解释。
结论:虽然 RTT 存在明显的感觉 ERP 异常证据,但为了进一步推进该领域,需要进行具有功能相关性的实验范式的大规模 ERP 研究。
意义:该综述深入了解了 ERP 异常的特定领域的神经基础,并促进了 ERP 测量作为 RTT 病理生理学的非侵入性功能生物标志物的临床应用。
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