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阅读障碍、压力与脑网络稳态的进化视角

An Evolutionary Perspective of Dyslexia, Stress, and Brain Network Homeostasis.

作者信息

Kershner John R

机构信息

Department of Applied Psychology, University of Toronto, Toronto, ON, Canada.

出版信息

Front Hum Neurosci. 2021 Jan 21;14:575546. doi: 10.3389/fnhum.2020.575546. eCollection 2020.

Abstract

Evolution fuels interindividual variability in neuroplasticity, reflected in brain anatomy and functional connectivity of the expanding neocortical regions subserving reading ability. Such variability is orchestrated by an evolutionarily conserved, competitive balance between epigenetic, stress-induced, and cognitive-growth gene expression programs. An evolutionary developmental model of dyslexia, suggests that prenatal and childhood subclinical stress becomes a risk factor for dyslexia when physiological adaptations to stress promoting adaptive fitness, may attenuate neuroplasticity in the brain regions recruited for reading. Stress has the potential to blunt the cognitive-growth functions of the predominantly right hemisphere Ventral and Dorsal attention networks, which are primed with high entropic levels of synaptic plasticity, and are critical for acquiring beginning reading skills. The attentional networks, in collaboration with the stress-responsive Default Mode network, modulate the entrainment and processing of the low frequency auditory oscillations (1-8 Hz) and visuospatial orienting linked etiologically to dyslexia. Thus, dyslexia may result from positive, but costly adaptations to stress system dysregulation: protective measures that reset the stress/growth balance of processing to favor the Default Mode network, compromising development of the attentional networks. Such a normal-variability conceptualization of dyslexia is at odds with the frequent assumption that dyslexia results from a neurological abnormality. To put the normal-variability model in the broader perspective of the state of the field, a traditional evolutionary account of dyslexia is presented to stimulate discussion of the scientific merits of the two approaches.

摘要

进化推动了神经可塑性的个体间差异,这反映在大脑解剖结构以及负责阅读能力的新皮质区域不断扩展的功能连接上。这种差异是由表观遗传、应激诱导和认知生长基因表达程序之间进化上保守的竞争平衡所协调的。一种诵读困难的进化发育模型表明,当促进适应性健康的对应激的生理适应可能会减弱用于阅读的大脑区域的神经可塑性时,产前和儿童期的亚临床应激就会成为诵读困难的一个风险因素。应激有可能削弱主要位于右半球的腹侧和背侧注意网络的认知生长功能,这些网络具有高熵水平的突触可塑性,对于获得初级阅读技能至关重要。注意网络与应激反应性默认模式网络协作,调节与诵读困难病因相关的低频听觉振荡(1 - 8赫兹)的夹带和处理以及视觉空间定向。因此,诵读困难可能源于对应激系统失调的积极但代价高昂的适应:重置处理的应激/生长平衡以有利于默认模式网络的保护措施,从而损害了注意网络的发育。这种诵读困难的正常变异概念化与诵读困难源于神经异常这一常见假设相悖。为了将正常变异模型置于该领域现状的更广泛视角中,本文呈现了一种传统的诵读困难进化解释,以激发对这两种方法科学价值的讨论。

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本文引用的文献

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Dyslexia as an adaptation to cortico-limbic stress system reactivity.阅读障碍是对皮质-边缘应激系统反应性的一种适应。
Neurobiol Stress. 2020 Apr 18;12:100223. doi: 10.1016/j.ynstr.2020.100223. eCollection 2020 May.
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Transitions in Brain Evolution: Space, Time and Entropy.脑进化的转变:空间、时间和熵。
Trends Neurosci. 2020 Jul;43(7):467-474. doi: 10.1016/j.tins.2020.04.008. Epub 2020 Apr 27.
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Speech rhythms and their neural foundations.言语节奏及其神经基础。
Nat Rev Neurosci. 2020 Jun;21(6):322-334. doi: 10.1038/s41583-020-0304-4. Epub 2020 May 6.
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Visual and Auditory Interference Control of Attention in Developmental Dyslexia.发展性阅读障碍者的注意视觉和听觉干扰控制。
J Int Neuropsychol Soc. 2020 Apr;26(4):407-417. doi: 10.1017/S135561771900122X. Epub 2019 Nov 15.

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