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精神分裂症中幻听的病因:从多维层面探讨

The Etiology of Auditory Hallucinations in Schizophrenia: From Multidimensional Levels.

作者信息

Shao Xu, Liao Yanhui, Gu Lin, Chen Wei, Tang Jinsong

机构信息

Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

RIKEN AIP, Tokyo, Japan.

出版信息

Front Neurosci. 2021 Nov 11;15:755870. doi: 10.3389/fnins.2021.755870. eCollection 2021.

Abstract

Enormous efforts have been made to unveil the etiology of auditory hallucinations (AHs), and multiple genetic and neural factors have already been shown to have their own roles. Previous studies have shown that AHs in schizophrenia vary from those in other disorders, suggesting that they have unique features and possibly distinguishable mechanisms worthy of further investigation. In this review, we intend to offer a comprehensive summary of current findings related to AHs in schizophrenia from aspects of genetics and transcriptome, neurophysiology (neurometabolic and electroencephalogram studies), and neuroimaging (structural and functional magnetic resonance imaging studies and transcriptome-neuroimaging association study). Main findings include gene polymorphisms, glutamate level change, electroencephalographic alterations, and abnormalities of white matter fasciculi, cortical structure, and cerebral activities, especially in multiple regions, including auditory and language networks. More solid and comparable research is needed to replicate and integrate ongoing findings from multidimensional levels.

摘要

为揭示幻听(AHs)的病因,人们付出了巨大努力,并且已经证明多种遗传和神经因素都发挥了各自的作用。先前的研究表明,精神分裂症中的幻听与其他疾病中的幻听不同,这表明它们具有独特的特征以及可能值得进一步研究的可区分机制。在本综述中,我们打算从遗传学和转录组学、神经生理学(神经代谢和脑电图研究)以及神经影像学(结构和功能磁共振成像研究以及转录组-神经影像学关联研究)等方面,对目前与精神分裂症中幻听相关的研究结果进行全面总结。主要研究结果包括基因多态性、谷氨酸水平变化、脑电图改变以及白质束、皮质结构和脑活动异常,尤其是在包括听觉和语言网络在内的多个区域。需要更可靠且具有可比性的研究来复制和整合来自多维度层面的现有研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c4c/8632545/a0643bdff799/fnins-15-755870-g001.jpg

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