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神经认知和神经行为特征的两种常见形式的神经发育障碍: DYRK1A 和 Wiedemann-Steiner 综合征。

Neurocognitive and neurobehavioral characterization of two frequent forms of neurodevelopmental disorders: the DYRK1A and the Wiedemann-Steiner syndromes.

机构信息

Service de Génétique Médicale, Institut de Génétique Médicale d'Alsace, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.

Institut de Génétique et de Biologie Moléculaire et Cellulaire, Université de Strasbourg, Institut National de la Santé et de la Recherche Médicale U964 Centre National de la Recherche Scientifique UMR7104, Illkirch, France.

出版信息

Clin Genet. 2022 Oct;102(4):296-304. doi: 10.1111/cge.14190. Epub 2022 Jul 25.

Abstract

DYRK1A and Wiedemann-Steiner syndromes (WSS) are two genetic conditions associated with neurodevelopmental disorders (NDDs). Although their clinical phenotype has been described, their behavioral phenotype has not systematically been studied using standardized assessment tools. To characterize the latter, we conducted a retrospective study, collecting data on developmental history, autism spectrum disorder (ASD), adaptive functioning, behavioral assessments, and sensory processing of individuals with these syndromes (n = 14;21). In addition, we analyzed information collected from families (n = 20;20) using the GenIDA database, an international patient-driven data collection aiming to better characterize natural history of genetic forms of NDDs. In the retrospective study, individuals with DYRK1A syndrome showed lower adaptive behavior scores compared to those with WSS, whose scores showed greater heterogeneity. An ASD diagnosis was established for 57% (8/14) of individuals with DYRK1A syndrome and 24% (5/21) of those with WSS. Language and communication were severely impaired in individuals with DYRK1A syndrome, which was also evident from GenIDA data, whereas in WSS patients, exploration of behavioral phenotypes revealed the importance of anxiety symptomatology and ADHD signs, also flagged in GenIDA. This study, describing the behavioral and sensorial profiles of individuals with WSS and DYRK1A syndrome, highlighted some specificities important to be considered for patients' management.

摘要

DYRK1A 综合征和 Wiedemann-Steiner 综合征(WSS)是两种与神经发育障碍(NDD)相关的遗传疾病。尽管已经描述了它们的临床表型,但它们的行为表型尚未使用标准化评估工具进行系统研究。为了描述后者,我们进行了一项回顾性研究,收集了这些综合征患者(n=14;21)的发育史、自闭症谱系障碍(ASD)、适应功能、行为评估和感觉处理的数据。此外,我们还分析了使用 GenIDA 数据库(一个旨在更好地描述遗传形式 NDD 自然史的国际患者驱动的数据收集)从家庭(n=20;20)收集的信息。在回顾性研究中,与 WSS 患者相比,DYRK1A 综合征患者的适应行为评分较低,而 WSS 患者的评分表现出更大的异质性。在 DYRK1A 综合征患者中,57%(8/14)被诊断为 ASD,而在 WSS 患者中,24%(5/21)被诊断为 ASD。DYRK1A 综合征患者的语言和交流严重受损,这一点也从 GenIDA 数据中得到证实,而在 WSS 患者中,对行为表型的探索表明焦虑症状和 ADHD 迹象的重要性,这也在 GenIDA 中被标记出来。这项研究描述了 WSS 和 DYRK1A 综合征患者的行为和感觉特征,强调了一些对患者管理非常重要的特殊性。

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