The Peking University Sixth Hospital (Institute of Mental Health), National Clinical Research Centre for Mental Disorders (Peking University Sixth Hospital), NHC Key Laboratory of Mental Health, (Peking University), Beijing, China.
The Peking University Sixth Hospital (Institute of Mental Health), National Clinical Research Centre for Mental Disorders (Peking University Sixth Hospital), NHC Key Laboratory of Mental Health, (Peking University), Beijing, China.
Prog Neuropsychopharmacol Biol Psychiatry. 2023 Jun 8;124:110731. doi: 10.1016/j.pnpbp.2023.110731. Epub 2023 Feb 9.
Attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD) show common brain area abnormalities, which may contribute to the high shared co-occurrence symptoms and comorbidity of the two disorders. However, neuroanatomic anomalies in neurodevelopmental disorders may change over the course of development, and the developmental variation of these two disorders is unclear. Our study conducted a systematic literature search of PubMed, Web of Science, and EMBASE databases to identify disorder-shared abnormalities of white matter (WM) from childhood to adulthood in ADHD and ASD. 28 ADHD and 23 ASD datasets were included in this meta-analysis and were analysed by AES-SDM to detect differences in fractional anisotropy in patients compared to typically developing individuals. Our main findings reveal the variable WM developmental trajectories in ADHD and ASD respectively, and the two disorders showed overlapping corpus callosum tract abnormalities in their development from children to adults. Furthermore, the overlapping abnormalities of the corpus callosum tract increased with age, which may be related to their gradually increasing shared symptoms and comorbidity in these two disorders.
注意缺陷多动障碍(ADHD)和自闭症谱系障碍(ASD)表现出共同的大脑区域异常,这可能导致这两种疾病的高共患症状和共病。然而,神经发育障碍中的神经解剖异常可能会随着发育过程而改变,这两种疾病的发育变化尚不清楚。我们的研究对 PubMed、Web of Science 和 EMBASE 数据库进行了系统的文献检索,以确定 ADHD 和 ASD 从儿童期到成年期的脑白质(WM)的疾病共有的异常。该荟萃分析纳入了 28 个 ADHD 和 23 个 ASD 数据集,并通过 AES-SDM 进行分析,以检测患者与正常发育个体之间各向异性分数的差异。我们的主要发现揭示了 ADHD 和 ASD 分别具有可变的 WM 发育轨迹,并且这两种疾病在从儿童到成年的发展过程中表现出胼胝体束的异常重叠。此外,胼胝体束的重叠异常随年龄增长而增加,这可能与这两种疾病中逐渐增加的共患症状和共病有关。