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儿童和青少年轻度认知障碍的血清生物标志物。

Serum Biomarkers to Mild Cognitive Deficits in Children and Adolescents.

机构信息

Pós-Graduação em Saúde Coletiva, Universidade Do Extremo Sul Catarinense, Criciuma, SC, Brazil.

Department of Pharmacology, Federal University of Santa Catarina, Florianópolis, SC, Brazil.

出版信息

Mol Neurobiol. 2023 Dec;60(12):7080-7087. doi: 10.1007/s12035-023-03536-z. Epub 2023 Aug 1.

Abstract

Intellectual disability (ID) is a condition characterized by significant limitations in both cognitive development and adaptive behavior. The diagnosis is made through clinical assessment, standardized tests, and intelligence quotient (IQ). Genetic, inflammation, oxidative stress, and diet have been suggested to contribute to ID, and biomarkers could potentially aid in diagnosis and treatment. Study included children and adolescents aged 6-16 years. The ID group (n = 16) and the control group (n = 18) underwent the Wechsler Intelligence Scale for Children (WISC-IV) test, and blood samples were collected. Correlations between biomarker levels and WISC-IV test scores were analyzed. The ID group had an IQ score below 75, and the values of four domains (IQ, IOP, IMO, and IVP) were lower compared to the control group. Serum levels of FKN, NGF-β, and vitamin B12 were decreased in the ID group, while DCFH and nitrite levels were increased. Positive correlations were found between FKN and the QIT and IOP domains, NGF and the QIT and IMO domains, and vitamin B12 and the ICV domain. TNF-α showed a negative correlation with the ICV domain. Our study identified FKN, NGF-β, and vitamin B12 as potential biomarkers specific to ID, which could aid in the diagnosis and treatment of ID. TNF-α and oxidative stress biomarkers suggest that ID has a complex etiology, and further research is needed to better understand this condition and develop effective treatments. Future studies could explore the potential implications of these biomarkers and develop targeted interventions based on their findings.

摘要

智力残疾(ID)是一种以认知发展和适应行为严重受限为特征的病症。其诊断通过临床评估、标准化测试和智商(IQ)进行。遗传、炎症、氧化应激和饮食被认为会导致 ID,生物标志物可能有助于诊断和治疗。研究对象为 6-16 岁的儿童和青少年。ID 组(n=16)和对照组(n=18)进行了韦氏儿童智力量表(WISC-IV)测试,并采集了血样。分析了生物标志物水平与 WISC-IV 测试分数之间的相关性。ID 组的智商(IQ)得分低于 75,且四个领域(IQ、IOP、IMO 和 IVP)的值均低于对照组。ID 组的 FKN、NGF-β和维生素 B12 血清水平降低,而 DCFH 和亚硝酸盐水平升高。FKN 与 QIT 和 IOP 领域、NGF 与 QIT 和 IMO 领域以及维生素 B12 与 ICV 领域之间存在正相关。TNF-α与 ICV 领域呈负相关。我们的研究发现 FKN、NGF-β和维生素 B12 是 ID 特异性的潜在生物标志物,有助于 ID 的诊断和治疗。TNF-α和氧化应激生物标志物表明 ID 的病因复杂,需要进一步研究以更好地了解这种情况并开发有效的治疗方法。未来的研究可以探索这些生物标志物的潜在意义,并根据研究结果制定有针对性的干预措施。

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