Wang Xinnian, Tang Ruijin, Wei Zhen, Zhan Yang, Lu Jianping, Li Zhiling
CAS Key Laboratory of Brain Connectome and Manipulation, The Brain Cognition and Brain Disease Institute, Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.
School of Life Science, USTC Life Sciences and Medicine, Hefei, China.
Front Neurosci. 2023 Aug 24;17:1101071. doi: 10.3389/fnins.2023.1101071. eCollection 2023.
Gastrointestinal (GI) disorders are common comorbidities in individuals with autism spectrum disorder (ASD), and abnormalities in these issues have been found to be closely related to the severity of core behavioral deficits in autism. The enteric nervous system (ENS) plays a crucial role in regulating various aspects of gut functions, including gastrointestinal motility. Dysfunctional wiring in the ENS not only results in various gastrointestinal issues, but also correlates with an increasing number of central nervous system (CNS) disorders, such as ASD. However, it remains unclear whether the gastrointestinal dysfunctions are a consequence of ASD or if they directly contribute to its pathogenesis. This review focuses on the deficits in the ENS associated with ASD, and highlights several high-risk genes for ASD, which are expressed widely in the gut and implicated in gastrointestinal dysfunction among both animal models and human patients with ASD. Furthermore, we provide a brief overview of environmental factors associated with gastrointestinal tract in individuals with autism. This could offer fresh perspectives on our understanding of ASD.
胃肠道(GI)疾病是自闭症谱系障碍(ASD)患者常见的共病,并且已发现这些问题中的异常与自闭症核心行为缺陷的严重程度密切相关。肠神经系统(ENS)在调节肠道功能的各个方面,包括胃肠蠕动中起着至关重要的作用。ENS中的功能失调不仅会导致各种胃肠道问题,还与越来越多的中枢神经系统(CNS)疾病相关,如ASD。然而,目前尚不清楚胃肠道功能障碍是ASD的结果还是它们直接促成了其发病机制。本综述重点关注与ASD相关的ENS缺陷,并强调了几个ASD的高风险基因,这些基因在肠道中广泛表达,并且在ASD的动物模型和人类患者中都与胃肠功能障碍有关。此外,我们简要概述了自闭症患者中与胃肠道相关的环境因素。这可能为我们对ASD的理解提供新的视角。