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血清脑源性神经营养因子浓度在自闭症谱系障碍和智力残疾儿童青少年之间存在差异。

Serum brain-derived neurotrophic factor concentration is different between autism spectrum disorders and intellectual disability children and adolescents.

机构信息

Department of Maternal, Child and Adolescent Health, School of Public Health, Tianjin Medical University, No. 22 Qixiangtai Road, Heping District, Tianjin, 300070, China; Tianjin Key Laboratory of Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China.

Department of Maternal, Child and Adolescent Health, School of Public Health, Tianjin Medical University, No. 22 Qixiangtai Road, Heping District, Tianjin, 300070, China; Tianjin Key Laboratory of Environment, Nutrition and Public Health, School of Public Health, Tianjin Medical University, Tianjin, China.

出版信息

J Psychiatr Res. 2024 Feb;170:355-360. doi: 10.1016/j.jpsychires.2024.01.001. Epub 2024 Jan 4.

Abstract

PURPOSE

Recent studies showed that mature brain-derived neurotrophic factor (mBDNF) and its precursor proBDNF are associated with autism spectrum disorders (ASD). Whether their levels are different between ASD and intellectual disability (ID) subjects is not clear. The aim of this study is to compare the serum mBDNF and proBDNF concentration, and mBNDF/proBDNF ratio in ASD and ID volunteers.

METHODS

Children and adolescents with ASD or ID between the ages of 4 and 22 were recruited in Tianjin, China. Serum mBDNF and proBDNF level were tested and Wechsler Preschool and Primary Scale of Intelligence (WPPSI), Wechsler Intelligence Scale for Children (WISC), and Childhood Autism Rating Scale (CARS) evaluations were conducted.

RESULTS

Serum mBDNF concentration and the ratio of mBDNF to proBDNF was higher in ASD subjects than that in ID subjects (P = 0.035 and P < 0.001, respectively), while serum proBDNF of ASD participants was lower compared to that of ID participants (P < 0.001). CARS score was positively correlated with serum mBDNF level (r = 0.33, P = 0.004) and m/p ratio (r = 0.39, P < 0.001), and negatively correlated with serum proBDNF level (r = -0.39, <0.001) after adjusting for age and IQ. The AUC of mBDNF, proBDNF, and m/p ratio were 0.741, 0.790, and 0.854, respectively, after adjusted for age and IQ.

CONCLUSION

Serum mBDNF, proBDNF and m/p ratio were different between ASD and ID group. The three biomarkers displayed good diagnostic values for classification of ASD and ID subjects.

摘要

目的

最近的研究表明,成熟的脑源性神经营养因子(mBDNF)及其前体 proBDNF 与自闭症谱系障碍(ASD)有关。它们在 ASD 和智力障碍(ID)患者中的水平是否存在差异尚不清楚。本研究旨在比较 ASD 和 ID 志愿者的血清 mBDNF 和 proBDNF 浓度以及 mBNDF/proBDNF 比值。

方法

在中国天津招募了 4 至 22 岁的 ASD 或 ID 儿童和青少年。检测血清 mBDNF 和 proBDNF 水平,并进行韦氏学前和小学智力量表(WPPSI)、韦氏儿童智力量表(WISC)和儿童自闭症评定量表(CARS)评估。

结果

与 ID 组相比,ASD 组血清 mBDNF 浓度和 mBDNF 与 proBDNF 的比值更高(P=0.035 和 P<0.001),而 ASD 组血清 proBDNF 水平低于 ID 组(P<0.001)。CARS 评分与血清 mBDNF 水平呈正相关(r=0.33,P=0.004)和 m/p 比值(r=0.39,P<0.001),与血清 proBDNF 水平呈负相关(r=-0.39,P<0.001),经年龄和智商校正后。在调整年龄和智商后,mBDNF、proBDNF 和 m/p 比值的 AUC 分别为 0.741、0.790 和 0.854。

结论

ASD 和 ID 组之间血清 mBDNF、proBDNF 和 m/p 比值存在差异。这三种生物标志物对 ASD 和 ID 受试者的分类具有良好的诊断价值。

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