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自闭症儿童血清白介素-17A 和同型半胱氨酸水平。

Serum interleukin-17 A and homocysteine levels in children with autism.

机构信息

Department of Child Health Care, Northwest Women's and Children's Hospital, 710061, Xi'an, China.

Xi'an Mental Health Center, Department of Children and adolescents Psychology, 710061, Xi'an, China.

出版信息

BMC Neurosci. 2024 Mar 12;25(1):17. doi: 10.1186/s12868-024-00860-5.

Abstract

BACKGROUND

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that typically emerges early in childhood. This study aimed to explore the potential link between serum levels of vitamin B12 and homocysteine (Hcy) and the severity of ASD symptoms in children.

METHODS

In this study, 50 children diagnosed with ASD comprised the observation group, while 50 healthy children constituted the control group. Serum levels of IL-17 A, Hcy, folate, and vitamin B12 were compared between the study group and control group, as well as among children with different degrees of ASD severity. The correlation between the Childhood Autism Rating Scale (CARS) score and serum levels of IL-17 A, Hcy, folate, and vitamin B12 was examined. Additionally, the relationship between serum IL-17 A and Hcy levels and their association with the severity ASD were explored.

RESULTS

Compared to the control group, the observation group demonstrated elevated serum Hcy and IL-17 A levels alongside decreased folate and vitamin B12 levels. Individuals with severe ASD exhibited higher Hcy and IL-17 A levels but lower folate and vitamin B12 levels compared to those with mild to moderate ASD. The CARS score showed negative correlations with serum folate and vitamin B12 levels and positive correlations with serum IL-17 A and Hcy levels in ASD patients. Additionally, serum Hcy and IL-17 A levels were correlated with ASD severity.

CONCLUSION

Children diagnosed with ASD presented with reduced serum vitamin B12 levels and increased levels of Hcy, potentially contributing to the onset and severity of ASD.

摘要

背景

自闭症谱系障碍(ASD)是一种神经发育障碍,通常在儿童早期出现。本研究旨在探讨血清维生素 B12 和同型半胱氨酸(Hcy)水平与儿童 ASD 症状严重程度之间的潜在联系。

方法

本研究中,50 名被诊断为 ASD 的儿童为观察组,50 名健康儿童为对照组。比较观察组和对照组以及不同 ASD 严重程度儿童的血清 IL-17A、Hcy、叶酸和维生素 B12 水平。检查血清 IL-17A、Hcy、叶酸和维生素 B12 与儿童自闭症评定量表(CARS)评分之间的相关性。此外,还探讨了血清 IL-17A 和 Hcy 水平与 ASD 严重程度的关系及其与 ASD 严重程度的关系。

结果

与对照组相比,观察组的血清 Hcy 和 IL-17A 水平升高,叶酸和维生素 B12 水平降低。与轻度至中度 ASD 患者相比,重度 ASD 患者的 Hcy 和 IL-17A 水平更高,但叶酸和维生素 B12 水平更低。CARS 评分与 ASD 患者的血清叶酸和维生素 B12 水平呈负相关,与血清 IL-17A 和 Hcy 水平呈正相关。此外,血清 Hcy 和 IL-17A 水平与 ASD 严重程度相关。

结论

诊断为 ASD 的儿童血清维生素 B12 水平降低,Hcy 水平升高,这可能导致 ASD 的发生和严重程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ac2/10935804/84c2a2b4ad35/12868_2024_860_Fig1_HTML.jpg

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