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索托斯综合征的神经精神方面:探索性综述,在临床实践中搭建多学科桥梁

Neuropsychiatric Aspects of Sotos Syndrome: Explorative Review Building Multidisciplinary Bridges in Clinical Practice.

作者信息

Lesinskiene Sigita, Montvilaite Reda, Pociute Kamile, Matuleviciene Ausra, Utkus Algirdas

机构信息

Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.

Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania.

出版信息

J Clin Med. 2024 Apr 11;13(8):2204. doi: 10.3390/jcm13082204.

DOI:10.3390/jcm13082204
PMID:38673476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11051337/
Abstract

Sotos syndrome is a genetic disorder caused by gene (nuclear receptor binding SET domain containing protein 1) variants and characterized by overgrowth, macrocephaly, learning disabilities, and co-occurring neuropsychiatric symptoms. Literature sources published in 2002-2023 were selected and analyzed from PubMed and Google Scholar databases. Neuropsychiatric symptoms are observed among children and adolescents with Sotos syndrome. The majority have intellectual disabilities or borderline intellect. Verbal IQ is higher than performance IQ. Individuals display difficulties in expressing language. Aggression is reported by parents. Children express autistic behavior, ADHD, anxiety based on phobias, and early bedtime-wake times. Sotos syndrome is associated with neuropsychiatric disorders in children. Slow intellectual and language development, aggressive outbursts, anxiety, autism spectrum disorder, and hyperactivity are present in the newest studies. Comprehensive assistance is needed for Sotos syndrome patients in responding to areas of difficulty. There is still a lack of research on the developmental characteristics of these children and the possibilities of improving psychosocial adaptation by providing multidisciplinary long-term medical, educational, and social care.

摘要

索托斯综合征是一种由基因(含SET结构域的核受体结合蛋白1)变异引起的遗传性疾病,其特征为生长过度、巨头畸形、学习障碍以及并发的神经精神症状。从PubMed和谷歌学术数据库中选取并分析了2002年至2023年发表的文献资料。在患有索托斯综合征的儿童和青少年中观察到神经精神症状。大多数患者有智力障碍或边缘智力。言语智商高于操作智商。个体在语言表达方面存在困难。家长报告有攻击行为。儿童表现出自闭行为、注意力缺陷多动障碍、基于恐惧症的焦虑以及早睡早起。索托斯综合征与儿童神经精神障碍有关。最新研究表明存在智力和语言发育迟缓、攻击爆发、焦虑、自闭症谱系障碍和多动。索托斯综合征患者在应对困难领域时需要全面的帮助。目前对于这些儿童的发育特征以及通过提供多学科长期医疗、教育和社会护理来改善心理社会适应的可能性仍缺乏研究。

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Neuropsychiatric Aspects of Sotos Syndrome: Explorative Review Building Multidisciplinary Bridges in Clinical Practice.索托斯综合征的神经精神方面:探索性综述,在临床实践中搭建多学科桥梁
J Clin Med. 2024 Apr 11;13(8):2204. doi: 10.3390/jcm13082204.
2
Mutations in NSD1 are responsible for Sotos syndrome, but are not a frequent finding in other overgrowth phenotypes.NSD1基因的突变是导致索托斯综合征的原因,但在其他过度生长表型中并不常见。
Eur J Hum Genet. 2003 Nov;11(11):858-65. doi: 10.1038/sj.ejhg.5201050.
3
Cognition and Behaviour in Sotos Syndrome: A Systematic Review.索托斯综合征的认知与行为:一项系统综述。
PLoS One. 2016 Feb 12;11(2):e0149189. doi: 10.1371/journal.pone.0149189. eCollection 2016.
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BMC Med Genet. 2007 Nov 14;8:68. doi: 10.1186/1471-2350-8-68.
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The phenotype of Sotos syndrome in adulthood: A review of 44 individuals.成人 Sotos 综合征表型:44 例综述。
Am J Med Genet C Semin Med Genet. 2019 Dec;181(4):502-508. doi: 10.1002/ajmg.c.31738. Epub 2019 Sep 3.
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Spectrum of NSD1 mutations in Sotos and Weaver syndromes.索托斯综合征和韦弗综合征中 NSD1 突变谱。
J Med Genet. 2003 Jun;40(6):436-40. doi: 10.1136/jmg.40.6.436.
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Cognitive, adaptive and behavioral profile in Sotos syndrome children with 5q35 microdeletion or intragenic variants.Sotos 综合征患儿 5q35 微缺失或基因内变异的认知、适应和行为特征。
Am J Med Genet A. 2023 Jul;191(7):1836-1848. doi: 10.1002/ajmg.a.63211. Epub 2023 Apr 17.
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The behavioral characteristics of Sotos syndrome.索托斯综合征的行为特征。
Am J Med Genet A. 2015 Dec;167A(12):2945-56. doi: 10.1002/ajmg.a.37373. Epub 2015 Sep 29.
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Investigating cortical features of Sotos syndrome using mice heterozygous for Nsd1.利用杂合 Nsd1 的小鼠研究 Sotos 综合征的皮质特征。
Genes Brain Behav. 2020 Apr;19(4):e12637. doi: 10.1111/gbb.12637. Epub 2020 Jan 14.
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[Hearing impairment and psychopathological disorders in children and adolescents. Review of the recent literature].[儿童和青少年的听力障碍与精神病理障碍。近期文献综述]
Encephale. 2003 Jul-Aug;29(4 Pt 1):329-37.

引用本文的文献

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A Further Characterisation of the Neuropsychological Profile, Social Perception, and Academic Skills in Sotos Syndrome.Sotos综合征的神经心理学特征、社会认知及学术技能的进一步表征
J Intellect Disabil Res. 2025 Aug;69(8):664-674. doi: 10.1111/jir.13250. Epub 2025 May 15.
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Overgrowth-intellectual disability disorders: progress in biology, patient advocacy and innovative therapies.过度生长-智力障碍疾病:生物学、患者权益倡导及创新疗法的进展
Dis Model Mech. 2025 May 1;18(5). doi: 10.1242/dmm.052300. Epub 2025 May 12.
3
Magnetic resonance imaging evaluation and nuclear receptor binding SET domain protein 1 mutation in the Sotos syndrome with attention-deficit/hyperactivity disorder.磁共振成像评估及核受体结合SET结构域蛋白1突变与伴注意缺陷多动障碍的索托斯综合征
World J Clin Cases. 2025 Jan 16;13(2):98319. doi: 10.12998/wjcc.v13.i2.98319.
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Clinical and genetic characteristics of a child with Sotos syndrome and attention-deficit/hyperactivity disorder: A case report.一名患有索托斯综合征和注意力缺陷/多动障碍儿童的临床及遗传特征:病例报告
World J Clin Cases. 2024 Aug 6;12(22):5131-5139. doi: 10.12998/wjcc.v12.i22.5131.
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A series of four patients with Sotos syndrome harboring novel NSD1 mutations: clinical and molecular description.四例 Sotos 综合征患者携带新型 NSD1 突变:临床与分子学描述。
Mol Biol Rep. 2024 Aug 3;51(1):885. doi: 10.1007/s11033-024-09829-3.

本文引用的文献

1
A novel nonsense variant in NSD1 gene in a female child with Sotos syndrome: A case report and literature review.一个患有 Sotos 综合征的女性患儿 NSD1 基因中一个新的无义变异:病例报告及文献复习。
Brain Behav. 2023 Dec;13(12):e3290. doi: 10.1002/brb3.3290. Epub 2023 Oct 31.
2
Case report: Successful anterior temporal lobectomy in drug-resistant temporal lobe epilepsy associated with Sotos syndrome.病例报告:成功施行前颞叶切除术治疗与索托斯综合征相关的耐药性颞叶癫痫。
Front Neurol. 2023 Mar 9;14:1126327. doi: 10.3389/fneur.2023.1126327. eCollection 2023.
3
Molecular Analysis and Reclassification of NSD1 Gene Variants in a Cohort of Patients with Clinical Suspicion of Sotos Syndrome.对临床疑似 Sotos 综合征患者队列中的 NSD1 基因突变进行分子分析和重新分类。
Genes (Basel). 2023 Jan 22;14(2):295. doi: 10.3390/genes14020295.
4
Neurodevelopment and Genetic Evaluation of Sotos Syndrome Cases with a Novel Mutation: a Single-Center Experience.神经发育与新型突变 Sotos 综合征病例的遗传学评估:单中心经验
J Mol Neurosci. 2022 Jan;72(1):149-157. doi: 10.1007/s12031-021-01897-5. Epub 2021 Aug 12.
5
Sotos syndrome: a pitfall in the presurgical workup of temporal lobe epilepsy.索托斯综合征:颞叶癫痫术前检查中的一个陷阱。
Epileptic Disord. 2021 Jun 1;23(3):506-510. doi: 10.1684/epd.2021.1287.
6
Characterization of sleep habits of children with Sotos syndrome.儿童 Sotos 综合征的睡眠习惯特征。
Am J Med Genet A. 2021 Sep;185(9):2815-2820. doi: 10.1002/ajmg.a.62212. Epub 2021 Apr 24.
7
COVID-19 and social responsiveness: A comparison between children with Sotos syndrome and autism.新冠病毒病与社会反应能力:索托斯综合征患儿与自闭症患儿的比较
Psychiatry Res. 2021 May;299:113851. doi: 10.1016/j.psychres.2021.113851. Epub 2021 Mar 2.
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Identification, Evaluation, and Management of Children With Autism Spectrum Disorder.自闭症谱系障碍儿童的识别、评估和管理。
Pediatrics. 2020 Jan;145(1). doi: 10.1542/peds.2019-3447. Epub 2019 Dec 16.
9
The phenotype of Sotos syndrome in adulthood: A review of 44 individuals.成人 Sotos 综合征表型:44 例综述。
Am J Med Genet C Semin Med Genet. 2019 Dec;181(4):502-508. doi: 10.1002/ajmg.c.31738. Epub 2019 Sep 3.
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Disrupted epigenetics in the Sotos syndrome neurobehavioral phenotype.Sotos 综合征神经行为表型中的表观遗传学失调。
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