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了解不同类型的母体糖尿病与自闭症谱系障碍发病之间的关联。

Understanding the link between different types of maternal diabetes and the onset of autism spectrum disorders.

机构信息

Department of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing, China.

Department of Military Cognitive Psychology, School of Psychology, Third Military Medical University (Army Medical University), Chongqing, China.

出版信息

Diabetes Metab. 2024 Jul;50(4):101543. doi: 10.1016/j.diabet.2024.101543. Epub 2024 May 16.

Abstract

Autism spectrum disorders (ASD) encompass a collection of neurodevelopmental disorders that exhibit impaired social interactions and repetitive stereotypic behaviors. Although the exact cause of these disorders remains unknown, it is widely accepted that both genetic and environmental factors contribute to their onset and progression. Recent studies have highlighted the potential negative impact of maternal diabetes on embryonic neurodevelopment, suggesting that intrauterine hyperglycemia could pose an additional risk to early brain development and contribute to the development of ASD. This paper presents a comprehensive analysis of the current research on the relationship between various forms of maternal diabetes, such as type 1 diabetes mellitus, type 2 diabetes mellitus, and gestational diabetes mellitus, and the likelihood of ASD in offspring. The study elucidates the potential mechanisms through which maternal hyperglycemia affects fetal development, involving metabolic hormones, immune dysregulation, heightened oxidative stress, and epigenetic alterations. The findings of this review offer valuable insights for potential preventive measures and evidence-based interventions targeting ASD.

摘要

自闭症谱系障碍(ASD)包括一系列神经发育障碍,表现为社交互动受损和重复刻板行为。尽管这些疾病的确切原因尚不清楚,但人们普遍认为遗传和环境因素都促成了它们的发生和发展。最近的研究强调了母体糖尿病对胚胎神经发育的潜在负面影响,表明宫内高血糖可能对早期大脑发育构成额外风险,并导致 ASD 的发生。本文全面分析了目前关于各种形式的母体糖尿病(如 1 型糖尿病、2 型糖尿病和妊娠期糖尿病)与后代 ASD 发生几率之间关系的研究。该研究阐明了母体高血糖影响胎儿发育的潜在机制,涉及代谢激素、免疫失调、氧化应激增加和表观遗传改变。这篇综述的研究结果为 ASD 的潜在预防措施和基于证据的干预措施提供了有价值的见解。

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