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针对昼夜节律调节:自闭症谱系障碍管理中的新型治疗方法。

Targeting the circadian modulation: novel therapeutic approaches in the management of ASD.

作者信息

Zhang Yuxing, Chen Yinan, Li Wu, Tang Liya, Li Jiangshan, Feng Xiang

机构信息

School of Acupuncture, Tuina and Rehabilitation, Hunan University of Chinese Medicine, Changsha, Hunan, China.

McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.

出版信息

Front Psychiatry. 2024 Oct 11;15:1451242. doi: 10.3389/fpsyt.2024.1451242. eCollection 2024.

Abstract

Circadian dysfunction is prevalent in neurodevelopmental disorders, particularly in autism spectrum disorder (ASD). A plethora of empirical studies demonstrate a strong correlation between ASD and circadian disruption, suggesting that modulation of circadian rhythms and the clocks could yield satisfactory advancements. Research indicates that circadian dysfunction associated with abnormal neurodevelopmental phenotypes in ASD individuals, potentially contribute to synapse plasticity disruption. Therefore, targeting circadian rhythms may emerge as a key therapeutic approach. In this study, we did a brief review of the mammalian circadian clock, and the correlation between the circadian mechanism and the pathology of ASD at multiple levels. In addition, we highlight that circadian is the target or modulator to participate in the therapeutic approaches in the management of ASD, such as phototherapy, melatonin, modulating circadian components, natural compounds, and chronotherapies. A deep understanding of the circadian clock's regulatory role in the neurodevelopmental phenotypes in ASD may inspire novel strategies for improving ASD treatment.

摘要

昼夜节律功能障碍在神经发育障碍中普遍存在,尤其是在自闭症谱系障碍(ASD)中。大量实证研究表明ASD与昼夜节律紊乱之间存在强烈关联,这表明调节昼夜节律及其生物钟可能会取得令人满意的进展。研究表明,与ASD个体异常神经发育表型相关的昼夜节律功能障碍可能导致突触可塑性破坏。因此,针对昼夜节律可能会成为一种关键的治疗方法。在本研究中,我们简要回顾了哺乳动物的昼夜节律生物钟,以及昼夜节律机制与ASD病理学在多个层面的相关性。此外,我们强调昼夜节律是参与ASD治疗管理的治疗靶点或调节因子,如光疗、褪黑素、调节昼夜节律成分、天然化合物和时间疗法。深入了解昼夜节律生物钟在ASD神经发育表型中的调节作用,可能会激发改善ASD治疗的新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e57f/11503653/2b19f96236a2/fpsyt-15-1451242-g001.jpg

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