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自闭症谱系障碍和注意力缺陷多动障碍患儿降钙素原及C反应蛋白水平的评估

Evaluation of procalcitonin and C-reactive protein levels in children with autism spectrum disorder and attention deficit hyperactivity disorder.

作者信息

Adıgüzel Akman Öznur, Esnafoglu Erman

机构信息

Department of Child and Adolescent Psychiatry, Black Sea Ereğli State Hospital, Zonguldak, Turkey.

Department of Child and Adolescent Psychiatry, Ordu University Faculty of Medicine, Ordu, Turkey.

出版信息

Int J Dev Disabil. 2023 May 25;71(1):159-167. doi: 10.1080/20473869.2023.2213923. eCollection 2025.

Abstract

Inflammation is thought to play a role in the etiopathogenesis of autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD). Procalcitonin (PCT) is an inflammatory biomarker released by thyroid parafollicular cells. CRP is systemic biomarker of inflammation. In this study, the hypothesis that PCT and C-reactive protein (CRP) might be indicators of increased inflammatory response was tested. For this purpose, PCT and CRP as well as other simple inflammatory markers were evaluated in children with ASD and ADHD. A total of 33 ASD, 36 ADHD, and 31 healthy controls were included in the study, who were similar in terms of gender and age. PCT, CRP, sedimentation and hemogram parameters (Neutrophil Lymphocyte Ratio) were measured in children aged 5-15 years. PCT and CRP values were found to be statistically significantly higher in ASD and ADHD children compared to healthy controls ( < 0.05). A positive correlation was found between PCT and CRP values (r: 0.358;  < 0.001). No significant correlations were found between disorder severity scale scores and PCT and CRP values ( > 0.05 for both). Accordingly, it is suggested that inflammation plays a role in the etiopathogenesis of these disorders. PCT and CRP may be used as inflammation markers.

摘要

炎症被认为在自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)的病因发病机制中起作用。降钙素原(PCT)是甲状腺滤泡旁细胞释放的一种炎症生物标志物。C反应蛋白(CRP)是炎症的全身性生物标志物。在本研究中,对PCT和C反应蛋白(CRP)可能是炎症反应增加指标的假设进行了检验。为此,对患有ASD和ADHD的儿童进行了PCT、CRP以及其他简单炎症标志物的评估。该研究共纳入了33名ASD儿童、36名ADHD儿童和31名健康对照,他们在性别和年龄方面相似。对5至15岁的儿童测量了PCT、CRP、血沉和血常规参数(中性粒细胞淋巴细胞比值)。发现ASD和ADHD儿童的PCT和CRP值与健康对照相比在统计学上显著更高(<0.05)。PCT和CRP值之间存在正相关(r:0.358;<0.001)。疾病严重程度量表评分与PCT和CRP值之间未发现显著相关性(两者均>0.05)。因此,提示炎症在这些疾病的病因发病机制中起作用。PCT和CRP可用作炎症标志物。

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