Dyslexia

阅读障碍
  • 文章类型: Journal Article
    人类大脑的语言网络在额叶下皮层和上/中颞叶皮层具有核心组成部分,在大多数人的左半球占主导地位。这些新皮质区域的功能专业化和相互连通性可能反映在它们的分子和细胞谱中。皮层区域之间的兴奋连接根据层特定的模式出现并神经支配。这里,我们从核心语言网络区域的人类死后皮质组织样本中生成了一个基因表达数据集,使用空间转录组学区分皮质层的基因表达。将这些数据与现有的单细胞表达数据整合,确定了56个基因,这些基因显示了额叶和颞叶语言皮层之间的层状表达谱差异,以及II/III层和/或V/VI层兴奋性神经元的上调。根据大规模全基因组筛查的数据,这56个基因中的DNA变异显示了与左半球额叶和颞叶语言皮层之间结构连接的个体间变异的集合水平关联,以及与大脑相关的障碍阅读障碍和精神分裂症,这些障碍通常涉及受影响的语言。这些发现将层状基因表达的特定区域模式确定为大脑语言网络的特征。
    The language network of the human brain has core components in the inferior frontal cortex and superior/middle temporal cortex, with left-hemisphere dominance in most people. Functional specialization and interconnectivity of these neocortical regions is likely to be reflected in their molecular and cellular profiles. Excitatory connections between cortical regions arise and innervate according to layer-specific patterns. Here, we generated a gene expression dataset from human postmortem cortical tissue samples from core language network regions, using spatial transcriptomics to discriminate gene expression across cortical layers. Integration of these data with existing single-cell expression data identified 56 genes that showed differences in laminar expression profiles between the frontal and temporal language cortex together with upregulation in layer II/III and/or layer V/VI excitatory neurons. Based on data from large-scale genome-wide screening in the population, DNA variants within these 56 genes showed set-level associations with interindividual variation in structural connectivity between the left-hemisphere frontal and temporal language cortex, and with the brain-related disorders dyslexia and schizophrenia which often involve affected language. These findings identify region-specific patterns of laminar gene expression as a feature of the brain\'s language network.
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  • 文章类型: Journal Article
    背景:发展性阅读障碍,一种复杂的神经发育障碍,不仅影响儿童的学习成绩,而且还与医疗费用的增加有关,就业率较低,降低了生产力。阅读障碍的发病机制尚不清楚,一般认为是由遗传和环境因素重叠引起的。目前缺乏系统地探索阅读障碍发展中环境化合物暴露与易感基因之间的密切关系,但很有必要。
    方法:在本研究中,我们系统地汇编了131个公开报道的来自DisGeNet的阅读障碍易感基因,OMIM,和GeneCards数据库。比较毒性基因组学数据库数据库用于探索易感基因与95种环境化合物之间的重叠,包括金属,持久性有机污染物,多环芳烃,和杀虫剂。在观察/期望比>1和通过超几何概率检验获得的相应P值中,考虑了对阅读障碍风险基因的化学偏见。
    结果:我们的研究发现,每种化学物质靶向的阅读障碍风险基因的数量从1到109不等。共有35种化学物质参与了与阅读障碍相关基因的化学反应,具有从1.147(阿特拉津)到66.901(二苯并(a,h)芘)。
    结论:结果表明,阅读障碍相关基因与某些化学反应有关。然而,这些发现是探索性的,需要进一步研究涉及动物或细胞实验。
    BACKGROUND: Developmental dyslexia, a complex neurodevelopmental disorder, not only affects children\'s academic performance but is also associated with increased healthcare costs, lower employment rates, and reduced productivity. The pathogenesis of dyslexia remains unclear and it is generally considered to be caused by the overlap of genetic and environmental factors. Systematically exploring the close relationship between exposure to environmental compounds and susceptibility genes in the development of dyslexia is currently lacking but high necessary.
    METHODS: In this study, we systematically compiled 131 publicly reported susceptibility genes for dyslexia sourced from DisGeNET, OMIM, and GeneCards databases. Comparative Toxicogenomics Database database was used to explore the overlap between susceptibility genes and 95 environmental compounds, including metals, persistent organic pollutants, polycyclic aromatic hydrocarbons, and pesticides. Chemical bias towards the dyslexia risk genes was taken into account in the observation/expectation ratios > 1 and the corresponding P value obtained by hypergeometric probability test.
    RESULTS: Our study found that the number of dyslexia risk genes targeted by each chemical varied from 1 to 109. A total of 35 chemicals were involved in chemical reactions with dyslexia-associated genes, with significant enrichment values (observed/expected dyslexia risk genes) ranging from 1.147 (Atrazine) to 66.901 (Dibenzo(a, h)pyrene).
    CONCLUSIONS: The results indicated that dyslexia-associated genes were implicated in certain chemical reactions. However, these findings are exploratory, and further research involving animal or cellular experiments is needed.
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  • 文章类型: Journal Article
    背景:形态意识(MA)缺陷与中国发展性阅读障碍(DD)密切相关。然而,关于中国DD儿童MA缺陷背后的白质底物知之甚少。
    方法:在目前的研究中,招募了34名患有DD的中国儿童和42名典型发育(TD)儿童,以完成MA的扩散磁共振成像扫描和认知测试。我们进行了线性回归来检验MA和DTI指标之间的相关性,与MA相关的束的结构异常,以及分组DTI指标对MA的交互作用。
    结果:首先,MA与右枕骨-额叶下束(IFO)和下纵肌(ILF)显著相关,双侧丘脑-枕骨(T_OCC)和左弓状束(AF);第二,与TD儿童相比,中国患有DD的儿童在右IFO和T_OCC中具有较低的轴向扩散系数(AD);第三,各组中右IFO和MA的度量(各向异性分数(FA)和径向扩散率(RD))之间存在显着相互作用。在DD儿童中,右IFO的FA和RD与MA显着相关,而在TD儿童中没有。
    结论:结论:与TD儿童相比,中国DD儿童不仅在腹侧束(右IFO)而且在视觉空间束(右T_OCC)都有轴突变性,这与他们的MA缺陷有关。中国MA不仅涉及腹侧,还有视觉空间通路和背道。
    BACKGROUND: Morphological awareness (MA) deficit is strongly associated with Chinese developmental dyslexia (DD). However, little is known about the white matter substrates underlying the MA deficit in Chinese children with DD.
    METHODS: In the current study, 34 Chinese children with DD and 42 typical developmental (TD) children were recruited to complete a diffusion magnetic resonance imaging scan and cognitive tests for MA. We conducted linear regression to test the correlation between MA and DTI metrics, the structural abnormalities of the tracts related to MA, and the interaction effect of DTI metrics by group on MA.
    RESULTS: First, MA was significant related to the right inferior occipito-frontal fascicle (IFO) and inferior longitudinal fsciculus (ILF), the bilateral thalamo-occipital (T_OCC) and the left arcuate fasciculus (AF); second, compared to TD children, Chinese children with DD had lower axial diffusivity (AD) in the right IFO and T_OCC; third, there were significant interactions between metrics (fractional anisotropy (FA) and radial diffusivity (RD)) of the right IFO and MA in groups. The FA and RD of the right IFO were significantly associated with MA in children with DD but not in TD children.
    CONCLUSIONS: In conclusion, compared to TD children, Chinese children with DD had axonal degeneration not only in the ventral tract (the right IFO) but also the visuospatial tract (the right T_OCC) which were associated with their MA deficit. And Chinese MA involved not only the ventral tracts, but also the visuospatial pathway and dorsal tracts.
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  • 文章类型: Journal Article
    尽管关于父母教养方式与神经发育障碍之间关系的研究越来越多,人们很少关注父母教养方式如何影响孩子的阅读能力。这项研究的目的是调查家庭识字环境在父母教养方式与阅读障碍之间的潜在中介作用。
    本研究共招募了212名2-5年级的小学生。中文阅读能力测试用于筛查阅读障碍儿童。使用结构化问卷评估了家庭识字环境,该问卷测量了父母与子女之间与阅读相关的活动的频率和质量。EgnaMinnenBeträffandeUppfostran问卷用于评估父母的养育方式,包括情感上的温暖,拒绝,过度保护,和焦虑的养育。这是一个由孩子们自己填写的自我报告工具,用来评估他们对父母教养方式的看法。进行了结构方程建模,以评估直接,间接,以及父母教养方式对阅读障碍的总体影响。
    与对照组相比,患有阅读障碍的男性儿童在以情感温暖为特征的父母教养方式上得分较低,过度保护和焦虑养育(p<0.05),而患有阅读障碍的女性儿童仅在焦虑养育方面得分较低(p<0.05)。阅读障碍儿童缺乏规律阅读时间(OR=2.69,95CI:1.04-6.97,p<0.05),与正常儿童相比,作业压力更高(OR=7.41,95CI:1.45-37.82,p<0.05)。此外,情感温暖,父系过度保护和焦虑养育与儿童阅读障碍呈负相关(均p<0.05)。我们的发现表明阅读障碍之间有很强的相关性,家庭识字环境,和育儿方式。在结构方程模型中,家庭识字环境被认为是父母教养方式和阅读障碍之间的独立中介。父母教养方式对阅读障碍的总影响为0.55,由家庭识字环境介导的间接影响为0.68。
    这项研究的结果表明,家庭识字环境是育儿方式与儿童阅读障碍之间的媒介。这项研究强调了父母教养方式如何影响阅读障碍,为帮助阅读障碍儿童提供关键见解,并指导有效的干预措施。
    UNASSIGNED: Despite an increasing amount of research on the relationship between parenting styles and neurodevelopmental disorders, there has been minimal focus on how parenting styles impact children\'s reading abilities. The aim of this study was to investigate the potential mediating role of the home literacy environment in the connection between parenting styles and dyslexia.
    UNASSIGNED: A total of 212 primary school students from grade 2-5 were recruited for this study. The Chinese Reading Ability Test was used to screen children with dyslexia. The home literacy environment was evaluated using a structured questionnaire that measured the frequency and quality of reading-related activities between parents and children. Egna Minnen Beträffande Uppfostran questionnaire was used to assess the parenting style, including emotional warmth, rejection, overprotection, and anxious rearing. It is a self-report tool filled out by the children themselves, used to assess their perceptions of their parents\' parenting styles. The structural equation modeling was carried out to evaluate the direct, indirect, and total effects of parenting styles on dyslexia.
    UNASSIGNED: Compared to control group, male children with dyslexia had lower scores in parenting styles characterized by emotional warmth, overprotecting and anxious rearing (p < 0.05), while female children with dyslexia only showed lower scores in anxious rearing (p < 0.05). Children with dyslexia lacked regular reading time (OR = 2.69, 95%CI: 1.04-6.97, p < 0.05), and have higher homework pressure compared to normal children (OR = 7.41, 95%CI: 1.45-37.82, p < 0.05). Additionally, emotional warmth, paternal overprotection and anxious rearing were negatively associated with dyslexia in children (all p < 0.05). Our findings indicate a strong correlation between dyslexia, home literacy environment, and parenting styles. In a structural equation model, the home literacy environment was identified as an independent mediator between parenting styles and dyslexia. The total effect of parenting styles on dyslexia is 0.55, with an indirect effect of 0.68 mediated by the home literacy environment.
    UNASSIGNED: The findings of this study indicate that home literacy environment serves as a mediator between parenting styles and dyslexia in children. This study highlights how parenting styles influence dyslexia, offering key insights for aiding dyslexic children and guiding effective interventions.
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  • 文章类型: Journal Article
    我们研究了阅读能力不同的儿童的词汇形态的神经认知基础,以了解基于意义的技能在学习阅读困难中的作用。
    儿童在功能近红外光谱神经成像过程中完成了听觉形态学和语音意识任务。我们首先研究了典型发展中读者的词汇形态与语音过程之间的关系(研究1,N=66,Mage=8.39),其次是对阅读障碍的词汇形态学过程进行更集中的调查(研究2,N=50,Mage=8.62)。
    相对于语音任务,典型的读者在形态学任务中表现出更强的语言神经回路参与度,这表明形态学分析涉及合成亚词汇处理的多个组成部分。对于在分析上更复杂的衍生词缀(例如ly),这种效果比在语义上更透明的游离基语素(雪人)更强。相比之下,相对于衍生性词缀条件,阅读障碍儿童在游离碱条件下表现出更强的激活。一起来看,研究结果表明,尽管患有阅读障碍的儿童可能会与衍生形态学作斗争,他们还可以使用自由基础词素\'语义信息来增强单词识别。
    这项研究通过确定阅读能力之间的相互作用来指导识字理论,词结构,以及发育中的大脑如何学习识别语音和打印中的单词。
    https://doi.org/10.23641/asha.25944949。
    UNASSIGNED: We examined the neurocognitive bases of lexical morphology in children of varied reading abilities to understand the role of meaning-based skills in learning to read with dyslexia.
    UNASSIGNED: Children completed auditory morphological and phonological awareness tasks during functional near-infrared spectroscopy neuroimaging. We first examined the relation between lexical morphology and phonological processes in typically developing readers (Study 1, N = 66, Mage = 8.39), followed by a more focal inquiry into lexical morphology processes in dyslexia (Study 2, N = 50, Mage = 8.62).
    UNASSIGNED: Typical readers exhibited stronger engagement of language neurocircuitry during the morphology task relative to the phonology task, suggesting that morphological analyses involve synthesizing multiple components of sublexical processing. This effect was stronger for more analytically complex derivational affixes (like + ly) than more semantically transparent free base morphemes (snow + man). In contrast, children with dyslexia exhibited stronger activation during the free base condition relative to derivational affix condition. Taken together, the findings suggest that although children with dyslexia may struggle with derivational morphology, they may also use free base morphemes\' semantic information to boost word recognition.
    UNASSIGNED: This study informs literacy theories by identifying an interaction between reading ability, word structure, and how the developing brain learns to recognize words in speech and print.
    UNASSIGNED: https://doi.org/10.23641/asha.25944949.
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  • 文章类型: Journal Article
    不同的任务已用于检查与发育性阅读障碍(DD)相关的神经功能差异,因此,报告了不同的发现。然而,很少有研究系统地比较多个任务,以了解每个大脑区域与哪些特定任务差异相关。在这项研究中,我们做了一个听觉押韵任务,视觉押韵任务,和视觉拼写任务,为了调查中国DD儿童的共享和任务特异性神经差异。首先,我们发现,只有在两个押韵任务中,患有DD的儿童在左额下回(IFG)的手术部位的激活减少,提示受损的语音分析。DD患儿仅在两种视觉任务中表现出右舌回/枕下回的功能差异,这表明他们的视觉正交处理存在缺陷。此外,在所有三个任务中,DD患儿的左背下额回激活减少,右脑前回激活增加,提示汉语DD的神经特征。总之,我们的研究成功地分离了与正字法处理差异相关的大脑区域,语音处理,以及DD中的一般词汇处理。它促进了我们对DD的神经机制的理解。
    Different tasks have been used in examining the neural functional differences associated with developmental dyslexia (DD), and consequently, different findings have been reported. However, very few studies have systematically compared multiple tasks in understanding what specific task differences each brain region is associated with. In this study, we employed an auditory rhyming task, a visual rhyming task, and a visual spelling task, in order to investigate shared and task-specific neural differences in Chinese children with DD. First, we found that children with DD had reduced activation in the opercular part of the left inferior frontal gyrus (IFG) only in the two rhyming tasks, suggesting impaired phonological analysis. Children with DD showed functional differences in the right lingual gyrus/inferior occipital gyrus only in the two visual tasks, suggesting deficiency in their visuo-orthographic processing. Moreover, children with DD showed reduced activation in the left dorsal inferior frontal gyrus and increased activation in the right precentral gyrus across all of the three tasks, suggesting neural signatures of DD in Chinese. In summary, our study successfully separated brain regions associated with differences in orthographic processing, phonological processing, and general lexical processing in DD. It advances our understanding about the neural mechanisms of DD.
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  • 文章类型: English Abstract
    Objective: To explore the optimization of the standardized assessment tool for clinical diagnosis of Chinese developmental dyslexia (DD). Methods: A cross-sectional study was conducted from May to December 2023, in which 130 primary school children in grades 1 to 3 with clinical signs of literacy lag and positive screening results on the screening scales were recruited from the outpatient clinic of Child Health Care Medical Division, Shanghai Children\'s Hospital, Shanghai Jiao Tong University School of Medicine. Chinese dyslexia screening behavior checklist for primary students (CDSBC) was used as the screening scales, and supplemented by dyslexia checklist for Chinese children. Referring to the standard procedure of the\"expert advice on diagnosis and intervention of Chinese developmental dyslexia\", the developmental dyslexia scale for standard mandarin (DDSSM) was used to evaluate the children\'s literacy-related cognitive abilities and conduct the diagnostic assessment, and divided the children into learning backward group and the DD group. The t-test and χ2 test were used to compare the differences in the distribution of intelligence, literacy and attention deficit hyperactivity disorder between the two groups. Spearman\'s correlation was used to analyze the correlation between the scores for each cognitive ability in the DDSSM and the CDSBC. Results: Of the 130 children, 90 were male, aged (8.3±1.0) years; 40 were female, aged (8.1±0.9) years. A final diagnosis of DD was made in 59 cases, of which 41 were males. There was no statistically significant difference in operational intelligence quotient (101±15 vs.100±15, t=0.53, P>0.05) and statistically significant difference in literacy of DDSSM (32±5 vs.21±4, t=11.56, P<0.001) between the learning backward group and the DD group. Eighteen cases (25.4%) of the learning backward group were children with attention deficit subtype attention deficit hyperactivity disorder (ADHD-I), and 16 cases (27.1%) in DD group, the difference in incidence between the two groups was not statistically significant (χ2=0.05, P>0.05). There were correlations between the DDSSM (for oral vocabulary, morphological awareness and orthographic awareness) and the CDSBC total score (r=-0.42, -0.32, -0.35, all P<0.01), but the correlations for visuospatial perception and rapid automatized naming with CDSBC total score were not statistically significant (r=-0.09 and -0.20,both P>0.05). Conclusion: For literacy-related cognitive abilities, screening scales CDSBC are not sufficiently useful for assessment, so the introduction of standardized assessment tools DDSSM is an optimization of the clinical diagnosis of Chinese DD, which is crucial for achieving accurate diagnosis and intervention.
    目的: 探讨引入标准化评估工具对汉语发展性阅读障碍(DD)临床诊断的优化作用。 方法: 采用横断面研究,于2023年5至12月从上海交通大学医学院附属儿童医院儿童保健科门诊招募130名存在语文成绩明显落后临床表现且筛查性量表筛查阳性的小学一至三年级儿童作为研究对象。筛查性量表采用中国小学生阅读障碍行为筛查量表(CDSBC),以儿童汉语阅读障碍筛查量表作为辅助。参照“汉语发展性阅读障碍诊断与干预的专家意见”的标准流程,对研究对象使用现代汉语发展性读写障碍评估工具(DDSSM)进行读写相关认知能力评价及诊断性评估,分为学习落后表现组和DD组。采用t检验和χ2检验对比两组在智力、读写能力和注意缺陷多动障碍分布方面的差异。采用Spearman相关性分析分析DDSSM中各项认知能力得分与CDSBC得分的相关性。 结果: 130名研究对象中男90名,年龄(8.3±1.0)岁;女40名,年龄(8.1±0.9)岁。最终诊断DD 59例,其中男41例。学习落后表现组与DD组的操作智商差异无统计学意义(101±15比100±15,t=0.53,P>0.05),DDSSM中字词读写能力差异有统计学意义(32±5比21±4,t=11.56,P<0.001)。学习落后表现组(71名)和DD组注意缺陷亚型注意缺陷多动障碍发生率差异无统计学意义[18名(25.4%)比16例(27.1%),χ2=0.05,P>0.05]。DDSSM中口语词汇量、语素意识和正字法意识与CDSBC总分均负相关(r=-0.42、-0.32、-0.35,均P<0.01),但视觉空间知觉和快速自动化命名与CDSBC总分的相关性均无统计学意义(r=-0.09、-0.20,均P>0.05)。 结论: 针对读写相关认知能力,CDSBC的评估作用不足,因此引入标准化DDSSM是对汉语DD临床诊断的优化,对实现精准诊断和干预具有至关重要的作用。.
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  • 文章类型: Journal Article
    阅读障碍(RD)是与解码印刷单词和/或阅读理解相关的人类特异性神经心理状况。到目前为止,只有少数在家族中分离的候选基因和来自全基因组关联研究(GWAS)的42个基因座被确定,它们共同提供了很少的病理生理学线索。利用人类特有的基因组信息,我们首次对RD候选者进行了批判性评估,并在其中发现了大量的人类特异性特征.GWAS候选人(即,人口信号)与家族对应物不同,并且更可能在神经精神特征上具有多效性,并且具有人类特异性调节元件(HSRE)。与人类大脑皮层形态相关的候选基因确实在成人大脑皮层中显示出人类特异性表达,特别是在可能由HSREs调节的神经胶质细胞中。在整个人脑发育阶段中候选基因的表达水平显示出在对RD发育至关重要的早期脑发育中表达上调的清晰模式。在认知特征的新见解和基因座多效性之后,我们从GWAS亚显著关联中鉴定了四个新基因(即,FOXO3,MAPT,KMT2E和HTT)和具有功能先验的信号素基因家族(即,SEMA3A,SEMA3E和SEMA5B)。这些新基因与神经元可塑性和疾病有关,大多数保留了早期脑发育中表达升高的模式,并且在皮质神经胶质细胞中具有明显的表达。我们的发现共同阐明了RD与神经胶质细胞调节的关联-这是研究神经发育障碍的新兴热点。并强调需要改进RD表型,以避免危及未来RD的遗传研究。
    Reading disorders (RD) are human-specific neuropsychological conditions associated with decoding printed words and/or reading comprehension. So far only a handful of candidate genes segregated in families and 42 loci from genome-wide association study (GWAS) have been identified that jointly provided little clues of pathophysiology. Leveraging human-specific genomic information, we critically assessed the RD candidates for the first time and found substantial human-specific features within. The GWAS candidates (i.e., population signals) were distinct from the familial counterparts and were more likely pleiotropic in neuropsychiatric traits and to harbor human-specific regulatory elements (HSREs). Candidate genes associated with human cortical morphology indeed showed human-specific expression in adult brain cortices, particularly in neuroglia likely regulated by HSREs. Expression levels of candidate genes across human brain developmental stages showed a clear pattern of uplifted expression in early brain development crucial to RD development. Following the new insights and loci pleiotropic in cognitive traits, we identified four novel genes from the GWAS sub-significant associations (i.e., FOXO3, MAPT, KMT2E and HTT) and the Semaphorin gene family with functional priors (i.e., SEMA3A, SEMA3E and SEMA5B). These novel genes were related to neuronal plasticity and disorders, mostly conserved the pattern of uplifted expression in early brain development and had evident expression in cortical neuroglial cells. Our findings jointly illuminated the association of RD with neuroglia regulation-an emerging hotspot in studying neurodevelopmental disorders, and highlighted the need of improving RD phenotyping to avoid jeopardizing future genetic studies of RD.
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  • 文章类型: Journal Article
    苯,甲苯,乙苯,二甲苯(BTEX)在环境中无处不在,所有这些都会引起神经毒性。然而,BTEX暴露与阅读障碍之间的联系,左半球语言网络相关区域的疾病受到影响,尚不清楚。我们旨在评估学龄儿童BTEX暴露与阅读障碍几率之间的关系。病例对照研究,包括来自中国三个城市的355个阅读障碍和390个控制,进行了。在其尿液样品中测量了六种BTEX代谢物。使用Logistic回归模型来探索BTEX代谢物与阅读障碍几率之间的关联。尿反式,反式-粘康酸(MU:苯的代谢物)与阅读障碍的几率增加显着相关[优势比(OR)=1.23,95%置信区间(CI):1.01,1.50],与最低三位数的尿MU浓度相比,第三三位数的诵读困难几率的校正OR为1.72(95%CI:1.06,2.77)。此外,根据分层分析,低收入家庭儿童的尿MU水平与阅读障碍几率之间的关联更为显著.尿液中甲苯的代谢物水平,乙苯,和二甲苯没有发现与诵读困难的几率有关。总之,MU浓度升高可能与阅读障碍几率增加相关.我们应该采取措施减少儿童与MU相关的暴露,特别是那些家庭收入低的人。
    Benzene, toluene, ethylbenzene, and xylene (BTEX) are ubiquitous in the environment, and all of them can cause neurotoxicity. However, the association between BTEX exposure and dyslexia, a disorder with language network-related regions in left hemisphere affected, remains unclear. We aimed to assess the relationship between BTEX exposure and dyslexic odds among school-aged children. A case-control study, including 355 dyslexics and 390 controls from three cities in China, was conducted. Six BTEX metabolites were measured in their urine samples. Logistic regression model was used to explore the association between the BTEX metabolites and the dyslexic odds. Urinary trans,trans-muconic acid (MU: a metabolite of benzene) was significantly associated with an increased dyslexic odds [odds ratio (OR) = 1.23, 95% confidence interval (CI): 1.01, 1.50], and the adjusted OR of the dyslexic odds in the third tertile was 1.72 (95% CI: 1.06, 2.77) compared to that in the lowest tertile regarding urinary MU concentration. Furthermore, the association between urinary MU level and the dyslexic odds was more pronounced among children from low-income families based on stratified analyses. Urinary metabolite levels of toluene, ethylbenzene, and xylene were not found to be associated with the dyslexic odds. In summary, elevated MU concentrations may be associated with an increased dyslexic odds. We should take measures to reduce MU related exposure among children, particularly those with low family income.
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  • 文章类型: Journal Article
    以前的研究表明,儿童接触邻苯二甲酸盐与神经发育障碍之间存在关联。而接触邻苯二甲酸酯替代品的影响研究不足。这项研究旨在评估接触邻苯二甲酸盐/其替代品与阅读障碍风险的关系。我们通过同济阅读环境和阅读障碍研究项目招募了745名儿童(355名阅读障碍和390名非阅读障碍),并收集了他们的尿样。总共测量了26种邻苯二甲酸酯/其替代品的代谢物。使用多变量逻辑回归和基于分位数的g计算来估计暴露于邻苯二甲酸酯/其替代品与阅读障碍的关联。超过80%的儿童在尿液样本中检测到17种相关代谢物。调整后,观察到邻苯二甲酸单-2-(丙基-6-羟基-庚基)酯(OH-MPHP)与阅读障碍风险的相关性.与OH-MPHP水平的最低四分位数相比,第三四分位数的阅读障碍几率为1.93(95%CI1.06,3.57).关于混合物分析,发现OH-MPHP对这种关联的贡献最大。按性别分层的进一步分析表明,这种关联仅在男孩中观察到。我们的结果表明邻苯二甲酸二-2-丙基庚酯暴露与儿童的语言能力存在显著的不良关联。它强调必须优先保护儿童的神经发育,尽量减少他们接触内分泌干扰化学物质,如邻苯二甲酸二-2-丙基庚酯。
    Previous studies have shown associations between children\'s exposure to phthalates and neurodevelopmental disorders. Whereas the impact of exposure to phthalate alternatives is understudied. This study aimed to evaluate the association of exposure to phthalates/their alternatives with the risk of dyslexia. We recruited 745 children (355 dyslexia and 390 non-dyslexia) via the Tongji Reading Environment and Dyslexia Research Project, and their urine samples were collected. A total of 26 metabolites of phthalates/their alternatives were measured. Multivariate logistic regression and quantile-based g-computation were used to estimate the associations of exposure to the phthalates/their alternatives with dyslexia. More than 80% of the children had 17 related metabolites detected in their urine samples. After adjustment, the association between mono-2-(propyl-6-hydroxy-heptyl) phthalate (OH-MPHP) with the risk of dyslexia was observed. Compared with the lowest quartile of OH-MPHP levels, the odds of dyslexia for the third quartile was 1.93 (95% CI 1.06, 3.57). Regarding mixture analyses, it was found that OH-MPHP contributed the most to the association. Further analyses stratified by sex revealed that this association was only observed in boys. Our results suggested a significantly adverse association of di-2-propylheptyl phthalate exposure with children\'s language abilities. It highlights the necessity to prioritize the protection of children\'s neurodevelopment by minimizing their exposure to endocrine-disrupting chemicals like di-2-propylheptyl phthalate.
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