• 文章类型: Journal Article
    神经发育障碍可以从两个不同的角度进行研究:内部方法,它检查了这些疾病的原因和后果;以及上下文方法,其中考虑了家庭在儿童和青少年生活中的作用。研究表明,家庭参与抚养患有NDD的孩子的家庭的最重要形式是通过家庭作业。这种参与已被证明对患有ADHD或阅读障碍等神经发育障碍的儿童产生情感影响。这项研究的目的是回顾发表的关于家庭作业和神经发育障碍的文章,特别关注家庭的作用以及儿童和家庭的情绪健康。
    方法:审查遵循PRISMA指南。最终样本由11篇文章组成,样本范围从不到30名参与者到国际上超过100名参与者。
    结果:结果证明了最终样品的复杂方法学和文献计量学图片,以及影响家庭作业和神经发育障碍之间关系的许多情绪和上下文变量。
    结论:未来的研究应该考虑情绪健康如何影响患有神经发育障碍的儿童家庭的参与。
    Neurodevelopmental disorders can be studied from two distinct perspectives: an internal approach, which examines the causes and consequences of these disorders; and a contextual approach, which considers the role of the family in the lives of children and adolescents. Research has demonstrated that the most significant form of family involvement in families raising a child with NDD is through homework. This involvement has been shown to have an emotional impact on children with neurodevelopmental disorders such as ADHD or dyslexia. The objective of this study is to review published articles on homework and neurodevelopmental disorders, with particular attention to the role of the family and the emotional health of children and families.
    METHODS: The review followed the PRISMA guidelines. The final sample consisted of 11 articles, with samples ranging from less than 30 participants to more than 100 at the international level.
    RESULTS: The results demonstrate the complex methodological and bibliometric picture of the final sample, as well as the many emotional and contextual variables that influence the relationship between homework and neurodevelopmental disorders.
    CONCLUSIONS: Future research should consider how emotional health affects the engagement of families with children with neurodevelopmental disorders.
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  • 文章类型: Journal Article
    目的:评估怀孕期间使用大麻与后代长期神经精神病理学风险之间的关系。
    方法:MEDLINE,EMBASE,和Cochrane图书馆数据库进行了系统搜索,直到2024年1月22日,没有语言或日期限制。
    方法:如果研究报告了母亲在怀孕期间使用大麻用于医疗或娱乐用途的后代的任何长期神经精神结局的定量数据,则有资格纳入研究。通过任何途径和任何三个月,与怀孕期间放弃使用大麻的妇女的后代相比。所有观察性研究设计均包括在分析中。
    方法:根据PRISMA和MOOSE指南进行系统评价和荟萃分析。数据由两名审阅者独立提取。以下后代结果值得关注:注意力缺陷/多动障碍(ADHD),自闭症谱系障碍(ASD),抑郁症,焦虑,精神病,以及大麻和其他物质的使用。与未接触大麻的女性相比,在怀孕期间暴露于大麻的女性的后代中,每种神经精神结局的赔率比(OR)和95%置信区间(CI)进行了汇总。使用随机效应模型汇集数据。
    结果:18项符合条件的观察性研究纳入了系统评价,17个被纳入最终的定量分析,代表534,445名与会者。在调整了混杂因素后,ADHD的合并OR为1.13(95%CI1.01-1.26);对于ASD,合并OR为1.04(95%CI0.74-1.46);对于精神病性症状,汇总OR为1.29(95%CI0.97-1.72);对于焦虑,合并OR为1.34(95%CI0.79-2.29);对于抑郁症,合并OR为0.72(95%CI0.11-4.57);对于后代使用大麻,合并OR为1.20(95%CI1.01-1.42).
    结论:产前大麻暴露与ASD风险增加无关,精神病症状,焦虑,或者后代的抑郁症。然而,它可能会略微增加多动症的风险,并使后代容易食用大麻。尽管有这些发现,怀孕期间使用大麻需要谨慎。进一步的研究势在必行,特别是考虑到近年来大麻的效力越来越高。
    OBJECTIVE: To evaluate the association between cannabis use during pregnancy and the risk for long-term neuropsychiatric pathology in the offspring.
    METHODS: MEDLINE, EMBASE, and Cochrane library databases were systematically searched until January 22, 2024, with no language or date restrictions.
    METHODS: Studies were eligible for inclusion if they reported quantitative data on any long-term neuropsychiatric outcome in offspring whose mothers used cannabis during pregnancy for medical or recreational use, by any route and at any trimester, in comparison to offspring of women who abstained from cannabis use during pregnancy. All observational study designs were included in the analysis.
    METHODS: A systematic review and meta-analysis were performed according to the PRISMA and MOOSE guidelines. The data was extracted independently by two reviewers. The following offspring outcomes were of interest: attention-deficit/ hyperactivity disorder (ADHD), autism spectrum disorder (ASD), depression, anxiety, psychotic disorders, as well as cannabis and other substance use. Odds ratios (OR) and 95% confidence intervals (CI) were pooled for each neuropsychiatric outcome in the offspring of women exposed to cannabis during pregnancy compared with non-exposed. Data were pooled using random-effects models.
    RESULTS: Eighteen eligible observational studies were included in the systematic review, and seventeen were included in the final quantitative analysis, representing 534,445 participants. After adjusting for confounders, the pooled OR for ADHD was 1.13 (95% CI 1.01-1.26); for ASD, the pooled OR was 1.04 (95% CI 0.74-1.46); for psychotic symptoms, the pooled OR was 1.29 (95% CI 0.97-1.72); for anxiety, the pooled OR was 1.34 (95% CI 0.79-2.29); for depression, the pooled OR was 0.72 (95% CI 0.11-4.57); and for offspring\'s cannabis use the pooled OR was 1.20 (95% CI 1.01-1.42).
    CONCLUSIONS: Prenatal cannabis exposure is not associated with an increased risk of ASD, psychotic symptoms, anxiety, or depression in offspring. However, it may slightly elevate the risk of ADHD and predispose offspring to cannabis consumption. Despite these findings, caution is warranted regarding cannabis use during pregnancy. Further research is imperative, especially given the increasing potency of cannabis in recent years.
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  • 文章类型: Journal Article
    阿尔茨海默病(Alzheimer\'sdisease,AD)仍然是世界范围内最具挑战性和最普遍的神经退行性疾病之一。尽管进行了广泛的研究,缺乏有效的AD治疗方法,强调需要更深入地了解其潜在的分子机制。细胞周期蛋白依赖性激酶5(CDK5),丝氨酸/苏氨酸激酶主要与细胞周期调节和神经元发育有关,已成为AD病理学的关键角色。本文就CDK5在AD发病机制中的多方面作用进行综述。我们首先阐明CDK5在正常大脑发育和神经元维持中的生理功能,强调它参与突触可塑性,神经递质释放,和细胞骨架动力学。随后,我们深入研究了在AD中观察到的CDK5活性失调,包括异常的过度激活,和失调的蛋白质相互作用。此外,我们讨论了CDK5和AD相关蛋白之间的复杂相互作用,包括淀粉样β前体蛋白(APP)和tau蛋白,阐明它们对疾病进展的集体影响。最后,我们描述了可用于抑制CDK-5的各种方法,这些方法可作为AD的未来治疗干预进行探索.通过综合体外研究的证据,动物模型,和临床调查,本文综述了CDK5失调与AD发病机制之间错综复杂的关系,提供可能为未来治疗干预策略提供信息的见解。
    Alzheimer\'s disease (AD) remains one of the most challenging and prevalent neurodegenerative disorders worldwide. Despite extensive research efforts, effective treatments for AD are lacking, emphasising the need for a deeper understanding of its underlying molecular mechanisms. Cyclin-dependent kinase 5 (CDK5), a serine/threonine kinase primarily associated with cell cycle regulation and neuronal development, has emerged as a key player in AD pathology. This review article comprehensively explores the multifaceted roles of CDK5 in the pathogenesis of AD. We begin by elucidating the physiological functions of CDK5 in normal brain development and neuronal maintenance, highlighting its involvement in synaptic plasticity, neurotransmitter release, and cytoskeletal dynamics. Subsequently, we delve into the dysregulation of CDK5 activity observed in AD, encompassing aberrant hyperactivation, and dysregulated protein interactions. Moreover, we discuss the intricate interplay between CDK5 and AD-related proteins, including amyloid-beta precursor protein (APP) and tau protein, elucidating their collective impact on disease progression. Finally, we described various approaches available for the inhibition of CDK-5, which can be explored as future therapeutic intervention for AD. Through synthesizing evidence from in vitro studies, animal models, and clinical investigations, this review provides a comprehensive overview of the intricate relationship between CDK5 dysregulation and AD pathogenesis, offering insights that may inform future therapeutic interventions strategies.
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  • 文章类型: Systematic Review
    通过营养优化婴儿神经元发育是一个日益研究的领域。虽然与商业配方食品相比,婴儿期的人乳消费被认为在整个幼儿期具有轻微的认知优势,这一过程的生物学基础在文献中鲜为人知和争议。本系统综述旨在通过各种神经影像学方式和技术定量分析早期饮食是否会影响婴儿的神经发育。提出的结果表明,母乳确实对婴儿大脑的结构发育有轻微的积极影响,并且这种影响在早产儿中更大。还考虑了具有不同常量营养素组成的其他饮食,尽管这些有更多相互矛盾的结果。
    The optimization of infant neuronal development through nutrition is an increasingly studied area. While human milk consumption during infancy is thought to give a slight cognitive advantage throughout early childhood in comparison to commercial formula, the biological underpinnings of this process are less well-known and debated in the literature. This systematic review seeks to quantitatively analyze whether early diet affects infant neurodevelopment as measured by various neuroimaging modalities and techniques. Results presented suggest that human milk does have a slight positive impact on the structural development of the infant brain-and that this impact is larger in preterm infants. Other diets with distinct macronutrient compositions were also considered, although these had more conflicting results.
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  • 文章类型: Journal Article
    在过去的几十年里,内分泌干扰化学物质(EDCs)引起了科学界的关注,由于加深了对它们对人类健康影响的理解。这些化合物,可以通过食物链和一些日常生活产品接触到人群,已知会改变内分泌系统的活动。关于孕妇等弱势群体,它们可能造成的潜在损害增加了它们的重要性,因为处于危险之中的是两条生命的健康。EDC可以影响妊娠过程,改变胎儿发育,并最终导致许多疾病的出现在他们的童年和/或成年期。正因为如此,已经研究了其中几种物质,以阐明其产前暴露对新生儿认知和精神运动发育的影响,以及非传染性疾病和其他疾病的出现。在这篇叙事综述中收集了关于这一主题的最新颖的研究,目的是澄清当前对该主题的了解。EDC已经显示,通过涉及动物和人类调查的不同研究,对怀孕期间暴露于儿童的发育产生不利影响,有时具有特定性别的结果。然而,其他一些研究未能发现这些关联,这凸显了需要更深入和更严格的研究,这将为制定禁止长期使用这些化学品的政策提供更坚实的基础。
    During the last decades, endocrine-disrupting chemicals (EDCs) have attracted the attention of the scientific community, as a result of a deepened understanding of their effects on human health. These compounds, which can reach populations through the food chain and a number of daily life products, are known to modify the activity of the endocrine system. Regarding vulnerable groups like pregnant mothers, the potential damage they can cause increases their importance, since it is the health of two lives that is at risk. EDCs can affect the gestation process, altering fetal development, and eventually inducing the appearance of many disorders in their childhood and/or adulthood. Because of this, several of these substances have been studied to clarify the influence of their prenatal exposure on the cognitive and psychomotor development of the newborn, together with the appearance of non-communicable diseases and other disorders. The most novel research on the subject has been gathered in this narrative review, with the aim of clarifying the current knowledge on the subject. EDCs have shown, through different studies involving both animal and human investigation, a detrimental effect on the development of children exposed to the during pregnancy, sometimes with sex-specific outcomes. However, some other studies have failed to find these associations, which highlights the need for deeper and more rigorous research, that will provide an even more solid foundation for the establishment of policies against the extended use of these chemicals.
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  • 文章类型: Journal Article
    背景:由于诊断先决条件的变化以及新诊断实体的纳入,第11次修订的国际疾病分类(ICD-11)的实施可能会改变特定精神疾病的患病率,行为或神经发育障碍,并导致该人群的总体患病率改变。这篇范围审查旨在总结主要研究的特点,检查精神,基于ICD-11标准的行为或神经发育障碍。通过本综述获得的知识将主要描述该研究领域的方法学方法,并有助于确定哪些精神病诊断-鉴于当前文献-与随后的系统评价和荟萃分析最相关,旨在近似患病率的幅度,同时提供这些条件下预期(差异)患病率范围的第一眼。
    方法:MEDLINE,Embase,WebofScience和PsycINFO将从2011年开始搜索到现在,没有任何语言过滤器。此范围审查将遵循范围审查指南的系统审查和荟萃分析扩展的首选报告项目。我们将考虑(a)横断面和纵向研究(b)关注精神,行为或神经发育障碍(c)使用ICD-11纳入标准。省略(A)案例数量和样本量,(b)研究期和数据收集期或(c)全文水平的诊断程序被视为排除标准。该筛选将由两名审稿人彼此独立进行,第三名审稿人将在有分歧的情况下进行咨询。数据提取和综合将侧重于概述方法方面。
    背景:我们打算在科学期刊上发表我们的评论。由于主要数据是公开的,我们不需要研究伦理批准。
    BACKGROUND: Due to a change in diagnostic prerequisites and the inclusion of novel diagnostic entities, the implementation of the 11th revision of the International Classification of Diseases (ICD-11) will presumably change prevalence rates of specific mental, behavioural or neurodevelopmental disorders and result in an altered prevalence rate for this grouping overall. This scoping review aims to summarise the characteristics of primary studies examining the prevalence of mental, behavioural or neurodevelopmental disorders based on ICD-11 criteria. The knowledge attained through this review will primarily characterise the methodological approaches of this research field and additionally assist in deciding which psychiatric diagnoses are-given the current literature-most relevant for subsequent systematic reviews and meta-analyses intended to approximate the magnitude of prevalence rates while providing a first glimpse of the range of expected (differences in) prevalence rates in these conditions.
    METHODS: MEDLINE, Embase, Web of Science and PsycINFO will be searched from 2011 to present without any language filters. This scoping review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review guidelines.We will consider (a) cross-sectional and longitudinal studies (b) focusing on the prevalence rates of mental, behavioural or neurodevelopmental disorders (c) using ICD-11 criteria for inclusion. The omission of (a) case numbers and sample size, (b) study period and period of data collection or (c) diagnostic procedures on full-text level is considered an exclusion criterion.This screening will be conducted by two reviewers independently from one another and a third reviewer will be consulted with disagreements. Data extraction and synthesis will focus on outlining methodological aspects.
    BACKGROUND: We intend to publish our review in a scientific journal. As the primary data are publicly available, we do not require research ethics approval.
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  • 文章类型: Journal Article
    患有先天性心脏病(CHD)的儿童面临一系列发育障碍的风险,这些障碍挑战了认知能力,执行功能,自我调节,通信,社会情绪功能,和运动技能。因此,持续的发育监测是最大限度地提高神经发育结果机会的关键。至关重要的是,所使用的措施应涵盖与捕获儿童发育的可能预测因子和可塑性因素有关的神经发育领域的范围。
    这项工作旨在综合有关1-8岁患有复杂CHD的儿童的神经发育措施和相应发育领域的文献。
    PubMed被搜索与心理社会相关的术语,冠心病儿童的认知和语言交际结果。确定了1,380篇专注于复杂CHD的论文,这些论文报告了神经发育评估;最终,从使用标准化神经发育评估工具的78篇文章中提取数据.
    三十九(50%)这些排除综合征的儿童,9名(12%)排除了智力发育障碍的儿童。10%的研究是纵向的。所使用的方法解决的神经发育领域是:53%的认知,16%的社会心理功能,18%的语言/通信/语音生产,和13%的电机发育相关结构。
    社交数据,表达性和接受性语言,语音马达,和运动功能的代表性不足。缺乏对语言的日常使用以及在生命早期评估语言和交流的措施的研究。总的来说,需要进行纵向研究,包括沟通措施及其与其他发展领域的相互关系。
    UNASSIGNED: Children with congenital heart defects (CHD) are at risk for a range of developmental disabilities that challenge cognition, executive functioning, self-regulation, communication, social-emotional functioning, and motor skills. Ongoing developmental surveillance is therefore key to maximizing neurodevelopmental outcome opportunities. It is crucial that the measures used cover the spectrum of neurodevelopmental domains relevant to capturing possible predictors and malleable factors of child development.
    UNASSIGNED: This work aimed to synthesize the literature on neurodevelopmental measures and the corresponding developmental domains assessed in children aged 1-8 years with complex CHD.
    UNASSIGNED: PubMed was searched for terms relating to psycho-social, cognitive and linguistic-communicative outcomes in children with CHD. 1,380 papers with a focus on complex CHD that reported neurodevelopmental assessments were identified; ultimately, data from 78 articles that used standardized neurodevelopmental assessment tools were extracted.
    UNASSIGNED: Thirty-nine (50%) of these excluded children with syndromes, and 9 (12%) excluded children with disorders of intellectual development. 10% of the studies were longitudinal. The neurodevelopmental domains addressed by the methods used were: 53% cognition, 16% psychosocial functioning, 18% language/communication/speech production, and 13% motor development-associated constructs.
    UNASSIGNED: Data on social communication, expressive and receptive language, speech motor, and motor function are underrepresented. There is a lack of research into everyday use of language and into measures assessing language and communication early in life. Overall, longitudinal studies are required that include communication measures and their interrelations with other developmental domains.
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  • 文章类型: Journal Article
    这项研究的目的是探讨学校拒绝行为的临床意义,它对儿童和青少年心理健康的负面影响及其与儿童和青少年时期最常见的精神病理学状况的关系(例如神经发育障碍,精神疾病)。学校拒绝行为是指儿童和青少年所经历的一种令人痛苦的状况,这种状况损害了正常的入学率,并确定了对心理健康和适应功能的负面影响。对2019年1月至2023年3月发表的文献进行了叙述性回顾。从电子数据库PubMed的文献检索中纳入了10项研究(n=10),CINAHL,PsycInfo,MedLine,科克伦图书馆结果表明,由于存在行为问题和沟通技巧缺陷,自闭症和注意力缺陷/多动症等神经发育障碍中高度存在拒绝学校。至于精神疾病,拒绝上学似乎在焦虑症中非常常见,抑郁症,和躯体症状。我们还发现,学校拒绝行为可能与作为危险因素的各种情绪和行为状况有关。尤其是,但不限于,它可能与自我概念减弱有关,暴露于网络欺凌,具体的情感概况和过度的技术使用。我们的结果表明,拒绝上学是许多临床方面的条件。这可以归因于两个脆弱性因素,气质和关系,以及各种不同的精神病理学状况,如神经发育障碍和精神疾病。认识到这些方面可以改善患者量身定制的治疗干预措施的实施,从而更有可能产生有效的结果。治疗干预应促进对学校作为威胁环境的认知偏见的认识,同时调节与出勤率相关的负面情绪。此外,与社交技能培训和解决问题培训相关的治疗干预计划,直接在学校环境中进行,可以提高孩子应对学习成绩和社会关系的能力,最终阻止学校拒绝。
    The aim of the study was to explore the clinical significance of school refusal behavior, its negative impact on psychological well-being of children and adolescents and its relationship with the most common psychopathological conditions during childhood and adolescence (e.g. neurodevelopmental disorders, psychiatric disorders). School refusal behavior refers to a distressing condition experienced by children and adolescents that compromise regular school attendance and determine negative consequences on mental health and adaptive functioning. A narrative review of the literature published between January 2019 and March 2023 was conducted. Ten studies (n = 10) were included from a literature search of the electronic databases PubMed, CINAHL, PsycInfo, MedLine, and Cochrane Library. The results indicate that school refusal is highly present in neurodevelopmental disorders such as autism and attention-deficit/hyperactivity disorder due to the presence of behavioral problems and deficits in communication skills. As for psychiatric disorders, school refusal appears to be highly common in anxiety disorders, depressive disorders, and somatic symptoms. We also found that school refusal behavior may be associated with various emotional and behavioral conditions that act as risk factors. Especially, but are not limited to, it may be associated with a diminished self-concept, exposure to cyberbullying, specific affective profiles and excessive technology usage. Our results indicate that school refusal is a condition with many clinical facets. It can be attributed to both vulnerability factors, both temperamental and relational, and to various psychopathological conditions that differ significantly from each other, such as neurodevelopmental disorders and psychiatric disorders. Recognizing these aspects can improve the implementation of patient-tailored therapeutic interventions that are consequently more likely to produce effective outcomes. The therapeutic intervention should facilitate the recognition of cognitive biases regarding school as a threatening environment, while regulating negative emotions associated with school attendance. Additionally, therapeutic intervention programs linked to social skill training and problem-solving training, conducted directly within the school setting, can enhance children\'s abilities to cope with academic performance and social relationships, ultimately preventing school refusal.
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  • 文章类型: Preprint
    ATP酶,1级,8A型,成员2(ATP8A2)是P4-ATPase,在磷脂跨质膜转运中起关键作用。已知ATP8A2中的致病变体会导致小脑共济失调,智力迟钝,和不平衡综合征4(CAMRQ4),通常与脑病有关,全球发育迟缓,和严重的运动障碍。这里,我们展示了一个有两个兄弟姐妹的家庭,面临着全球发育迟缓,智力残疾,痉挛,共济失调,眼球震颤,和薄的call体。全外显子组测序揭示了ATP8A2核苷酸结合域中的纯合错义变体(p。Leu538Pro)导致蛋白质表达几乎完全丧失。这与导致蛋白质错误折叠和ATP酶功能丧失的同一结构域中的其他错义变体一致。此外,通过进行弥散加权成像,我们发现了内囊后肢的双侧高强度信号,提示轴突束的可能的微观结构改变以前未被认识到,并且可能导致这些个体的感觉运动缺陷.
    ATPase, class 1, type 8A, member 2 (ATP8A2) is a P4-ATPase with a critical role in phospholipid translocation across the plasma membrane. Pathogenic variants in ATP8A2 are known to cause cerebellar ataxia, mental retardation, and disequilibrium syndrome 4 (CAMRQ4) which is often associated with encephalopathy, global developmental delay, and severe motor deficits. Here, we present a family with two siblings presenting with global developmental delay, intellectual disability, spasticity, ataxia, nystagmus, and thin corpus callosum. Whole exome sequencing revealed a homozygous missense variant in the nucleotide binding domain of ATP8A2 (p.Leu538Pro) that results in near complete loss of protein expression. This is in line with other missense variants in the same domain leading to protein misfolding and loss of ATPase function. In addition, by performing diffusion-weighted imaging, we identified bilateral hyperintensities in the posterior limbs of the internal capsule suggesting possible microstructural changes in axon tracts that had not been appreciated before and could contribute to the sensorimotor deficits in these individuals.
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  • 文章类型: Systematic Review
    1H-磁共振波谱(MRS)是一种非侵入性技术,可用于量化体内脑中代谢物的浓度。自闭症背景下的MRS研究结果不一致且相互矛盾。我们对测量谷氨酸和γ-氨基丁酸(GABA)的MRS研究进行了系统评价和荟萃分析,以及参与能量代谢的脑代谢物(谷氨酰胺,肌酸),神经和神经胶质的完整性(例如N-乙酰天冬氨酸(NAA),胆碱,自闭症队列中的肌醇)和氧化应激(谷胱甘肽)。数据被提取并按代谢物分组,在计算标准化效应大小之前,大脑区域和其他几个因素。总的来说,我们发现自闭症患者的GABA和NAA浓度明显降低,指示大脑回路内兴奋/抑制之间的平衡中断,以及神经完整性。进一步的分析发现,这些改变在自闭症儿童和与自闭症表型相关的边缘大脑区域最为明显。此外,我们展示了研究结果如何因人口统计学和方法论因素而变化,强调符合标准化共识研究设计和透明报告的重要性。
    1H-Magnetic Resonance Spectroscopy (MRS) is a non-invasive technique that can be used to quantify the concentrations of metabolites in the brain in vivo. MRS findings in the context of autism are inconsistent and conflicting. We performed a systematic review and meta-analysis of MRS studies measuring glutamate and gamma-aminobutyric acid (GABA), as well as brain metabolites involved in energy metabolism (glutamine, creatine), neural and glial integrity (e.g. n-acetyl aspartate (NAA), choline, myo-inositol) and oxidative stress (glutathione) in autism cohorts. Data were extracted and grouped by metabolite, brain region and several other factors before calculation of standardised effect sizes. Overall, we find significantly lower concentrations of GABA and NAA in autism, indicative of disruptions to the balance between excitation/inhibition within brain circuits, as well as neural integrity. Further analysis found these alterations are most pronounced in autistic children and in limbic brain regions relevant to autism phenotypes. Additionally, we show how study outcome varies due to demographic and methodological factors , emphasising the importance of conforming with standardised consensus study designs and transparent reporting.
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