自闭症谱系障碍产前环境风险因素及其潜在机制
Chloe Love1,2, Luba Sominsky1,2, Martin O'Hely2,3
1Child Health Research Unit, Barwon Health, Geelong, Australia.
BMC medicine
|September 15, 2024
概括
产前环境暴露,如感染和母亲的情况越来越多地与自闭症谱系障碍 (ASD) 发生率有关. 了解这些因素可能会揭示ASD的新预防策略.
科学领域:
- 神经发育障碍 神经发育障碍
- 环境健康 环境健康
- 儿科医学 儿科医学 儿科医学
背景情况:
- 自闭症谱系障碍 (ASD) 的患病率在全球范围内正在上升.
- 虽然诊断和宣传工作有所贡献,但怀疑确实增加了发病率,这是由遗传和环境相互作用驱动的.
- 产前暴露越来越被认为是影响自闭症发展的关键因素.
研究的目的:
- 审查证据,将产前环境因素与ASD联系起来.
- 探索潜在的潜在生物机制.
- 确定新的ASD预防策略的目标.
主要方法:
- 这项研究是一种叙事性审查.
- 它评估了关于产前环境暴露和ASD的现有证据.
- 它检查了拟议的生物途径.
主要成果:
- 确定的危险因素包括怀孕感染,妊娠期糖尿病和孕产妇肥胖.
- 新兴研究表明,母亲使用SSRI,抗生素和暴露于有毒物质.
- 潜在的机制包括免疫失调,线粒体功能障碍,氧化应激,肠道微生物组变化和荷尔蒙干扰.
结论:
- 产前环境因素在ASD病因学中起着重要作用.
- 了解这些因素及其机制对于开发预防性干预至关重要.
- 对这些途径的进一步研究可能会导致ASD预防的新策略.
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