作为自闭症谱系障碍严重性生物标志物的同核素
Lal D V Nair1, Senthil Kumar Sivanesan2, Devika S Kumar2
1Pediatrics, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Cureus
|October 14, 2024
概括
患有自闭症谱系障碍 (ASD) 的儿童的α-synuclein水平降低与疾病严重程度相关,可能作为生物标志物. 这一发现有助于诊断和评估ASD严重程度,特别是在较轻微的病例中.
科学领域:
- 神经科学是一个神经科学.
- 生物化学 生化学
- 发育儿科 发育儿科
背景情况:
- 自闭症谱系障碍 (ASD) 是一种复杂的神经发育状况,经过临床诊断.
- 缺乏用于ASD诊断和严重程度评估的生物标志物.
- 协核素,特别是α-和β-协核素,与神经退行过程有关,它们在ASD中的作用正在研究中.
研究的目的:
- 评估被诊断患有ASD的儿童的α-synuclein和β-synuclein的血水平.
- 与核心自闭症症状的严重程度相关联的同核素水平及其比例.
- 评估同核素作为自闭症严重程度的生物标志物的潜力.
主要方法:
- 使用ELISA分析了160名患有自闭症儿童 (2-8岁) 和40名健康对照者的血样本.
- 使用儿童自闭症评级尺度-2 (CARS-2 ST) 和印度自闭症评估尺度 (ISAA) 评估症状严重程度.
- 进行了统计分析,包括相关性和接收器操作特征 (ROC) 曲线分析,以确定诊断和严重性预测值.
主要成果:
- 与对照组相比,ASD儿童的α-synuclein水平明显较低 (p < 0.001).与对照组相比,ASD儿童的α-synuclein水平明显较低 (p < 0.001).
- 在ASD中,β-同核素水平升高,但与对照人群没有显著差异.
- 降低的α-synuclein水平与ASD严重程度有显著的相关性,显示出86%的诊断准确性和良好的敏感性和特异性来区分严重程度.
结论:
- 阿尔法和β-synuclein与ASD相关,阿尔法-synuclein水平与疾病严重程度相关.
- 阿尔法同核素的折叠下降显示为评估ASD严重性的生物标志物具有前途,特别是在区分轻度和高功能自闭症方面.
- 进一步的研究可能会验证同核素作为ASD诊断和管理的客观工具.
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