神经发育障碍的风险与父亲在精子生成期间使用氨酸相关
Neda Razaz1, Jonas Soderling2, Torbjörn Tomson3
1Division of Clinical Epidemiology, Karolinska University Hospital, Stockholm, Sweden Neda.razaz@ki.se.
Journal of neurology, neurosurgery, and psychiatry
|March 4, 2026
概括
父亲在精子发育期间使用氨酸与后代的神经发育障碍风险增加无关. 这项大型的北欧研究表明,目前对父亲的氨酸的限制可能需要重新评估.
科学领域:
- 药物监测和生殖毒理学
- 儿科神经学和发育科学
- 流行病学和公共卫生.
背景情况:
- 监管机构对精子发生过程中父亲对氨酸的暴露以及后代出现原性和神经发育障碍 (NDD) 的潜在风险表示担忧.
- 这些担忧导致了对父亲的氨酸使用的限制.
研究的目的:
- 调查精子发生过程中父亲暴露于瓦尔酸盐与后代NDD风险之间的联系.
- 在生殖健康的背景下,评估父亲使用氨酸的安全性.
主要方法:
- 一项基于人口的队列研究,利用来自瑞典和挪威 (2007-2020) 的全国数据.
- 包括单独的活产 (≥22个妊娠周) 与父亲暴露于氨酸,拉莫特里金或 levetiracetam 单疗法.
- 利用考克斯的比例危险模型和随机效应元分析来评估NDD风险,调整混因素.
主要成果:
- 与lamotrigine/levetiracetam相比,父亲对氨酸的暴露与任何NDD (aHR,1.06;95%CI 0.81至1.22) 的综合风险增加无关.
- 特定的NDD,包括自闭症谱系障碍,多动症和智力障碍,没有显示出与父亲的氨酸相关的风险显著增加.
- 在剂量反应分析和的父亲子组中,研究结果一致.
结论:
- 这项大型的北欧研究发现,精子发生过程中父亲使用氨酸与后代增加NDD风险之间没有关联.
- 结果表明,目前对父酸的监管限制可能需要根据这些证据重新评估.
- 进一步的研究可能会探索父亲药物暴露和后代神经发育的细微差别.
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