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孤独症社交障碍神经机制研究进展

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社交障碍是孤独症谱系障碍(autism spectrum disorder,ASD)的核心症状之一,严重影响患者的日常生活.运用光遗传学、功能磁共振成像等技术对ASD患者的脑部解剖结构、功能性连接及神经环路的研究已取得显著进展.本研究综述了ASD社交障碍神经机制的最新研究成果.在脑区的结构方面,ASD患者在壳核、杏仁核、伏隔核等关键脑区存在结构异常,这些异常可能影响情绪调节和奖赏处理功能;在脑区的功能性连接方面,ASD患者的大脑功能连接性异常可能导致社交行为的失调.进一步分析发现,前额叶皮质、腹侧被盖区、海马和小脑的神经回路异常,与ASD患者的社交缺陷密切相关.同时,突触功能异常和神经递质系统失衡也被认为是ASD患者社交障碍的重要病理机制.深入分析这些研究,可以更深入理解ASD患者社交障碍的神经机制,为开发针对性的干预措施提供科学依据,从而改善ASD患者的社交功能和生活质量.
Advances in the neural mechanisms of social disorders in autism
Social impairment is one of the core symptoms of autism spectrum disorder(ASD),which seriously affects patients'daily life.Using optogenetics,functional magnetic resonance imaging and other techniques,significant progress has been made in the study of the anatomical structure of the brain,functional connectivity and neural circuits in ASD patients.This study reviews the latest findings on the neural mecha-nisms of social impairment in ASD.In terms of the structure of brain regions,patients with ASD have struc-tural abnormalities in key brain regions such as the putamen,amygdala and nucleus accumbens,and these ab-normalities may affect emotion regulation and reward processing functions.In terms of the functional connec-tivity of brain regions,functional connectivity abnormalities of the brain in patients with ASD may lead to dys-functional social behaviors.Further analysis revealed that abnormalities in neural circuits involving the pre-frontal cortex,ventral tegmental area,hippocampus,and cerebellum were closely associated with social defi-cits in ASD patients.Meanwhile,abnormal synaptic function and imbalance of the neurotransmitter system are also considered to be important pathological mechanisms for social deficits in ASD patients.These find-ings allow for a deeper understanding of the neural mechanisms underlying social deficits in ASD patients and provide a scientific basis for developing targeted interventions to improve the social function and quality of life of ASD patients.

AutismSocial disorderNeurotransmitterNeural circuitFunction connectivity

刘燕、朱晴晴、闫富丽、吴绪波

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佳木斯大学康复医学院,佳木斯 154002

佳木斯大学附属第三医院儿童保健科黑龙江省儿童神经康复重点实验室,佳木斯 154002

上海市浦东新区人民医院康复医学科,上海 201200

孤独症 社交障碍 神经递质 神经环路 功能连接

2024

中华行为医学与脑科学杂志
中华医学会 济宁医学院

中华行为医学与脑科学杂志

CSTPCD北大核心
影响因子:1.472
ISSN:1674-6554
年,卷(期):2024.33(12)