The Evolving Role and Nature of Gene Mutations in the Neuropathology of Autism Spectrum Disorders

A. Tchaconas
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Abstract

Recent research increasingly suggests that autism spectrum disorders (ASDs) can be caused by genetic factors. ASDs are one of the fastest growing neurodevelopmental disorders, encompassing a spectrum of disorders marked by difficulties with social interaction, communication (verbal and non-verbal), and unusual, repetitive behaviors. The etiology, or specific factors that cause a disorder, are is relatively uncertain for ASDs. Consequently, viable treatment options for ASDs have received greater attention among autism researchers – in particular, the neurological consequences of genetic mutations found in people with ASDs. In the past year, the literature has presented many novel treatments to address this promising neurobiological etiology of ASDs. The current trajectory of autism research, supported by a wealth of studies connecting genetic mutations in neural substrates to the core symptoms of ASDs, suggests a greater appreciation for and understanding of the genetic complexity that underlies ASDs. Additionally, results of ASD twin studies have encouraged consideration of environmental factors that may act as triggers for gene mutations associated with ASDs. Genetic and environmental factors are increasingly accepted as joint contributors to the etiology of ASDs, rather than isolated factors strictly regulated by nature or nurture, respectively. While there has been substantial progress on the geneticneurobiological front of ASD research in the past decade, there is a burgeoning avenue of geneticenvironmental ASD research. With impending changes to the definition of ASDs in the newest edition of the Diagnostic and Statistical Manual (5th edition) in May 2013, it is likely that these multifactorial etiologies of ASDs will receive even greater attention in the field.
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基因突变在自闭症谱系障碍神经病理学中的演变作用和性质
最近的研究越来越多地表明,自闭症谱系障碍(ASDs)可能是由遗传因素引起的。asd是增长最快的神经发育障碍之一,包括一系列以社会互动、沟通(语言和非语言)困难以及异常的重复行为为特征的障碍。对于自闭症谱系障碍来说,病因学或导致疾病的特定因素是相对不确定的。因此,自闭症研究人员越来越关注自闭症谱系障碍的可行治疗方案,特别是自闭症谱系障碍患者基因突变的神经学后果。在过去的一年里,文献提出了许多新的治疗方法来解决这一有前途的自闭症神经生物学病因。目前自闭症研究的轨迹得到了大量研究的支持,这些研究将神经基质的基因突变与自闭症的核心症状联系起来,这表明人们对自闭症背后的遗传复杂性有了更大的认识和理解。此外,ASD双胞胎研究的结果鼓励人们考虑可能作为触发与ASD相关的基因突变的环境因素。遗传和环境因素越来越多地被认为是asd病因的共同因素,而不是分别由先天或后天严格调节的孤立因素。虽然在过去的十年里,自闭症谱系障碍的遗传神经生物学研究取得了实质性的进展,但自闭症谱系障碍的遗传环境研究正在蓬勃发展。随着2013年5月最新版《诊断与统计手册》(第5版)对自闭症定义的修改即将到来,这些自闭症的多因素病因可能会在该领域受到更大的关注。
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