Biomarkers in autism spectrum disorder – A review

R. Ephraim, Sreelakshmi Rajendran, Dhanya K B, Mridhul M U
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Abstract

Autism is a disorder that is increasing many folds in incidence and is now considered an epidemic. There are no objective ways to confirm the disorder. Diagnosis is formed subjectively, supported by the perceived behavior of the subject. Therapeutic interventions have better results when started early in life in autism spectrum disorder, yet diagnosis often remains delayed, partly because it mainly relied on identifying abnormal behaviors which will be delayed or not emerge until the disorder is well established. Even so, many promising areas of research have disclosed abnormal biological processes that are related to ASD. Biomarkers that are identified on children who are at risk during the pre-symptomatic period can assist with early diagnosis, confirm behavioral observations, stratify patients into subgroups, and predict therapeutic response. Knowledge of the numerous biomarkers of ASD is important as it can go a long way in the early diagnosis of the condition and some may predict response to specific treatments. Through this review, we intend to give an insight into various biomarkers of ASD that have to date been established for its diagnosis and intervention. It's likely that biomarkers should be combined with other parameters to be effective to identify ASD early and guide proper therapeutic interventions.
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自闭症谱系障碍的生物标志物研究综述
自闭症是一种发病率增加了许多倍的疾病,现在被认为是一种流行病。没有客观的方法来确认这种疾病。诊断是主观形成的,由主体的感知行为支持。如果在自闭症谱系障碍患者的生命早期就开始进行治疗干预,效果会更好,但诊断往往仍然延迟,部分原因是它主要依赖于识别异常行为,这些异常行为将被延迟或在疾病完全确定之前不会出现。即便如此,许多有前景的研究领域已经揭示了与ASD相关的异常生物学过程。在症状前有风险的儿童身上识别出的生物标志物可以帮助早期诊断,确认行为观察,将患者分为亚组,并预测治疗反应。了解ASD的众多生物标志物是很重要的,因为它可以在病情的早期诊断中走很长的路,有些可以预测对特定治疗的反应。通过这篇综述,我们打算深入了解迄今为止已经建立的用于ASD诊断和干预的各种生物标志物。很可能生物标志物应该与其他参数相结合,以有效地早期识别ASD并指导适当的治疗干预。
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