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Demographic Correlates of Autism: How Do Associations Compare Between Diagnosis and a Quantitative Trait Measure? 自闭症的人口统计学相关性:如何比较诊断和定量特征测量之间的关联?
Kristen Lyall, Aisha S Dickerson, Annette M Green, Seth Frndak, Lisa A Croen, Jennifer L Ames, Lyndsay A Avalos, Judy L Aschner, Nicole R Bush, Carlos A Camargo, Viren D'Sa, Stephen R Dager, Anne L Dunlop, Assiamira Ferrara, Jody M Ganiban, James E Gern, Tre D Gissandaner, J Carolyn Graff, Irva Hertz-Picciotto, Alison E Hipwell, Tengfei Ma, Meghan Miller, Laura Murphy, Margaret R Karagas, Rachel S Kelly, Amy Margolis, Daphne Koinis-Mitchell, Cindy T McEvoy, Daniel Messinger, Ruby Nguyen, Emily Oken, Sally Ozonoff, Grier P Page, Susan L Schantz, Rebecca J Schmidt, Coral L Shuster, Julie B Schweitzer, Stephen J Sheinkopf, Joseph B Stanford, Cindy O Trevino, Scott T Weiss, Heather E Volk, Robert M Joseph

Prevalence of autism diagnosis has historically differed by demographic factors. Using data from 8224 participants drawn from the Environmental influences on Child Health Outcomes (ECHO) Program, we examined relationships between demographic factors and parent-reported autism-related traits as captured by the Social Responsiveness Scale (SRS; T score > 65) and compared these to relations with parent-reported clinician diagnosis of ASD, in generalized linear mixed effects regression analyses. Results suggested lower odds of autism diagnosis, but not of SRS T > 65, for non-Hispanic Black children (adjusted odds ratio [OR] = 0.76, 95% CI 0.55, 1.06) relative to non-Hispanic White children. Higher maternal education was associated with reduced odds of both outcomes (OR = 0.73, 95% CI 0.51, 1.05 for ASD autism diagnosis and 0.4, 95% CI 0.29, 0.55 for SRS score). In addition, results suggested a lower likelihood of autism diagnosis but a higher likelihood of an SRS score > 65 in Black girls. Findings suggest lower diagnostic recognition of autism in non-Hispanic Black children, despite a similar degree of SRS-assessed autism-related traits falling in the clinically elevated range. Further work is needed to address this disparity.

自闭症诊断的患病率历来因人口因素而异。使用来自儿童健康结果环境影响(ECHO)项目的8224名参与者的数据,我们研究了人口因素与父母报告的自闭症相关特征之间的关系,这些特征由社会反应性量表(SRS;在广义线性混合效应回归分析中,将这些与父母报告的ASD临床医生诊断的关系进行比较。结果显示,与非西班牙裔白人儿童相比,非西班牙裔黑人儿童的自闭症诊断几率较低,但SRS T = 0.65的几率不高(校正优势比[OR] = 0.76, 95% CI 0.55, 1.06)。较高的母亲教育程度与两种结果的发生率降低相关(ASD自闭症诊断OR = 0.73, 95% CI 0.51, 1.05, SRS评分OR = 0.4, 95% CI 0.29, 0.55)。此外,研究结果还表明,黑人女孩被诊断为自闭症的可能性较低,但SRS得分为65分的可能性较高。研究结果表明,非西班牙裔黑人儿童对自闭症的诊断认可度较低,尽管相似程度的srs评估的自闭症相关特征在临床升高范围内。需要进一步的工作来解决这一差距。
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引用次数: 0
Analysis of mitochondrial DNA replisome in autism spectrum disorder: Exploring the role of replisome genes. 自闭症谱系障碍中线粒体DNA复制体的分析:探索复制体基因的作用。
Valentina Rojas, Carlos Carrasco-Gallardo, Lidia Tenorio, Margrethe A Olesen, Victor Tapia, Manuel Carrasco, Patricio Araos, Rodrigo A Quintanilla, Lina M Ruiz

Autism spectrum disorder (ASD) is a neurodevelopmental condition often associated with mitochondrial dysfunction, including increased mitochondrial DNA (mtDNA) copy number and impaired energy production. This study investigates the role of the mitochondrial replisome-specifically, the genes TFAM, TWNK, POLG, and TOP1MT-in mtDNA replication and its potential contribution to ASD pathophysiology. We analyzed samples from the oral mucosa of children with ASD and typically developing (TD) controls, assessing mtDNA copy number, gene expression, and protein levels. Our findings revealed a significant increase in mtDNA copy number in the oral mucosa of ASD children, along with partially deleted mtDNA molecules. However, there were no significant changes in the expression of TFAM, TWNK, POLG, or MT-TL1 genes between ASD and TD samples. Additionally, TFAM protein levels, including monomeric, dimeric, and trimeric forms, did not differ significantly. We also observed increased oxidative stress and inflammatory markers in the oral mucosa of ASD children, suggesting that mitochondrial alterations may be linked to inflammation and oxidative damage in ASD. To further investigate the functional impact of TFAM, we overexpressed it in human HEK293 cells and cortical neurons (CN1.4). TFAM overexpression led to increased mtDNA copy number, cell proliferation, and ATP production in HEK293 cells, but did not significantly alter mitochondrial gene expression, protein oxidation, or mtDNA integrity. In CN1.4 neurons, TFAM overexpression increased mitochondrial membrane potential and length, indicating potential changes in mitochondrial dynamics. Overall, our study suggests that while mtDNA alterations are present in ASD, they are not directly driven by changes in mitochondrial replisome gene expression. These findings highlight the complexity of mitochondrial dysfunction in ASD and suggest the need for further investigation into the underlying molecular mechanisms.

自闭症谱系障碍(ASD)是一种神经发育疾病,通常与线粒体功能障碍有关,包括线粒体DNA (mtDNA)拷贝数增加和能量产生受损。本研究探讨了线粒体复制体,特别是基因TFAM、TWNK、POLG和top1mt在mtDNA复制中的作用及其对ASD病理生理的潜在贡献。我们分析了ASD儿童和典型发育(TD)对照组的口腔黏膜样本,评估了mtDNA拷贝数、基因表达和蛋白质水平。我们的研究结果显示,ASD儿童口腔黏膜mtDNA拷贝数显著增加,同时mtDNA分子部分缺失。然而,在ASD和TD样本中,TFAM、TWNK、POLG或MT-TL1基因的表达没有显著变化。此外,TFAM蛋白水平,包括单体、二聚体和三聚体形式,没有显著差异。我们还观察到ASD儿童口腔黏膜氧化应激和炎症标志物增加,这表明线粒体改变可能与ASD的炎症和氧化损伤有关。为了进一步研究TFAM对功能的影响,我们在人HEK293细胞和皮质神经元(CN1.4)中过表达TFAM。在HEK293细胞中,TFAM过表达导致mtDNA拷贝数、细胞增殖和ATP产生增加,但没有显著改变线粒体基因表达、蛋白质氧化或mtDNA完整性。在CN1.4神经元中,TFAM过表达增加了线粒体膜电位和长度,表明线粒体动力学的电位变化。总的来说,我们的研究表明,虽然线粒体dna的改变存在于ASD中,但它们并不是由线粒体复制体基因表达的变化直接驱动的。这些发现突出了ASD中线粒体功能障碍的复杂性,并提示需要进一步研究其潜在的分子机制。
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引用次数: 0
Detailed phenotyping of Tbr1-2A-CreER knock-in mice demonstrates significant impacts on TBR1 protein levels and axon development. 对 Tbr1-2A-CreER 基因敲入小鼠的详细表型分析表明,TBR1 蛋白水平和轴突发育受到显著影响。
Marissa Co, Grace K O'Brien, Kevin M Wright, Brian J O'Roak

Cre recombinase knock-in mouse lines have served as invaluable genetic tools for understanding key developmental processes altered in autism. However, insertion of exogenous DNA into the genome can have unintended effects on local gene regulation or protein function that must be carefully considered. Here, we analyze a recently generated Tbr1-2A-CreER knock-in mouse line, where a 2A-CreER cassette was inserted in-frame before the stop codon of the transcription factor gene Tbr1. Heterozygous TBR1 mutations in humans and mice are known to cause autism or autism-like behavioral phenotypes accompanied by structural brain malformations, most frequently a reduction of the anterior commissure (AC). Thus, it is critical for modified versions of Tbr1 to exhibit true wild-type-like activity. We evaluated the Tbr1-2A-CreER allele for its potential impact on Tbr1 function and complementation to Tbr1 loss-of-function alleles. In mice with one copy of the Tbr1-2A-CreER allele, we identified reduction of TBR1 protein in early postnatal cortex along with thinning of the AC, suggesting hypersensitivity of this structure to TBR1 dosage. Comparing Tbr1-2A-CreER and Tbr1-null mice to Tbr1-null complementation crosses showed reductions of TBR1 dosage ranging from 20% to 100%. Using six combinatorial genotypes, we found that moderate to severe TBR1 reductions (≥44%) were associated with cortical layer 5 expansion, while only the complete absence of TBR1 was associated with reeler-like "inverted" cortical layering. In total, these results strongly support the conclusion that Tbr1-2A-CreER is a hypomorphic allele. We advise caution when interpreting experiments using this allele, considering the sensitivity of various corticogenic processes to TBR1 dosage and the association of heterozygous TBR1 mutations with complex neurodevelopmental disorders.

Cre 重组酶基因敲入小鼠品系是了解自闭症关键发育过程的宝贵遗传工具。然而,将外源 DNA 植入基因组可能会对局部基因调控或蛋白质功能产生意想不到的影响,这一点必须仔细考虑。在这里,我们分析了最近产生的 Tbr1-2A-CreER 基因敲入小鼠品系,该品系在转录因子基因 Tbr1 的终止密码子之前插入了一个 2A-CreER 盒。已知人类和小鼠的 TBR1 杂合子突变会导致自闭症或类似自闭症的行为表型,并伴有脑结构畸形,最常见的是前裂(AC)缩小。因此,修饰版 Tbr1 必须表现出真正的野生型活性。我们评估了 Tbr1-2A-CreER 等位基因对 Tbr1 功能的潜在影响以及对 Tbr1 功能缺失等位基因的互补性。在具有一个 Tbr1-2A-CreER 等位基因拷贝的小鼠中,我们发现出生后早期皮层中的 TBR1 蛋白减少,同时 AC 变薄,这表明该结构对 TBR1 剂量超敏。将Tbr1-2A-CreER和Tbr1-null小鼠与Tbr1-null互补杂交比较显示,TBR1的剂量减少了20%到100%。通过使用六种组合基因型,我们发现中度到重度的 TBR1 减少(≥44%)与皮质第 5 层扩张有关,而只有完全缺失 TBR1 才与类似于缫丝机的 "倒置 "皮质分层有关。总之,这些结果有力地支持了 Tbr1-2A-CreER 是一个低位等位基因的结论。考虑到各种皮质形成过程对 TBR1 剂量的敏感性以及杂合子 TBR1 突变与复杂的神经发育障碍的关联,我们建议在解释使用该等位基因的实验时要谨慎。
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引用次数: 0
Interaction and association between multiple vitamins and social adaptability and severity of autism: A large-scale retrospective study from China. 多种维生素与自闭症的社会适应能力和严重程度之间的相互作用和关联:中国大规模回顾性研究。
Qi Liu, Dongchuan Yu

Since children with autism spectrum disorder (ASD) often exhibit selective eating behaviors, it is generally believed that they may have abnormal nutrient structure, leading to aberrant concentrations of some serum vitamins. However, previous studies on serum vitamins in individuals with ASD are mixed. Additionally, the interaction and association between multiple serum vitamin and ASD-related symptoms remain unclear. This study utilized a cross-sectional survey with a large sample size (n = 1235) from China to clarify previous mixed findings, and examine the interaction and association between multiple serum vitamins (including folic acid [FA], vitamin A [VA], vitamin E [VE], vitamin B12 [VB12], and vitamin D [VD]) and social adaptability and symptom severity in children with ASD. Findings found that symptom severity was negatively associated with concentrations of serum VA, VE, VB12, and VD; while, social adaptability was significantly associated with the natural log-transformed concentrations of FA and VB12. Finding also revealed the interaction of VA and VE on the association between both vitamins and severity of ASD symptoms, as well as the interaction of VB12 and FA on the association between both vitamins and social adaptability. In particular, the combination of low concentration of VA and high concentration of VE is associated with the lowest risk of being "severely autistic"; while, the combination of low concentration of FA and high concentration of VB12 is associated with the lowest risk of being "poor social adaptability". This study offers the evidence for the requirement of considering multiple vitamins comprehensively, as well as valuable references for revealing the association between vitamin disparities and food selectivity in children with ASD.

由于患有自闭症谱系障碍(ASD)的儿童经常表现出选择性进食行为,人们普遍认为他们可能营养结构异常,从而导致某些血清维生素浓度异常。然而,以往关于 ASD 患者血清维生素的研究结果不一。此外,多种血清维生素与 ASD 相关症状之间的相互作用和关联仍不清楚。本研究采用了一项来自中国的大样本量横断面调查(n = 1235),以澄清之前的混合研究结果,并研究多种血清维生素(包括叶酸[FA]、维生素A[VA]、维生素E[VE]、维生素B12[VB12]和维生素D[VD])与ASD儿童的社会适应能力和症状严重程度之间的相互作用和关联。研究结果发现,症状严重程度与血清中维生素E、维生素E、维生素B12和维生素D的浓度呈负相关;而社会适应能力与经自然对数转换的维生素E和维生素B12的浓度呈显著相关。研究结果还显示,VA和VE对两种维生素与ASD症状严重程度之间的关系具有交互作用,VB12和FA对两种维生素与社会适应能力之间的关系也具有交互作用。其中,低浓度 VA 和高浓度 VE 的组合与 "严重自闭症 "的最低风险相关;而低浓度 FA 和高浓度 VB12 的组合与 "社会适应能力差 "的最低风险相关。这项研究为全面考虑多种维生素的要求提供了证据,也为揭示 ASD 儿童维生素差异与食物选择性之间的关联提供了有价值的参考。
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引用次数: 0
Visual and auditory attention in individuals with DYRK1A and SCN2A disruptive variants. DYRK1A和SCN2A破坏性变体个体的视觉和听觉注意力。
Caitlin M Hudac, Kelsey Dommer, Monique Mahony, Trent D DesChamps, Brianna Cairney, Rachel Earl, Evangeline C Kurtz-Nelson, Jessica Bradshaw, Raphael A Bernier, Evan E Eichler, Emily Neuhaus, Sara Jane Webb, Frederick Shic

This preliminary study sought to assess biomarkers of attention using electroencephalography (EEG) and eye tracking in two ultra-rare monogenic populations associated with autism spectrum disorder (ASD). Relative to idiopathic ASD (n = 12) and neurotypical comparison (n = 49) groups, divergent attention profiles were observed for the monogenic groups, such that individuals with DYRK1A (n = 9) exhibited diminished auditory attention condition differences during an oddball EEG paradigm whereas individuals with SCN2A (n = 5) exhibited diminished visual attention condition differences noted by eye gaze tracking when viewing social interactions. Findings provide initial support for alignment of auditory and visual attention markers in idiopathic ASD and neurotypical development but not monogenic groups. These results support ongoing efforts to develop translational ASD biomarkers within the attention domain.

这项初步研究试图利用脑电图(EEG)和眼动追踪技术评估两个与自闭症谱系障碍(ASD)相关的超罕见单基因群体的注意力生物标志物。相对于特发性自闭症(n = 12)和神经畸形对比组(n = 49),单基因组观察到了不同的注意力特征,例如 DYRK1A 患者(n = 9)在奇球脑电图范式中表现出听觉注意力条件差异减弱,而 SCN2A 患者(n = 5)在观看社交互动时通过眼球注视跟踪观察到的视觉注意力条件差异减弱。研究结果初步支持了特发性 ASD 和神经发育异常群体中听觉和视觉注意力标记的一致性,但不支持单基因群体。这些结果支持了目前在注意力领域开发转化型 ASD 生物标记物的工作。
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引用次数: 0
A common genetic variant in the Neurexin family member CNTNAP2 is related to language but not communication skills in youth with Autism Spectrum Disorder. 神经肽家族成员 CNTNAP2 的常见基因变异与自闭症谱系障碍青少年的语言能力有关,但与沟通能力无关。
Vardan Arutiunian, Megha Santhosh, Emily Neuhaus, Catherine A W Sullivan, Raphael A Bernier, Susan Y Bookheimer, Mirella Dapretto, Daniel H Geschwind, Allison Jack, James C McPartland, John D Van Horn, Kevin A Pelphrey, Abha R Gupta, Sara Jane Webb

One of the candidate genes related to language variability in individuals with Autism Spectrum Disorder (ASD) is the contactin-associated protein-like 2 gene (CNTNAP2), a member of the Neurexin family. However, due to the different assessment tools used, it is unknown whether the polymorphisms of the CNTNAP2 gene are linked to structural language skills or more general communication abilities. A total of 302 youth aged 7 to 18 years participated in the present study: 131 verbal youth with ASD (62 female), 130 typically developing (TD) youth (64 female), and 41 unaffected siblings (US) of youth with ASD (25 female). Blood samples were collected to obtain genomic DNA and processed by the Rutgers University Cell and Data Repository or using standard protocols (Gentra Puregene Blood DNA extraction kit; Qiagen). Language and verbal communication skills were screened with the Clinical Evaluation of Language Fundamental-4 (CELF-4) and Vineland-II Communication domain, subsequently. The results showed that the polymorphism of CNTNAP2 (SNP rs2710102) was related to structural language abilities, such that participants carrying the A-allele had lower language skills in comparison to the G-allele homozygotes. No relationship was found between the polymorphism of CNTNAP2 and more general communication abilities. Although the study revealed genetic mechanisms that are associated with CELF-4 measures but not Vineland-II in youth with ASD, follow-up studies are needed that will include measures of language and communication that are less correlated to each other as well as will include a group of minimally and/or non-verbal individuals with ASD.

与自闭症谱系障碍(ASD)患者的语言变异有关的候选基因之一是接触蛋白相关蛋白样 2 基因(CNTNAP2),它是 Neurexin 家族的成员。然而,由于使用的评估工具不同,CNTNAP2 基因的多态性是与结构性语言技能有关,还是与更普遍的沟通能力有关,目前尚不得而知。共有 302 名 7 至 18 岁的青少年参与了本研究:其中包括 131 名患有自闭症的言语障碍青少年(62 名女性)、130 名发育典型(TD)青少年(64 名女性)以及 41 名患有自闭症的未受影响兄弟姐妹(US)(25 名女性)。采集血液样本以获得基因组 DNA,并由罗格斯大学细胞和数据储存库或采用标准方案(Gentra Puregene 血液 DNA 提取试剂盒;Qiagen)进行处理。随后,使用临床语言基础评估-4(CELF-4)和 Vineland-II 沟通域对语言和口头沟通能力进行了筛查。结果显示,CNTNAP2的多态性(SNP rs2710102)与结构性语言能力有关,携带A等位基因的参与者的语言能力低于携带G等位基因的同卵者。CNTNAP2 的多态性与更一般的沟通能力之间没有关系。尽管这项研究揭示了与 CELF-4 测量相关的遗传机制,但与患有 ASD 的青少年的 Vineland-II 无关,因此还需要进行后续研究,这些研究将包括相互关联度较低的语言和沟通测量,并将包括一组患有 ASD 的弱智和/或无语言能力的人。
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引用次数: 0
Issue Information 问题信息
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引用次数: 0
Issue Information 问题信息
{"title":"Issue Information","authors":"","doi":"10.1111/phpr.12792","DOIUrl":"https://doi.org/10.1111/phpr.12792","url":null,"abstract":"","PeriodicalId":72339,"journal":{"name":"Autism research : official journal of the International Society for Autism Research","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44225024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic mouse models of autism spectrum disorder present subtle heterogenous cardiac abnormalities 自闭症谱系障碍的遗传小鼠模型呈现微妙的异质心脏异常
Stephania Assimopoulos, C. Hammill, D. Fernandes, T. L. Spencer Noakes, Yu-Qing Zhou, L. Nutter, J. Ellegood, E. Anagnostou, J. Sled, J. Lerch
Background Autism Spectrum Disorder (ASD) and Congenital Heart Disease (CHD) are strongly linked on a functional and genetic level. Most work has been focused on neurodevelopmental abnormalities in CHD. Conversely, cardiac abnormalities in ASD have been less studied. In this work we investigate the prevalence of cardiac comorbidities relative to genetic contributors of ASD. Methods Using high frequency ultrasound imaging, we screened 9 mouse models with ASD-related genetic alterations (Arid1b(+/-), Chd8(+/-), 16p11.2 (deletion), Sgsh(+/-), Sgsh(-/-), Shank3 Δexon 4-9(+/-), Shank3 Δexon 4-9(-/-), Fmr1(-/-), Vps13b(+/-)), and pooled wild-type littermates (WT). Using a standardised imaging protocol, we measured heart rate (HR), aorta diameter (AoD), thickness and thickening of the left-ventricular (LV) anterior and posterior walls, LV chamber diameter, fractional shortening, stroke volume and cardiac output, Peak E and A velocity ratio of mitral inflow, Velocity Time Integral (VTI) through the ascending aorta. Results Mutant groups presented small-scale alterations in cardiac structure and function compared to WTs. A greater number of significant differences was observed among mutant groups than between mutant groups and WTs. Mutant groups differed primarily in measures of structure (LV chamber diameter and anterior wall thickness, HR, AoD). When compared to WTs, they differed in both structure and function (LV anterior wall thickness and thickening, chamber diameter and fractional shortening, HR). The mutant groups with most differences to WTs were 16p11.2 (deletion), Fmrl(-/-), Arid1b(+/-). Among mutant groups, the groups differing most from others were 16p11.2 (deletion), Sgsh(+/-), Fmrl(-/-). Our results broadly recapitulate the associated clinical findings. Limitations Various genetically driven cardiac abnormalities occur early in life, so repeating this work in non-adult mice may be valuable. To identify possible sex differences, we must extend this work to female mice. The downsampling procedure used (total correlation calculation) must be verified. Only indirect comparison between our results and clinical literature is possible due to differing study designs. Conclusions The characteristic heterogeneity of ASD was recapitulated in the observed cardiac phenotype. The type of measures (morphological, functional) mutant groups differ in can highlight common underlying mechanisms. Clinically, knowledge of cardiac abnormalities in ASD can be essential as even non-lethal cardiac abnormalities can impact normal development.
自闭症谱系障碍(ASD)和先天性心脏病(CHD)在功能和遗传水平上密切相关。大多数工作都集中在冠心病的神经发育异常上。相反,ASD的心脏异常研究较少。在这项工作中,我们调查了与ASD遗传因素相关的心脏合并症的患病率。方法采用高频超声成像技术,筛选了9只具有asd相关遗传改变的小鼠模型(Arid1b(+/-)、Chd8(+/-)、16p11.2(缺失)、Sgsh(+/-)、Sgsh(-/-)、Shank3 Δexon 4-9(+/-)、Shank3 Δexon 4-9(-/-)、Fmr1(-/-)、Vps13b(+/-))和野生型幼鼠(WT)。采用标准化的成像方案,我们测量了心率(HR)、主动脉直径(AoD)、左室(LV)前后壁的厚度和增厚、左室直径、分次缩短、搏气量和心输出量、二尖瓣流入的峰值E和a速度比、通过升主动脉的速度时间积分(VTI)。结果与WTs相比,突变组在心脏结构和功能上出现了小规模的改变。突变组之间的显著差异大于突变组与WTs之间的显著差异。突变组主要在结构测量(左室直径和前壁厚度,HR, AoD)上存在差异。与WTs相比,它们在结构和功能上都有所不同(左室前壁厚度和增厚,室径和分数缩短,HR)。与WTs差异最大的突变组为16p11.2(缺失)、Fmrl(-/-)、Arid1b(+/-)。在突变组中,与其他突变组差异最大的是16p11.2(缺失)、Sgsh(+/-)、Fmrl(-/-)。我们的结果大致概括了相关的临床发现。各种基因驱动的心脏异常发生在生命早期,因此在非成年小鼠中重复这项工作可能是有价值的。为了确定可能的性别差异,我们必须将这项工作扩展到雌性小鼠。必须验证所使用的下采样程序(总相关计算)。由于不同的研究设计,我们的结果和临床文献之间只能进行间接比较。结论观察到的心脏表型重现了ASD的特征异质性。测量类型(形态,功能)突变组的不同可以突出共同的潜在机制。在临床上,了解ASD的心脏异常是必要的,因为即使是非致命的心脏异常也会影响正常发育。
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引用次数: 2
The problem of heterogeneity in autism: Response to Mottron (2021) "Aradical change in our autism research strategy is needed: Back to prototypes". 自闭症的异质性问题:回应 Mottron (2021) "我们的自闭症研究战略需要彻底改变:回到原型"。
Lynn Waterhouse
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引用次数: 0
期刊
Autism research : official journal of the International Society for Autism Research
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