自闭症儿童及其母亲:血液标记分子与分子和细胞紊乱的反映

A. Poletaev
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引用次数: 0

摘要

自闭症正在逐渐成为一种流行病。现在,这种疾病的发生率为每60-80名婴儿中就有一名,而大约60-70年前为1:5000-10000。由于遗传疾病的流行不会发生,这证实了大多数自闭症病例与基因组问题无关,而是与环境问题的逐渐加深有关。环境压力对成年人来说可能几乎不明显,但这可能会干扰更脆弱的胎儿的发育。多种工农业污染物、重金属、致病菌等可能参与自闭症的发病机制。所有这些都会导致影响胎儿发育的自身抗体和细胞因子产生类似的持续变化。此外,通过母体免疫印迹机制,将过量的某些母体IgG类抗体通过胎盘转移,导致胎儿免疫系统在出生前“调整”。这种现象可能是自闭症发病机制中的一个额外因素。值得注意的是,环境诱导的免疫变化大多对母亲具有适应性;然而,对于未出生的孩子来说,它们往往是致病的因素。讨论研究母体自身抗体库的可能性,以预测胎儿的正常或异常发育以及非基因缺陷引起的先天性疾病新生儿的出生。
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Autistic child and his mother: marker molecules of blood and reflection of molecular and cellular disturbances
Autism is gradually becoming an epidemic. The frequency of this disorder now is one per 60–80 infants, against 1:5000-10000 approximately 60–70 years ago. Because epidemics of genetic disease do not occur, this confirms that most cases of autism are not associated with the genome problems but rather with the progressive deepening of environmental problems. Environmental pressure may be barely noticeable for an adult, but this could disturb the development of a much more fragile foetus. A variety of industrial and agricultural pollutants, heavy metals, pathogenic bacteria, etc. may be involved in the pathogenesis of autism. All of them cause similar persistent changes in the production of autoantibodies and cytokines influencing the foetal development. Moreover, trans-placental transfer of the excess of some maternal аuto-antibodies of IgG class leads to pre-birth ‘tuning’ of the immune system of the foetus by mechanisms of maternal immune imprinting. This phenomenon could be an additional factor in the pathogenesis of autism. It is noted that the environment-induced immune changes are mostly adaptive for the mother; however, for the unborn child, they can often be the factors of pathogenesis. Discuss the possibility of the study of repertoires of maternal autoantibodies for the prediction of normal or abnormal development of the foetus and the birth of the newborn with congenital disorders that are not caused by gene defects.
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发文量
5
审稿时长
6 weeks
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