目前对自闭症谱系障碍的认识与动物模型的参考作用

Nahla Nagib, F. Elrakhawy, N. El-Nefiawy
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摘要

背景:自闭症谱系障碍(Autism spectrum disorder, ASD)是一组影响沟通、认知和行为的神经发育障碍。它被称为“谱系”障碍,因为人们经历的症状类型和严重程度有很大差异。症状通常出现在生命的头两年。工作目的:综述ASD的流行、病因、发病机制、诊断和治疗以及实验动物的作用。观察:自闭症谱系障碍的发病机制是一个非常不确定的领域,但许多假设的机制尚不清楚。关于自闭症谱系障碍的发病机制存在多种理论;神经连通性,神经迁移和兴奋-抑制性神经活动。免疫紊乱和神经胶质细胞功能障碍也被认为发挥了作用。目前还没有直接明确的机制来解释ASD的发病机制。ASD的诊断可能很困难,但确保尽快得到支持和帮助是至关重要的。asd通常是不可治愈的,但治疗的主要目标是减少相关的缺陷和家庭痛苦,提高生活质量和功能独立性。采用医学、行为或补充和替代治疗方法。自闭症动物模型的开发是为了满足研究ASD的潜在原因的迫切需要,并找到适当的药物来帮助治疗这种情况或控制其症状。结论:自闭症谱系障碍的确切病因至今尚不清楚。需要进一步的工作来扩大对自闭症谱系障碍的认识。
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SPECTRUM DISORDERS CURRENT KNOWLEDGE AUTISM WITH REFERENCE TO THE ROLE OF ANIMAL MODELS
: Background: Autism spectrum disorder (ASD) is a set of neurodevelopmental disorders which affects communication, cognition and behavior. It is termed as a “spectrum” disorder because of the wide variation in the type and severity of symptoms people experience. Symptoms generally appear in the first two years of life. Aim of the work : To summarize evidence on the prevalence, etiology, pathogenesis, diagnosis and treatment of ASD and role of experimental animals. Observations: Pathogenesis of ASD represents an area of great uncertainty and yet the many postulated mechanisms are poorly understood. Several theories to regarding ASD pathogenesis exist; neural connectivity, neural migration, and excitatory-inhibitory neural activity. Immune disturbances and glial cell dysfunction were also presumed to play a role. There is still no direct and definite mechanism explaining the pathogenesis of ASD. Diagnosis of ASD can be difficult but it is crucial to ensure receiving support and help as soon as possible. ASDs are generally not “curable,” but the main goals of treatment are to lessen associated deficits and family distress, and to increase quality of life and functional independence. Medical, behavioral, or complementary and alternative lines of treatment are employed. Animal models of autism are being developed to meet the urging need for investigating the underlying causes of ASD and to find the proper medication to help treat the condition or control its symptoms. Conclusion: The exact cause of autism spectrum disorder is so far unknown. Further work is needed to broaden the horizons on the understanding of ASD.
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