Etude de spectroscopie RM protonique du thalamus chez des jumeaux présentant un trouble du spectre de l'autisme
Titre original en anglais : A proton MR spectroscopy study of the thalamus in twins with autism spectrum disorder
Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.
À propos de la mention auteur·ice autisteHegarty, J. P., Gu, M., Spielman, D. M., Cleveland, S. C., Hallmayer, J. F., Lazzeroni, L. C., Raman, M. M., Frazier, T. W., Phillips, J. M., Reiss, A. L., & Hardan, A. Y. (2017). A proton MR spectroscopy study of the thalamus in twins with autism spectrum disorder. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 81, 153-160. https://doi.org/10.1016/j.pnpbp.2017.09.016
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Auteurs
Résumé
De multiples axes de recherche ont rapporté des anomalies thalamiques chez des personnes présentant un trouble du spectre de l'autisme (TSA), associées à des altérations de la communication sociale (SCI), à des comportements restreints et répétitifs (RRB), ou à des anomalies du traitement sensoriel (SPA). Ainsi, le thalamus pourrait représenter une structure neurobiologique commune partagée entre les domaines symptomatiques du TSA. Des paires de jumeaux de même sexe monozygotes (MZ) et dizygotes (DZ), avec et sans TSA, ont bénéficié d'une évaluation cognitive/comportementale et d'une imagerie par résonance magnétique afin d'évaluer le thalamus. Les neurométabolites ont été mesurés par spectroscopie par résonance magnétique (MRS) 1H à l'aide d'une séquence PRESS multivoxel et ont été rapportés à la créatine+phosphocréatine (tCr). Le N-acétylaspartate (NAA), marqueur de l'intégrité neuronale, était réduit chez les jumeaux présentant un TSA (n=47) par rapport aux témoins au développement typique (TD) (n=33), et ce résultat a été confirmé dans un sous-échantillon de cojumeaux discordants pour le TSA (n=11). Le NAA dans le thalamus était corrélé à un degré similaire avec SCI, RRB et SPA, de sorte qu'une intégrité neuronale réduite était associée à une plus grande sévérité des symptômes. Le glutamate+glutamine (Glx) était également réduit chez les cojumeaux atteints par rapport aux cojumeaux non atteints. En outre, le NAA et le Glx semblaient être principalement médiés par la génétique, sur la base de comparaisons entre des paires de jumeaux MZ et DZ. Ainsi, les anomalies thalamiques pourraient être influencées par une susceptibilité génétique au TSA, mais ne sont probablement pas spécifiques à un domaine.
Bibliographie citée par cette référence
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