Zusammenfassung
Autismus-Spektrum-Störungen (ASD) sind tiefgreifende Entwicklungsstörungen mit hoher Heritabilität und bislang noch unbekannter Ätiopathogenese. Der molekulargenetischen Forschung ist es gelungen, mehrere Kandidatengene für die Erkrankung zu identifizieren, die funktionell in Verbindung zu Neurotransmission bzw. neuronaler Migration, kortikaler Organisation und synaptischer Plastizität stehen. Magnetresonanztomographische Studien konnten ein erhöhtes Hirnvolumen bei ASD-Patienten nachweisen. Vor allem die Frontal- und die Temporallappen waren im Volumen vergrößert. Am ausgeprägtesten war diese Volumenzunahme im frühen Kindesalter. Eine Kombination molekulargenetischer und strukturell-bildgebender Forschungsansätze erscheint als vielversprechend für die weitere Aufklärung der Ätiopathogenese der ASD.
Summary
Autism spectrum disorders (ASD) are pervasive development disorders with high heritability and an as yet unclear aetiology. So far molecular genetic research was able to identify several candidate genes for the disorder which are functionally linked to neurotransmission and neuronal migration, cortical organisation and synaptic plasticity. MRI studies repeatedly showed a higher total brain volume for ASD patients. The volume increase was most pronounced for the frontal and the temporal lobes and peaked in early childhood. A combination of molecular genetic and structural imaging research appears promising for a further characterization of ASD aetiology.
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Nickl-Jockschat, T., Michel, T. Genetische und hirnstrukturelle Anomalien bei Autismus-Spektrum-Störungen. Nervenarzt 82, 618–627 (2011). https://doi.org/10.1007/s00115-010-2989-5
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DOI: https://doi.org/10.1007/s00115-010-2989-5