Maternal Immune Activation Hypotheses for Human Neurodevelopment: Some Outstanding Questions.

Maternal Immune Activation Hypotheses for Human Neurodevelopment: Some Outstanding Questions.
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DOI:
10.1016/j.bpsc.2021.10.006
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发表时间:
2022-05
期刊:
Biological psychiatry. Cognitive neuroscience and neuroimaging
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母体免疫激活(MIA)假说是理解产前对神经发育的个体差异和临床综合征影响的主要模型。近年来,动物和人类实验研究激增,现在已经有了一个相当大的研究基地。几项荟萃分析表明,在人类研究中,产前免疫激活和神经发育之间存在普遍的联系。然而,关于免疫激活的本质、所涉及的潜在机制网络以及跨行为表型影响的广度,问题仍然存在。作为对近期研究结果的补充,当前的综述特别强调如何在理解机制方面取得进展,同时更多地关注解决现有研究的方法差异和局限性,并确定进一步临床研究的领域。
The Maternal Immune Activation (MIA) hypothesis is a leading model for understanding prenatal influences on individual differences in, and clinical syndromes of, neurodevelopment. Experimental animal and human research has proliferated in recent years, and there is now a sizable research base. Several meta-analyses demonstrate general support for an association between prenatal immune activation and neurodevelopment in human research. However, questions remain about the nature of the immune activation, the network of underlying mechanisms involved, and the breadth of impact across behavioral phenotypes. Complementing recent reviews of results, the current review places particular emphasis on how advances in understanding mechanisms may be improved with greater attention to addressing the methodological variation and limitations of existing studies, and identifies areas for further clinical research.
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