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Is 'bench-to-bedside' realistic for autism? An integrative neuroscience approach

机译:自闭症的“从台到床”是否现实?综合神经科学方法

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SUMMARY Given the prevalence and societal impact of autism spectrum disorder (ASD), there is an urgent need to develop innovative treatments that will improve core social deficits, for which there is currently no reliable pharmacological treatment, prevention or cure. Development of novel biological interventions will depend upon the successful translation of basic neuroscience research into safe and effective medicines. This article outlines steps to bring neuroscience research from 'the bench' to treatment at 'bedside', from phenotyping the disorder to animal models to patient treatment. Although these steps appear simplistic, this is a daunting challenge because of the inherent complexity of the human brain, our lack of understanding of disease neurobiology underlying ASD, and the incredible heterogeneity of the disorder. For ASD, perhaps more than any other neurological or psychiatric disorder, progress will depend on integrative multidisciplinary approaches between basic scientists from varying neuroscience disciplines and clinicians to make 'bench to bedside' treatment a reality.
机译:发明内容鉴于自闭症谱系障碍(ASD)的流行和社会影响,迫切需要开发创新的治疗方法以改善核心社会缺陷,目前尚无可靠的药物治疗,预防或治疗方法。新型生物干预措施的发展将取决于将基础神经科学研究成功转化为安全有效的药物。本文概述了将神经科学研究从“实验台”转移到“床边”治疗的步骤,从对疾病的表型分类到动物模型再到患者治疗。尽管这些步骤看起来很简单,但这是一个艰巨的挑战,因为人脑固有的复杂性,我们对ASD背后的疾病神经生物学的了解不足以及该疾病令人难以置信的异质性。对于ASD而言,也许比其他任何神经系统或精神疾病更重要的疾病,其进展将取决于不同神经科学学科的基础科学家与临床医生之间的综合性多学科方法,以使“从台到床”治疗成为现实。

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