2020
DOI: 10.3389/fpsyt.2020.594934
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Early Screening and Risk Factors of Autism Spectrum Disorder in a Large Cohort of Chinese Patients With Prader-Willi Syndrome

Abstract: Previous studies regarding the prevalence of Autism Spectrum Disorder (ASD) in patients with Prader-Willi Syndrome (PWS) have implicated heterogenous findings. Additionally, the early screening of ASD high-risk population for ASD and identifying ASD risk factors in PWS patients have not been explored. This study included 218 Chinese PWS patients aged 3 months to 18 years old. 78% of subjects were identified as high risk for ASD by ASQ-3 Communication domain score for those younger than 3 years of age and 84% o… Show more

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Cited by 11 publications
(8 citation statements)
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“…Autism Spectrum Disorders (ASD) encompasses a group of disorders characterized by early-onset social communication deficits and repetitive sensory-motor behaviors. The disorders have a predominantly genetic component [ 1 ], as 74 to 93% of ASD have been identified as heritable [ 2 ], but other risk factors have been reported [ 3 ]. ASD ranges from very mild to severe, and many individuals require lifelong support [ 1 ].…”
Section: Introductionmentioning
confidence: 99%
“…Autism Spectrum Disorders (ASD) encompasses a group of disorders characterized by early-onset social communication deficits and repetitive sensory-motor behaviors. The disorders have a predominantly genetic component [ 1 ], as 74 to 93% of ASD have been identified as heritable [ 2 ], but other risk factors have been reported [ 3 ]. ASD ranges from very mild to severe, and many individuals require lifelong support [ 1 ].…”
Section: Introductionmentioning
confidence: 99%
“…PWS has been genetically attributed to a lack of expression of 15q11.2-q13 regioncontaining MAGEL2 gene -due to paternal deletion or imprinting, or maternal uniparental disomy (1). Apart from well-documented developmental deficits, PWS patients also show a high comorbidity with autism symptoms (2,3) including decreased social responsiveness in non-threatening contexts (4), increased temper outbursts (5)(6)(7) and social fear (8). Remarkably, most of these clinical symptoms are well-replicated in Magel2 knockout (KO) mice, which report impaired response to social novelty following social habituation (9,10) as well as high social fear that is difficult to extinguish (11).…”
Section: Introductionmentioning
confidence: 99%
“…Prader-Willi syndrome (PWS) is a rare genetic disorder featuring severe hypotonia and feeding difficulties in early infancy and subsequent hyperphagia and early childhood onset obesity. Additionally, developmental delay, short stature, and numerous neuropsychiatric comorbidities have been implicated in individuals with PWS and it has been recognized as a type of syndromic autism spectrum disorder (ASD) [1][2][3][4]. Given the diverse array of symptoms associated with PWS and an increasing popularity in multi-omics research, there is a growing body of literature supporting linkages between alterations in the gut microbiota and the clinical manifestations of PWS-associated features; however, few studies have attempted to characterize the salivary microbiome composition and elucidate the potential interactions with the gut microbiome.…”
Section: Introductionmentioning
confidence: 99%