1.Abnormalities of cerebellar-cerebral circuits and social impairment in ASD
Wenjing HU ; Tingli HE ; Zhe ZHANG ; Hongyan XU ; Zhangying ZHOU ; Xinxin CUI ; Danmeng CHENG ; Yanan HAN ; Xianwen DONG ; Anqin DONG
Chinese Journal of Behavioral Medicine and Brain Science 2025;34(4):328-333
Autism spectrum disorder(ASD) is a neurodevelopmental disorder, and social impairment was one of the core symptoms of ASD, which can seriously affects the social life of patients.The pathogenesis of social impairment in ASD is unclear and it may involves many brain abnormalities.The related theories and hypotheses are numerous and there is no unified conclusion. Studies have shown that the cerebellum has extensive connections with brain networks and is involved in the regulation of social cognition, but its role in ASD has not been fully emphasized.The structural and functional abnormalities of the cerebellar-cortex (CC) loop in ASD patients can lead to language communication disorders, empathy disorders, difficulties in interpreting social cues, abnormal social reward processing and emotional regulation disorders, which are closely related to ASD social impairment. Noninvasive brain stimulation of the superficial cerebellum can improve the abnormal CC circuit in ASD patients, and the cerebellum can be considered as a target for the treatment of social disorders in ASD in the future.Based on the clinical and basic researches on social impairment in ASD in recent years, this article reviews the relevant manifestations of disorders which cerebellar and CC circuit involved, aiming to promote the development of related research in the future.
2.Research progress on the involvement of abnormal temporal and spatial development of the striatum in repetitive and stereotyped behaviors in autism
Zhangying ZHOU ; Anqin DONG ; Hongyan XU ; Xinxin CUI ; Tingli HE ; Wenjing HU ; Zhe ZHANG ; Yanan HAN ; Danmeng CHENG ; Liguo LI ; Youcai TANG ; Xianwen DONG
Chinese Journal of Comparative Medicine 2025;35(6):167-176
As the incidence of autism rises annually,its unknown pathogenesis makes it challenging to treat the varied repetitive and stereotyped behaviors that characterize its core symptoms.The striatum is an important brain region for the control of locomotor behaviors,featuring a unique mosaic structure,complex neural origin,and finely regulated developmental process that is highly susceptible to genetic and environmental influences.Both clinical and basic studies have indicated that abnormal development of the striatal nuclei may contribute to the pathogenesis of these repetitive stereotyped behaviors in autism.Clinical imaging data have primarily identified gross anatomical variations in the stratum(e.g.,its general outline),but lack the resolution necessary to detect the cellular and subcellular alterations within the region.By introducing the abnormalities in the spatiotemporal development of the striatum and their links to the characteristic behaviors of autism,this review aims to advance our understanding of the role of the striatum in autism pathogenesis and to inform future animal studies and clinical research.
3.Abnormalities of cerebellar-cerebral circuits and social impairment in ASD
Wenjing HU ; Tingli HE ; Zhe ZHANG ; Hongyan XU ; Zhangying ZHOU ; Xinxin CUI ; Danmeng CHENG ; Yanan HAN ; Xianwen DONG ; Anqin DONG
Chinese Journal of Behavioral Medicine and Brain Science 2025;34(4):328-333
Autism spectrum disorder(ASD) is a neurodevelopmental disorder, and social impairment was one of the core symptoms of ASD, which can seriously affects the social life of patients.The pathogenesis of social impairment in ASD is unclear and it may involves many brain abnormalities.The related theories and hypotheses are numerous and there is no unified conclusion. Studies have shown that the cerebellum has extensive connections with brain networks and is involved in the regulation of social cognition, but its role in ASD has not been fully emphasized.The structural and functional abnormalities of the cerebellar-cortex (CC) loop in ASD patients can lead to language communication disorders, empathy disorders, difficulties in interpreting social cues, abnormal social reward processing and emotional regulation disorders, which are closely related to ASD social impairment. Noninvasive brain stimulation of the superficial cerebellum can improve the abnormal CC circuit in ASD patients, and the cerebellum can be considered as a target for the treatment of social disorders in ASD in the future.Based on the clinical and basic researches on social impairment in ASD in recent years, this article reviews the relevant manifestations of disorders which cerebellar and CC circuit involved, aiming to promote the development of related research in the future.
4.Research progress on the involvement of abnormal temporal and spatial development of the striatum in repetitive and stereotyped behaviors in autism
Zhangying ZHOU ; Anqin DONG ; Hongyan XU ; Xinxin CUI ; Tingli HE ; Wenjing HU ; Zhe ZHANG ; Yanan HAN ; Danmeng CHENG ; Liguo LI ; Youcai TANG ; Xianwen DONG
Chinese Journal of Comparative Medicine 2025;35(6):167-176
As the incidence of autism rises annually,its unknown pathogenesis makes it challenging to treat the varied repetitive and stereotyped behaviors that characterize its core symptoms.The striatum is an important brain region for the control of locomotor behaviors,featuring a unique mosaic structure,complex neural origin,and finely regulated developmental process that is highly susceptible to genetic and environmental influences.Both clinical and basic studies have indicated that abnormal development of the striatal nuclei may contribute to the pathogenesis of these repetitive stereotyped behaviors in autism.Clinical imaging data have primarily identified gross anatomical variations in the stratum(e.g.,its general outline),but lack the resolution necessary to detect the cellular and subcellular alterations within the region.By introducing the abnormalities in the spatiotemporal development of the striatum and their links to the characteristic behaviors of autism,this review aims to advance our understanding of the role of the striatum in autism pathogenesis and to inform future animal studies and clinical research.
5.Recent advance and challenge in clinical diagnosis and management of restricted repetitive behaviors in autism
Hongyan XU ; Xinxin CUI ; Zhangying ZHOU ; Wenjing HU ; Tingli HE ; Zhe ZHANG ; Danmeng CHENG ; Xianwen DONG ; Yanan HAN
Chinese Journal of Neuromedicine 2024;23(6):624-630
Restricted repetitive behaviors (RRBs) are the most characteristic behaviors of autism spectrum disorder. The clinical diagnosis and treatment of RRBs are extremely difficult resulting from its complex and variable etiology, highly heterogeneous clinical manifestations influenced by multiple factors (sleep quality, gastrointestinal health, age and gender), lack of precise diagnostic criteria and low effectiveness of current clinical interventions. This article mainly reviews the recent related studies on RRBs and discusses the challenges and progress in clinical diagnosis and treatment of RRBs so as to provide new ideas for future clinical diagnosis and treatment.

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