儿童自闭症谱系障碍与空气污染物关联性的研究进展
Research Progress on the Association between Childhood Autism Spectrum Disorder and Air Pollutants
DOI: 10.12677/acm.2025.1572099, PDF,   
作者: 邱荷语:重庆医科大学公共卫生学院,重庆;重庆医科大学附属大足医院(重庆市大足区人民医院),重庆;袁跃勇*:重庆医科大学附属大足医院(重庆市大足区人民医院),重庆
关键词: 自闭症谱系障碍空气污染颗粒物相关性机制Autism Spectrum Disorder Air Pollution Particulate Matter Correlation Mechanism
摘要: 在全球范围内,自闭症谱系障碍(ASD)患儿的数量正以惊人的速度增长,发病率明显增加,遗传和环境因素都会促进ASD的发展。近年来,关于环境污染物与ASD发病之间的关系逐渐引起了广泛关注。现有的大量证据表明,围产期暴露于环境污染物对儿童ASD的发病影响最大,而空气污染应被视为其发病的危险因素之一。本文回顾了空气污染物与ASD发病关系的研究成果,并对其流行病学和发病机制的分子途径分别进行论述,以便对ASD有更加深入的了解,并提供新的研究思路。
Abstract: Globally, the number of children with autism spectrum disorder (ASD) is increasing at an astonishing rate, and the incidence rate is significantly rising. Both genetic and environmental factors can promote the development of ASD. In recent years, the relationship between environmental pollutants and the incidence of ASD has gradually attracted widespread attention. A large amount of existing evidence indicates that perinatal exposure to environmental pollutants has the greatest impact on the onset of ASD in children, and air pollution should be regarded as one of the risk factors for its onset. This article reviews the research results on the relationship between air pollutants and the pathogenesis of ASD, and discusses the molecular pathways of its epidemiology and pathogenesis respectively, in order to have a deeper understanding of ASD and provide new research ideas.
文章引用:邱荷语, 袁跃勇. 儿童自闭症谱系障碍与空气污染物关联性的研究进展[J]. 临床医学进展, 2025, 15(7): 1107-1116. https://doi.org/10.12677/acm.2025.1572099

参考文献

[1] Cory-Slechta, D.A., Merrill, A. and Sobolewski, M. (2023) Air Pollution-Related Neurotoxicity across the Life Span. Annual Review of Pharmacology and Toxicology, 63, 143-163. [Google Scholar] [CrossRef] [PubMed]
[2] Costa, L.G., Cole, T.B., Dao, K., Chang, Y., Coburn, J. and Garrick, J.M. (2020) Effects of Air Pollution on the Nervous System and Its Possible Role in Neurodevelopmental and Neurodegenerative Disorders. Pharmacology & Therapeutics, 210, Article ID: 107523. [Google Scholar] [CrossRef] [PubMed]
[3] Liu, F., Liu, C., Liu, Y., Wang, J., Wang, Y. and Yan, B. (2023) Neurotoxicity of the Air-Borne Particles: From Molecular Events to Human Diseases. Journal of Hazardous Materials, 457, Article ID: 131827. [Google Scholar] [CrossRef] [PubMed]
[4] Korteniemi, J., Karlsson, L. and Aatsinki, A. (2023) Systematic Review: Autism Spectrum Disorder and the Gut Microbiota. Acta Psychiatrica Scandinavica, 148, 242-254. [Google Scholar] [CrossRef] [PubMed]
[5] Magen-Molho, H., Weisskopf, M.G., Nevo, D., Shtein, A., Chen, S., Broday, D., et al. (2021) Air Pollution and Autism Spectrum Disorder in Israel: A Negative Control Analysis. Epidemiology, 32, 773-780. [Google Scholar] [CrossRef] [PubMed]
[6] Varghese, M., Keshav, N., Jacot-Descombes, S., Warda, T., Wicinski, B., Dickstein, D.L., Harony-Nicolas, H., De Rubeis, S., Drapeau, E., Buxbaum, J.D. and Hof, P.R. (2017) Autism Spectrum Disorder: Neuropathology and Animal Models. Acta Neuropathologica, 134, 537-566. [Google Scholar] [CrossRef] [PubMed]
[7] Shaddick, G., Thomas, M.L., Amini, H., Broday, D., Cohen, A., Frostad, J., et al. (2018) Data Integration for the Assessment of Population Exposure to Ambient Air Pollution for Global Burden of Disease Assessment. Environmental Science & Technology, 52, 9069-9078. [Google Scholar] [CrossRef] [PubMed]
[8] Rohde, R.A. and Muller, R.A. (2015) Air Pollution in China: Mapping of Concentrations and Sources. PLOS ONE, 10, e0135749. [Google Scholar] [CrossRef] [PubMed]
[9] 王跃思, 李文杰, 高文康, 等. 2013-2017年中国重点区域颗粒物质量浓度和化学成分变化趋势[J]. 中国科学: 地球科学, 2020, 50(4): 453-468.
[10] Yin, P., Brauer, M., Cohen, A.J., Wang, H., Li, J., Burnett, R.T., et al. (2020) The Effect of Air Pollution on Deaths, Disease Burden, and Life Expectancy across China and Its Provinces, 1990-2017: An Analysis for the Global Burden of Disease Study 2017. The Lancet Planetary Health, 4, e386-e398. [Google Scholar] [CrossRef] [PubMed]
[11] Li, Y., Chen, Z., Li, X., Gu, M., Xia, N., Gong, C., et al. (2022) Epidemiology of Autism Spectrum Disorders: Global Burden of Disease 2019 and Bibliometric Analysis of Risk Factors. Frontiers in Pediatrics, 10, Article 972809. [Google Scholar] [CrossRef] [PubMed]
[12] Lord, C., Elsabbagh, M., Baird, G. and Veenstra-Vanderweele, J. (2018) Autism Spectrum Disorder. The Lancet, 392, 508-520. [Google Scholar] [CrossRef] [PubMed]
[13] Naigles, L.R., Cheng, M., Xu Rattanasone, N., Tek, S., Khetrapal, N., Fein, D., et al. (2016) “You’re Telling Me!” the Prevalence and Predictors of Pronoun Reversals in Children with Autism Spectrum Disorders and Typical Development. Research in Autism Spectrum Disorders, 27, 11-20. [Google Scholar] [CrossRef] [PubMed]
[14] Delli, C.K.S., Polychronopoulou, S.A., Kolaitis, G.A. and Antoniou, A..S.G. (2018) Review of Interventions for the Management of Anxiety Symptoms in Children with ASD. Neuroscience & Biobehavioral Reviews, 95, 449-463. [Google Scholar] [CrossRef] [PubMed]
[15] Baxter, A.J., Brugha, T.S., Erskine, H.E., Scheurer, R.W., Vos, T. and Scott, J.G. (2014) The Epidemiology and Global Burden of Autism Spectrum Disorders. Psychological Medicine, 45, 601-613. [Google Scholar] [CrossRef] [PubMed]
[16] Xu, G., Strathearn, L., Liu, B. and Bao, W. (2018) Corrected Prevalence of Autism Spectrum Disorder among US Children and Adolescents. JAMA, 319, 505. [Google Scholar] [CrossRef] [PubMed]
[17] Hirota, T. and King, B.H. (2023) Autism Spectrum Disorder: A Review. JAMA, 329, 157-168. [Google Scholar] [CrossRef] [PubMed]
[18] Schendel, D.E., Bresnahan, M., Carter, K.W., Francis, R.W., Gissler, M., Grønborg, T.K., et al. (2013) The International Collaboration for Autism Registry Epidemiology (iCARE): Multinational Registry-Based Investigations of Autism Risk Factors and Trends. Journal of Autism and Developmental Disorders, 43, 2650-2663. [Google Scholar] [CrossRef] [PubMed]
[19] Baron-Cohen, S., Scott, F.J., Allison, C., Williams, J., Bolton, P., Matthews, F.E., et al. (2009) Prevalence of Autism-Spectrum Conditions: UK School-Based Population Study. British Journal of Psychiatry, 194, 500-509. [Google Scholar] [CrossRef] [PubMed]
[20] Kim, Y.S., Leventhal, B.L., Koh, Y., Fombonne, E., Laska, E., Lim, E., et al. (2011) Prevalence of Autism Spectrum Disorders in a Total Population Sample. American Journal of Psychiatry, 168, 904-912. [Google Scholar] [CrossRef] [PubMed]
[21] Charman, T. (2011) The Highs and Lows of Counting Autism. American Journal of Psychiatry, 168, 873-875. [Google Scholar] [CrossRef] [PubMed]
[22] Poovathinal, S.A., Anitha, A., Thomas, R., Kaniamattam, M., Melempatt, N., Anilkumar, A., et al. (2016) Prevalence of Autism Spectrum Disorders in a Semiurban Community in South India. Annals of Epidemiology, 26, 663-665.e8. [Google Scholar] [CrossRef] [PubMed]
[23] Lyall, K., Croen, L., Daniels, J., Fallin, M.D., Ladd-Acosta, C., Lee, B.K., et al. (2017) The Changing Epidemiology of Autism Spectrum Disorders. Annual Review of Public Health, 38, 81-102. [Google Scholar] [CrossRef] [PubMed]
[24] Cervantes, P.E., Brown, D.S. and Horwitz, S.M. (2022) Suicidal Ideation and Intentional Self-Inflicted Injury in Autism Spectrum Disorder and Intellectual Disability: An Examination of Trends in Youth Emergency Department Visits in the United States from 2006 to 2014. Autism, 27, 226-243. [Google Scholar] [CrossRef] [PubMed]
[25] Buescher, A.V.S., Cidav, Z., Knapp, M. and Mandell, D.S. (2014) Costs of Autism Spectrum Disorders in the United Kingdom and the United States. JAMA Pediatrics, 168, 721-728. [Google Scholar] [CrossRef] [PubMed]
[26] Leigh, J.P. and Du, J. (2015) Brief Report: Forecasting the Economic Burden of Autism in 2015 and 2025 in the United States. Journal of Autism and Developmental Disorders, 45, 4135-4139. [Google Scholar] [CrossRef] [PubMed]
[27] Castelbaum, L., Sylvester, C.M., Zhang, Y., Yu, Q. and Constantino, J.N. (2019) On the Nature of Monozygotic Twin Concordance and Discordance for Autistic Trait Severity: A Quantitative Analysis. Behavior Genetics, 50, 263-272. [Google Scholar] [CrossRef] [PubMed]
[28] Fordyce, T.A., Leonhard, M.J. and Chang, E.T. (2017) A Critical Review of Developmental Exposure to Particulate Matter, Autism Spectrum Disorder, and Attention Deficit Hyperactivity Disorder. Journal of Environmental Science and Health, Part A, 53, 174-204. [Google Scholar] [CrossRef] [PubMed]
[29] Lam, J., Sutton, P., Kalkbrenner, A., Windham, G., Halladay, A., Koustas, E., et al. (2016) A Systematic Review and Meta-Analysis of Multiple Airborne Pollutants and Autism Spectrum Disorder. PLOS ONE, 11, e0161851. [Google Scholar] [CrossRef] [PubMed]
[30] Ritz, B., Liew, Z., Yan, Q., Cuia, X., Virk, J., Ketzel, M., et al. (2018) Air Pollution and Autism in Denmark. Environmental Epidemiology, 2, e028. [Google Scholar] [CrossRef] [PubMed]
[31] Genovese, A. and Butler, M.G. (2020) Clinical Assessment, Genetics, and Treatment Approaches in Autism Spectrum Disorder (ASD). International Journal of Molecular Sciences, 21, Article 4726. [Google Scholar] [CrossRef] [PubMed]
[32] Lin, L., Zhan, X., Jin, C., Liang, J., Jing, J. and Dong, G. (2022) The Epidemiological Evidence Linking Exposure to Ambient Particulate Matter with Neurodevelopmental Disorders: A Systematic Review and Meta-Analysis. Environmental Research, 209, Article ID: 112876. [Google Scholar] [CrossRef] [PubMed]
[33] McGuinn, L.A., Windham, G.C., Kalkbrenner, A.E., Bradley, C., Di, Q., Croen, L.A., et al. (2020) Early Life Exposure to Air Pollution and Autism Spectrum Disorder: Findings from a Multisite Case-Control Study. Epidemiology, 31, 103-114. [Google Scholar] [CrossRef] [PubMed]
[34] Jo, H., Eckel, S.P., Chen, J., Cockburn, M., Martinez, M.P., Chow, T., et al. (2019) Gestational Diabetes Mellitus, Prenatal Air Pollution Exposure, and Autism Spectrum Disorder. Environment International, 133, Article ID: 105110. [Google Scholar] [CrossRef] [PubMed]
[35] Chen, G., Jin, Z., Li, S., Jin, X., Tong, S., Liu, S., et al. (2018) Early Life Exposure to Particulate Matter Air Pollution (PM1, PM2.5 and PM10) and Autism in Shanghai, China: A Case-Control Study. Environment International, 121, 1121-1127. [Google Scholar] [CrossRef] [PubMed]
[36] Imbriani, G., Panico, A., Grassi, T., Idolo, A., Serio, F., Bagordo, F., et al. (2021) Early-Life Exposure to Environmental Air Pollution and Autism Spectrum Disorder: A Review of Available Evidence. International Journal of Environmental Research and Public Health, 18, Article 1204. [Google Scholar] [CrossRef] [PubMed]
[37] Ailshire, J.A. and Crimmins, E.M. (2014) Fine Particulate Matter Air Pollution and Cognitive Function among Older US Adults. American Journal of Epidemiology, 180, 359-366. [Google Scholar] [CrossRef] [PubMed]
[38] 詹晓玲, 陈宇靖, 欧晓璇, 等. 生命早期细颗粒物暴露与学龄期儿童孤独症谱系障碍患病风险的关联[J]. 中国学校卫生, 2023, 44(2): 195-199.
[39] Donaldson, K., Stone, V., Borm, P.J.A., Jimenez, L.A., Gilmour, P.S., Schins, R.P.F., et al. (2003) Oxidative Stress and Calcium Signaling in the Adverse Effects of Environmental Particles (PM10). Free Radical Biology and Medicine, 34, 1369-1382. [Google Scholar] [CrossRef] [PubMed]
[40] Pagalan, L., Bickford, C., Weikum, W., Lanphear, B., Brauer, M., Lanphear, N., et al. (2019) Association of Prenatal Exposure to Air Pollution with Autism Spectrum Disorder. JAMA Pediatrics, 173, 86-92. [Google Scholar] [CrossRef] [PubMed]
[41] Becerra, T.A., Wilhelm, M., Olsen, J., Cockburn, M. and Ritz, B. (2013) Ambient Air Pollution and Autism in Los Angeles County, California. Environmental Health Perspectives, 121, 380-386. [Google Scholar] [CrossRef] [PubMed]
[42] Clifford, A., Lang, L., Chen, R., Anstey, K.J. and Seaton, A. (2016) Exposure to Air Pollution and Cognitive Functioning across the Life Course—A Systematic Literature Review. Environmental Research, 147, 383-398. [Google Scholar] [CrossRef] [PubMed]
[43] Yan, F., Liu, H., Zhang, H., Yi, L., Wu, Y., Deng, C., et al. (2021) Association between Maternal Exposure to Gaseous Pollutants and Atrial Septal Defect in China: A Nationwide Population-Based Study. Environmental Research, 200, Article ID: 111472. [Google Scholar] [CrossRef] [PubMed]
[44] Goodrich, A.J., Volk, H.E., Tancredi, D.J., McConnell, R., Lurmann, F.W., Hansen, R.L., et al. (2017) Joint Effects of Prenatal Air Pollutant Exposure and Maternal Folic Acid Supplementation on Risk of Autism Spectrum Disorder. Autism Research, 11, 69-80. [Google Scholar] [CrossRef] [PubMed]
[45] Davis, E.P. and Pfaff, D. (2014) Sexually Dimorphic Responses to Early Adversity: Implications for Affective Problems and Autism Spectrum Disorder. Psychoneuroendocrinology, 49, 11-25. [Google Scholar] [CrossRef] [PubMed]
[46] Kaufman, J.A., Wright, J.M., Rice, G., Connolly, N., Bowers, K. and Anixt, J. (2019) Ambient Ozone and Fine Particulate Matter Exposures and Autism Spectrum Disorder in Metropolitan Cincinnati, Ohio. Environmental Research, 171, 218-227. [Google Scholar] [CrossRef] [PubMed]
[47] Jung, C., Lin, Y. and Hwang, B. (2013) Air Pollution and Newly Diagnostic Autism Spectrum Disorders: A Population-Based Cohort Study in Taiwan Region. PLOS ONE, 8, e75510. [Google Scholar] [CrossRef] [PubMed]
[48] Jo, H., Eckel, S.P., Wang, X., Chen, J., Cockburn, M., Martinez, M.P., et al. (2019) Sex-Specific Associations of Autism Spectrum Disorder with Residential Air Pollution Exposure in a Large Southern California Pregnancy Cohort. Environmental Pollution, 254, Article ID: 113010. [Google Scholar] [CrossRef] [PubMed]
[49] Wang, F., Li, C., Liu, W. and Jin, Y. (2013) Oxidative Damage and Genotoxic Effect in Mice Caused by Sub-Chronic Exposure to Low-Dose Volatile Organic Compounds. Inhalation Toxicology, 25, 235-242. [Google Scholar] [CrossRef] [PubMed]
[50] Volk, H.E., Hertz-Picciotto, I., Delwiche, L., Lurmann, F. and McConnell, R. (2011) Residential Proximity to Freeways and Autism in the CHARGE Study. Environmental Health Perspectives, 119, 873-877. [Google Scholar] [CrossRef] [PubMed]
[51] Yang, Q., Liu, G., Falandysz, J., Yang, L., Zhao, C., Chen, C., et al. (2024) Atmospheric Emissions of Particulate Matter-Bound Heavy Metals from Industrial Sources. Science of The Total Environment, 947, Article ID: 174467. [Google Scholar] [CrossRef] [PubMed]
[52] Li, C., Du, D., Gan, Y., Ji, S., Wang, L., Chang, M., et al. (2022) Foliar Dust as a Reliable Environmental Monitor of Heavy Metal Pollution in Comparison to Plant Leaves and Soil in Urban Areas. Chemosphere, 287, Article ID: 132341. [Google Scholar] [CrossRef] [PubMed]
[53] Qin, Y., Jian, B., Wu, C., Jiang, C., Kang, Y., Zhou, J., et al. (2018) A Comparison of Blood Metal Levels in Autism Spectrum Disorder and Unaffected Children in Shenzhen of China and Factors Involved in Bioaccumulation of Metals. Environmental Science and Pollution Research, 25, 17950-17956. [Google Scholar] [CrossRef] [PubMed]
[54] Saghazadeh, A. and Rezaei, N. (2017) Systematic Review and Meta-Analysis Links Autism and Toxic Metals and Highlights the Impact of Country Development Status: Higher Blood and Erythrocyte Levels for Mercury and Lead, and Higher Hair Antimony, Cadmium, Lead, and Mercury. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 79, 340-368. [Google Scholar] [CrossRef] [PubMed]
[55] Ou, J., Zheng, L., Tang, Q., Liu, M. and Zhang, S. (2021) Source Analysis of Heavy Metals in Atmospheric Particulate Matter in a Mining City. Environmental Geochemistry and Health, 44, 979-991. [Google Scholar] [CrossRef] [PubMed]
[56] 龙莎莎, 周浩, 王艺. 大气颗粒物质污染与孤独症谱系障碍发病的相关性研究进展[J]. 中华实用儿科临床杂志, 2018, 33(24): 1910-1912.
[57] Frost, J.L. and Schafer, D.P. (2016) Microglia: Architects of the Developing Nervous System. Trends in Cell Biology, 26, 587-597. [Google Scholar] [CrossRef] [PubMed]