自闭症谱系障碍中的丘脑皮质连接障碍:功能和解剖连接研究。

Impaired thalamocortical connectivity in autism spectrum disorder: a study of functional and anatomical connectivity.

机构信息

Brain Development Imaging Laboratory, Department of Psychology, San Diego State University, San Diego, CA 92120, USA.

出版信息

Brain. 2013 Jun;136(Pt 6):1942-55. doi: 10.1093/brain/awt079.

Abstract

The thalamus plays crucial roles in the development and mature functioning of numerous sensorimotor, cognitive and attentional circuits. Currently limited evidence suggests that autism spectrum disorder may be associated with thalamic abnormalities, potentially related to sociocommunicative and other impairments in this disorder. We used functional connectivity magnetic resonance imaging and diffusion tensor imaging probabilistic tractography to study the functional and anatomical integrity of thalamo-cortical connectivity in children and adolescents with autism spectrum disorder and matched typically developing children. For connectivity with five cortical seeds (prefontal, parieto-occipital, motor, somatosensory and temporal), we found evidence of both anatomical and functional underconnectivity. The only exception was functional connectivity with the temporal lobe, which was increased in the autism spectrum disorders group, especially in the right hemisphere. However, this effect was robust only in partial correlation analyses (partialling out time series from other cortical seeds), whereas findings from total correlation analyses suggest that temporo-thalamic overconnectivity in the autism group was only relative to the underconnectivity found for other cortical seeds. We also found evidence of microstructural compromise within the thalamic motor parcel, associated with compromise in tracts between thalamus and motor cortex, suggesting that the thalamus may play a role in motor abnormalities reported in previous autism studies. More generally, a number of correlations of diffusion tensor imaging and functional connectivity magnetic resonance imaging measures with diagnostic and neuropsychological scores indicate involvement of abnormal thalamocortical connectivity in sociocommunicative and cognitive impairments in autism spectrum disorder.

摘要

丘脑在众多感觉运动、认知和注意力回路的发育和成熟功能中起着关键作用。目前有限的证据表明,自闭症谱系障碍可能与丘脑异常有关,这可能与该障碍的社交沟通和其他障碍有关。我们使用功能连接磁共振成像和扩散张量成像概率追踪技术研究了自闭症谱系障碍儿童和青少年与匹配的典型发育儿童的丘脑-皮质连接的功能和解剖完整性。对于与五个皮质种子(前额叶、顶枕叶、运动、体感和颞叶)的连接,我们发现了解剖和功能连接不足的证据。唯一的例外是与颞叶的功能连接,在自闭症谱系障碍组中增加,尤其是在右半球。然而,这种效应仅在部分相关分析中是稳健的(从其他皮质种子的时间序列中排除),而总相关分析的结果表明,自闭症组中颞-丘脑的过度连接仅相对于其他皮质种子发现的连接不足是相对的。我们还发现了与丘脑运动包裹体的微观结构损伤有关的证据,这与丘脑和运动皮质之间的束损伤有关,这表明丘脑可能在以前的自闭症研究中报告的运动异常中起作用。更一般地说,扩散张量成像和功能连接磁共振成像测量与诊断和神经心理学评分的一些相关性表明,异常的丘脑皮质连接参与了自闭症谱系障碍的社交沟通和认知障碍。

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