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自闭症谱系障碍儿童及青少年的脑-小脑静息态功能连接

Cerebro-cerebellar Resting-State Functional Connectivity in Children and Adolescents with Autism Spectrum Disorder.

作者信息

Khan Amanda J, Nair Aarti, Keown Christopher L, Datko Michael C, Lincoln Alan J, Müller Ralph-Axel

机构信息

Brain Development Imaging Laboratory, Department of Psychology, San Diego State University, San Diego, California.

Brain Development Imaging Laboratory, Department of Psychology, San Diego State University, San Diego, California.; Joint Doctoral Program in Language and Communicative Disorders, San Diego State University and University of California, San Diego, California.

出版信息

Biol Psychiatry. 2015 Nov 1;78(9):625-34. doi: 10.1016/j.biopsych.2015.03.024. Epub 2015 Apr 1.

Abstract

BACKGROUND

The cerebellum plays important roles in sensori-motor and supramodal cognitive functions. Cellular, volumetric, and functional abnormalities of the cerebellum have been found in autism spectrum disorders (ASD), but no comprehensive investigation of cerebro-cerebellar connectivity in ASD is available.

METHODS

We used resting-state functional connectivity magnetic resonance imaging in 56 children and adolescents (28 subjects with ASD, 28 typically developing subjects) 8-17 years old. Partial and total correlation analyses were performed for unilateral regions of interest (ROIs), distinguished in two broad domains as sensori-motor (premotor/primary motor, somatosensory, superior temporal, and occipital) and supramodal (prefrontal, posterior parietal, and inferior and middle temporal).

RESULTS

There were three main findings: 1) Total correlation analyses showed predominant cerebro-cerebellar functional overconnectivity in the ASD group; 2) partial correlation analyses that emphasized domain specificity (sensori-motor vs. supramodal) indicated a pattern of robustly increased connectivity in the ASD group (compared with the typically developing group) for sensori-motor ROIs but predominantly reduced connectivity for supramodal ROIs; and 3) this atypical pattern of connectivity was supported by significantly increased noncanonical connections (between sensori-motor cerebral and supramodal cerebellar ROIs and vice versa) in the ASD group.

CONCLUSIONS

Our findings indicate that sensori-motor intrinsic functional connectivity is atypically increased in ASD, at the expense of connectivity supporting cerebellar participation in supramodal cognition.

摘要

背景

小脑在感觉运动和超模态认知功能中发挥着重要作用。在自闭症谱系障碍(ASD)中已发现小脑存在细胞、体积和功能异常,但目前尚无关于ASD中小脑与大脑连接性的全面研究。

方法

我们对56名8至17岁的儿童和青少年(28名ASD受试者,28名发育正常的受试者)进行了静息态功能连接磁共振成像检查。对单侧感兴趣区域(ROI)进行了偏相关和全相关分析,这些区域分为两个主要领域,即感觉运动(运动前区/初级运动区、躯体感觉区、颞上回和枕叶)和超模态(前额叶、顶叶后区以及颞下回和颞中回)。

结果

有三个主要发现:1)全相关分析显示ASD组中小脑与大脑的功能连接普遍过度;2)强调领域特异性(感觉运动与超模态)的偏相关分析表明,ASD组中感觉运动ROI的连接性显著增加(与发育正常组相比),而超模态ROI的连接性则主要降低;3)ASD组中非典型连接(感觉运动大脑与超模态小脑ROI之间以及反之亦然)显著增加,支持了这种非典型的连接模式。

结论

我们的研究结果表明,ASD中感觉运动内在功能连接异常增加,代价是支持小脑参与超模态认知的连接性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f516/5708535/263f9d8c9a03/nihms676976f1.jpg

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Autism spectrum disorder and the cerebellum.自闭症谱系障碍与小脑。
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