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自闭症谱系障碍中的丘脑皮质连接障碍:来自自闭症大脑成像数据交换的分析

Thalamocortical dysconnectivity in autism spectrum disorder: An analysis of the Autism Brain Imaging Data Exchange.

作者信息

Woodward Neil D, Giraldo-Chica Monica, Rogers Baxter, Cascio Carissa J

机构信息

Department of Psychiatry & Behavioral Sciences, Vanderbilt University School of Medicine, Nashville, TN.

Vanderbilt University Institute of Imaging Science, Nashville, TN.

出版信息

Biol Psychiatry Cogn Neurosci Neuroimaging. 2017 Jan;2(1):76-84. doi: 10.1016/j.bpsc.2016.09.002.

Abstract

BACKGROUND

Individuals with autism spectrum disorder (ASD) exhibit differences in basic sensorimotor processing as well as general cortical excitability. These observations converge to implicate thalamocortical connectivity as a potential unifying neural mechanism. The goal of this study was to clarify mixed findings on thalamocortical functional connectivity in a large sample of individuals with ASD.

METHODS

Using the Autism Brain Imaging Data Exchange (ABIDE), we examined thalamocortical functional connectivity in 228 individuals with ASD and a matched comparison group of 228 typically developing individuals. In order to fully characterize thalamocortical functional networks, we employed complementary seed-based approaches that examined connectivity of major cortical divisions (e.g. prefrontal cortex, temporal lobe) with the thalamus and whole-brain connectivity of specific thalamic sub-regions.

RESULTS

Prefrontal cortex, temporal lobe, and sensorimotor cortex exhibited hyper-connectivity with the thalamus in ASD. In the whole-brain analysis, hyper-connectivity of several thalamic seeds included multiple cortical areas, but tended to converge in temporal cortical areas, including the temporoparietal junction. Follow-up analyses of age effects revealed that the connectivity abnormalities in ASD were more pronounced in adolescents compared to children and adults.

CONCLUSIONS

These results confirm previous findings of temporal and motor thalamocortical hyper-connectivity in ASD, and extend them to include somatosensory and prefrontal cortex. While not directly addressable with the data available in ABIDE, this widespread hyper-connectivity could theoretically account for sensorimotor symptoms and general cortical excitability in ASD. Future studies should target comprehensive clinical and behavioral characterization in combination with functional connectivity in order to explore this possibility.

摘要

背景

自闭症谱系障碍(ASD)患者在基本感觉运动处理以及一般皮层兴奋性方面存在差异。这些观察结果表明丘脑皮质连接可能是一种潜在的统一神经机制。本研究的目的是在大量ASD患者样本中澄清关于丘脑皮质功能连接的混合研究结果。

方法

我们使用自闭症脑成像数据交换(ABIDE),研究了228名ASD患者和228名发育正常的匹配对照组的丘脑皮质功能连接。为了全面描述丘脑皮质功能网络,我们采用了基于种子点的互补方法,研究主要皮层区域(如前额叶皮质、颞叶)与丘脑的连接以及特定丘脑亚区域的全脑连接。

结果

在ASD患者中,前额叶皮质、颞叶和感觉运动皮质与丘脑表现出过度连接。在全脑分析中,几个丘脑种子点的过度连接包括多个皮质区域,但倾向于集中在颞叶皮质区域,包括颞顶叶交界处。年龄效应的后续分析表明,与儿童和成人相比,ASD患者的连接异常在青少年中更为明显。

结论

这些结果证实了先前关于ASD患者颞叶和运动丘脑皮质过度连接的发现,并将其扩展到包括体感和前额叶皮质。虽然无法直接用ABIDE中的现有数据解决,但这种广泛的过度连接理论上可以解释ASD患者的感觉运动症状和一般皮层兴奋性。未来的研究应结合功能连接进行全面的临床和行为特征分析,以探索这种可能性。

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