Department of Neurology, MGH, Harvard Medical School, Boston, Massachusetts.
Athinoula A. Martinos Center for Biomedical Imaging, MGH/HST, Charlestown, Massachusetts.
Hum Brain Mapp. 2018 Oct;39(10):4094-4104. doi: 10.1002/hbm.24234. Epub 2018 Jun 26.
Autism spectrum disorder (ASD) is characterized neurophysiologically by, among other things, functional connectivity abnormalities in the brain. Recent evidence suggests that the nature of these functional connectivity abnormalities might not be uniform throughout maturation. Comparing between adolescents and young adults (ages 14-21) with ASD and age- and IQ-matched typically developing (TD) individuals, we previously documented, using magnetoencephalography (MEG) data, that local functional connectivity in the fusiform face areas (FFA) and long-range functional connectivity between FFA and three higher order cortical areas were all reduced in ASD. Given the findings on abnormal maturation trajectories in ASD, we tested whether these results extend to preadolescent children (ages 7-13). We found that both local and long-range functional connectivity were in fact normal in this younger age group in ASD. Combining the two age groups, we found that local and long-range functional connectivity measures were positively correlated with age in TD, but negatively correlated with age in ASD. Last, we showed that local functional connectivity was the primary feature in predicting age in ASD group, but not in the TD group. Furthermore, local functional connectivity was only correlated with ASD severity in the older group. These results suggest that the direction of maturation of functional connectivity for processing of faces from childhood to young adulthood is itself abnormal in ASD, and that during the processing of faces, these trajectory abnormalities are more pronounced for local functional connectivity measures than they are for long-range functional connectivity measures.
自闭症谱系障碍(ASD)在神经生理学上的特征是大脑功能连接异常。最近的证据表明,这些功能连接异常的性质在成熟过程中可能并不一致。我们之前使用脑磁图(MEG)数据比较了 ASD 青少年和年轻成人(14-21 岁)与年龄和智商匹配的正常发育(TD)个体,发现梭状回面孔区(FFA)的局部功能连接和 FFA 与三个高级皮质区之间的长程功能连接在 ASD 中均减少。鉴于 ASD 中存在异常成熟轨迹的发现,我们测试了这些结果是否扩展到青春期前儿童(7-13 岁)。我们发现,在 ASD 中,这个年龄组的局部和长程功能连接实际上是正常的。将两个年龄组结合起来,我们发现 TD 中的局部和长程功能连接测量值与年龄呈正相关,而 ASD 中的局部和长程功能连接测量值与年龄呈负相关。最后,我们表明,局部功能连接是 ASD 组预测年龄的主要特征,但在 TD 组中并非如此。此外,局部功能连接仅与年龄较大的 ASD 组的严重程度相关。这些结果表明,从儿童期到青年期对面孔处理的功能连接成熟方向本身在 ASD 中是异常的,并且在处理面孔时,这些轨迹异常对于局部功能连接测量值比对长程功能连接测量值更为明显。