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低功能自闭症谱系障碍儿童的功能连接改变

Altered Functional Connectivity in Children With Low-Function Autism Spectrum Disorders.

作者信息

Xu Shoujun, Li Meng, Yang Chunlan, Fang Xiangling, Ye Miaoting, Wei Lei, Liu Jian, Li Baojuan, Gan Yungen, Yang Binrang, Huang Wenxian, Li Peng, Meng Xianlei, Wu Yunfan, Jiang Guihua

机构信息

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.

Department of Medical Imaging, Guangdong Second Provincial General Hospital, Guangzhou, China.

出版信息

Front Neurosci. 2019 Aug 2;13:806. doi: 10.3389/fnins.2019.00806. eCollection 2019.

Abstract

Neuroimaging studies have shown that autism spectrum disorders (ASDs) may be associated with abnormalities in brain structures and functions at rest as well as during cognitive tasks. However, it remains unclear if functional connectivity (FC) of all brain neural networks is also changed in these subjects. In this study, we acquired functional magnetic resonance imaging scans from 93 children with ASD and 79 matched healthy subjects. Group independent component analysis was executed for all of the participants to estimate FC. One-sample -tests were then performed to obtain the networks for each group. Group differences in the different brain networks were tested using two-sample -tests. Finally, relationships between abnormal FC and clinical variables were investigated with Pearson's correlation analysis. The results from one-sample -tests revealed nine networks with similar spatial patterns in these two groups. When compared with the controls, children with ASD showed increased connectivity in the right dorsolateral superior frontal gyrus and left middle frontal gyrus (MFG) within the occipital pole network. Children with ASD also showed decreased connectivity in the left gyrus rectus, left middle occipital gyrus, right angular gyrus, right MFG and right inferior frontal gyrus (IFG), orbital part within the lateral visual network (LVN), the left IFG, right precuneus, and right angular gyrus within the left frontoparietal (cognition) network. Furthermore, the mean FC values within the LVN showed significant positive correlations with total score of the Childhood Autism Rating Scale. Our findings indicate that abnormal FC extensively exists within some networks in children with ASD. This abnormal FC may constitute a biomarker of ASD. Our results are an important contribution to the study of neuropathophysiological mechanisms in children with ASD.

摘要

神经影像学研究表明,自闭症谱系障碍(ASD)可能与静息状态以及认知任务期间的脑结构和功能异常有关。然而,尚不清楚这些受试者中所有脑神经网络的功能连接(FC)是否也发生了变化。在本研究中,我们对93名患有ASD的儿童和79名匹配的健康受试者进行了功能磁共振成像扫描。对所有参与者进行组独立成分分析以估计FC。然后进行单样本t检验以获得每组的网络。使用双样本t检验测试不同脑网络中的组间差异。最后,通过Pearson相关分析研究异常FC与临床变量之间的关系。单样本t检验的结果显示这两组中有九个具有相似空间模式的网络。与对照组相比,患有ASD的儿童在枕极网络内的右侧背外侧额上回和左侧额中回(MFG)的连接性增加。患有ASD的儿童在外侧视觉网络(LVN)内的左侧直回、左侧枕中回、右侧角回、右侧MFG和右侧额下回(IFG)眶部、左侧额顶叶(认知)网络内的左侧IFG、右侧楔前叶和右侧角回的连接性也降低。此外,LVN内的平均FC值与儿童自闭症评定量表的总分呈显著正相关。我们的研究结果表明,ASD儿童的某些网络中广泛存在异常FC。这种异常FC可能构成ASD的生物标志物。我们的结果对ASD儿童神经病理生理机制的研究做出了重要贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06f0/6688725/d4d2a8870f26/fnins-13-00806-g001.jpg

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