Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, North Carolina.
Department of Biostatistics, UNC Gillings School of Global Public Health, Chapel Hill, North Carolina.
Biol Psychiatry Cogn Neurosci Neuroimaging. 2020 Oct;5(10):971-980. doi: 10.1016/j.bpsc.2020.05.012. Epub 2020 Jun 9.
Individual differences in cortical gray matter (GM) structure are associated with cognitive function and psychiatric disorders with developmental origins. Identifying when individual differences in cortical structure are established in childhood is critical for understanding the timing of abnormal cortical development associated with neuropsychiatric disorders.
We studied the development of cortical GM and white matter volume, cortical thickness, and surface area using structural magnetic resonance imaging in two unique cohorts of singleton (121 male and 131 female) and twin (99 male and 83 female) children imaged longitudinally from birth to 6 years.
Cortical GM volume increases rapidly in the first year of life, with more gradual growth thereafter. Between ages 1 and 6 years, total surface area expands 29%, while average cortical thickness decreases about 3.5%. In both cohorts, a large portion of individual variation in cortical GM volume (81%-87%) and total surface area (73%-83%) at age 6 years is present by age 1 year. Regional heterogeneity of cortical thickness observed at age 6 is largely in place at age 1.
These findings indicate that individual differences in cortical GM structure are largely established by the end of the first year of life, following a period of rapid postnatal GM growth. This suggests that alterations in GM structure associated with psychiatric disorders with developmental origins may largely arise in the first year of life and that interventions to normalize or mitigate abnormal GM development may need to be targeted to very early childhood.
皮质灰质(GM)结构的个体差异与认知功能和具有发育起源的精神疾病有关。确定皮质结构的个体差异在儿童期何时建立对于理解与神经精神疾病相关的异常皮质发育的时间至关重要。
我们使用结构磁共振成像研究了两个独特的单胎(121 名男性和 131 名女性)和双胞胎(99 名男性和 83 名女性)儿童队列的皮质 GM 和白质体积、皮质厚度和表面积的发育情况,这些儿童从出生到 6 岁进行了纵向成像。
皮质 GM 体积在生命的第一年迅速增加,此后增长较为缓慢。在 1 岁至 6 岁之间,总表面积增加 29%,而平均皮质厚度下降约 3.5%。在两个队列中,6 岁时皮质 GM 体积(81%-87%)和总表面积(73%-83%)的个体差异很大一部分在 1 岁时就存在。6 岁时观察到的皮质厚度的区域异质性在 1 岁时基本存在。
这些发现表明,皮质 GM 结构的个体差异在生命的第一年就基本建立,随后是快速的产后 GM 生长。这表明,与具有发育起源的精神疾病相关的 GM 结构改变可能主要发生在生命的第一年,为使 GM 发育正常化或减轻异常 GM 发育而进行的干预可能需要针对非常年幼的儿童。