Cignetti Fabien, Nemmi Federico, Vaugoyeau Marianne, Girard Nadine, Albaret Jean-Michel, Chaix Yves, Péran Patrice, Assaiante Christine
University of Grenoble Alpes, CNRS, TIMC-IMAG, F-38000 Grenoble, France.
ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, Inserm, UPS, 31024 Toulouse, France.
Cereb Cortex Commun. 2020 Apr 6;1(1):tgaa011. doi: 10.1093/texcom/tgaa011. eCollection 2020.
Developmental dyslexia (DD) and developmental coordination disorder (DCD) are distinct diagnostic disorders. However, they also frequently co-occur and may share a common etiology. It was proposed conceptually a neural network framework that explains differences and commonalities between DD and DCD through impairments of distinct or intertwined cortico-subcortical connectivity pathways. The present study addressed this issue by exploring intrinsic cortico-striatal and cortico-cerebellar functional connectivity in a large ( = 136) resting-state fMRI cohort study of 8-12-year-old children with typical development and with DD and/or DCD. We delineated a set of cortico-subcortical functional circuits believed to be associated with the brain's main functions (visual, somatomotor, dorsal attention, ventral attention, limbic, frontoparietal control, and default-mode). Next, we assessed, using general linear and multiple kernel models, whether and which circuits distinguished between the groups. Findings revealed that somatomotor cortico-cerebellar and frontoparietal cortico-striatal circuits are affected in the presence of DCD, including abnormalities in cortico-cerebellar connections targeting motor-related regions and cortico-striatal connections mapping onto posterior parietal cortex. Thus, DCD but not DD may be considered as an impairment of cortico-subcortical functional circuits.
发育性阅读障碍(DD)和发育性协调障碍(DCD)是不同的诊断疾病。然而,它们也经常同时出现,可能有共同的病因。从概念上提出了一个神经网络框架,该框架通过不同或相互交织的皮质 - 皮质下连接通路的损伤来解释DD和DCD之间的差异和共性。本研究通过在一项针对8至12岁发育正常以及患有DD和/或DCD的儿童的大型(n = 136)静息态功能磁共振成像队列研究中探索内在的皮质 - 纹状体和皮质 - 小脑功能连接来解决这个问题。我们描绘了一组被认为与大脑主要功能(视觉、躯体运动、背侧注意、腹侧注意、边缘系统、额顶叶控制和默认模式)相关的皮质 - 皮质下功能回路。接下来,我们使用一般线性模型和多核模型评估哪些回路能够区分不同组。研究结果显示,在存在DCD的情况下,躯体运动皮质 - 小脑和额顶叶皮质 - 纹状体回路会受到影响,包括靶向运动相关区域的皮质 - 小脑连接以及映射到顶叶后部皮质的皮质 - 纹状体连接异常。因此,DCD而非DD可被视为皮质 - 皮质下功能回路的损伤。