Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto M4G 1R8, Canada.
Institute of Medical Science, Faculty of Medicine, University of Toronto, Toronto M5S 1A8, Canada.
Cereb Cortex. 2022 May 30;32(11):2332-2342. doi: 10.1093/cercor/bhab326.
Shared etiological pathways are suggested in ASD and ADHD given high rates of comorbidity, phenotypic overlap and shared genetic susceptibility. Given the peak of cortical gyrification expansion and emergence of ASD and ADHD symptomology in early development, we investigated gyrification morphology in 539 children and adolescents (6-17 years of age) with ASD (n=197) and ADHD (n=96) compared to typically developing controls (n=246) using the local Gyrification Index (lGI) to provide insight into contributing etiopathological factors in these two disorders. We also examined IQ effects and functional implications of gyrification by exploring the relation between lGI and ASD and ADHD symptomatology beyond diagnosis. General Linear Models yielded no group differences in lGI, and across groups, we identified an age-related decrease of lGI and greater lGI in females compared to males. No diagnosis-by-age interactions were found. Accounting for IQ variability in the model (n=484) yielded similar results. No significant associations were found between lGI and social communication deficits, repetitive and restricted behaviours, inattention or adaptive functioning. By examining both disorders and controls using shared methodology, we found no evidence of atypicality in gyrification as measured by the lGI in these conditions.
鉴于自闭症谱系障碍(ASD)和注意缺陷多动障碍(ADHD)的高共病率、表型重叠和共同遗传易感性,这两种疾病可能存在共同的发病机制。鉴于皮质回沟数量扩张的高峰期以及 ASD 和 ADHD 症状出现在早期发育阶段,我们使用局部脑回指数(lGI)研究了 539 名患有 ASD(n=197)和 ADHD(n=96)的儿童和青少年(6-17 岁)与正常发育对照组(n=246)的脑回形态,以深入了解这两种疾病的潜在发病因素。我们还通过探索 lGI 与 ASD 和 ADHD 症状之间的关系,考察了脑回形态与智商的关系及其对功能的影响,而这种关系超越了疾病的诊断。一般线性模型没有发现 lGI 存在组间差异,在所有组中,我们都发现 lGI 随着年龄的增长而下降,女性的 lGI 大于男性。没有发现诊断与年龄的交互作用。在模型中考虑智商的可变性(n=484)后,得到了类似的结果。lGI 与社会交流障碍、重复和受限行为、注意力不集中或适应功能之间没有显著关联。通过使用相同的方法检查这两种疾病和对照组,我们没有发现 lGI 在这些情况下存在脑回形态异常的证据。