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自闭症谱系障碍成人的脑白质结构网络拓扑性质改变。

Altered topological properties of white matter structural network in adults with autism spectrum disorder.

机构信息

Department of Developmental Neuropsychology, School of Psychology, Army Medical University, Chongqing 400038, China.

Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an 710030, China.

出版信息

Asian J Psychiatr. 2022 Sep;75:103211. doi: 10.1016/j.ajp.2022.103211. Epub 2022 Jul 16.

Abstract

BACKGROUND

Autism spectrum disorder (ASD) is a complex developmental disability and is currently viewed as a disorder of brain connectivity in which white matter abnormalities. However, the majority of the research to date has focused on children with ASD. Understanding the topological organization of the white matter structural network in adults may help uncover the nature of ASD pathology in adulthood.

METHOD

This study investigated the topological properties of white matter structural network using diffusion tensor imaging and graph theory analysis in a sample of 32 adults with ASD compared to 35 matched typically developing (TD) controls. Group differences in global and nodal topological metrics were compared. The relationships between the altered network metrics and the severity of clinical symptoms were calculated.

RESULTS

Compared to TD controls, ASD patients exhibited decreased small-worldness and increased global efficiency. In addition, the reduced nodal efficiency and increased nodal degree were found in the frontal (e.g., the inferior frontal gyrus) and parietal (e.g., postcentral gyrus) regions. Furthermore, the altered topological metrics (e.g., increased global efficiency and reduced nodal efficiency) were correlated with the severity of ASD symptoms.

CONCLUSION

These results indicated that the complicatedly topological organization of the white matter structural network was abnormal and may play an essential role in the underlying pathological mechanism of ASD in adults.

摘要

背景

自闭症谱系障碍(ASD)是一种复杂的发育障碍,目前被认为是一种脑连接障碍,其中存在白质异常。然而,迄今为止,大多数研究都集中在患有 ASD 的儿童身上。了解成人中白质结构网络的拓扑组织可能有助于揭示成人 ASD 病理学的本质。

方法

本研究使用弥散张量成像和图论分析,对 32 名 ASD 成人样本与 35 名匹配的典型发育(TD)对照组进行比较,研究了白质结构网络的拓扑性质。比较了组间全局和节点拓扑指标的差异。计算了改变的网络指标与临床症状严重程度之间的关系。

结果

与 TD 对照组相比,ASD 患者表现出较小的世界复杂度和增加的全局效率。此外,在前额(例如,下额回)和顶叶(例如,中央后回)区域发现了降低的节点效率和增加的节点度。此外,改变的拓扑指标(例如,增加的全局效率和降低的节点效率)与 ASD 症状的严重程度相关。

结论

这些结果表明,白质结构网络的复杂拓扑组织异常,可能在成人 ASD 的潜在病理机制中发挥重要作用。

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