Tong Xiaoyu, Xie Hua, Fonzo Gregory A, Zhao Kanhao, Satterthwaite Theodore D, Carlisle Nancy B, Zhang Yu
Department of Bioengineering, Lehigh University, Bethlehem, PA, USA.
Center for Neuroscience Research, Children's National Hospital, Washington, DC, USA.
Nat Ment Health. 2024 Mar;2(3):287-298. doi: 10.1038/s44220-023-00195-w. Epub 2024 Jan 10.
Autism spectrum disorder (ASD) is a common neurodevelopmental disorder characterized by social and communication deficits (SCDs), restricted and repetitive behaviors (RRBs) and fixated interests. Despite its prevalence, development of effective therapy for ASD is hindered by its symptomatic and neurophysiological heterogeneities. To comprehensively explore these heterogeneities, we developed a new analytical framework combining contrastive learning and sparse canonical correlation analysis that identifies symptom-linked resting-state electroencephalographic connectivity dimensions within 392 ASD samples. We present two dimensions with multivariate connectivity basis exhibiting significant correlations with SCD and RRB, confirm their robustness through cross-validation and demonstrate their conceptual generalizability using an independent dataset ( = 222). Specifically, the right inferior parietal lobe is the core region for RRB, while connectivity between the left angular gyrus and the right middle temporal gyrus show key contribution to SCD. These findings provide a promising avenue to parse ASD heterogeneity with high clinical translatability, paving the way for ASD treatment development and precision medicine.
自闭症谱系障碍(ASD)是一种常见的神经发育障碍,其特征为社交和沟通缺陷(SCD)、受限及重复行为(RRB)以及固定兴趣。尽管其患病率较高,但ASD有效治疗方法的开发因症状和神经生理学异质性而受阻。为了全面探究这些异质性,我们开发了一种新的分析框架,将对比学习和稀疏典型相关分析相结合,该框架在392个ASD样本中识别出与症状相关的静息态脑电图连接维度。我们呈现了两个具有多变量连接基础的维度,它们与SCD和RRB表现出显著相关性,通过交叉验证确认了它们的稳健性,并使用一个独立数据集(n = 222)证明了它们的概念通用性。具体而言,右下顶叶是RRB的核心区域,而左角回与右颞中回之间的连接对SCD有关键贡献。这些发现为解析具有高临床可转化性的ASD异质性提供了一条有前景的途径,为ASD治疗开发和精准医学铺平了道路。