Decomposing the Brain in Autism: Linking Behavioral Domains to Neuroanatomical Variation and Genomic Underpinnings.

Hanna Seelemeyer, Caroline Gurr, Johanna Leyhausen, Lisa M Berg, Charlotte M Pretzsch, Tim Schäfer, Bassem Hermila, Christine M Freitag, Eva Loth, Bethany Oakley, Luke Mason, Jan K Buitelaar, Christian F Beckmann, Dorothea L Floris, Tony Charman, Tobias Banaschewski, Emily Jones, Thomas Bourgeron, Declan Murphy, Christine Ecker
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Abstract

Background: Autism is accompanied by highly individualized patterns of neurodevelopmental differences in brain anatomy. This variability makes the neuroanatomy of autism inherently difficult to describe at the group level. Here, we examined inter-individual neuroanatomical differences using a dimensional approach that decomposed the domains of social communication and interaction (SCI), restricted and repetitive behaviors (RRB), and atypical sensory processing (ASP) within a neurodiverse study population. Moreover, we aimed to link the resulting neuroanatomical patterns to specific molecular underpinnings.

Methods: Neurodevelopmental differences in cortical thickness and surface area were correlated with SCI, RRB and ASP domain scores by regression of a General Linear Model in a large neurodiverse sample of N=288 autistic and N=140 non-autistic individuals, aged 6-30, recruited within the EU-AIMS Longitudinal European Autism Project (LEAP). The domain-specific patterns of neuroanatomical variability were subsequently correlated with cortical gene expression profiles via the Allan Human Brain Atlas.

Results: Across groups, behavioral variations in SCI, RRB and ASP were associated with interindividual differences in CT and SA in partially non-overlapping fronto-parietal, temporal, and occipital networks. These domain-specific imaging patterns were enriched for genes (i) differentially expressed in autism, (ii) mediating typical brain development, and that are (iii) associated with specific cortical cell types. Many of these genes were implicated in pathways governing synaptic structure and function.

Conclusions: Our study corroborates the close relationship between neuroanatomical variation and interindividual differences in autism-related symptoms and traits within the general framework of neurodiversity, and links domain-specific patterns of neuroanatomical differences to putative molecular underpinnings.

背景:自闭症伴随着高度个性化的大脑解剖学神经发育差异模式。这种差异性使得自闭症的神经解剖学很难在群体层面上进行描述。在此,我们采用一种维度方法,对神经多样性研究人群中的社会交流和互动(SCI)、限制性和重复性行为(RRB)以及非典型感觉处理(ASP)等领域进行分解,从而研究个体间的神经解剖学差异。此外,我们还旨在将由此得出的神经解剖模式与特定的分子基础联系起来:方法:在欧盟-AIMS 欧洲自闭症纵向项目(LEAP)中招募了大量神经多样性样本,其中包括 288 名自闭症患者和 140 名非自闭症患者,年龄在 6-30 岁之间,通过回归一般线性模型,将皮层厚度和表面积的神经发育差异与 SCI、RRB 和 ASP 领域得分相关联。随后,通过 Allan 人类脑图谱将特定领域的神经解剖变异模式与皮层基因表达谱进行了关联:结果:在各组中,SCI、RRB 和 ASP 的行为差异与部分不重叠的前顶叶、颞叶和枕叶网络中 CT 和 SA 的个体间差异相关。这些特定领域的成像模式富含以下基因:(i) 在自闭症中表达不同;(ii) 介导典型的大脑发育;(iii) 与特定的皮层细胞类型相关。其中许多基因与突触结构和功能的调节途径有关:我们的研究证实了在神经多样性的总体框架内,神经解剖学变异与自闭症相关症状和特征的个体差异之间的密切关系,并将特定领域的神经解剖学差异模式与推测的分子基础联系起来。
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