TY - JOUR
T1 - Frontal networks in adults with autism spectrum disorder
AU - Catani, Marco
AU - Dell'Acqua, Flavio
AU - Budisavljevic, Sanja
AU - Howells, Henrietta
AU - Thiebaut De Schotten, Michel
AU - Froudist-Walsh, Seán
AU - D'Anna, Lucio
AU - Thompson, Abigail
AU - Sandrone, Stefano
AU - Bullmore, Edward T.
AU - Suckling, John
AU - Baron-Cohen, Simon
AU - Lombardo, Michael V.
AU - Wheelwright, Sally J.
AU - Chakrabarti, Bhismadev
AU - Lai, Meng Chuan
AU - Ruigrok, Amber N.V.
AU - Leemans, Alexander
AU - Ecker, Christine
AU - Craig, Michael C.
AU - Murphy, Declan G.M.
AU - Bailey, Anthony J.
AU - Bolton, Patrick F.
AU - Carrington, Sarah
AU - Daly, Eileen M.
AU - Deoni, Sean C.
AU - Happé, Francesca
AU - Henty, Julian
AU - Jezzard, Peter
AU - Johnston, Patrick
AU - Jones, Derek K.
AU - Madden, Anya
AU - Mullins, Diane
AU - Murphy, Clodagh M.
AU - Murphy, Declan G.M.
AU - Pasco, Greg
AU - Sadek, Susan A.
AU - Spain, Debbie
AU - Stewart, Rose
AU - Williams, Steven C.
PY - 2016/2/1
Y1 - 2016/2/1
N2 - It has been postulated that autism spectrum disorder is underpinned by an 'atypical connectivity' involving higher-order association brain regions. To test this hypothesis in a large cohort of adults with autism spectrum disorder we compared the white matter networks of 61 adult males with autism spectrum disorder and 61 neurotypical controls, using two complementary approaches to diffusion tensor magnetic resonance imaging. First, we applied tract-based spatial statistics, a 'whole brain' non-hypothesis driven method, to identify differences in white matter networks in adults with autism spectrum disorder. Following this we used a tract-specific analysis, based on tractography, to carry out a more detailed analysis of individual tracts identified by tract-based spatial statistics. Finally, within the autism spectrum disorder group, we studied the relationship between diffusion measures and autistic symptom severity. Tract-based spatial statistics revealed that autism spectrum disorder was associated with significantly reduced fractional anisotropy in regions that included frontal lobe pathways. Tractography analysis of these specific pathways showed increased mean and perpendicular diffusivity, and reduced number of streamlines in the anterior and long segments of the arcuate fasciculus, cingulum and uncinate - predominantly in the left hemisphere. Abnormalities were also evident in the anterior portions of the corpus callosum connecting left and right frontal lobes. The degree of microstructural alteration of the arcuate and uncinate fasciculi was associated with severity of symptoms in language and social reciprocity in childhood. Our results indicated that autism spectrum disorder is a developmental condition associated with abnormal connectivity of the frontal lobes. Furthermore our findings showed that male adults with autism spectrum disorder have regional differences in brain anatomy, which correlate with specific aspects of autistic symptoms. Overall these results suggest that autism spectrum disorder is a condition linked to aberrant developmental trajectories of the frontal networks that persist in adult life.
AB - It has been postulated that autism spectrum disorder is underpinned by an 'atypical connectivity' involving higher-order association brain regions. To test this hypothesis in a large cohort of adults with autism spectrum disorder we compared the white matter networks of 61 adult males with autism spectrum disorder and 61 neurotypical controls, using two complementary approaches to diffusion tensor magnetic resonance imaging. First, we applied tract-based spatial statistics, a 'whole brain' non-hypothesis driven method, to identify differences in white matter networks in adults with autism spectrum disorder. Following this we used a tract-specific analysis, based on tractography, to carry out a more detailed analysis of individual tracts identified by tract-based spatial statistics. Finally, within the autism spectrum disorder group, we studied the relationship between diffusion measures and autistic symptom severity. Tract-based spatial statistics revealed that autism spectrum disorder was associated with significantly reduced fractional anisotropy in regions that included frontal lobe pathways. Tractography analysis of these specific pathways showed increased mean and perpendicular diffusivity, and reduced number of streamlines in the anterior and long segments of the arcuate fasciculus, cingulum and uncinate - predominantly in the left hemisphere. Abnormalities were also evident in the anterior portions of the corpus callosum connecting left and right frontal lobes. The degree of microstructural alteration of the arcuate and uncinate fasciculi was associated with severity of symptoms in language and social reciprocity in childhood. Our results indicated that autism spectrum disorder is a developmental condition associated with abnormal connectivity of the frontal lobes. Furthermore our findings showed that male adults with autism spectrum disorder have regional differences in brain anatomy, which correlate with specific aspects of autistic symptoms. Overall these results suggest that autism spectrum disorder is a condition linked to aberrant developmental trajectories of the frontal networks that persist in adult life.
KW - arcuate fasciculus
KW - autism spectrum disorder
KW - diffusion tractography
KW - frontal networks
KW - language
UR - http://www.scopus.com/inward/record.url?scp=84959872442&partnerID=8YFLogxK
U2 - 10.1093/brain/awv351
DO - 10.1093/brain/awv351
M3 - Article
C2 - 26912520
AN - SCOPUS:84977074291
SN - 0006-8950
VL - 139
SP - 616
EP - 630
JO - Brain
JF - Brain
IS - 2
ER -