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Bethlehem, R. A. I.

Publications and source records attributed to Bethlehem, R. A. I..

5 recordsLinked to original sources

MIND the gap: methodological considerations and guidance for structural MRI similarity network analysis with MIND

Structural similarity networks quantify the similarity of structural properties across cortical regions, providing a macroscopic window onto the organisation of cortical architecture. Morphometric inverse divergence (MIND) is a multivariate metric of similarity between cortical areas, based on the Kullback-Leibler (KL) divergence between areal distributions of multiple MRI features or morphometric variables locally measured at voxel or vertex resolution. MIND has demonstrated technical robustness and biological validity and is increasingly widely used as a measure of cortico-cortical similarity in clinical and developmental network neuroscience. Here we provide in-depth methodological background on KL divergence and MIND, highlighting possible sources of bias, critical user decision points in the design of a MIND processing pipeline, and recommendations for technical risk mitigation in using MIND as a metric of cortical similarity. We use simulated data and observational MRI datasets from adults (UK Biobank, N = 500 T1-weighted and diffusion scans) and neonates (Developing Human Connectome Project, N = 752 T2-weighted scans), to show how the estimator of KL divergence implemented in MIND is potentially influenced or biased by five properties of input MRI feature maps: (i) their smoothness; (ii) the proportion of identical values; (iii) analysis in native or common space and the choice of vertex mesh resolution; (iv) parcellation choice; and (v) covariance between input features. We offer principled and practical guidance for investigators wanting to specify and implement the MIND processing pipeline that is best suited to the constraints and opportunities of the MRI data available to them. These recommendations outline which pipeline steps should be used sparingly, such as vertex map smoothing; which should be used with informed caution, such as parcellation choice or vertex mesh resampling; and which could be newly implemented for more robust estimation of MIND, such as the use of principal component analysis to preprocess multivariate MRI features. To support further development of structural MRI similarity network analysis, and wider adoption of robust MIND methods, we also publish the code used to generate the results in this paper as an open resource.

neuroscience

Using normative age modelling to isolate subsets of individuals with autism expressing highly age-atypical cortical thickness features

Understanding heterogeneity in neural phenotypes is an important goal on the path to precision medicine for autism spectrum disorders (ASD). Age is a critically important variable in normal structural brain development and examining structural features with respect to age-related norms could help to explain ASD heterogeneity in neural phenotypes. Here we examined how cortical thickness (CT) in ASD can be parameterized as an individualized metric of deviance relative to typically-developing (TD) age-related norms. Across a large sample (n=870 per group) and wide age range (5-40 years), we applied a normative modelling approach that provides individualized whole-brain maps of age-related CT deviance in ASD. This approach isolates a subgroup of ASD individuals with highly age-deviant CT. The median prevalence of this ASD subgroup across all brain regions is 7.6%, and can reach as high as 10% for some brain regions. This work showcases an individualized approach for understanding ASD heterogeneity that could potentially further prioritize work on a subset of individuals with significant cortical pathophysiology represented in age-related CT deviance. Rather than cortical thickness pathology being a widespread characteristic of most ASD patients, only a small subset of ASD individuals are actually highly deviant relative to age-norms. These individuals drive small on-average effects from case-control comparisons. Rather than sticking to the diagnostic label of autism, future research should pivot to focus on isolating subsets of autism patients with highly deviant phenotypes and better understand the underlying mechanisms that drive those phenotypes.

neuroscience

Synaptic and transcriptionally downregulated genes are associated with cortical thickness differences in autism

Differences in cortical morphology - in particular, cortical volume, thickness and surface area - have been reported in individuals with autism. However, it is unclear what aspects of genetic and transcriptomic variation are associated with these differences. Here we investigate the genetic correlates of global cortical thickness differences ({Delta}CT) in children with autism. We used Partial Least Squares Regression (PLSR) on structural MRI data from 548 children (166 with autism, 295 neurotypical children and 87 children with ADHD) and cortical gene expression data from the Allen Institute for Brain Science to identify genetic correlates of {Delta}CT in autism.\n\nWe identify that these genes are enriched for synaptic transmission pathways and explain significant variation in {Delta}CT. These genes are also significantly enriched for genes dysregulated in the autism post-mortem cortex (Odd Ratio (OR) = 1.11, Pcorrected < 10-14), driven entirely by downregulated genes (OR = 1.87, Pcorrected < 10-15). We validated the enrichment for downregulated genes in two independent datasets: Validation 1 (OR = 1.44, Pcorrected = 0.004) and Validation 2 (OR = 1.30; Pcorrected = 0.001). We conclude that transcriptionally downregulated genes implicated in autism are robustly associated with global changes in cortical thickness variability in children with autism.

neuroscience

Structural covariance networks in children with autism or ADHD

While autism and attention-deficit/hyperactivity disorder (ADHD) are considered distinct conditions from a diagnostic perspective, they share some phenotypic features and have high comorbidity. Taking a dual-condition approach might help elucidate shared and distinct neural characteristics.\n\nGraph theory was used to analyse properties of cortical thickness structural covariance networks across both conditions and relative to a neurotypical (NT; n=87) group using data from the ABIDE (autism; n=62) and ADHD-200 datasets (ADHD; n=69). This was analysed in a theoretical framework examining potential differences in long and short range connectivity.\n\nWe found convergence between autism and ADHD, where both conditions show an overall decrease in CT covariance with increased Euclidean distance compared to a neurotypical population. The two conditions also show divergence: less modular overlap between the two conditions than there is between each condition and the neurotypical group. Lastly, the ADHD group also showed reduced wiring costs compared to the autism groups.\n\nOur results indicate a need for taking an integrated approach when considering highly comorbid conditions such as autism and ADHD. Both groups show a distance-covariance relation that more strongly favours short-range over long-range. Thus, on some network features the groups seem to converge, yet on others there is divergence.

neuroscience

Genetic overlap between educational attainment, schizophrenia and autism

ImportanceThe genetic relationship between cognition, autism, and schizophrenia is complex. It is unclear how genes that contribute to cognition also contribute to risk for autism and schizophrenia.\n\nObjectiveTo investigate the interaction between genes related to cognition (measured via proxy through educational attainment, which we call edu genes) and genes/biological pathways that are atypical in autism and schizophrenia.\n\nDesignGenetic correlation and enrichment analysis were conducted to identify the interaction between edu genes and risk genes and biological pathways for autism or schizophrenia.\n\nResultsFirst, edu genes are enriched in a specific developmental co-expression module that is also enriched for high confidence autism risk genes. Second, modules enriched for genes that are dysregulated in autism and schizophrenia are also enriched for edu genes. Finally, genes that overlap between the two above modules and educational attainment are significantly enriched for genes that flank human accelerated regions, suggesting increased positive selection for the overlapping gene sets.\n\nConclusionOur results identify distinct co-expression modules where risk genes for the two psychiatric conditions interact with edu genes. This suggests specific pathways that contribute to both cognitive deficits and cognitive talents, in individuals with schizophrenia or autism.\n\nKey PointsO_ST_ABSQuestionC_ST_ABSHow do genes for educational attainment interact with risk genes for autism and schizophrenia?\n\nFindingsWe show that genes for educational attainment (edu genes) are significantly likely to be mutated in autism and intellectual disability. We further show that edu genes also interact with co-expression modules that are associated with autism or schizophrenia and are enriched for differentially expressed genes in autism or schizophrenia. Finally, we identify that the enrichment between risk genes for autism and schizophrenia and human accelerated regions are driven, in part, by their overlap with edu genes.\n\nMeaningEdu genes interact with schizophrenia and autism risk genes in specific pathways, contributing to both cognitive deficits and talents.

genetics