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Forde, N. J.

Publications and source records attributed to Forde, N. J..

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Linking White-Matter Development to Clinical Variation in Autism: Longitudinal Normative Modelling of FA in the EU-AIMS LEAP Cohort

BackgroundAutism is characterised by neurobiological and clinical heterogeneity, which often limits the sensitivity of traditional group comparisons. Longitudinal normative modelling offers a way to capture heterogeneity and to describe an individuals brain-behaviour relationships beyond diagnostic categories. MethodsWe analysed diffusion MRI scans from 3 waves of the EU-AIMS Longitudinal European Autism Project (LEAP). Using normative models of white matter fractional anisotropy (FA) trained on a neurotypical reference cohort, we computed individual deviations relative to age-typical norms. Our sample included 544 individuals (Wave 1: 189 autistic 162 non-autistic; Wave 2: 162 autistic136 non-autistic; Wave 3: 145 autistic 84 non-autistic), aged 7-37 years, with mean intervals of [~]1.5 years (W1-W2) and [~]6 years (W2-W3). We first tested for group level differences between autistic and non-autistic participants in FA deviations across 48 white matter tracts and then examined the associations between these deviation scores and sensory, adaptive, cognitive, and behavioural measures across development within the autism group. ResultsGroup-wise comparisons revealed no significant differences in FA deviations between autistic and non-autistic participants. Within the autism group, multivariate analysis (CCA) showed significant (p<0.05) cross-sectional brain-behaviour associations at Wave 1 (r=0.26) and Wave 2 (r=0.32), but not at Wave 3. Longitudinally, we found significant multivariate associations only for the W1-W3 interval (r=0.36). Follow-up univariate correlations supported these findings, with Wave 2 showing widespread moderate (r{approx}0.35) associations while longitudinally, the univariate associations were generally weaker (r{approx}0.2). Across analyses, higher FA was generally associated with higher Vineland Adaptive Behaviour Scales (VABS) and lower Short Sensory Profile (SSP) scores. Associations with the Autism Diagnostic Observation Schedule (ADOS) were mixed, and the Social Responsiveness Scale (SRS) and Repetitive Behaviour Scale (RBS) showed wave-dependent relationships, with specific tract involvement varying across timepoints. ConclusionsWhite-matter organisation in autism does not differ from that of non-autistic on average but rather follows a dimensional architecture within the autism phenotype. We showed that person-specific deviations from shared neurodevelopmental pathways are linked to behavioural variation among autistic individuals, which cannot be captured by group-level approaches alone. Longitudinal normative modelling provides a practical approach to understand and quantify this heterogeneity. EU-AIMS LEAP GroupZuzana Suchomelova, Mee Rim Oh, Chirag Mehra, Mei Lin Law, Sanjana Gandhi, Laura Bravo Balsa, Maria Dauvermann, Isabel Yorke, Beth Oakley, Rosemary J. Holt, Edward Bullock, Yumnah Kahn, Esme Hayes, Leona Strauss, Noel Lam, Anouk Dykstra, Kim Lamers, Marije Mars, Lucas Geelen, Lotte Beckers, Anna Praat, Feline van Aagten, Sjors Reith, Viola Hollestein, Sanne Kluin, Natalie Forde, Jill Naaijen, Anna Kaiser, Sarah Baumeister, Pascal-M. Aggensteiner, Jumana Ahmad, Sara Ambrosino, Bonnie Auyeung, Tobias Banaschewski, Simon Baron-Cohen, Sarah Baumeister, Christian F. Beckmann, Sven Bolte, Thomas Bourgeron, Carsten Bours, Michael Brammer, Daniel Brandeis, Claudia Brogna, Yvette de Bruijn, Jan K. Buitelaar, Bhismadev Chakrabarti, Tony Charman, Ineke Cornelissen, Daisy Crawley, Flavio DellAcqua, Guillaume Dumas, Sarah Durston, Christine Ecker, Jessica Faulkner, Vincent Frouin, Pilar Garces, David Goyard, Lindsay Ham, Hannah Hayward, Joerg Hipp, Rosemary J. Holt, Mark H. Johnson, Emily J. H. Jones, Prantik Kundu, Meng-Chuan Lai, Xavier Liogier Dardhuy, Michael V. Lombardo, Eva Loth, David J. Lythgoe, Rene Mandl, Andre Marquand, Luke Mason, Maarten Mennes, Andreas Meyer-Lindenberg, Carolin Moessnang, Nico Mueller, Declan G. M. Murphy, Laurence ODwyer, Marianne Oldehinkel, Bob Oranje, Gahan Pandina, Antonio M. Persico, Jack Price, Annika Rausch, Barbara Ruggeri, Amber N. V. Ruigrok, Jessica Sabet, Roberto Sacco, Antonia San Jose Caceres, Emily Simonoff, Will Spooren, Julian Tillmann, Roberto Toro, Heike Tost, Jack Waldman, Steve C. R. Williams, Caroline Wooldridge, Iva Ilioska, Ting Mei, Marcel P. Zwiers. Key PointsO_ST_ABSQuestionC_ST_ABSIn the context of heterogeneity in autism, what do individual differences in white-matter development reveal about brain-behaviour relationships over time? FindingsIn this study, we found significant relationships between individual white-matter deviations and clinical traits in autism both cross-sectionally as well as longitudinally. Increased adaptive functioning and decreased sensory processing were associated with higher FA in long-association and commissural pathways, including the cingulum bundle, superior longitudinal fasciculus, and corpus-callosum, with longitudinal effects most evident over a 7.5-year interval. MeaningDevelopmentally informed normative modelling of white matter offers a pathway toward biologically grounded stratification for precision medicine in autism.

neuroscience↗

Linking functional and structural brain organisation with behaviour in healthy adults

Multimodal data integration approaches, such as Linked Independent Component Analysis (LICA), increase sensitivity to brain-behaviour relationships and allow us to probe the relationship between modalities. Here we focus on inter-regional functional and structural organisation to determine if organisational patterns persist across modalities and if investigating multi-modality organisations provides increased sensitivity to brain-behaviour associations. We utilised multimodal magnetic resonance imaging (MRI; T1w, resting-state functional [fMRI] and diffusion weighted [DWI]) and behavioural data from the Human Connectome Project (HCP, n=676; 51% female). Unimodal features were extracted to produce individual grey matter density maps, probabilistic tractography connectivity matrices and connectopic maps from the T1w, DWI and fMRI data, respectively. DWI and fMRI analyses were restricted to subcortical regions for computational reasons. LICA was then used to integrate features, generating 100 novel independent components. Associations between these components and demographic/behavioural (n=308) variables were examined. 15 components were significantly associated with various demographic/behavioural measures. 2 components were strongly related to various measures of intoxication, driven by DWI and resemble components previously identified. Another component was driven by striatal functional data and related to working memory. A small number of components showed shared variance between structure and function but none of these displayed any significant behavioural associations. Our working memory findings provide support for the use of fMRI connectopic mapping in future research of working memory. Given the lack of behaviourally relevant shared variance between functional and structural organisation, as indexed here, we question the utility of integrating connectopic maps and tractography data.

neuroscience↗

Fine-grained topographic organization within somatosensory cortex during resting-state and emotional face-matching task and its association with ASD traits

BACKGROUNDSensory atypicalities are particularly common in autism spectrum disorders (ASD). Nevertheless, our knowledge about the divergence of the underlying somatosensory region and its association with ASD phenotype features is limited. METHODSWe applied a data-driven approach to map the fine-grained variations in functional connectivity of the primary somatosensory cortex (S1) to the rest of the brain in 240 autistic and 164 neurotypical individuals from the EU-AIMS LEAP dataset, aged between 7 and 30. We estimated the S1 connection topography ( connectopy) during rest and during the emotional face-matching (Hariri) task, an established measure of emotion reactivity, and accessed its association with a set of clinical and behavioral variables. RESULTSWe demonstrated that the S1 connectopy is organized along a dorsoventral axis, mapping onto the somatotopic organization of S1. We found that its spatial characteristics were linked to the individuals adaptive functioning skills, as measured by the Vineland Adaptive Behavior Scales, across the whole sample. Higher functional differentiation characterized the S1 connectopies of individuals with higher daily life adaptive skills. Notably, we detected significant differences between rest and the Hariri task in the S1 connectopies, as well as their projection maps onto the rest of the brain suggesting a task-modulating effect on S1 due to emotion processing. CONCLUSIONSVariation of daily life adaptive skills appears to be reflected in the brains mesoscale neural circuitry, as shown by the S1 connectivity profile, which is also differentially modulated during rest and emotional processing.

neuroscience↗

Autism is associated with inter-individual variations of gray and white matter morphology

BackgroundAlthough many studies have explored atypicalities in gray and white matter (GM, WM) morphology of autism, most of them rely on unimodal analyses that do not benefit from the likelihood that different imaging modalities may reflect common neurobiology. We aimed to establish multimodal brain patterns that differentiate between autism and typically developing (TD) controls and explore associations between these brain patterns and clinical measures. MethodsWe studied 183 individuals with autism and 157 TD individuals (6-30 years) in a large deeply phenotyped autism dataset (EU-AIMS LEAP). Linked Independent Component Analysis was utilized to link all participants GM and WM images, and group comparisons of modality shared variances were examined. Subsequently, we performed a canonical correlation analysis to explore the aggregated effects between all multimodal GM-WM covariations and clinical profiles. ResultsOne multimodal pattern was significantly related to autism. This pattern was primarily associated with GM in bilateral insula, frontal, pre- and post-central, cingulate, and caudate areas, and co-occurred with altered WM features in the superior longitudinal fasciculus. The canonical analysis showed a significant multivariate correlation primarily between multimodal brain patterns that involved variation of corpus callosum, and symptoms of social affect in the autism group. ConclusionsOur findings demonstrate the assets of integrated analyses of GM and WM alterations to study the brain mechanisms that underpin autism, and show that the complex clinical autism phenotype can be interpreted by multimodal brain patterns that are spread across the brain involving both cortical and subcortical areas.

neuroscience↗

Cortico-amygdalar connectivity and externalizing/internalizing behavior in children with neurodevelopmental disorders

BackgroundExternalizing and internalizing behaviors are common and contribute to impairment in children with neurodevelopmental disorders (NDDs). Associations between externalizing or internalizing behaviors and cortico-amygdalar connectivity have been found in children with and without clinically significant internalizing/externalizing behaviors. This study examined whether such associations are present across children with different NDDs. MethodsMulti-modal neuroimaging and behavioral data from the Province of Ontario Neurodevelopmental Disorders (POND) Network were used. POND participants aged 6-18 years with a primary diagnosis of autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD) or obsessive-compulsive disorder (OCD), as well as typically developing children (TDC) with T1-weighted, resting-state fMRI or diffusion weighted imaging and parent-report Child Behavioral Checklist (CBCL) data available, were analyzed (n range=157-346). Associations between externalizing or internalizing behavior and cortico-amygdalar structural and functional connectivity indices were examined using linear regressions, controlling for age, gender, and image-modality specific covariates. Behavior-by-diagnosis interaction effects were also examined. ResultsNo significant linear associations (or diagnosis-by-behavior interaction effects) were found between CBCL-measured externalizing or internalizing behaviors and any of the connectivity indices examined. Post-hoc bootstrapping analyses indicated stability and reliability of these null results. ConclusionsThe current study provides evidence in favour of the absence of a shared linear relationship between internalizing or externalizing behaviors and cortico-amygdalar connectivity properties across a transdiagnostic sample of children with various NDDs and TDC. Detecting shared brain-behavior relationships in children with NDDs may benefit from the use of different methodological approaches, including incorporation of multi-dimensional behavioral data (i.e. behavioral assessments, neurocognitive tasks, task-based fMRI) or clustering approaches to delineate whether subgroups of individuals with different brain-behavior profiles are present within heterogeneous cross-disorder samples.

neuroscience↗

Gray matter covariations and core symptoms of autism. The EU-AIMS Longitudinal European Autism Project

BackgroundVoxel-based Morphometry (VBM) studies in Autism Spectrum Disorder (autism) have yielded diverging results. This might partly be attributed to structural alterations being associating with the combined influence of several regions rather than with a single region. Further, these structural covariation differences may relate to continuous measures of autism rather than with categorical case-control contrasts. The current study aimed to identify structural covariation alterations in autism, and assessed canonical correlations between brain covariation patterns and core autism symptoms. MethodsWe studied 347 individuals with autism and 252 typically developing individuals, aged between 6 and 30 years, who have been deeply phenotyped in the Longitudinal European Autism Project (LEAP). All participants VBM maps were decomposed into spatially independent components using Independent Component Analysis. A Generalized Linear Model (GLM) was used to examine case-control differences. Next, Canonical Correlation Analysis (CCA) was performed to separately explore the integrated effects between all the brain sources of gray matter variation and two sets of core autism symptoms. ResultsGLM analyses showed significant case-control differences for two independent components. The first component was primarily associated with decreased density of bilateral insula, inferior frontal gyrus, orbitofrontal cortex, and increased density of caudate nucleus in the autism group relative to typically developing individuals. The second component was related to decreased densities of the bilateral amygdala, hippocampus, and parahippocampal gyrus in the autism group relative to typically developing individuals. The CCA results showed significant correlations between components that involved variation of thalamus, putamen, precentral gyrus, frontal, parietal, and occipital lobes, and the cerebellum, and repetitive, rigid and stereotyped behaviors and abnormal sensory behaviors in autism individuals. LimitationsOnly 55.9% of the participants with autism had complete questionnaire data on continuous parent-reported symptom measures. ConclusionsCovaried areas associated with autism diagnosis and/or symptoms are scattered across the whole brain and include the limbic system, basal ganglia, thalamus, cerebellum, precentral gyrus, and parts of the frontal, parietal, and occipital lobes. Some of these areas potentially subserve social-communicative behavior whereas others may underpin sensory processing and integration, and motor behavior.

neuroscience↗

Integration of Brain and Behavior Measures for Identification of Data-Driven Groups Cutting Across Children with ASD, ADHD, or OCD

Autism spectrum disorder (ASD), obsessive-compulsive disorder (OCD) and attention-deficit/hyperactivity disorder (ADHD) are clinically and biologically heterogeneous neurodevelopmental disorders (NDDs). The objective of the present study was to integrate brain imaging and behavioral measures to identify new brain-behavior subgroups cutting across these disorders. A subset of the data from the Province of Ontario Neurodevelopmental Disorder (POND) Network including participants with different NDDs (aged 6-16 years) that underwent cross-sectional T1-weighted and diffusion-weighted magnetic resonance imaging (MRI) scanning on the same 3T scanner, and behavioral/cognitive assessments was used. Similarity Network Fusion was applied to integrate cortical thickness, subcortical volume, white matter fractional anisotropy (FA), and behavioral measures in 176 children with ASD, ADHD or OCD with complete data that passed quality control. Normalized mutual information (NMI) was used to determine top contributing model features. Bootstrapping, out-of-model outcome measures and supervised machine learning were each used to examine stability and evaluate the new groups. Cortical thickness in socio-emotional and attention/executive networks and inattention symptoms comprised the top ten features driving participant similarity and differences between four transdiagnostic groups. Subcortical volumes (pallidum, nucleus accumbens, thalamus) were also different among groups, although white matter FA showed limited differences. Features driving participant similarity remained stable across resampling, and the new groups showed significantly different scores on everyday adaptive functioning. Our findings open the possibility of studying new data-driven groups that represent children with NDDs more similar to each other than others within their own diagnostic group. Such new groups can be evaluated longitudinally for prognostic utility and could be stratified for clinical trials targeted toward each groups unique brain and behavioral profiles.

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Sex differences in Variability of Brain Structure Across the Lifespan

Several brain disorders exhibit sex differences in onset, presentation, and prevalence. Increased understanding of the neurobiology of sex-based differences across the lifespan can provide insight into potential disease risk and protective mechanisms. We focused on sex-related differences in variability, which may be indicative of both disease vulnerability and resilience. In n=3,069 participants, from 8-95 years of age, we first analyzed the variance ratio in females vs. males of cortical surface area and global and subcortical volumes for discrete brain regions, and found widespread greater variability in males. In contrast, variance in cortical thickness was similar for males and females. Multivariate analysis that accounts for structural covariance supported variance ratio findings. Findings were present from early life and stable with age. We then examined variability among brain regions by sex. We found significant age-by-sex interactions across neuroimaging metrics, whereby in very early life males had reduced among-region variability compared to females, while in very late life this was reversed. Overall, our findings of greater regional variability but less among-region variability in males in early life may aid our understanding of sex-based risk for neurodevelopmental disorders. In contrast, our findings in late life may provide a potential sex-based risk mechanism for dementia.

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