Biology subjects

Royer, J.

Publications and source records attributed to Royer, J..

At least 19 recordsLinked to original sources

bioRxiv2026

Differential subcortical-cortical circuit reorganization in autism and ADHD

Autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) often co-occur and share symptoms as well as genetic risk factors. While subcortical-cortical networks have been implicated in both conditions, particularly involving thalamic and striatal circuits, patterns of shared and diverging disruptions remain unclear. Here we integrated resting-state functional connectivity (FC) and regression dynamic causal modeling (rDCM) across a transdiagnostic multi-site cohort. We used statistical group comparisons and individualized normative deviation mapping to map network deviations in ASD and ADHD relative to neurotypical controls and against one another. Multivariate associative techniques examined associations to clinical and cognitive phenotypes. Our transdiagnostic analyses revealed significant differentiation of ASD and ADHD across subcortical-cortical circuits. While ASD was characterized by widespread thalamocortical hyperconnectivity and bidirectional elevated coupling across thalamic subdivisions, ADHD exhibited a focal pattern of striatocortical disruption, anchored predominantly within the caudate. Multivariate analyses identified shared and disorder-specific brain-behavior associations. Across both conditions, aberrant striatocortical signaling was associated with reduced overall intelligence measures. Clinically, ASD-related thalamocortical connectivity disruptions mapped onto generalized cognitive impairment, whereas ADHD-related subcortical alterations tracked hyperactive and inattentive symptom dimensions. Our findings differentiate ASD and ADHD through distinct patterns of functional and directional subcortical-cortical dysregulations.

neuroscience↗

bioRxiv2026

Assessing the Functional-Structural Reorganization of Connector Hubs in Temporal Lobe Epilepsy

Temporal lobe epilepsy (TLE) is associated with altered functional connectivity, yet its effects on connector hubs, regions supporting long-range and inter-network communication, remain poorly understood. We used SParsity-based Analysis of Reliable k-hubness to characterize connector hub reorganization in unilateral TLE compared with healthy controls. Patients exhibited significant widespread reductions in k-hubness involving the occipital, cingulate, and precuneus regions, ipsilateral hippocampus, and the bilateral pallidum. Compared to the distribution of k-hubness in healthy controls, the hub disruption index revealed rapid loss of k-hubness alongside emergence of new hubs in contralateral homologous regions. To investigate microstructural substrates of these functional changes, apparent diffusion coefficient and fractional anisotropy from diffusion magnetic resonance imaging were examined. The strongest associations with k-hubness were observed in subcortical structures and the hippocampus. These findings demonstrate that TLE is characterized by widespread, asymmetric connector hub reorganization extending beyond the epileptogenic temporal lobe, revealing distinct patterns of network disruption and reorganization across the brain.

neuroscience↗

bioRxiv2026

HippoGenes: A robust workflow for subregional transcriptomic profiling of the human hippocampus

The human hippocampus is a unique cortical structure central to brain function, plasticity, and disease. Unravelling its complex organization requires the integration of multiscale data, linking molecular features to mesoscale anatomy and macroscale functional patterns. Gene expression is a fundamental microscale phenotype, and its profiling can provide a reference description of how molecular features are distributed across the brain. Capitalizing on recent imaging-transcriptomic analyses, we introduce HippoGenes, a repository of fine-grained gene expression patterns across human hippocampal subregions. We leveraged spatial statistical models and hippocampal surface mapping to reconstruct dense transcriptomic maps from sparse post-mortem tissue samples of the Allen Human Brain Atlas, generating continuous expression estimates for thousands of genes aligned to a common surface-based coordinate system. We illustrate the utility of HippoGenes to (i) map medial-lateral and anterior-posterior transcriptomic gradients that align with subfield and tripartite subdivisions of the hippocampal formation, (ii) examine associations between gene expression and canonical microstructural and functional features of the hippocampus, and (iii) perform a molecular decoding of subregional alterations in neurological patients with hippocampal pathology. HippoGenes provides a framework for exploring the molecular organization of the hippocampus, opening avenues for multiscale integration in health and disease, and is openly available on https://hippogenes.readthedocs.io/.

neuroscience↗

bioRxiv2026

A surface-intrinsic framework for topology-preserving hippocampal alignment and precision morphometry

Accurate alignment of hippocampal anatomy across individuals remains challenging due to complex and highly variable folding patterns that are not well captured by conventional volumetric approaches. HippUnfold introduced a surface-based representation of the hippocampus, but key components--including coordinate estimation and inter-subject correspondence--were defined in the volumetric domain, making them susceptible to topological errors and interpolation artifacts. Here, we introduce a surface-intrinsic formulation of hippocampal unfolding in which geometry, intrinsic coordinates, and correspondence are defined directly on subject-specific surface manifolds. Intrinsic anterior-posterior and proximal-distal coordinates are computed by solving Laplace equations on the surface, and correspondence is established through surface-based resampling in unfolded space, replacing inverse volumetric warping. Relative to the original HippUnfold approach, this formulation improves test-retest consistency, subject identifiability, and mesh quality, while better preserving subject-specific gyral and sulcal morphology. Surface representations show reduced distortion between folded and unfolded spaces and eliminate misplaced or outlier vertices associated with volumetric warping. These improvements translate to enhanced sensitivity in a clinical application, improving lateralization of temporal lobe epilepsy. These results demonstrate that a surface-intrinsic formulation provides a principled and robust foundation for hippocampal unfolding, enabling topology-preserving alignment and more accurate characterization of inter-individual variability in health and disease.

neuroscience↗

bioRxiv2026

Multiscale alterations and cortex-wide organizational trends in focal cortical dysplasia

BACKGROUND AND OBJECTIVESFocal cortical dysplasia (FCD) is a leading cause of surgically remediable pharmaco-resistant epilepsy. Previous research has used various MRI sequences to profile FCD lesions, but multi-site studies using personalized features derived from sequences routinely used in the clinic are sparse. This study aimed to quantify changes in cortical morphology, myeloarchitecture, and function within FCD lesions, compare MRI signatures between lesion subtypes and outcomes, and investigate links to macroscale brain organization. METHODSThis cross-sectional study included patients with FCD-related epilepsy aggregated across 3 datasets from Canada and Germany. The 3T MRI acquisitions included T1-weighted and fluid-attenuated inversion recovery (FLAIR) sequences, with the addition of a resting-state functional sequence for two datasets. We derived cortex-wide maps of patient-specific variations in morphology, myeloarchitecture, and function. Variations were quantified in lesions, ipsilateral cortex, and homotopic regions using age- and sex-adjusted normative models. Subgroup analyses explored the role of histological subtype and surgical outcome. Variations were also related to anterior-posterior and sensory-association organizational gradients. RESULTSWe included 159 patients with epilepsy and FCD (47 % female) and 183 healthy control participants (50 % female). Lesions exhibited changes in morphology (cortical thickness; FLAIR blurring) and in specific measures of depth-dependent intracortical myelin (variance and kurtosis of intracortical myelin profiles across depths), but not in local function (regional homogeneity; node strength). Spatial contextualization indicated more pronounced thickness changes in transmodal association cortices, while increased blurring of the gray-white matter interface co-localized with posterior cortical regions. FCD Type IIb lesions contained more marked changes in blurring and depth-dependent intracortical myelin (kurtosis of intracortical myelin profiles across depths) than Type IIa lesions. DISCUSSIONOur findings provide robust evidence that multiscale MRI profiling can identify FCD signatures and contribute to in-vivo subtyping. Furthermore, the novel use of myeloarchitecture profiling and contextualization with macro-scale brain gradients provides new avenues to understand intracortical alterations and the embedding of FCD lesions into broader organizational patterns.

neuroscience↗

bioRxiv2026

FUNCTIONAL FRAGMENTATION AND STRUCTURAL DRIVERS OF THALAMO-CORTICAL CIRCUITS IN TEMPORAL LOBE EPILEPSY

AO_SCPLOWBSTRACTC_SCPLOWO_ST_ABSObjectiveC_ST_ABSIn temporal lobe epilepsy (TLE), the thalamus acts as a nexus in a pathophysiological network that implicates mesiotemporal, subcortical, and neocortical regions. Studying a large multimodal and multicentre dataset, we profiled thalamic, hippocampal, and neocortical functional connectivity (FC), assessed structural mediators, and examined clinical associations. MethodsWe studied resting-state FC alongside structural and diffusion MRI data in 250 unilateral TLE patients and 259 healthy controls, with measures aggregated across four independent datasets. Data were processed using open-access neuroinformatics workflows and analyzed at a subregional level to maximize anatomical precision. Statistical analysis and mediation models assessed between-group FC changes, structural contributors, and clinical correlations. ResultsCompared to controls, TLE patients presented with reduced thalamo-cortical FC, which was most marked in mesiotemporal, fronto-central, and occipital regions. Thalamo-hippocampal FC was also reduced, with effects seen in all CA subfields. In the thalamus, FC reductions peaked in the ventral posterior nucleus when considering neocortical target regions and in the mediodorsal nucleus when considering hippocampal target regions. While ipsilateral hippocampal volume and diffusion changes mediated thalamo-hippocampal FC, thalamo-cortical FC appeared decoupled from structural alterations. Findings were consistent in left and right TLE patients, in patients with short and long disease duration, and across imaging sites, suggesting that thalamo-cortical FC imbalances are a consistent signature of TLE. Conversely, thalamo-hippocampal FC was elevated in patients with focal-to-bilateral-tonic-clonic seizures and FC alterations were more marked in the subgroup of operated patients that became seizure-free after surgery. ConclusionOur multi-site findings demonstrate marked thalamic circuit fragmentation in TLE. Ipsilateral findings robustly showed subdivision-specific effects, which point to both mesiotemporal co-lateralization as well as broader system-level involvement. Mediation analyses furthermore confirmed a key role of hippocampal pathology in disrupted thalamo-hippocampal connectivity in TLE, while broader thalamo-cortical fragmentation becomes increasingly independent of mesiotemporal compromise. Critically, thalamic FC represents a network substrate for seizure generalization and can serve as a prognostic indicator for surgical outcome. These results underscore the contribution of the thalamus as a hub in macroscale dysfunction in TLE.

neuroscience↗

bioRxiv2026

Selective convergence and graded divergence of hippocampal and amygdala subregions using functional connectivity

The hippocampus and amygdala are neighboring medial temporal lobe structures linked to memory and affect, yet how their subregions are jointly embedded within distributed isocortical systems remains unclear. Using resting-state fMRI from 722 Human Connectome Project Young Adult participants, we mapped hippocampal and amygdalar subregions within a unified cortex-wide framework, quantifying subregion-to-cortex connectivity via Pearson correlation (broad co-fluctuation) and GLASSO partial correlation (relatively more direct functional association). We introduced two count-based metrics: dominance (relative hippocampal vs. amygdalar representation) and sharedness (balanced co-representation). Direct associations showed both structures sharing coupling with paralimbic areas and, more modestly, default mode regions, while broader co-fluctuations extended into somatomotor and paralimbic networks. Divergence patterns depended on the estimator: hippocampal subregions preferentially coupled with default-mode and visual networks under direct association, while amygdalar nuclei favored ventral attention and limbic networks; broader co-fluctuations additionally implicated somatomotor cortex for amygdala and visual cortex for hippocampus. These principles held at the subfield/nucleus level, varying along the hippocampal long axis and identifying the paralaminar nucleus as the most hippocampus-like amygdalar subregion. Data-driven connectivity gradients confirmed both systems separation and fine-scale interdigitation. Hippocampal and amygdalar subregions are thus embedded in cortex not as discrete systems, but through structured, spatially organized co-representation.

neuroscience↗

bioRxiv2026

Nucleus-level thalamic organization anchors multimodal signatures of thalamocortical maturation

The human thalamus is composed of multiple nuclei that differ in structure and function. From early development onwards, these nuclei form reciprocal, nucleus-specific connections with the cerebral cortex, contributing to sensory and cognitive processing. In childhood and adolescence, a key period of neurocognitive development, these connections undergo widespread refinement, yet how developmental trajectories of thalamocortical connections vary across nuclei remains unknown. Here, we leveraged the Human Connectome Project in Development dataset (HCP-D, N = 604, age range 8-21) and segmented 10 thalamic nuclei using a segmentation approach optimized for intrathalamic contrast. Applying probabilistic tractography, we reconstructed nucleus-specific thalamocortical connections and charted their maturational profiles based on changes in fractional anisotropy (FA) using generalized additive models. We found FA to increase in thalamocortical connections, with nucleus-specific variation in temporal profiles and magnitude of age effects. Connections of core-cell-rich, sensory-projecting nuclei, such as the lateral geniculate nucleus, showed earlier maturational plateaus, whereas matrix-cell-rich, association-projecting nuclei, such as ventral anterior nucleus, showed more sustained maturation. This links maturational heterochronicity to thalamic organization of cell distribution and connectivity embedding. In parallel, functional thalamocortical connectivity decreased with age, with FA and functional connectivity age effects coupled in nucleus-connections showing prolonged maturation. Finally, concordant age effects in connectivity and nucleus volumes suggest that intra-nucleus remodeling may support refinement of structural connections while reducing thalamocortical functional synchrony. Together, our work reveals that thalamocortical maturation is anchored in the developmental and organizational heterogeneity of thalamic nuclei, offering a framework for understanding how diverse thalamic nuclei contribute to neurocognitive development.

neuroscience↗

bioRxiv2026

A glial source of noradrenaline shapes synaptic integration and motor adaptation

Noradrenaline is a major neuromodulator that shapes neural circuit dynamics and behavior. Prevailing models attribute noradrenergic supply exclusively to long-range inputs from distant nuclei. Yet noradrenergic input can be weak in regions that nonetheless show marked noradrenergic modulation, suggesting additional sources. This mismatch is salient in the cerebellum, where noradrenaline influences behavior despite sparse innervation. Here, we identify Bergmann glia, radial cerebellar astrocytes, as a source of noradrenaline. Using two-photon imaging and cell-type-specific genetic manipulations, we show that Bergmann glia can synthesize and release noradrenaline through a calcium-dependent mechanism requiring the vesicular monoamine transporter VMAT2. Glia-derived noradrenaline modulates synaptic integration in Purkinje neurons and is required for motor adaptation. Together, these findings identify a glial pathway that complements the canonical long-range view of noradrenaline supply.

neuroscience↗

bioRxiv2026

The electro-MICA toolbox for integrating electrophysiology within multimodal imaging and connectomics workflows

AO_SCPLOWBSTRACTC_SCPLOWThe integration of electrophysiological recordings with multimodal neuroimaging data holds great promise for advancing our understanding of brain function and neurological disorders. To facilitate this endeavour, we present electro-MICA, an open-access Python toolbox designed to project electrophysiological features from scalp and intracranial electroencephalography (EEG) onto cortical and hippocampal surfaces generated by validated multimodal imaging ecosystems. The toolbox comprises two pipelines: one for intracranial EEG (iEEG) recorded with stereo-EEG depth electrodes, and one for scalp EEG source localization. Both pipelines are grounded in numerical solutions to the electromagnetic equations governing electric activity in the brain, solved using the Boundary Element Method. A key methodological contribution is the use of a current density double layer model for neural generators, which avoids the mathematical singularities introduced by conventional dipole-based models when electrodes are near the cortical surface, a situation that can arise in iEEG. Electrode contacts are additionally modeled with non-zero length, improving physical realism. Scalp EEG source localization is performed using eLORETA on a subject-specific three-layer head model derived from the anatomical input. Validation against empirical gamma-band iEEG data from 32 subjects demonstrates that the distributed generator model outperforms both distance-based and dipole-based alternatives. An illustrative clinical example demonstrates the toolboxs capacity to reveal associations between intracranial spike rates, cortical thickness, and anatomical connectivity in an epilepsy patient. Electro-MICA requires no parameter selection from the user, facilitating straightforward multimodal analyses in both research and clinical settings. The toolbox is available at github.com/MICA-MNI/electromica with extensive online documentation at electromica.readthedocs.io.

neuroscience↗

bioRxiv2026

Precision mapping and molecular contextualization of surgical outcome epicenters in temporal lobe epilepsy

AO_SCPLOWBSTRACTC_SCPLOWTemporal lobe epilepsy is the most common drug-resistant epilepsy, with surgical resection offering the primary path to seizure freedom. Despite standardized approaches, a substantial proportion of patients experience seizure recurrence, and the neurobiological substrates underlying these divergent outcomes remain unclear. We applied an individualized normative modeling framework to multimodal preoperative MRI data in a group that subsequently underwent surgical resection, to characterize patient-specific structural deviations and identify disease epicenters. Patients who became seizure-free exhibited spatially coherent abnormalities localized to the hippocampus and ipsilateral association regions, anchored in agranular limbic territories and enriched for genes linked to calcium-dependent signaling. Non-seizure-free patients, on the other hand, showed a more heterogeneous and distributed pattern of deviations, consistent with a "temporal-plus" network organization, and broader neuromodulatory dysregulation. Crucially, overlap between resected tissue and network-defined epicenters was closely associated with seizure freedom, independent of total resection volume. These findings provide a multiscale framework for precision surgical planning, shifting the focus from standardized tissue removal to targeted disconnection of patient-specific pathological hubs.

neuroscience↗

bioRxiv2025

Memory network activity flow failures in temporal and frontal lobe epilepsy

Declarative memory deficits represent considerable challenges to adequate functioning and wellbeing in temporal lobe epilepsy (TLE) and frontal lobe epilepsy (FLE), two of the most common pharmaco-resistant epilepsies. TLE and FLE are impacted differently however, with TLE affecting primarily episodic, and mildly semantic memory, while FLE presenting with overall lesser declarative impairments and a greater involvement of language processes. Although functional magnetic resonance imaging (fMRI) studies are overall compatible with differential disruptions of medial temporal and fronto-limbic networks in both syndromes, direct comparisons of brain activity and connectivity remain scarce. The current study investigated how alterations in intrinsic functional brain organization, as mapped with resting-state connectivity (rsFC), shapes altered brain network activations in both episodic and semantic memory states. To this end, we acquired task- and rs-fMRI data in 28 TLE patients and 17 FLE patients and 87 age- and sex-matched healthy controls (HCs). We used activity flow mapping (AFM), a generative machine learning technique that derives plausible task activation patterns via individualized rsFC as well as normative task activation data. Previous studies in HC as well as patient populations have shown that this technique has been effective in identifying mechanisms contributing to atypical functional organization across different context. Overall, AFM reliably predicted task activations across HC, TLE, and FLE, but prediction accuracy was consistently reduced in both patient groups, indicating impaired propagation of task-relevant signals. These reductions co-occurred with abnormal episodic and semantic task activation patterns, atypical rsFC, and behavioral profiles marked by preserved semantic but impaired episodic memory performance in both patient groups. Importantly, although neither task-evoked abnormalities nor rsFC disruptions alone were associated with clinical variables, lower AFM accuracy in patients robustly tracked poorer episodic and semantic memory performance and longer disease duration. Prediction accuracy was driven more by intrinsic functional than structural network features, suggesting that altered network communication, rather than gross anatomy, constrains AFM in pharmaco-resistant epilepsy. Our work revealed syndrome-specific yet convergent disruptions in paralimbic and heteromodal association systems, linking intrinsic dysconnectivity to a shared episodic vulnerability and semantic resilience across TLE and FLE. By modelling how intrinsic connectivity shapes task-evoked responses, AFM provides a mechanistic account of imbalanced memory-state activations and isolates network-flow pathways as targets for intervention and rehabilitation.

neuroscience↗

bioRxiv2025

Intracortical microstructure profiling: a versatile method for indexing cortical lamination

Intracortical microstructure profiling represents a powerful, scalable approach for investigating the laminar organisation of the human cortex on both in vivo and post-mortem datasets. Building upon a long tradition of histological analysis, this method leverages surface-based intracortical sampling to generate profiles of tissue properties across cortical depths. The present work outlines a standardised workflow for intracortical microstructural profiling, newly packaged as an open-source toolbox "CortPro" (https://github.com/caseypaquola/cortpro). Here, we explore the utility of central moments as descriptors of profile shape. Using these measures, we quantify (i) the extent to which in vivo MRI can capture laminar differentiation, (ii) the test-retest reliability of profiles, and (iii) their replicability across sites and studies. Our results demonstrate that intracortical profiles are remarkably robust and effectively mitigate bias-field related limitations of non-quantitative MRI. As applications of microstructure-sensitive imaging expand across development, aging, and disease, microstructure profiling provides a principled means of linking microstructural neuroanatomy with systems-level brain organisation.

neuroscience↗

bioRxiv2025

State dependent shifts in large scale functional topographies

Although functional networks can be consistently identified across cognitive states, they also undergo dynamic reconfigurations across different contexts. For example, naturalistic movie watching paradigms amplify activity in sensory systems compared to resting conditions. However, it remains unclear how these different states affect large-scale brain organization. The current study leveraged high-resolution in vivo 7T fMRI data from the Human Connectome Project (HCP) and the Precision NeuroImaging (PNI) datasets to examine large scale functional connectivity changes between resting and movie-watching conditions. To understand these changes within topographic and geometric principles of brain organization, connectivity shifts were stratified relative to macroscale cortical hierarchy and geodesic distance. Our results revealed that primary sensory areas showed increased local connectivity and reduced long-range interactions during movie watching relative to resting conditions, whereas the default mode network (DMN) exhibited an opposing pattern characterized by reduced within-network long-range connectivity and enhanced connectivity with distant regions outside the DMN. Together, these findings demonstrate that different cognitive states involve geometry-and hierarchy-informed reorganization of large-scale functional networks.

neuroscience↗

bioRxiv2025

An open dataset of cerebral tau deposition in young healthy adults based on MK6240 positron emission tomography

Tauopathies are pathologies wherein phosphorylated insoluble tau aggregates in neurons, leading to dysfunction and degeneration. Positron emission tomography (PET) enables measurement of in vivo tau, with second-generation radiotracers such as [18F]MK6240 showing high tau affinity with minimal off-target binding. While tauopathies are commonly linked to age-related neurodegenerative diseases, notably Alzheimers disease (AD), evidence suggests pathophysiological cascades may begin long before clinical onset. Increasingly, tau is recognized in pathologies affecting younger individuals, including autosomal dominant AD, Niemann-Pick disease type C, chronic traumatic encephalopathy, and epilepsy, thus highlighting the importance of normative data in non-geriatric populations. Here, we present a dataset of 33 young to middle-age healthy adults (mean age 34.0{+/-}10.4 years, 12 female) with [18F]MK6240 PET data and T1w magnetic resonance imaging. Longitudinal data are also available in a subset of 9 participants with a minimum follow-up time of 1 year. Our dataset aims to support imaging biomarker studies on younger individuals potentially at risk for AD and to advance work in tauopathies affecting non-geriatric populations generally excluded from neurodegeneration studies.

neuroscience↗

bioRxiv2025

In-vivo evidence for increased tau deposition in temporal lobe epilepsy

Temporal lobe epilepsy (TLE), the most common pharmaco-resistant epilepsy in adults, has been linked to structural brain changes extending beyond the mesiotemporal areas. While not traditionally viewed as a neurodegenerative disorder, recent ex-vivo studies have shown elevated levels of misfolded tau protein in TLE. This study investigated tau deposition in TLE patients using the in-vivo PET tracer [18F]MK-6240. We studied 28 TLE patients and 28 healthy controls to assess tau uptake and its relationship with brain connectivity, clinical variables, and cognitive function alongside post-surgical tissue from a subset of patients. Compared to controls, TLE patients exhibited markedly increased [18F]MK-6240 uptake in bilateral superior and medial temporal regions and the parietal cortex, with tau accumulation following regional functional and structural connectivity and cognitive impairment. Immunohistochemistry analysis confirmed variable phosphorylated tau staining in 5/6 operated cases with available specimens. These findings suggest that tau accumulation contributes to cognitive decline observed in TLE, supporting a potential role of tau in epilepsy-related neurodegeneration.

neuroscience↗

bioRxiv2025

Personalized Biomarkers of Multiscale Functional Alterations in Temporal Lobe Epilepsy

Temporal lobe epilepsy (TLE) presents with substantial inter-patient variability in clinical and neuroimaging manifestations. This multicenter study examined inter-individual differences in spatial patterns of intrinsic brain function in TLE using normative modeling at multiple spatial scales and evaluated the effectiveness of individual functional deviations for clinical diagnosis and postsurgical outcome prediction. We analyzed multimodal MRI data on 298 healthy controls, 282 TLE patients, and 45 disease controls with extratemporal epilepsy. Cortical function was profiled at local, regional, and global scales using brain signal variability, regional homogeneity, and node strength. We estimated patient-specific W-score maps to index deviations from normative metrics. Compared to healthy controls, patients with TLE showed considerable variations in patterns of functional alterations across the cortex, with the highest overlap in the ipsilateral mesiotemporal regions. Connectome-based simulation revealed the paralimbic and medial default mode regions as key disease epicenters. Functional changes were primarily underpinned by superficial white matter anomalies. Supervised pattern learning achieved classification AUCs of 0.76 for TLE versus disease controls, 0.74 for left versus right TLE, and 0.63 for seizure-free versus non-seizure-free TLE, with greater contralateral temporal functional deviations correlating with unfavorable postsurgical seizure outcome. Our findings reveal the heterogeneous impact of TLE on intrinsic cortical function. These biomarkers hold promise for clinical translation, guiding precision therapeutics and enhancing presurgical decision-making in TLE.

neuroscience↗

bioRxiv2025

Associations between epilepsy-related polygenic risk and brain morphology in childhood

AO_SCPLOWBSTRACTC_SCPLOWTemporal lobe epilepsy with hippocampal sclerosis (TLE-HS) is associated with a complex genetic architecture, but the translation from genetic risk factors to brain vulnerability remains unclear. Here, we examined associations between epilepsy-related polygenic risk scores for HS (PRS-HS) and brain structure in a large sample of neurotypical children, and correlated these signatures with case-control findings in in multicentric cohorts of patients with TLE-HS. Imaging-genetic analyses revealed PRS-related cortical thinning in temporo-parietal and fronto-central regions, strongly anchored to distinct functional and structural network epicentres. Compared to disease-related effects derived from epilepsy case-control cohorts, structural correlates of PRS-HS mirrored atrophy and epicentre patterns in patients with TLE-HS. By identifying a potential pathway between genetic vulnerability and disease mechanisms, our findings provide new insights into the genetic underpinnings of structural alterations in TLE-HS and highlight potential imaging-genetic biomarkers for early risk stratification and personalized interventions.

neuroscience↗