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Uddin, L. Q.

Publications and source records attributed to Uddin, L. Q..

At least 19 recordsLinked to original sources

Salience network expansion as a transdiagnostic neural marker for psychopathology risk in adolescence

Increased cortical surface area of the brain's salience network (SAL) has been observed in depression and appears to emerge during early adolescence. However, similar expansion has also been reported in bipolar disorder (BD), obsessive compulsive disorder (OCD), and other atypicalities of salience network function have been broadly implicated across multiple psychiatric conditions. Whether increased SAL surface area is specific to depression or related more generally with psychopathology remains unclear. Using data collected as part of the Adolescent Brain Cognitive Development (ABCD) Study (baseline: N = 7942; ages 9-10; Year 2: N = 5901; ages 11-12), we quantified individual SAL size and examined associations with dimensional symptoms from the Child Behavior Checklist. SAL surface area showed substantial inter-individual variability, with expansion occurring primarily through encroachment into the default mode (DMN), action-mode (AMN), and frontoparietal (FP) networks. Larger SAL size showed a modest positive association with depressive symptoms in the baseline sample, consistent with prior reports; however, this association did not replicate in the year 2 internal replication sample. Instead, associations with total problems were stronger and replicated across both timepoints, suggesting a subtle, dimensional relationship between SAL organization and general psychopathology burden. These findings suggest that individual differences in SAL organization may represent a broader transdiagnostic neural correlate of dimensional psychopathology rather than a disorder-specific neural signature.

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Insula functional connectivity development follows a canonical antero-posterior axis of organization

The insula is a heterogeneous region associated with a range of functional domains including sensory, cognitive, and emotional processing. Cytoarchitectural and functional studies have described an antero-posterior axis of insula organization. However, the insula's functional development remains sparsely described. We delineated the development of insula resting-state functional connectivity across 562 individuals (6-22 years) using generalized additive models and population value decomposition. We show insulo-cortical functional connectivity development differs across the insula: anterior subregions have predominantly decreasing connectivity across the age range examined, whereas posterior subregions have variable connectivity that aligns with the sensorimotor-association axis. Vertex-level analysis revealed that age-related trajectories followed an antero-posterior axis that aligned with estimates of insula microstructure. Our results emphasize that the development of insula connectivity is spatially heterogeneous and aligns with known cytoarchitecture. The normative insula development described here provides a foundation for investigating how emerging psychopathology may be linked to variation in insula development.

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Distinct transcriptomic and hierarchical organization associated with brain hyperconnectivity and hypoconnectivity in autism spectrum disorder

Functional hyperconnectivity and hypoconnectivity in autism spectrum disorder (ASD) are typically treated as opposing expressions of a single circuit-level disturbance, but their molecular and hierarchical basis remains unclear. We combined resting-state fMRI from 1,737 individuals from the Autism Brain Imaging Data Exchange (ABIDE I/II) with gene-expression maps from the Allen Human Brain Atlas and show that hyperconnectivity and hypoconnectivity are dissociable neurobiological phenomena, differing in molecular signatures, cortical-hierarchical embedding, age-group profile, and cognitive associations, rather than a single connectivity axis. Hyperconnectivity was concentrated in higher-order cortical and cerebellar regions and was greater in older participants, while hypoconnectivity was consistent across age groups and localized to subcortical and orbitofrontal systems. ASD was associated with reorganization of the sensory-to-transmodal cortical gradient, most pronounced in association networks. Hyperconnectivity- and hypoconnectivity-associated genes showed partially distinct neurotransmitter profiles and differential embedding within cortical hierarchy, both enriched in transmodal cortex and linked to social-cognitive, perceptual, attentional, and reward-related functions. This dissociation was preserved across developmental stage, sex, and symptom severity. These findings indicate hyperconnectivity and hypoconnectivity are not two poles of one process but two separable components of a reproducible molecular-hierarchical architecture, offering a multi-scale framework linking transcriptomic organization to systems-level brain dysfunction in ASD.

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Symptom Dimension-Specific Neurotransmitter Correlates of Psychopathology and Cognition in Early Psychosis

Extended duration of under-treated psychosis (DUP) is among the strongest predictors of poor outcome, yet diagnostic heterogeneity impedes treatment matching, with approximately 50% of patients failing to respond to first-line antipsychotics. Negative symptoms and cognitive impairment are particularly refractory, lacking effective pharmacological treatments. Identifying neurotransmitter systems associated with specific symptom dimensions could accelerate targeted therapeutic development and reduce DUP. We applied Partial Least Squares correlation (PLSc) to derive whole-brain resting-state functional connectivity (RSFC) and anatomical (cortical thickness and subcortical volume) signatures associated with five psychopathology dimensions (positive symptoms, negative symptoms, general psychopathology, mania, and cognition) in a transdiagnostic sample from the Human Connectome Project-Early Psychosis (HCP-EP; n=124). We tested associations with potential confounds including antipsychotic medication dosage and substance use. Signatures were spatially correlated with 21 Positron Emission Tomography (PET)-derived receptor and transporter maps across 9 neurotransmitter systems using the neuromaps toolbox. Significant RSFC signatures emerged for positive symptoms, negative symptoms, general psychopathology, and cognition, but not mania. The negative symptom RSFC signature correlated with norepinephrine transporter (NET; {rho}=.40, q=.030) and vesicular acetylcholine transporter (VAChT; {rho}=.38, q=.048) distributions. The cognition signature similarly correlated with VAChT ({rho}=.48, q=.025). Anatomical signatures were associated with positive symptoms, general psychopathology, and cognition, but were more susceptible to confounding by medication and substance use. No significant receptor associations were detected for anatomical signatures. These findings implicate cholinergic and noradrenergic systems as molecular targets for negative symptoms and cognitive impairment, supporting prioritization of these systems in pharmacotherapy development in early psychosis.

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Arousal state alters brain network switching and moderates cognitive task performance

Arousal relates to cognitive performance, but the neural underpinnings of this relationship remain unclear. One candidate marker is switching rate, a dynamic measure that has been linked to cognition and has been speculated to be sensitive to arousal. However, whether switching rate is altered across arousal states has not been directly tested. Here, using fMRI together with concurrent eye monitoring and EEG, we examined how the switching rates of the default mode, salience, and central executive networks are altered across arousal states. Default mode and anterior salience networks exhibited significant differences in switching rates across arousal states determined with eye tracking. Notably, thalamic subregions showed arousal-dependent changes in switching rate that were replicated across independent datasets and arousal measures. Additionally, arousal moderated the relationship between average network switching and performance on a relational processing task. Together, these findings suggest that switching rate may index neural underpinnings of arousal-dependent cognition.

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Distributed fMRI patterns coupled to low-frequency cardiorespiratory dynamics provide markers of aging

How aging affects brain-body connections can be investigated through changes in the coupling between functional magnetic resonance imaging (fMRI) signals and bodily autonomic processes across the adult lifespan. Recent studies using univariate approaches have identified age-related changes in the association between fMRI signals from multiple individual brain regions and low-frequency respiratory and cardiac activity. Here, we investigate if whole-brain spatial fMRI patterns associated with low-frequency physiological processes (heart rate and respiratory volume fluctuations) present generalizable changes with age. Data from human participants of both sexes are included in the analysis. We find that chronological age can be predicted statistically beyond chance from patterns of low-frequency fMRI-physiology coupling, even after accounting for individual differences in physiological signal characteristics and brain anatomy. Notably, brain areas implicated in central autonomic regulation, including nodes within salience and ventral attention networks (e.g., insula and middle cingulate cortex), are amongst the strongest contributors to age prediction. Further, we observe that after removing physiological effects from fMRI data, the residual blood oxygen level-dependent (BOLD) signal variability is still a reliable indicator of age. Together, these findings underscore the close integration between brain and body physiology, and highlight this interaction as a potential biomarker of the aging process. Significance StatementThe association between brain activity and respiratory or cardiac activity is often dismissed as "noise" in functional magnetic resonance imaging (fMRI) studies. However, emerging evidence suggests that coupling between fMRI and peripheral physiological signals can provide valuable insight into the brain-body connection. In this study, we show that whole brain patterns of coupling between fMRI signals and low-frequency respiratory and cardiac processes can reliably predict age across the adult lifespan. Brain regions involved in autonomic regulation, such as insula and cingulate cortex, were among the most informative predictors of age. These findings suggest that fMRI-physiology coupling may capture aging-related changes in brain vascular health and autonomic function and may have broader relevance for tracking disease-related disruptions in brain-body interaction.

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Refining RDoC Using Individual-Level Task fMRI Factor Models Reveals Reproducible Brain-wide Motifs

The Research Domain Criteria (RDoC) framework was introduced to guide psychiatric research using biologically grounded, dimensional constructs of mental function. However, its hierarchical domain structure remains largely unvalidated against individual-level brain and behavioral data. Building on prior group-level work, we applied a multi-stage validation framework to Human Connectome Project (HCP) task-fMRI data to test whether individual-level, data-driven models more accurately capture the organization of brain activity and behavior than RDoC-based models. Using confirmatory factor analysis in two independent cohorts, we found that data-driven bifactor models consistently outperformed RDoC-based models across multiple fit indices. The general factor derived from these models revealed a reproducible, low-dimensional axis spanning visual-attentional to default mode-auditory systems, aligning with canonical macroscale cortical gradients. Community detection further identified reproducible spatial motifs whose centroids corresponded to interpretable functional systems and whose alignment predicted individual performance on working memory and relational reasoning tasks. To assess whether these findings extended beyond neural data, we analyzed behavioral measures in HCP and in an independent transdiagnostic dataset (LA5c). In both datasets, data-driven behavioral models outperformed RDoC-based models, although the relative support for bifactor versus specific factor structure differed by dataset. Extending the neural analyses to LA5c, which included healthy controls and individuals with ADHD, bipolar disorder, and schizophrenia, showed that data-driven bifactor models generalized across diagnostic groups and that alignment with data-driven community centroids related to symptom severity, whereas RDoC-based representations showed weaker or no associations. Finally, topological analysis of task-evoked brain activity revealed that data-driven representations better captured the global organization of brain states than RDoC domains. Together, these findings demonstrate that individual-level, empirically derived models provide a more accurate, generalizable, and behaviorally relevant account of brain organization than the current RDoC framework. By integrating neural, behavioral, and clinical validation, this work advances precision neuroscience and supports the empirical refinement of dimensional psychiatric frameworks.

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Multivariate Resting-State Functional Connectivity Features Linked to Transdiagnostic Psychopathology in Early Psychosis

BackgroundEarly psychosis (EP) is characterized by neurobiological changes, including alterations in resting-state functional connectivity (RSFC). We now understand that symptoms and neural changes may overlap across EP diagnostic categories. However, the relationship between RSFC patterns and transdiagnostic symptom dimensions remains poorly understood. MethodsWe employed Partial Least Squares correlation to examine multivariate relationships between whole-brain RSFC and clinical symptoms in 124 EP patients (aged 16-35 years) diagnosed with schizophrenia, schizoaffective disorder, or a psychotic mood disorder. RSFC was computed among 216 cortical and subcortical regions. Clinical assessment included 41 symptom measures spanning positive, negative, general psychopathology, and manic dimensions. ResultsAnalysis revealed one significant latent component (p<0.001) capturing 41.6% of the RSFC-symptom covariance. This component was characterized by increased between-network connectivity, particularly involving sensory-motor, default mode, and subcortical regions including the amygdala and thalamus. The associated symptom profile included cognitive rigidity and arousal dysregulation (stereotyped thinking, anxiety, and somatic concerns), rather than traditional positive or negative symptoms. This brain-behavior relationship was consistent across diagnoses and independent of medication and substance use. The clinical relevance was validated through significant correlations with standardized measures of hostility (r=0.23), negative affect (r=0.25), and perceived stress (r=0.22). ConclusionsOur findings reveal a distinct transdiagnostic phenotype in EP characterized by cognitive inflexibility and arousal dysregulation that is associated with altered integration between sensory, default mode, and subcortical networks. This work suggests that specific patterns of network-level functional connectivity may relate to symptom dimensions that cut across conventional diagnostic boundaries, potentially informing more targeted therapeutic approaches.

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Convergent and divergent brain-cognition relationships during development revealed by cross-sectional and longitudinal analyses in the ABCD Study

How brain networks and cognition co-evolve during development remains poorly understood. Here, we use resting-state functional magnetic resonance imaging (rs-fMRI) and cognitive data at baseline and Year 2 of 2,949 individuals in the Adolescent Brain Cognitive Development (ABCD) Study to examine how stable and changing features of brain network organization predict cognitive development during early adolescence. We find that baseline resting-state functional connectivity (FC) more strongly predicts future cognitive ability than baseline cognitive ability. Models trained on baseline FC to predict baseline cognition generalize better to Year 2 FC and cognition, suggesting that brain-cognition relationships strengthen over time. Intriguingly, baseline FC outperforms longitudinal FC change in predicting future cognitive ability. One potential reason is the lower reliability of FC change compared to baseline FC: ICC = 0.24 vs. 0.56. However, reducing baseline FCs reliability by shortening scan duration only partially narrows the predictive gap, suggesting reliability alone cannot be the full explanation. Furthermore, neither baseline FC nor FC change meaningfully predicts longitudinal change in cognitive ability. We also identify converging and diverging predictive network features across cross-sectional and longitudinal models of brain-cognition relationships, revealing a multivariate twist on Simpsons paradox. Together, these findings suggest that during early adolescence, stable individual differences in brain functional network organization play a more critical role than dynamic changes in shaping future cognitive outcomes.

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Dynamic reconfiguration of brain coactivation states associated with active and lecture-based learning of university physics

Academic institutions are increasingly adopting active learning methods to enhance educational outcomes. Using functional magnetic resonance imaging (fMRI), we investigated neurobiological differences between active learning and traditional lecture-based approaches in university physics education. Undergraduate students enrolled in an introductory physics course underwent an fMRI session before and after a 15-week semester. Coactivation pattern (CAP) analysis was used to examine the temporal dynamics of brain states across different cognitive contexts, including physics conceptual reasoning, physics knowledge retrieval, and rest. CAP results identified seven distinct brain states, with contributions from frontoparietal, somatomotor, and visuospatial networks. Among active learning students, physics learning was associated with increased engagement of a somatomotor network, supporting an embodied cognition framework, while lecture-based students demonstrated stronger engagement of a visuospatial network, consistent with observational learning. These findings suggest significant neural restructuring over a semester of physics learning, with different instructional approaches preferentially modulating distinct patterns of brain dynamics.

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Predicting Task Activation Maps from Resting-State Functional Connectivity using Deep Learning

Deep learning models have demonstrated the potential to predict task-evoked brain activation from resting-state fMRI, offering a pathway toward individualized brain mapping without requiring task-based data. In this study, we systematically evaluate architectural strategies for improving the efficiency and scalability of such models. Using data from the Human Connectome Project, we replicate the BrainSurfCNN framework and introduce two extensions: BrainSERF, which incorporates channel-wise attention through squeeze-and-excitation modules, and BrainSurfGCN, a graph-based model that leverages cortical mesh topology for efficient message passing. Across multiple evaluation metrics, including spatial correlation, Dice score, Dice AUC, and subject identification accuracy, all models achieve comparable predictive performance. Despite similar accuracy, the proposed models offer distinct advantages. BrainSERF provides modest improvements in capturing individual-specific features, while BrainSurfGCN achieves substantial reductions in model size and training time, highlighting a favorable trade-off between performance and computational efficiency. Beyond architectural comparisons, we investigate factors driving variability in prediction accuracy. We find that behavioral task performance, resting-state data quality, and inter-subject variability in task activation jointly constrain prediction fidelity. In particular, contrasts with lower signal reliability and higher variability exhibit reduced predictability across all models. Together, these findings demonstrate that incorporating topological and functional structural priors can improve the efficiency of deep learning models without sacrificing accuracy, while also emphasizing that prediction performance is fundamentally limited by the reliability of the underlying neural signals.

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Dev-Atlas: A reference atlas of functional brain networks for typically developing adolescents

Adolescence is a critical period for neural changes, including maturation of the brains cognitive networks, but also a period of increased vulnerability to psychopathology. It is well accepted that the brain is functionally organized into multiple interacting networks and extensive literature has demonstrated that the spatial and functional organization of these networks shows major age-related changes across the lifespan, but particularly during adolescence. Yet, there is limited option for a reference functional brain atlas derived from typically developing adolescents, which is especially problematic as the reliable and reproducible identification of functional brain networks crucially depends on the use of such reference functional atlases. In this context, we utilized resting-state functional MRI data from a total of 1,391 typically developing youth between the ages of 8 and 17 years to create a new adolescent-specific reference atlas of functional brain networks. We further investigated the impact of age and sex on these networks. Using a multiscale individual component clustering algorithm (MICCA), we identified 24 reliable functional brain networks, classified within six domains: Default-Mode (5 networks), Control (4 networks), Salience (3 networks), Attention (4 networks), Somatomotor (5 networks), and Visual (3 networks). We identified reliable and large effects of age on the spatial topography of these majority of networks, as well as on the functional network connectivity (FNC) between networks. The DMN showed reduced FNC with the other networks with older age. Sex effects were not as widespread. No significant sex-by-age interactions were detected. Overall, we created a novel brain atlas, named Dev-Atlas, focused on a typically developing sample, with the hope that this atlas can be used in future independent developmental network neuroscience studies. Dev-Atlas is freely available to the research community.

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Increasing the representation of minoritized youth for inclusive and reproducible brain-behavior associations

Population neuroscience datasets allow researchers to estimate reliable effect sizes for brain-behavior associations because of their large sample sizes. However, these datasets undergo strict quality control to mitigate sources of noise, such as head motion. This practice often excludes a disproportionate number of minoritized individuals. We employ motion-ordering and motion-ordering+resampling (bagging) to test if these methods preserve functional MRI (fMRI) data in the Adolescent Brain Cognitive Development Study (N=5,733). Black and Hispanic youth exhibited excess head motion relative to data collected from White youth, and were discarded disproportionately when using conventional approaches. Both methods retained more than 99% of Black and Hispanic youth. They produced reproducible brain-behavior associations across low-/high-motion racial/ethnic groups based on motion-limited fMRI data. The motion-ordering and bagging methods are two feasible approaches that can enhance sample representation for testing brain-behavior associations and fulfill the promise of consortia datasets to produce generalizable effect sizes across diverse populations.

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A network correspondence toolbox for quantitative evaluation of novel neuroimaging results

Decades of neuroscience research has shown that macroscale brain dynamics can be reliably decomposed into a subset of large-scale functional networks, but the specific spatial topographies of these networks and the names used to describe them can vary across studies. Such discordance has hampered interpretation and convergence of research findings across the field. To address this problem, we have developed the Network Correspondence Toolbox (NCT) to permit researchers to examine and report spatial correspondence between their novel neuroimaging results and sixteen widely used functional brain atlases, consistent with recommended reporting standards developed by the Organization for Human Brain Mapping. The atlases included in the toolbox show some topographical convergence for specific networks, such as those labeled as "default" or "visual". Network naming varies across atlases, particularly for networks spanning frontoparietal association cortices. For this reason, quantitative comparison with multiple atlases is recommended to benchmark novel neuroimaging findings. We provide several exemplar demonstrations using the Human Connectome Project task fMRI results and UK Biobank independent component analysis maps to illustrate how researchers can use the NCT to report their own findings through quantitative evaluation against multiple published atlases. The NCT provides a convenient means for computing Dice coefficients with spin test permutations to determine the magnitude and statistical significance of correspondence among user-defined maps and existing atlas labels. The NCT also includes functionality to incorporate additional atlases in the future. The adoption of the NCT will make it easier for network neuroscience researchers to report their findings in a standardized manner, thus aiding reproducibility and facilitating comparisons between studies to produce interdisciplinary insights.

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Unique functional neuroimaging signatures of genetic versus clinical high risk for psychosis

Background22q11.2 Deletion Syndrome (22qDel) is a copy number variant (CNV) associated with psychosis and other neurodevelopmental disorders. Adolescents at clinical high risk for psychosis (CHR) have subthreshold psychosis symptoms without known genetic risk factors. Whether common neural substrates underlie these distinct high-risk populations is unknown. We compared functional brain measures in 22qDel and CHR cohorts and mapped results to biological pathways. MethodsWe analyzed two large multi-site cohorts with resting-state functional MRI (rs-fMRI): 1) 22qDel (n=164, 47% female) and typically developing (TD) controls (n=134, 56% female); 2) CHR individuals (n=244, 41% female) and TD controls (n=151, 46% female) from the North American Prodrome Longitudinal Study-2. We computed global brain connectivity (GBC), local connectivity (LC), and brain signal variability (BSV) across cortical regions, testing case-control differences for 22qDel and CHR separately. Group difference maps were related to published brain maps using autocorrelation-preserving permutation. ResultsBSV, LC, and GBC are significantly disrupted in 22qDel compared with TD controls (False Discovery Rate q<0.05). Spatial maps of BSV and LC differences are highly correlated with each other, unlike GBC. In CHR, only LC is significantly altered versus controls, with a different spatial pattern compared to 22qDel. Group differences map onto biological gradients, with 22qDel effects strongest in regions with high predicted blood flow and metabolism. Conclusion22qDel and CHR exhibit divergent effects on fMRI temporal variability and multi-scale functional connectivity. In 22qDel, strong and convergent disruptions in BSV and LC not seen in CHR individuals suggest distinct functional brain alterations.

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A Data-Driven Latent Variable Approach to Validating the Research Domain Criteria (RDoC) Framework

Despite the widespread use of the Research Domain Criteria (RDoC) framework in psychiatry and neuroscience, recent studies suggest that the RDoC is insufficiently specific or excessively broad relative to the underlying brain circuitry it seeks to elucidate. To address these concerns, we employed a latent variable approach using bifactor analysis. We examined 84 whole-brain task-based fMRI (tfMRI) activation maps from 19 studies with 6,192 participants. A curated subset of 37 maps with a balanced representation of RDoC domains constituted the training set, and the remaining held-out maps formed the internal validation set. External validation was conducted using 36 peak coordinate activation maps from Neurosynth, using terms of RDoC constructs as seeds for topic meta-analysis. Here, we show that a bifactor model incorporating a task-general domain and splitting the cognitive systems domain better fits the examined corpus of tfMRI data than the current RDoC framework. We also identify the domain of arousal and regulatory systems as underrepresented. Our data-driven validation supports revising the RDoC framework to reflect underlying brain circuitry more accurately.

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The biological role of local and global fMRI BOLD signal variability in human brain organization

Variability drives the organization and behavior of complex systems, including the human brain. Understanding the variability of brain signals is thus necessary to broaden our window into brain function and behavior. Few empirical investigations of macroscale brain signal variability have yet been undertaken, given the difficulty in separating biological sources of variance from artefactual noise. Here, we characterize the temporal variability of the most predominant macroscale brain signal, the fMRI BOLD signal, and systematically investigate its statistical, topographical and neurobiological properties. We contrast fMRI acquisition protocols, and integrate across histology, microstructure, transcriptomics, neurotransmitter receptor and metabolic data, fMRI static connectivity, and empirical and simulated magnetoencephalography data. We show that BOLD signal variability represents a spatially heterogeneous, central property of multi-scale multi-modal brain organization, distinct from noise. Our work establishes the biological relevance of BOLD signal variability and provides a lens on brain stochasticity across spatial and temporal scales.

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Longitudinal development of thalamocortical functional connectivity in 22q11.2 deletion syndrome

Background22q11.2 Deletion Syndrome (22qDel) is a genetic Copy Number Variant (CNV) that strongly increases risk for schizophrenia and other neurodevelopmental disorders. Disrupted functional connectivity between the thalamus and somatomotor/frontoparietal cortex has been implicated in cross-sectional studies of 22qDel, idiopathic schizophrenia, and youth at clinical high risk (CHR) for psychosis. Here, we use a novel functional atlas approach to investigate longitudinal age-related changes in network-specific thalamocortical functional connectivity (TCC) in 22qDel and typically developing (TD) controls. MethodsTCC was calculated for nine functional networks derived from resting-state functional magnetic resonance imaging (rs-fMRI) scans collected from n=65 22qDel participants (63.1% female) and n=69 demographically matched TD controls (49.3% female), ages 6 to 23 years. Analyses included 86 longitudinal follow-up scans. Non-linear age trajectories were characterized with general additive mixed models (GAMMs). ResultsIn 22qDel, TCC in the frontoparietal network increases until approximately age 13, while somatomotor and cingulo-opercular TCC decrease from age 6 to 23. In contrast, no significant relationships between TCC and age were found in TD controls. Somatomotor connectivity in 22qDel is significantly higher than TD in childhood, but lower in late adolescence. Frontoparietal TCC shows the opposite pattern. Conclusions22qDel is associated with aberrant development of functional network connectivity between the thalamus and cortex. Younger individuals with 22qDel have lower frontoparietal connectivity and higher somatomotor connectivity than controls, but this phenotype may normalize or partially reverse by early adulthood. Altered maturation of this circuitry may underlie elevated neuropsychiatric disease risk in this syndrome.

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