Neurobiological correlates of change in adaptive behavior in autism

Objective: - - Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition that is associated with significant difficulties in adaptive behavior and variation in clinical outcomes across the life span. Some individuals with ASD improve, whereas others may not change significantly, or...

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Hauptverfasser: Pretzsch, Charlotte M. (VerfasserIn) , Schäfer, Tim (VerfasserIn) , Lombardo, Michael V. (VerfasserIn) , Warrier, Varun (VerfasserIn) , Mann, Caroline (VerfasserIn) , Bletsch, Anke (VerfasserIn) , Chatham, Chris H. (VerfasserIn) , Floris, Dorothea L. (VerfasserIn) , Tillmann, Julian (VerfasserIn) , Yousaf, Afsheen (VerfasserIn) , Jones, Emily (VerfasserIn) , Charman, Tony (VerfasserIn) , Ambrosino, Sara (VerfasserIn) , Bourgeron, Thomas (VerfasserIn) , Dumas, Guillaume (VerfasserIn) , Loth, Eva (VerfasserIn) , Oakley, Bethany (VerfasserIn) , Buitelaar, Jan K. (VerfasserIn) , Cliquet, Freddy (VerfasserIn) , Leblond, Claire S. (VerfasserIn) , Baron-Cohen, Simon (VerfasserIn) , Beckmann, Christian F. (VerfasserIn) , Banaschewski, Tobias (VerfasserIn) , Durston, Sarah (VerfasserIn) , Freitag, Christine M. (VerfasserIn) , Murphy, Declan G.M. (VerfasserIn) , Ecker, Christine (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: May 2022
In: The American journal of psychiatry
Year: 2022, Jahrgang: 179, Heft: 5, Pages: 336-349
ISSN:1535-7228
DOI:10.1176/appi.ajp.21070711
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1176/appi.ajp.21070711
Verlag, lizenzpflichtig, Volltext: http://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.21070711
Volltext
Verfasserangaben:Charlotte M. Pretzsch, Tim Schäfer, Michael V. Lombardo, Varun Warrier, Caroline Mann, Anke Bletsch, Chris H. Chatham, Dorothea L. Floris, Julian Tillmann, Afsheen Yousaf, Emily Jones, Tony Charman, Sara Ambrosino, Thomas Bourgeron, Guillaume Dumas, Eva Loth, Bethany Oakley, Jan K. Buitelaar, Freddy Cliquet, Claire S. Leblond, Simon Baron-Cohen, Christian F. Beckmann, Tobias Banaschewski, Sarah Durston, Christine M. Freitag, Declan G.M. Murphy, Christine Ecker

MARC

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245 1 0 |a Neurobiological correlates of change in adaptive behavior in autism  |c Charlotte M. Pretzsch, Tim Schäfer, Michael V. Lombardo, Varun Warrier, Caroline Mann, Anke Bletsch, Chris H. Chatham, Dorothea L. Floris, Julian Tillmann, Afsheen Yousaf, Emily Jones, Tony Charman, Sara Ambrosino, Thomas Bourgeron, Guillaume Dumas, Eva Loth, Bethany Oakley, Jan K. Buitelaar, Freddy Cliquet, Claire S. Leblond, Simon Baron-Cohen, Christian F. Beckmann, Tobias Banaschewski, Sarah Durston, Christine M. Freitag, Declan G.M. Murphy, Christine Ecker 
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520 |a Objective: - - Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition that is associated with significant difficulties in adaptive behavior and variation in clinical outcomes across the life span. Some individuals with ASD improve, whereas others may not change significantly, or regress. Hence, the development of “personalized medicine” approaches is essential. However, this requires an understanding of the biological processes underpinning differences in clinical outcome, at both the individual and subgroup levels, across the lifespan. - - Methods: - - The authors conducted a longitudinal follow-up study of 483 individuals (204 with ASD and 279 neurotypical individuals, ages 6-30 years), with assessment time points separated by ∼12-24 months. Data collected included behavioral data (Vineland Adaptive Behavior Scale-II), neuroanatomical data (structural MRI), and genetic data (DNA). Individuals with ASD were grouped into clinically meaningful “increasers,” “no-changers,” and “decreasers” in adaptive behavior. First, the authors compared neuroanatomy between outcome groups. Next, they examined whether deviations from the neurotypical neuroanatomical profile were associated with outcome at the individual level. Finally, they explored the observed neuroanatomical differences’ potential genetic underpinnings. - - Results: - - Outcome groups differed in neuroanatomical features (cortical volume and thickness, surface area), including in “social brain” regions previously implicated in ASD. Also, deviations of neuroanatomical features from the neurotypical profile predicted outcome at the individual level. Moreover, neuroanatomical differences were associated with genetic processes relevant to neuroanatomical phenotypes (e.g., synaptic development). - - Conclusions: - - This study demonstrates, for the first time, that variation in clinical (adaptive) outcome is associated with both group- and individual-level variation in anatomy of brain regions enriched for genes relevant to ASD. This may facilitate the move toward better targeted/precision medicine approaches. 
650 4 |a Autism Spectrum Disorder 
650 4 |a Biological Markers 
650 4 |a Genetics/Genomics 
650 4 |a Neuroanatomy 
650 4 |a Neurodevelopmental Disorders 
650 4 |a Neuroimaging 
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700 1 |a Lombardo, Michael V.  |e VerfasserIn  |4 aut 
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700 1 |a Buitelaar, Jan K.  |e VerfasserIn  |4 aut 
700 1 |a Cliquet, Freddy  |e VerfasserIn  |4 aut 
700 1 |a Leblond, Claire S.  |e VerfasserIn  |4 aut 
700 1 |a Baron-Cohen, Simon  |e VerfasserIn  |4 aut 
700 1 |a Beckmann, Christian F.  |e VerfasserIn  |4 aut 
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700 1 |a Durston, Sarah  |e VerfasserIn  |4 aut 
700 1 |a Freitag, Christine M.  |e VerfasserIn  |4 aut 
700 1 |a Murphy, Declan G.M.  |e VerfasserIn  |4 aut 
700 1 |a Ecker, Christine  |e VerfasserIn  |4 aut 
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