Atypical functional connectome hierarchy in autism

  • Seok Jun Hong
  • , Reinder Vos de Wael
  • , Richard A.I. Bethlehem
  • , Sara Lariviere
  • , Casey Paquola
  • , Sofie L. Valk
  • , Michael P. Milham
  • , Adriana Di Martino
  • , Daniel S. Margulies
  • , Jonathan Smallwood
  • , Boris C. Bernhardt

Research output: Contribution to journalArticlepeer-review

358 Scopus citations

Abstract

One paradox of autism is the co-occurrence of deficits in sensory and higher-order socio-cognitive processing. Here, we examined whether these phenotypical patterns may relate to an overarching system-level imbalance—specifically a disruption in macroscale hierarchy affecting integration and segregation of unimodal and transmodal networks. Combining connectome gradient and stepwise connectivity analysis based on task-free functional magnetic resonance imaging (fMRI), we demonstrated atypical connectivity transitions between sensory and higher-order default mode regions in a large cohort of individuals with autism relative to typically-developing controls. Further analyses indicated that reduced differentiation related to perturbed stepwise connectivity from sensory towards transmodal areas, as well as atypical long-range rich-club connectivity. Supervised pattern learning revealed that hierarchical features predicted deficits in social cognition and low-level behavioral symptoms, but not communication-related symptoms. Our findings provide new evidence for imbalances in network hierarchy in autism, which offers a parsimonious reference frame to consolidate its diverse features.

Original languageEnglish
Article number1022
JournalNature Communications
Volume10
Issue number1
DOIs
StatePublished - 1 Dec 2019
Externally publishedYes

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