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. 2010 Dec;133(Pt 12):3745-54.
doi: 10.1093/brain/awq279. Epub 2010 Oct 5.

Age-related temporal and parietal cortical thinning in autism spectrum disorders

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Age-related temporal and parietal cortical thinning in autism spectrum disorders

Gregory L Wallace et al. Brain. 2010 Dec.

Abstract

Studies of head size and brain volume in autism spectrum disorders have suggested that early cortical overgrowth may be followed by prematurely arrested growth. However, the few investigations quantifying cortical thickness have yielded inconsistent results, probably due to variable ages and/or small sample sizes. We assessed differences in cortical thickness between high-functioning adolescent and young adult males with autism spectrum disorders (n = 41) and matched typically developing males (n = 40). We hypothesized thinner cortex, particularly in frontal, parietal and temporal regions, for individuals with autism spectrum disorders in comparison with typically developing controls. Furthermore, we expected to find an age × diagnosis interaction: with increasing age, more pronounced cortical thinning would be observed in autism spectrum disorders than typically developing participants. T(1)-weighted magnetization prepared rapid gradient echo 3 T magnetic resonance imaging scans were acquired from high-functioning males with autism spectrum disorders and from typically developing males matched group-wise on age (range 12-24 years), intelligence quotient (≥ 85) and handedness. Both gyral-level and vertex-based analyses revealed significantly thinner cortex in the autism spectrum disorders group that was located predominantly in left temporal and parietal regions (i.e. the superior temporal sulcus, inferior temporal, postcentral/superior parietal and supramarginal gyri). These findings remained largely unchanged after controlling for intelligence quotient and after accounting for psychotropic medication usage and comorbid psychopathology. Furthermore, a significant age × diagnosis interaction was found in the left fusiform/inferior temporal cortex: participants with autism spectrum disorders had thinner cortex in this region with increasing age to a greater degree than did typically developing participants. Follow-up within group comparisons revealed significant age-related thinning in the autism spectrum disorders group but not in the typically developing group. Both thinner temporal and parietal cortices during adolescence and young adulthood and discrepantly accelerated age-related cortical thinning in autism spectrum disorders suggest that a second period of abnormal cortical growth (i.e. greater thinning) may be characteristic of these disorders.

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Figures

Figure 1
Figure 1
Inflated surface maps (dark grey = sulci; light grey = gyri) of thinner cortex in males with autism spectrum disorders versus typically developing males in the A lateral, B medial, C dorsal and D ventral views. Areas in light blue survived cluster correction (all P's < 0.003).
Figure 2
Figure 2
(A) Left hemisphere ventral view of an inflated surface map (dark grey = sulci; light grey = gyri) of the significant interaction between age group and diagnostic group. Blue indicates discrepantly thinner cortex with increasing age in males with autism spectrum disorders versus typically developing males. The area in light blue survived cluster correction. (B) Histogram of the age group by diagnosis interaction in left inferior temporal/fusiform gyri (area depicted in light blue in Fig. 2A). (C) Scatterplot of the age group × diagnosis interaction (autism spectrum disorders group R2 = 0.23; typically developing group R2 = 0.01) in left inferior temporal/fusiform gyri (area depicted in light blue in Fig. 2A). ASD = autism spectrum disorders; TD = typically developing.
Figure 3
Figure 3
Findings of predominantly thinner (in blue) cortex for individuals with autism spectrum disorders >17 years of age versus those ≤17 years in the (A) left and right lateral, (B) left and right medial and (C) left and right ventral views. Areas in light blue and yellow survived cluster correction.
Figure 4
Figure 4
Areas of significantly thinner cortex for individuals with autism spectrum disorders versus typically developing controls (A) >17-years old (left hemisphere ventral view) and (B) ≤17 years (right and left hemisphere lateral views). Areas in light blue survived cluster correction (all P's < 0.04).

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