关键词: ASD Brain Infancy Language delay Language profile Subcortical structure

Mesh : Autism Spectrum Disorder / diagnosis pathology psychology Brain / diagnostic imaging pathology Child, Preschool Female Humans Language Development Language Development Disorders / diagnosis pathology psychology Magnetic Resonance Imaging Male Phenotype Risk Factors

来  源:   DOI:10.1016/j.bpsc.2017.07.007   PDF(Sci-hub)

Abstract:
Younger siblings of children with autism spectrum disorder (ASD) are themselves at increased risk for ASD and other developmental concerns. It is unclear if infants who display developmental concerns, but are unaffected by ASD, share similar or dissimilar behavioral and brain phenotypes to infants with ASD. Most individuals with ASD exhibit heterogeneous difficulties with language, and their receptive-expressive language profiles are often atypical. Yet, little is known about the neurobiology that contributes to these language difficulties.
In this study, we used behavioral assessments and structural magnetic resonance imaging to investigate early brain structures and associations with later language skills. High-risk infants who were later diagnosed with ASD (n = 86) were compared with high-risk infants who showed signs of early language delay (n = 41) as well as with high- and low-risk infants who did not have ASD or language delay (n = 255 and 143, respectively).
Results indicated that diminished language skills were evident at 12 months in infants with ASD and infants with early language delay. At 24 months of age, only the infants with ASD displayed atypical receptive-expressive language profiles. Associations between 12-month subcortical volumes and 24-month language skills were moderated by group status, indicating disordinal brain-behavior associations among infants with ASD and infants with language delay.
These results suggest that there are different brain mechanisms influencing language development in infants with ASD and infants with language delay, and that the two groups likely experience unique sets of genetic and environmental risk factors.
摘要:
自闭症谱系障碍(ASD)儿童的年轻兄弟姐妹本身患ASD和其他发育问题的风险增加。目前尚不清楚是否有发育问题的婴儿,但不受ASD的影响,与ASD婴儿具有相似或不相似的行为和大脑表型。大多数患有ASD的人在语言方面表现出不同的困难,他们的接受表达性语言特点往往是非典型的。然而,对导致这些语言困难的神经生物学知之甚少。
在这项研究中,我们使用行为评估和结构磁共振成像来调查早期大脑结构以及与后期语言技能的关联.将后来被诊断为ASD的高危婴儿(n=86)与表现出早期语言延迟迹象的高危婴儿(n=41)以及没有ASD或语言延迟的高危和低危婴儿(分别为255和143)进行比较。
结果表明,ASD婴儿和早期语言延迟婴儿在12个月时语言技能明显下降。在24个月大的时候,只有患有ASD的婴儿表现出非典型的接受表达性语言特点.12个月的皮质下体积和24个月的语言技能之间的关联由小组状态调节,表明ASD婴儿和语言延迟婴儿之间的大脑行为关联。
这些结果表明,影响ASD婴儿和语言延迟婴儿语言发育的大脑机制不同,这两个群体可能经历了独特的遗传和环境风险因素。
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