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@ARTICLE{Holiga:861383,
author = {Holiga, Štefan and Hipp, Joerg F. and Chatham, Christopher
H. and Garces, Pilar and Spooren, Will and D’Ardhuy,
Xavier Liogier and Bertolino, Alessandro and Bouquet,
Céline and Buitelaar, Jan K. and Bours, Carsten and Rausch,
Annika and Oldehinkel, Marianne and Bouvard, Manuel and
Amestoy, Anouck and Caralp, Mireille and Gueguen, Sonia and
Ly-Le Moal, Myriam and Houenou, Josselin and Beckmann,
Christian F. and Loth, Eva and Murphy, Declan and Charman,
Tony and Tillmann, Julian and Laidi, Charles and Delorme,
Richard and Beggiato, Anita and Gaman, Alexandru and Scheid,
Isabelle and Leboyer, Marion and d’Albis, Marc-Antoine and
Sevigny, Jeff and Czech, Christian and Bolognani, Federico
and Honey, Garry D. and Dukart, Juergen},
title = {{P}atients with autism spectrum disorders display
reproducible functional connectivity alterations},
journal = {Science translational medicine},
volume = {11},
number = {481},
issn = {1946-6242},
address = {Washington, DC},
publisher = {AAAS},
reportid = {FZJ-2019-01861},
pages = {eaat9223},
year = {2019},
abstract = {Despite the high clinical burden, little is known about
pathophysiology underlying autism spectrum disorder(ASD).
Recent resting-state functional magnetic resonance imaging
(rs-fMRI) studies have found atypical synchro-nization of
brain activity in ASD. However, no consensus has been
reached on the nature and clinical relevance ofthese
alterations. Here, we addressed these questions in four
large ASD cohorts. Using rs-fMRI, we identified func-tional
connectivity alterations associated with ASD. We tested for
associations of these imaging phenotypes withclinical and
demographic factors such as age, sex, medication status, and
clinical symptom severity. Our resultsshowed reproducible
patterns of ASD-associated functional hyper- and
hypoconnectivity. Hypoconnectivity wasprimarily restricted
to sensory-motor regions, whereas hyperconnectivity hubs
were predominately located inprefrontal and parietal
cortices. Shifts in cortico-cortical between-network
connectivity from outside to withinthe identified regions
were shown to be a key driver of these abnormalities. This
reproducible pathophysiologicalphenotype was partially
associated with core ASD symptoms related to communication
and daily living skills andwas not affected by age, sex, or
medication status. Although the large effect sizes in
standardized cohorts areencouraging with respect to
potential application as a treatment and for patient
stratification, the moderate linkto clinical symptoms and
the large overlap with healthy controls currently limit the
usability of identified altera-tions as diagnostic or
efficacy readout.},
cin = {INM-7},
ddc = {500},
cid = {I:(DE-Juel1)INM-7-20090406},
pnm = {572 - (Dys-)function and Plasticity (POF3-572)},
pid = {G:(DE-HGF)POF3-572},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30814340},
UT = {WOS:000460307000002},
doi = {10.1126/scitranslmed.aat9223},
url = {https://juser.fz-juelich.de/record/861383},
}