TY - JOUR AU - Hong, Seok-Jun AU - Vos de Wael, Reinder AU - Bethlehem, Richard A. I. AU - Lariviere, Sara AU - Paquola, Casey AU - Valk, Sofie L. AU - Milham, Michael P. AU - Di Martino, Adriana AU - Margulies, Daniel S. AU - Smallwood, Jonathan AU - Bernhardt, Boris C. TI - Atypical functional connectome hierarchy in autism JO - Nature Communications VL - 10 IS - 1 SN - 2041-1723 CY - [London] PB - Nature Publishing Group UK M1 - FZJ-2020-04612 SP - 1022 PY - 2019 AB - 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. LB - PUB:(DE-HGF)16 C6 - pmid:30833582 UR - <Go to ISI:>//WOS:000460125400004 DO - DOI:10.1038/s41467-019-08944-1 UR - https://juser.fz-juelich.de/record/888034 ER -