Abnormal spindle-like microcephaly-associated (ASPM) mutations strongly disrupt neocortical structure but spare the

Sandrine Passemard1, Alain Verloes2, Thierry Billette de Villemeur3

  • 1Inserm, U1141, Hôpital Robert Debré, Paris, France; Université Paris Diderot - Sorbonne Paris Cité, Paris, France; Département de Génétique, Hôpital Robert Debré, AP-HP, Paris, France; Service de Neuropédiatrie, Hôpital Robert Debré, AP-HP, Paris, France.

Insights

Autosomal recessive primary microcephaly (ARPM) linked to ASPM mutations causes significant brain volume reduction. Cognitive impairments in ARPM patients are regionally specific, reflecting heterogeneous brain development.

Area of Science:

  • Neuroscience
  • Genetics
  • Developmental Biology

Background:

  • Autosomal recessive primary microcephaly (ARPM) is a neurodevelopmental disorder characterized by reduced brain size.
  • The most common form of ARPM is caused by mutations in the ASPM gene, leading to intellectual disability.
  • Structural brain abnormalities and their correlation with cognitive deficits in ARPM patients remain under-investigated.

Purpose of the Study:

  • To investigate detailed structural brain abnormalities in patients with ASPM mutations using high-resolution MRI.
  • To correlate neuroimaging findings with cognitive and mnesic abilities in affected individuals.
  • To challenge the notion of uniform cortical reduction in ASPM-related microcephaly.

Main Methods:

  • High-resolution T1-weighted MRI scans were acquired from seven patients with ASPM mutations and 39 healthy controls.
  • Quantitative analysis of regional cortical volumes, thickness, surface area, gyrification index, and white matter volumes across 30 cortical regions.
  • Neuropsychological assessments were performed to evaluate cognitive and mnesic functions.

Main Results:

  • A significant reduction (≥50%) in cortical volume and surface area was observed in most cortical regions.
  • The hippocampus and medial temporal structures showed relative preservation compared to other cortical regions.
  • Patients exhibited significant cognitive impairments but preserved mnesic abilities, correlating with hippocampal preservation.

Conclusions:

  • ASPM mutations lead to regionally specific reductions in cortical volume and surface area, not uniform microcephaly.
  • The cognitive profile of ASPM patients reflects this regional brain heterogeneity, with preserved memory functions.
  • Detailed characterization of brain structure and cognitive abilities can inform targeted therapeutic interventions for ASPM patients.