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Aberrant Structural and Functional Developmental Trajectories in Children With Intellectual Disability
Xuejin Ma1, Jianxia Tan1, Lin Jiang1
1Department of Radiology, The First People's Hospital of Zunyi, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Insights
Children with intellectual disability (ID) show altered brain development trajectories, with decreased gray and white matter volumes and abnormal functional connectivity. These changes highlight the frontoparietal network's role in typical development and may underlie ID neuropathology.
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Neuroimaging
Background:
- Intellectual disability (ID) involves aberrant brain development, but its dynamic changes from childhood to puberty are poorly understood.
- Investigating developmental trajectories is crucial for understanding the neuropathological basis of ID.
Purpose of the Study:
- To explore the abnormal developmental trajectories of brain structure and function in children with ID.
- To identify structural and functional differences and their correlation with intelligence.
Main Methods:
- Recruited 40 children with ID (6-13 years) and 30 healthy controls (HC).
- Utilized voxel-based morphometry (VBM) for structural analysis and resting-state functional connectivity (FC) for functional analysis.
- Performed seed-based whole-brain FC analyses on regions with altered gray matter volume (GMV).
Main Results:
- Children with ID exhibited significantly decreased total gray matter volume (GMV) and white matter volume (WMV) compared to HC.
- Developmental trajectories of GMV and WMV were reversed in ID compared to HC.
- Increased GMV was observed in specific regions (dmPFC, orb_IFG, cuneus.R, MFG) in ID, with decreased FCs between cuneus.R-IPS.L and MFG.R-ACC.
- Negative correlations between GMV and IQ, and positive correlations between specific FCs and IQ were found in ID and HC groups.
Conclusions:
- Findings demonstrate abnormal structural and functional brain development in children with ID.
- The frontoparietal network plays a critical role in typical neurodevelopment.
- Abnormal GMV and functional connectivity patterns may represent the neuropathological basis of ID.
Abstract:
Intellectual disability (ID) is associated with aberrant structural and functional development of the brain, yet how the dynamical developmental changes of the structure and function of ID from childhood to around puberty remains unknown. To explore the abnormal developmental trajectories of structure and function, 40 children with ID aged 6-13 years and 30 sex-, age-, and educational level-matched healthy controls (HC) with age range from 6 to 13 were recruited. The automatic voxel-based morphometry (VBM) and resting-state functional connectivity (FC) analyses were adopted to delineate the structural and functional differences. Significantly decreased total gray matter volume (GMV) and white matter volume (WMV) in children with ID were found, and the developmental trajectories of GMV and WMV in children with ID showed an opposite direction as compared with HC. The voxel-wise VMB analysis further revealed significantly increased GMV in the dorsal medial prefrontal cortex (dmPFC), bilateral orbital part of the inferior frontal gyrus (orb_IFG.L, orb_IFG.R), right cuneus (cuneus.R), and bilateral middle frontal gyrus (MFG.L, MFG.R) in children with ID. The following seed-based whole-brain functional connectivity analyses of the brain areas with changed GMV found decreased FCs between the cuneus.R and left intraparietal sulcus (IPS.L) and between the MFG.R and anterior cingulate cortex (ACC) in children with ID. Moreover, negative correlations between GMV values in the dmPFC, orb_IFG.L, cuneus.R, and intelligence quotient (IQ) scores and positive correlations between the FCs of the cuneus.R with IPS.L and MFG.R with ACC and IQ scores were found in children with ID and HC. Our findings provide evidence for the abnormal structural and functional development in children with ID and highlight the important role of frontoparietal network in the typical development. The abnormal development of GMV and functional couplings found in this study may be the neuropathological bases of children with ID.
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