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Neural Correlates of Infant Face Processing and Later Emerging Autism Symptoms in Fragile X Syndrome
Maggie W Guy1, John E Richards2, Abigail L Hogan2
1Department of Psychology, Loyola University Chicago, Chicago, IL, United States.
Insights
Infant brain responses to faces can predict autism spectrum disorder (ASD) symptoms in children with Fragile X syndrome (FXS) and those with familial risk for ASD. Early neural markers may indicate common and distinct pathways to ASD development.
Area of Science:
- Neuroscience
- Developmental Psychology
- Genetics
Background:
- Fragile X syndrome (FXS) is a leading genetic cause of autism spectrum disorder (ASD).
- Infants with FXS show distinct neural responses to faces compared to typical infants and those at high familial risk for ASD.
- Understanding early neural markers is crucial for predicting ASD development in high-risk populations.
Purpose of the Study:
- To investigate the relationship between infant event-related potential (ERP) responses during face processing and later ASD symptoms in children with FXS.
- To compare these neural markers in FXS, siblings of children with ASD, and low-risk controls.
- To explore common and unique neurodevelopmental pathways to ASD in syndromic and familial risk groups.
Main Methods:
- Measured infant ERPs (N290, Nc amplitudes) during face processing at 12 months of age.
- Assessed ASD symptoms at approximately 48 months of age.
- Included participants with FXS, siblings of children with ASD, and low-risk controls.
Main Results:
- Greater N290 amplitude in infancy predicted more severe ASD symptoms in childhood for FXS and ASD-sibling groups.
- Reduced Nc amplitude in infancy was associated with more severe ASD symptoms specifically in the FXS group.
- These ERP patterns were not observed in low-risk control participants.
Conclusions:
- Infant ERP responses during face processing may predict later ASD symptoms in individuals with FXS.
- Findings support the existence of both shared and distinct neurodevelopmental pathways to ASD across different high-risk groups.
- This study provides novel insights into early neural markers for ASD in FXS.
Abstract:
Fragile X syndrome (FXS) is the leading known genetic cause of autism spectrum disorder (ASD) with 60-74% of males with FXS meeting diagnostic criteria for ASD. Infants with FXS have demonstrated atypical neural responses during face processing that are unique from both typically developing, low-risk infants and infants at high familial risk for ASD (i.e., infants siblings of children with ASD). In the current study, event-related potential (ERP) responses during face processing measured at 12 months of age were examined in relation to ASD symptoms measured at ~48 months of age in participants with FXS, as well as siblings of children with ASD and low-risk control participants. Results revealed that greater amplitude N290 responses in infancy were associated with more severe ASD symptoms in childhood in FXS and in siblings of children with ASD. This pattern of results was not observed for low-risk control participants. Reduced Nc amplitude was associated with more severe ASD symptoms in participants with FXS but was not observed in the other groups. This is the first study to examine ASD symptoms in childhood in relation to infant ERP responses in FXS. Results indicate that infant ERP responses may be predictive of later symptoms of ASD in FXS and the presence of both common and unique pathways to ASD in etiologically-distinct high-risk groups is supported (i.e., syndromic risk vs. familial risk).
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