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Thin insulation may explain atypical cortical thickness seen in autism

The boundary between white matter and gray matter appears sharper in certain regions for autistic versus non-autistic people

础听听may explain why some parts of the cerebral cortex can appear thicker in brain scans of autistic people than in those of non-autistic people, according to a new study.

Magnetic resonance imaging (MRI) studies show that some autistic children have听听than their non-autistic peers, with much of the overgrowth occurring in听. The reason for this difference remains unclear, but it seems to reflect an apparent excess of gray matter, which consists of neuronal cell bodies, relative to white matter, composed of neuronal projections.

Newly developed neurons in the brains of autistic people may have trouble migrating to the proper place, some researchers have suggested, which could听听between gray and white matter in some regions and cause the gray matter to look thicker on an MRI scan.

But higher levels of myelin, the insulation that surrounds neuronal projections, in non-autistic people could also skew these measures, says lead researcher of the new work,听听(pictured above), associate professor of psychiatry at 看片视频 University and member of the Azrieli Centre for Autism Research听(ACAR) at The Neuro. Myelin appears brighter on an MRI scan than other tissue, so an abundance of it near the boundary between gray and white matter could make the gray matter appear thinner, he says.

To distinguish between the two hypotheses, Chakravarty and his colleagues devised a new way to evaluate the sharpness of the boundary between white and gray matter on MRI scans.

Differences in boundary sharpness cropped up in regions with atypical cortical thickness in autistic people, they found. And the boundary between gray and white matter was sharper in certain brain regions for autistic people than in those of non-autistic people, suggesting that atypical myelination drove those differences in thickness.

鈥淸It鈥檚] a very smart approach to help us learn more about the significance of some of the neuroimaging measures that we are studying,鈥 says听, professor of psychiatry and behavioral sciences at Stanford University in California, who was not involved in the work.

Brains scans reveal sharper boundaries between white and gray matter in autistic people.

Image contrast:听The boundary between white matter and gray matter appears sharper in certain regions for autistic versus non-autistic people.

Sharp听edge

Chakravarty and his colleagues applied their new method to scans from 415 autistic people and 721 non-autistic people, aged 2 to 65 years, from multiple international datasets, including the United Kingdom Medical Research Council Autism Imaging Multicentre Study and the听. The team had previously analyzed cortical thickness on these same scans.

For each brain scan, they sampled 77,212 points across the cortex, measuring image intensity at 10 equidistant spots across the boundary between gray and white matter.

They used these values to calculate the rate of change in intensity, a metric they call the 鈥榖oundary sharpness coefficient鈥: High values mean the intensity changes rapidly, marking a sharp boundary, whereas low values reflect gradual change, characteristic of a blurry boundary.

Autistic people show sharper boundaries than non-autistic people in specific brain areas, including the bilateral superior temporal gyrus, the inferior temporal gyrus and the left inferior frontal gyrus, the researchers reported in March in听Cerebral Cortex.

Boundary sharpness differed the most between autistic and non-autistic people aged 12 to 20 years, the team found. And boundary sharpness measurements of autistic participants鈥 right medial temporal pole correlated with the severity of their autism traits, as measured by the Autism Diagnostic Observation Schedule.

New measures

Because intracortical myelination reflects the strength of connections between brain regions, the results bolster the argument that autism is a condition of听, says study investigator听, a graduate student in Amy Kuceyeski鈥檚 lab at Cornell University.

But because the finding of a sharper gray-white boundary in the brains of people with autism is the opposite of what has been seen in previous studies, it is difficult to interpret, says听, associate research professor of psychology at San Diego State University, who was not involved in the study.

鈥淚t might be true. It might be wrong,鈥 she says. 鈥淚t鈥檚 worth more follow-up.鈥

One way to follow up would be to use animal models or postmortem samples to see if the boundary sharpness measure reflects what is actually in the tissue, Hardan says.

And replication of the results by other groups, using other datasets, is also essential, all of the researchers agreed.

Regardless of how the specific results hold up, however, the new metric has the potential to improve how cortical boundaries are measured using MRI, Carper says.

About ACAR:听The Neuro鈥檚 Azrieli Centre for Autism Research (ACAR) transforms research, training and care to improve the quality of life of autistic people and their families. Established in 2017 thanks to the , ACAR operates in the spirit of Open Science, inclusion and community collaboration. The state-of-the-art research centre is committed to advancing understanding of the mechanisms underlying autism and related conditions, developing new diagnostic tools and effective interventions through translational research and integrated care, and training the next generation of fundamental and clinical autism researchers.

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The Neuro (Montreal Neurological Institute-Hospital)听is a bilingual academic healthcare institution. We are a听看片视频 research and teaching institute; delivering high-quality patient care, as part of the Neuroscience Mission of the 看片视频 University Health Centre.听We are听proud to be a Killam Institution, supported by the Killam Trusts.

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