Altered Development of Striatal Structures Is Involved In Autistic Behaviour

Thursday, May 17, 2012
Sheraton Hall (Sheraton Centre Toronto)
11:00 AM
M. Langen, H. Nederveen, D. Bos, S. Noordermeer, H. van Engeland and S. Durston, Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, Netherlands
Background: Repetitive, rigid and stereotyped behaviours are core features of autism and it has been suggested that they result from differences in the anatomy of striatum. In addition, studies of brain changes in autism have indicated that the time course of brain development rather than the outcome seems to be most disturbed. However, most of the studies investigating striatal differences in autism are cross-sectional, limiting inferences on development.

Objectives: Therefore, in this study, we (1) investigate brain development, and especially development of striatal structures in autism, using a longitudinal design; (2) examine the relationship of striatal development with repetitive behaviour.

Methods: We acquired sMRI scans from 68 individuals (35 subjects with autism, 33 matched controls). Each individual was scanned twice, with a mean scan interval time of 2.4 years. Mean age was 9.9 at time 1 and 12.3 at time 2. An automated image processing pipeline was used to determine volumes of total brain, grey and white matter, cerebellum and lateral ventricles. Striatal structures were traced manually. Multivariate analyses of variance were used to investigate differences in brain development between diagnostic groups. To examine the relationship with behaviour, correlations between changes in brain volume and measures of repetitive and stereotyped behaviour were calculated.

Results: Our results show differences in the developmental pattern for striatal structures: growth rate of these structures was increased in the autism group in comparison to controls. Effects were most robust for caudate nucleus. Results were not accounted for by overall changes in brain growth, or scan processing differences. Second, the increased rate of striatal growth was related to measurements of repetitive behaviour: faster growth was correlated with more severe behaviour.

Conclusions: These findings substantiate the involvement of striatum in the aetiology of autism and provide further evidence of the significance of altered trajectories of brain development in this disorder.

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