Cortical Thickness Differences in Autistic Children With and Without Intellectual Disability

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Main Authors: Derek S. Andrews, Andrew J. Dakopolos, Joshua K. Lee, Brianna Heath, Devani Cordero, Marjorie Solomon, David G. Amaral, Christine Wu Nordahl
Format: Artículo Open Access
Published: Wiley 2025
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author Derek S. Andrews
Andrew J. Dakopolos
Joshua K. Lee
Brianna Heath
Devani Cordero
Marjorie Solomon
David G. Amaral
Christine Wu Nordahl
author_facet Derek S. Andrews
Andrew J. Dakopolos
Joshua K. Lee
Brianna Heath
Devani Cordero
Marjorie Solomon
David G. Amaral
Christine Wu Nordahl
Derek S. Andrews
Andrew J. Dakopolos
Joshua K. Lee
Brianna Heath
Devani Cordero
Marjorie Solomon
David G. Amaral
Christine Wu Nordahl
collection Wiley Open Access
contents Cortical Thickness Differences in Autistic Children With and Without Intellectual Disability Derek S. Andrews Andrew J. Dakopolos Joshua K. Lee Brianna Heath Devani Cordero Marjorie Solomon David G. Amaral Christine Wu Nordahl Autism Research ABSTRACTOf the 1 in 36 individuals in the United States who are diagnosed with autism spectrum disorder, nearly 40% also have intellectual disability (ID). The cortex has been widely implicated in neural processes underlying autistic behaviors as well as intellectual ability. Thus, neuroimaging features such as cortical thickness are of particular interest as a possible biomarkers of the condition. However, neuroimaging studies often fail to include autistic individuals with ID. As a result, there are few studies of cortical thickness in autistic individuals across the entire range of intellectual abilities. This study used MRI to evaluate cortical thickness in young autistic children (n = 88, mean age 5.37 years) with a large range of intellectual ability (IQ 19–133) as well as nonautistic, nondevelopmentally delayed (referred to here as typically developing [TD]) peers (n = 53, mean age 5.29 years). We first investigated associations between full scale IQ and cortical thickness in both autistic and TD children. Autistic children had significant negative associations (i.e., thinner cortex, higher IQ) in bilateral entorhinal cortex, right fusiform gyrus, superior, middle and inferior temporal gyri, and right temporal pole that were not present in TD children. Significantly thicker cortex was also observed in these regions for autistic children with ID (i.e., IQ ≤ 70) compared with those without. Last, given the reported correspondence between the severity of autism symptoms and intellectual ability, we compared cortical thickness associations with both IQ and ADOS Calibrated Severity Scores and found these patterns overlapped to a significant degree across the cortex. 10.1002/aur.3313 http://creativecommons.org/licenses/by-nc-nd/4.0/
doi_str_mv 10.1002/aur.3313
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institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
publishDate 2025
publisher Wiley
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spellingShingle Cortical Thickness Differences in Autistic Children With and Without Intellectual Disability
Derek S. Andrews
Andrew J. Dakopolos
Joshua K. Lee
Brianna Heath
Devani Cordero
Marjorie Solomon
David G. Amaral
Christine Wu Nordahl
Autism Research
Cortical Thickness Differences in Autistic Children With and Without Intellectual Disability Derek S. Andrews Andrew J. Dakopolos Joshua K. Lee Brianna Heath Devani Cordero Marjorie Solomon David G. Amaral Christine Wu Nordahl Autism Research ABSTRACTOf the 1 in 36 individuals in the United States who are diagnosed with autism spectrum disorder, nearly 40% also have intellectual disability (ID). The cortex has been widely implicated in neural processes underlying autistic behaviors as well as intellectual ability. Thus, neuroimaging features such as cortical thickness are of particular interest as a possible biomarkers of the condition. However, neuroimaging studies often fail to include autistic individuals with ID. As a result, there are few studies of cortical thickness in autistic individuals across the entire range of intellectual abilities. This study used MRI to evaluate cortical thickness in young autistic children (n = 88, mean age 5.37 years) with a large range of intellectual ability (IQ 19–133) as well as nonautistic, nondevelopmentally delayed (referred to here as typically developing [TD]) peers (n = 53, mean age 5.29 years). We first investigated associations between full scale IQ and cortical thickness in both autistic and TD children. Autistic children had significant negative associations (i.e., thinner cortex, higher IQ) in bilateral entorhinal cortex, right fusiform gyrus, superior, middle and inferior temporal gyri, and right temporal pole that were not present in TD children. Significantly thicker cortex was also observed in these regions for autistic children with ID (i.e., IQ ≤ 70) compared with those without. Last, given the reported correspondence between the severity of autism symptoms and intellectual ability, we compared cortical thickness associations with both IQ and ADOS Calibrated Severity Scores and found these patterns overlapped to a significant degree across the cortex. 10.1002/aur.3313 http://creativecommons.org/licenses/by-nc-nd/4.0/
title Cortical Thickness Differences in Autistic Children With and Without Intellectual Disability
topic Autism Research
url https://onlinelibrary.wiley.com/doi/10.1002/aur.3313