Scientists identify dynamic brain patterns linked to symptom severity in children with autism

Recent research has identified specific patterns of brain activity that distinguish young children with autism from their typically developing peers. These patterns involve the way different regions of the brain communicate with one another over time and appear to be directly linked to the severity of autism symptoms. The findings suggest that these neural dynamics influence daily adaptive skills, which in turn affect cognitive performance. The study was published in The Journal of Neuroscience.

Diagnosing Autism Spectrum Disorder in young children currently relies heavily on observing behavior. This process can be subjective because symptoms vary widely from one child to another. Scientists have sought to find objective biological markers to improve the accuracy of early diagnosis. They also aim to understand the underlying neural mechanisms that contribute to the social and cognitive challenges associated with the condition.

Most previous research in this area has looked at the brain as a static object. These earlier studies calculated the average connection strength between brain regions over a long period. This approach assumes that brain activity remains constant during the measurement. However, the brain is highly active and constantly reorganizes its networks to process information.

A team of researchers led by Conghui Su and Yaqiong Xiao at the Shenzhen University of Advanced Technology decided to investigate these changing patterns. They focused on a concept known as dynamic functional connectivity. This method treats brain activity like a movie rather than a photograph. It allows scientists to see how functional networks configure and reconfigure themselves from moment to moment.

To measure this activity, the team used a technology called functional near-infrared spectroscopy. This technique involves placing a cap with light sensors on the child’s head. The sensors emit harmless near-infrared light that penetrates the scalp and skull. The light detects changes in blood oxygen levels in the brain, which serves as a proxy for neural activity.

This method is particularly well suited for studying young children. Unlike magnetic resonance imaging scanners, which are loud and require participants to be perfectly still, this optical system is quiet and tolerates some movement. This flexibility allows researchers to collect data in a more natural and comfortable environment.

The study included 44 children between the ages of two and six years old. Approximately half of the participants had been diagnosed with Autism Spectrum Disorder. The other half were typically developing children who served as a control group. The researchers recorded brain activity while the children sat quietly and watched a silent cartoon.

The researchers analyzed the data using a “sliding window” technique. They looked at short segments of the recording to see which brain regions were synchronized at any given second. By applying mathematical clustering algorithms, the team identified four distinct “states” of brain connectivity that recurred throughout the session.

One specific state, referred to as State 4, emerged as a key point of difference between the two groups. This state was characterized by strong connections between the left and right hemispheres of the brain. It specifically involved robust communication between the temporal and parietal regions, which are areas often associated with language and sensory processing.

The data showed that children with autism spent considerably less time in State 4 compared to the typically developing children. They also transitioned into and out of this state less frequently. The reduced time spent in this high-connectivity state was statistically distinct.

The researchers then compared these brain patterns to clinical assessments of the children. They found a correlation between the brain data and the severity of autism symptoms. Children who spent the least amount of time in State 4 tended to have higher scores on standardized measures of autism severity.

The study also looked at adaptive behavior. This term refers to the collection of conceptual, social, and practical skills that people learn to function in their daily lives. The analysis revealed that children who maintained State 4 for longer durations exhibited better adaptive behavior scores.

In addition to watching cartoons, the children performed a visual search task to measure their cognitive abilities. They were asked to find a specific shape on a touchscreen. The researchers found that the brain patterns observed during the cartoon viewing predicted how well the children performed on this separate game.

The team conducted a statistical mediation analysis to understand the relationship between these variables. This type of analysis helps determine if a third variable explains the relationship between an independent and a dependent variable. The results suggested a specific pathway of influence.

The analysis indicated that the dynamic brain patterns directly influenced the child’s adaptive behavior. In turn, the level of adaptive behavior influenced the child’s cognitive performance on the visual search task. This implies that adaptive skills serve as a bridge connecting neural activity to cognitive outcomes.

To test the robustness of their findings, the researchers analyzed data from an independent group of 24 typically developing children. They observed the same brain states in this new group. The relationship between the duration of State 4 and cognitive response time was replicated in this validation sample.

The researchers also explored whether these brain patterns could be used for classification. They fed the connectivity data into a machine learning algorithm. The computer model was able to distinguish between children with autism and typically developing children with an accuracy of roughly 74 percent.

This accuracy rate suggests that dynamic connectivity features have potential as a diagnostic biomarker. The ability to identify such markers objectively could complement traditional behavioral assessments. It may help clinicians identify the condition earlier or monitor how a child responds to treatment over time.

The study highlights the importance of interhemispheric communication. The reduced connections between the left and right temporal regions in the autism group align with the “underconnectivity” theory of autism. This theory proposes that long-range communication between brain areas is weaker in individuals on the spectrum.

There are limitations to this study that require consideration. The sample size was relatively small. A larger group of participants would be needed to confirm the results and ensure they apply to the broader population.

The demographics of the study participants may also limit generalization. The group with autism was predominantly male, which reflects the general diagnosis rates but leaves the patterns in females less explored. There were also socioeconomic differences between the autism group and the control group in terms of family income.

The technology used in the study has physical limitations. The sensors were placed over the frontal, temporal, and parietal lobes. This placement means the researchers could not analyze activity in the entire brain. Deeper brain structures or other cortical areas might play a role that this study could not detect.

The researchers suggest that future work should focus on longitudinal studies. Tracking children over several years would help scientists understand how these brain dynamics develop as the child grows. It would also clarify whether improvements in adaptive behavior lead to changes in brain connectivity.

The findings point toward potential avenues for intervention. Therapies that target adaptive behaviors might have downstream effects on cognitive performance. Understanding the specific neural deficits could also lead to more targeted treatments designed to enhance connectivity between brain hemispheres.

This research represents a step forward in linking the biology of the brain to the behavioral characteristics of autism. It moves beyond static snapshots of brain activity. Instead, it embraces the dynamic, ever-changing nature of the human mind to find clearer signals of neurodevelopmental differences.

The study, “Linking Connectivity Dynamics to Symptom Severity and Cognitive Abilities in Children with Autism Spectrum Disorder: An FNIRS Study,” was authored by Conghui Su, Yubin Hu, Yifan Liu, Ningxuan Zhang, Liming Tan, Shuiqun Zhang, Aiwen Yi, and Yaqiong Xiao.

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