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Melissa J M Walsh, Broc Pagni, Leanna Monahan, Shanna Delaney, Christopher J Smith, Leslie Baxter, B Blair Braden
(2022).
Sex-related brain connectivity correlates of compensation in adults with autism: insights into female protection.
Cerebral Cortex, 33(2), 316-329.
Oxford University Press (OUP).
- Date de publication
-
25/02/2022
- Identifiant
-
10.1093/cercor/bhac069
- Auteurs
-
Melissa J M Walsh,
Broc Pagni,
Leanna Monahan,
Shanna Delaney,
Christopher J Smith,
Leslie Baxter,
B Blair Braden
- Source
- Cerebral Cortex
- Détails
- 33(2), 316-329
- Type de référence
- article
- Éditeur
- Oxford University Press (OUP)
- Source de métadonnées
- crossref
Résumé
Abstract The male preponderance in autism spectrum disorder (ASD) led to the hypothesis that aspects of female biology are protective against ASD. Females with ASD (ASD-F) report more compensatory behaviors (i.e. “camouflaging”) to overcome ASD-related social differences, which may be a mechanism of protection. No studies have examined sex-related brain pathways supporting camouflaging in ASD-F, despite its potential to inform mechanisms underlying the ASD sex bias. We used functional connectivity (FC) to investigate “sex-atypical” and “sex-typical” FC patterns linked to camouflaging in adults with ASD and examined multimodal coherence of findings via structural connectometry. Exploratory associations with cognitive/emotional functioning examined the adaptive nature of FC patterns. We found (i) “sex-atypical” FC patterns linked to camouflaging in the hypothalamus and precuneus and (ii) “sex-typical” patterns in the right anterior cingulate and anterior parahippocampus. Higher hypothalamic FC with a limbic reward cluster also correlated with better cognitive control/emotion recognition. Structural connectometry validated FC results with consistent brain pathways/effect patterns implicated in ASD-F. In summary, “male-typical” and “female-typical” brain connectivity patterns support camouflaging in ASD-F in circuits implicated in reward, emotion, and memory retrieval. “Sex-atypical” results are consistent with fetal steroidogenic/neuroinflammatory hypotheses. However, female genetics/biology may contribute to “female-typical” patterns implicated in camouflaging.
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