Croissance cérébrale périnatale et traits autistiques chez les tout-petits

Titre original en anglais : Perinatal brain growth and autistic traits in toddlers

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Tsompanidis, A., Chang, K. M., Khan, Y. T., Radecki, M. A., Dorfschmidt, L., Hampton, S., Aydin, E., Allison, C., Tait, R., Bethlehem, R. A. I., Kyriakopoulou, V., Austin, T., Suckling, J., Holt, R., & Baron-Cohen, S. (2025). Perinatal brain growth and autistic traits in toddlers. Translational Psychiatry, 15(1), Article 474. https://doi.org/10.1038/s41398-025-03665-0

Date de publication: 17/11/2025 Ajout dans AutiHub: 13/10/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
15
Auteur·ices de la publication identifié·es comme autistes
1 / 15 (6,7 %)
  1. A. Tsompanidis
  2. K. M. Chang
  3. Y. T. Khan
  4. M. A. Radecki
  5. Lena Dorfschmidt
  1. S. Hampton *
  2. E. Aydin
  3. C. Allison
  4. R. Tait
  5. R. A. I. Bethlehem
  1. V. Kyriakopoulou
  2. T. Austin
  3. J. Suckling
  4. R. Holt
  5. S. Baron-Cohen

Résumé

Résumé L'autisme est un ensemble hétérogène de conditions neurodéveloppementales comportant une composante héréditaire significative et des origines périnatales. Les premiers traits comportementaux observables, permettant d'établir un diagnostic, émergent à l'âge de 18 mois. Des études antérieures ont rapporté une augmentation du périmètre crânien et de la croissance cérébrale chez les enfants autistes, mais on sait moins si cela s'étend au spectre plus large des traits ou au développement cérébral précoce au cours des 6 premiers mois de la vie. Les données de deux cohortes indépendantes, le developing Human Connectome Project (dHCP) et Cambridge Human Imaging and Longitudinal Development (CHILD), ont été évaluées à la fin de la période foetale et au début de la petite enfance par IRM pour la structure cérébrale. Les volumes cérébraux globaux et régionaux dans le dHCP ont été étudiés avant la naissance (n = 106, âge moyen = 29,27 [ET = 3,8] semaines de gestation) et après la naissance (n = 454, âge moyen = 41,28 [ET = 1,93] semaines post-conception) en association avec des traits autistiques ultérieurs après l'âge de 18 mois, tels que mesurés par le Quantitative Checklist for Autism in Toddlers (« Q-CHAT ») renseigné par les parents. Les résultats ont guidé une analyse des régions d'intérêt dans la plus petite cohorte indépendante CHILD, dans laquelle les participants ont été examinés pendant la grossesse (moyenne = 31,98 semaines de gestation, ET = 1,52) et après la naissance (âge moyen au scan = 50,45, ET = 2,8 semaines post-conception) (n = 27). Après contrôle des covariables de cohorte, telles que l'âge maternel, le poids de naissance, le sexe et l'âge post-conception au moment du scan, le volume cérébral total postnatal, le volume de matière grise corticale et le volume de matière blanche étaient tous négativement associés aux traits autistiques chez les tout-petits. Cela a été observé pour les volumes postnatals dans la cohorte dHCP et dans la cohorte CHILD, mais n'était pas apparent lors de l'évaluation du volume cérébral prénatal ou des taux de croissance périnatale du volume cérébral total chez les mêmes individus. Les analyses régionales dans la cohorte dHCP, après contrôle du volume cérébral total, ont montré des profils notables dans le lobe temporal, qui justifient des recherches supplémentaires. En conclusion, un volume cérébral total réduit au cours des deux premiers mois de la vie est associé à un nombre plus élevé de traits autistiques, tels que rapportés par les parents à l'âge de 18 mois. Des recherches supplémentaires sont nécessaires pour comprendre si cela s'étend aux âges ultérieurs, aux enfants recevant ultérieurement un diagnostic d'autisme, et comment cela affecte le développement et la connectivité de régions spécifiques, en particulier dans les lobes temporaux.

Abstract Autism is a heterogeneous set of neurodevelopmental conditions with a significant heritable component and perinatal origins. The earliest observable behavioural traits, with which a diagnosis can be made, emerge at 18 months of age. Previous studies have reported increased head circumference and brain growth in autistic children, but less is known about whether this extends to the wider spectrum of traits or to early brain development in the first 6 months of life. Data from two independent cohorts, the developing Human Connectome Project (dHCP) and Cambridge Human Imaging and Longitudinal Development (CHILD), were assessed in late fetal and early infancy for brain structure with MRI. Global and regional brain volumes in the dHCP, were studied prenatally (n = 106, mean age = 29.27 [SD = 3.8] gestational weeks) and postnatally (n = 454, mean age = 41.28 [SD = 1.93] weeks post-conception) in association with later autistic traits after 18 months of age, as captured on the parent-report Quantitative Checklist for Autism in Toddlers (‘Q-CHAT’). The results informed a region-of-interest analysis in the smaller independent CHILD cohort, where participants were scanned during pregnancy (mean = 31.98 weeks gestation, SD = 1.52) and postnatally (mean scan age = 50.45, SD = 2.8 weeks post-conception)(n = 27). After controlling for cohort covariates, such as maternal age, birth weight, sex and age post-conception at the time of scan, postnatal total brain volume, cortical grey matter volume, and white matter volume were all negatively associated with autistic traits in toddlerhood. This was found for postnatal volumes in both the dHCP and the CHILD cohort but was not apparent when assessing prenatal brain volume or perinatal growth rates of total brain volume in the same individuals. Regional analyses in the dHCP cohort, after controlling for total brain volume, showed patterns of note in the temporal lobe, which warrant further research. In conclusion, reduced total brain volume in the first two months of life is associated with a higher number of autistic traits, as reported by parents at 18 months of life. Further research is required to understand if this extends to later ages, to children later diagnosed with autism and how it affects the development and connectivity of specific regions, particularly in the temporal lobes.

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Références citées
61
Avec un DOI
59
Sans DOI, à partir du texte brut de la bibliographie
2
0 / 61 (0,0 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
2 / 61 (3,3 %)
Références avec noms d’auteurices détectés
59 / 61 (96,7 %)
Sans nom d’auteurice détecté
2
Sans titre structuré
2
Sans identifiant stable
2
Références avec noms bruts d’auteurices restant à vérifier
2
Références avec problème de récupération des métadonnées externes
1
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Noms d’auteurices détectés dans la bibliographie citée
731
À partir du DOI ou de métadonnées externes
731
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
7
91 / 731 (12,4 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 640 / 731 (87,6 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
0 / 731 (0,0 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 0 / 91 (0,0 %). Personnes distinctes identifiées comme autistes : 0 / 609 (0,0 %).
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