Default Mode and Fronto-Parietal Network Associations with IQ Development Across Childhood in Autism
Abstract Background: Intellectual disability affects approximately one third of individuals with autism spectrum disorder (autism), yet a major unresolved question remains concerning the neurobiology that differentiates autistic individuals with and without intellectual disability. IQ is highly variable during childhood. We previously identified subgroups of autistic children with different trajectories of intellectual development from early childhood (2-3½ yeas) up to middle childhood (9-12 years): (a) Persistently-High: Individuals whose intelligence quotients (IQs) remained in the average or better range during this period, (b) Persistently-Low: Individuals whose IQs remained in the range of intellectual disability (IQ < 70) throughout development, and (c) Changers: Individuals whose IQs began in the range of intellectual disability but increased to the borderline or normal IQ range by middle childhood. In the present research, we sought to identify neurobiology that differentiates these trajectory-defined groups within our autism cohort in two brain networks with established links to intellectual functioning and its impairment in (1) the frontoparietal network (FPN), and (2) the default mode network (DMN). Methods: We conducted multivariate distance matrix regression (MDMR) and effect size analyses to examine the volumes of 22 brain regions (11 regions x 2 hemispheres) within the FPN and 24 (12 regions x 2 hemispheres) within the DMN in 48 Persistently-High (18 female), 108 Persistently-Low (32 female), and 109 Changers (39 female) using structural MRI that had been acquired at baseline, and IQ measurements from up to three time points spanning early to middle childhood (Mean Age Time 1: 3.2 years; Time 2: 5.4 years; Time 3: 11.3 years). FPN and DMN network regions of interest were defined on the basis of the large-scale networks defined in Smith et al., (2009).Results: Changers exhibited different DMN network structure from both Persistently-Low and Persistently-High trajectory groups at baseline, but the Persistently-High did not differ from the Persistently-Low group, suggesting that DMN structure may be an early predictor for change in IQ trajectory across childhood. In contrast, Persistently-High exhibited differences in the FPN from both Persistently-Low and Changers groups at baseline, suggesting a difference related more to concurrent IQ and the absence of intellectual disability. Conclusions: Within autism, DMN structure at baseline may differentiate individuals with persistently low IQ from those with more transitory low IQ that improves to the borderline range or better through early childhood, potentially indicating compensatory mechanisms which may be targeted by future interventions. The brain structure differences between these three IQ-based subgroups may be indicative of distinct neural underpinnings of autism phenotypic subtypes.