PMID- 37196984 OWN - NLM STAT- MEDLINE DCOM- 20231110 LR - 20240312 IS - 2451-9030 (Electronic) IS - 2451-9022 (Print) IS - 2451-9022 (Linking) VI - 8 IP - 11 DP - 2023 Nov TI - Replicable Patterns of Memory Impairments in Children With Autism and Their Links to Hyperconnected Brain Circuits. PG - 1113-1123 LID - S2451-9022(23)00121-0 [pii] LID - 10.1016/j.bpsc.2023.05.002 [doi] AB - BACKGROUND: Memory impairments have profound implications for social communication and educational outcomes in children with autism spectrum disorder (ASD). However, the precise nature of memory dysfunction in children with ASD and the underlying neural circuit mechanisms remain poorly understood. The default mode network (DMN) is a brain network that is associated with memory and cognitive function, and DMN dysfunction is among the most replicable and robust brain signatures of ASD. METHODS: We used a comprehensive battery of standardized episodic memory assessments and functional circuit analyses in 25 8- to 12-year-old children with ASD and 29 matched typically developing control children. RESULTS: Memory performance was reduced in children with ASD compared with control children. General and face memory emerged as distinct dimensions of memory difficulties in ASD. Importantly, findings of diminished episodic memory in children with ASD were replicated in 2 independent data sets. Analysis of intrinsic functional circuits associated with the DMN revealed that general and face memory deficits were associated with distinct, hyperconnected circuits: Aberrant hippocampal connectivity predicted diminished general memory while aberrant posterior cingulate cortex connectivity predicted diminished face memory. Notably, aberrant hippocampal-posterior cingulate cortex circuitry was a common feature of diminished general and face memory in ASD. CONCLUSIONS: Our results represent a comprehensive appraisal of episodic memory function in children with ASD and identify extensive and replicable patterns of memory reductions in children with ASD that are linked to dysfunction of distinct DMN-related circuits. These findings highlight a role for DMN dysfunction in ASD that extends beyond face memory to general memory function. CI - Copyright (c) 2023 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved. FAU - Liu, Jin AU - Liu J AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California. Electronic address: jinliu5@stanford.edu. FAU - Chen, Lang AU - Chen L AD - Department of Psychology, Santa Clara University, Santa Clara, California. FAU - Chang, Hyesang AU - Chang H AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California. FAU - Rudoler, Jeremy AU - Rudoler J AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California. FAU - Al-Zughoul, Ahmad Belal AU - Al-Zughoul AB AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California. FAU - Kang, Julia Boram AU - Kang JB AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California. FAU - Abrams, Daniel A AU - Abrams DA AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California; Wu Tsai Stanford Neurosciences Institute, Stanford University School of Medicine, Stanford, California. FAU - Menon, Vinod AU - Menon V AD - Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, California; Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, California; Wu Tsai Stanford Neurosciences Institute, Stanford University School of Medicine, Stanford, California. Electronic address: menon@stanford.edu. LA - eng GR - R01 MH121069/MH/NIMH NIH HHS/United States GR - R01 MH084164/MH/NIMH NIH HHS/United States GR - R21 DC017950/DC/NIDCD NIH HHS/United States GR - R37 HD094623/HD/NICHD NIH HHS/United States GR - R01 HD059205/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20230515 PL - United States TA - Biol Psychiatry Cogn Neurosci Neuroimaging JT - Biological psychiatry. Cognitive neuroscience and neuroimaging JID - 101671285 SB - IM MH - Humans MH - Child MH - *Autism Spectrum Disorder MH - *Autistic Disorder/complications MH - Brain Mapping/methods MH - Magnetic Resonance Imaging/methods MH - Neural Pathways MH - Brain MH - Memory Disorders/etiology PMC - PMC10646152 MID - NIHMS1916954 OTO - NOTNLM OT - Autism OT - Default mode network OT - Episodic memory OT - Face memory OT - Hippocampus OT - Posterior cingulate cortex OT - Recollection and familiarity COIS- Competing interests The authors report no biomedical financial interests or potential conflicts of interest. EDAT- 2023/05/18 01:07 MHDA- 2023/11/10 06:45 PMCR- 2024/11/01 CRDT- 2023/05/17 19:29 PHST- 2022/10/07 00:00 [received] PHST- 2023/04/07 00:00 [revised] PHST- 2023/05/09 00:00 [accepted] PHST- 2024/11/01 00:00 [pmc-release] PHST- 2023/11/10 06:45 [medline] PHST- 2023/05/18 01:07 [pubmed] PHST- 2023/05/17 19:29 [entrez] AID - S2451-9022(23)00121-0 [pii] AID - 10.1016/j.bpsc.2023.05.002 [doi] PST - ppublish SO - Biol Psychiatry Cogn Neurosci Neuroimaging. 2023 Nov;8(11):1113-1123. doi: 10.1016/j.bpsc.2023.05.002. Epub 2023 May 15.