Fractionating autism based on neuroanatomical normative modeling

M. Zabihi, D.L. Floris, S.M. Kia, T. Wolfers, J. Tillmann, A.L. Arenas, C. Moessnang, T. Banaschewski, R. Holt, S. Baron-Cohen, E. Loth, T. Charman, T. Bourgeron, D. Murphy, C. Ecker, J.K. Buitelaar, C.F. Beckmann, A. Marquand

Research output: Contribution to journalArticleScientificpeer-review

28 Citations (Scopus)


Autism is a complex neurodevelopmental condition with substantial phenotypic, biological, and etiologic heterogeneity. It remains a challenge to identify biomarkers to stratify autism into replicable cognitive or biological subtypes. Here, we aim to introduce a novel methodological framework for parsing neuroanatomical subtypes within a large cohort of individuals with autism. We used cortical thickness (CT) in a large and well-characterized sample of 316 participants with autism (88 female, age mean: 17.2 ± 5.7) and 206 with neurotypical development (79 female, age mean: 17.5 ± 6.1) aged 6–31 years across six sites from the EU-AIMS multi-center Longitudinal European Autism Project. Five biologically based putative subtypes were derived using normative modeling of CT and spectral clustering. Three of these clusters showed relatively widespread decreased CT and two showed relatively increased CT. These subtypes showed morphometric differences from one another, providing a potential explanation for inconsistent case–control findings in autism, and loaded differentially and more strongly onto symptoms and polygenic risk, indicating a dilution of clinical effects across heterogeneous cohorts. Our results provide an important step towards parsing the heterogeneous neurobiology of autism.
Original languageEnglish
Article number384
Pages (from-to)1-10
Number of pages10
JournalTranslational Psychiatry
Publication statusPublished - 2020


  • Autism
  • Neurodevelopmental Condition
  • Cortical Thickness


Dive into the research topics of 'Fractionating autism based on neuroanatomical normative modeling'. Together they form a unique fingerprint.

Cite this