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The functional neural architecture of dysfunctional reward processing in autism
Journal article   Open access   Peer reviewed

The functional neural architecture of dysfunctional reward processing in autism

Hildegard Janouschek, Henry W Chase, Rachel J Sharkey, Zeru J Peterson, Julia A Camilleri, Ted Abel, Simon B Eickhoff and Thomas Nickl-Jockschat
NeuroImage clinical, Vol.31, 102700
05/2021
DOI: 10.1016/j.nicl.2021.102700
PMCID: PMC8239466
PMID: 34161918
url
https://doi.org/10.1016/j.nicl.2021.102700View
Published (Version of record) Open Access

Abstract

Functional imaging studies have found differential neural activation patterns during reward-paradigms in patients with autism spectrum disorder (ASD) compared to neurotypical controls. However, publications report conflicting results on the directionality and location of these aberrant activations. We here quantitatively summarized relevant fMRI papers in the field using the anatomical likelihood estimation (ALE) algorithm. Patients with ASD consistently showed hypoactivations in the striatum across studies, mainly in the right putamen and accumbens. These regions are functionally involved in the processing of rewards and are enrolled in extensive neural networks involving limbic, cortical, thalamic and mesencephalic regions. The striatal hypo-activations found in our ALE meta-analysis, which pooled over contrasts derived from the included studies on reward-processing in ASD, highlight the role of the striatum as a key neural correlate of impaired reward processing in autism. These changes were present for studies using social and non-social stimuli alike. The involvement of these regions in extensive networks associated with the processing of both positive and negative emotion alike might hint at broader impairments of emotion processing in the disorder.

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