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Chronic oxytocin improves neural decoupling at rest in children with autism

An exploratory RCT

Bibliographic Data

ID21344501
AuthorsKaat Alaerts (0000-0001-8665-6374, Research Group for Neurorehabilitation, Neuromodulation Laboratory KU Leuven Leuven Belgium, corresponding author), Matthijs Moerkerke (0000-0002-7133-8418, Leuven Autism Research (LAuRes) KU Leuven Leuven Belgium), Nicky Daniels (0000-0002-1104-0409, Research Group for Neurorehabilitation, Neuromodulation Laboratory KU Leuven Leuven Belgium), Qianqian Zhang (0000-0002-7231-9825, Research Group for Neurorehabilitation, Neuromodulation Laboratory KU Leuven Leuven Belgium), Ricchiuti Grazia (Research Group for Neurorehabilitation, Neuromodulation Laboratory KU Leuven Leuven Belgium), Jean Steyaert (0000-0003-2512-4694, Leuven Autism Research (LAuRes) KU Leuven Leuven Belgium), Jellina Prinsen (0000-0003-1994-7846, Research Group for Neurorehabilitation, Neuromodulation Laboratory KU Leuven Leuven Belgium), Bart Boets (0000-0002-4718-667X, Leuven Autism Research (LAuRes) KU Leuven Leuven Belgium)
Year2024
Volume65
Issue10
Pages1311-1326
Publication date2024-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Child Psychology and Psychiatry (JOURNAL)
Journal identifiersISSN: 0021-9630 • E-ISSN: 1469-7610
PublisherWiley (PUBLISHER • GB)
DOI10.1111/jcpp.13966
PMID38400592
OpenAlexW4392146737
LanguageEN
References cited62

BACKGROUND: Shifts in peak frequencies of oscillatory neural rhythms are put forward as a principal mechanism by which cross-frequency coupling/decoupling is implemented in the brain. During active neural processing, functional integration is facilitated through transitory formations of "harmonic" cross-frequency couplings, whereas "nonharmonic" decoupling among neural oscillatory rhythms is postulated to characterize the resting, default state of the brain, minimizing the occurrence of spurious, noisy, background couplings. METHODS: Within this exploratory, randomized, placebo-controlled trial, we assessed whether the transient occurrence of nonharmonic and harmonic relationships between peak-frequencies in the alpha (8-14 Hz) and theta (4-8 Hz) bands is impacted by intranasal administration of oxytocin, a neuromodulator implicated in improving homeostasis and reducing stress/anxiety. To do so, resting-state electroencephalography was acquired before and after 4 weeks of oxytocin administration (12 IU twice-daily) in children with autism spectrum disorder (8-12 years, n = 33 oxytocin; n = 34 placebo). At the baseline, neural assessments of children with autism were compared with those of a matched cohort of children without autism (n = 40). RESULTS: Compared to nonautistic peers, autistic children displayed a lower incidence of nonharmonic alpha-theta cross-frequency decoupling, indicating a higher incidence of spurious "noisy" coupling in their resting brain (p = .001). Dimensionally, increased neural coupling was associated with more social difficulties (p = .002) and lower activity of the parasympathetic "rest & digest" branch of the autonomic nervous system (p = .018), indexed with high-frequency heart-rate-variability. Notably, after oxytocin administration, the transient formation of nonharmonic cross-frequency configurations was increased in the cohort of autistic children (p < .001), indicating a beneficial effect of oxytocin on reducing spurious cross-frequency-interactions. Furthermore, parallel epigenetics changes of the oxytocin receptor gene indicated that the neural effects were likely mediated by changes in endogenous oxytocinergic signaling (p = .006). CONCLUSIONS: Chronic oxytocin induced important homeostatic changes in the resting-state intrinsic neural frequency architecture, reflective of reduced noisy oscillatory couplings and improved signal-to-noise properties

Audiology · Autism · Autism spectrum disorder · Developmental psychology · Oxytocin · Resting state fMRI · Internal Medicine · Medicine · Neural dynamics and brain function · Neuroendocrine regulation and behavior · Neuroscience · Neuroscience of respiration and sleep · Psychology

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