Functional neural circuits that underlie developmental stuttering

PLoS One. 2017 Jul 31;12(7):e0179255. doi: 10.1371/journal.pone.0179255. eCollection 2017.

Abstract

The aim of this study was to identify differences in functional and effective brain connectivity between persons who stutter (PWS) and typically developing (TD) fluent speakers, and to assess whether those differences can serve as biomarkers to distinguish PWS from TD controls. We acquired resting-state functional magnetic resonance imaging data in 44 PWS and 50 TD controls. We then used Independent Component Analysis (ICA) together with Hierarchical Partner Matching (HPM) to identify networks of robust, functionally connected brain regions that were highly reproducible across participants, and we assessed whether connectivity differed significantly across diagnostic groups. We then used Granger Causality (GC) to study the causal interactions (effective connectivity) between the regions that ICA and HPM identified. Finally, we used a kernel support vector machine to assess how well these measures of functional connectivity and granger causality discriminate PWS from TD controls. Functional connectivity was stronger in PWS compared with TD controls in the supplementary motor area (SMA) and primary motor cortices, but weaker in inferior frontal cortex (IFG, Broca's area), caudate, putamen, and thalamus. Additionally, causal influences were significantly weaker in PWS from the IFG to SMA, and from the basal ganglia to IFG through the thalamus, compared to TD controls. ICA and GC indices together yielded an accuracy of 92.7% in classifying PWS from TD controls. Our findings suggest the presence of dysfunctional circuits that support speech planning and timing cues for the initiation and execution of motor sequences in PWS. Our high accuracy of classification further suggests that these aberrant brain features may serve as robust biomarkers for PWS.

MeSH terms

  • Adolescent
  • Adult
  • Algorithms
  • Basal Ganglia / physiopathology
  • Brain / diagnostic imaging*
  • Brain / physiopathology*
  • Brain Mapping
  • Case-Control Studies
  • Child
  • Female
  • Humans
  • Machine Learning
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Motor Cortex / physiopathology
  • Nerve Net / physiopathology*
  • Neural Pathways / physiopathology*
  • Principal Component Analysis
  • Reproducibility of Results
  • Speech
  • Stuttering / diagnostic imaging*
  • Stuttering / physiopathology*
  • Young Adult

Grants and funding

This work was supported by the McGue Millhiser Family Trust, National Natural Science Foundation of China (61603225)(http://www.nsfc.gov.cn/), Natural Science Foundation of Shandong Province (ZR2016FQ04), and China Postdoctoral Science Foundation (2016M602182). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.