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Previous studies in these neurodevelopmental disorders have demonstrated functional abnormalities and alterations of white matter microstructural integrity in specific brain regions. These findings suggest that the global organization of brain networks is affected in <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> and support the hypothesis of a \u2018dys\u2010connectivity syndrome\u2019 from a network perspective. No studies have compared the structural covariance networks between <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> in order to look for the signature of <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> independent of comorbid autism. Here, we aimed to address the question of whether abnormal connectivity in <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> overlaps that seen in autism or comorbid <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>\u2010autism. Using graph theoretical analysis, we investigated differences in global and regional topological properties of structural brain networks in 53 children: 8 <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> children with <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>), 15 <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> children without <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>), 11 with <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> only, and 19 typically developing (<jats:styled-content style=\"fixed-case\">TD<\/jats:styled-content>) children. We constructed separate structural correlation networks based on cortical thickness derived from Freesurfer. The children were assessed on the Movement\u2010<jats:styled-content style=\"fixed-case\">ABC<\/jats:styled-content> and the Beery Test of Visual Motor Integration. Behavioral results demonstrated that the <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> group and <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> group scored on average poorer than the <jats:styled-content style=\"fixed-case\">TD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> groups on various motor measures. Furthermore, although the brain networks of all groups exhibited small\u2010world properties, the topological architecture of the networks was significantly altered in children with <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> compared with <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">TD<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> children showed increased normalized path length and higher values of clustering coefficient. Also, paralimbic regions exhibited nodal clustering coefficient alterations in singular disorders. These changes were disorder\u2010specific, and included alterations in clustering coefficient in the isthmus of the right cingulate gyrus and the pars orbitalis of the right inferior frontal gyrus in <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> children, and <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>\u2010related increases in the lateral orbitofrontal cortex. Children meeting criteria for both <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> exhibited topological changes that were more widespread from those seen in children with only <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>, i.e. children with <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> showed alterations of clustering coefficient in (para)limbic regions, primary areas, and association areas. The <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> group showed changes in clustering coefficient in the left association cortex relative to the <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> group. Finally, the <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> group shared <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content>\u2010specific abnormalities in the pars orbitalis of right inferior frontal gyrus, which was hypothesized to reflect atypical emotional\u2010cognitive processing. Our results provide evidence that <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> are neurodevelopmental disorders with a low degree of overlap in abnormalities in connectivity. The co\u2010occurrence of <jats:styled-content style=\"fixed-case\">DCD<\/jats:styled-content>+<jats:styled-content style=\"fixed-case\">ASD<\/jats:styled-content> was also associated with a distinct topological pattern, highlighting the unique neural signature of comorbid neurodevelopmental disorders.<\/jats:p>","DOI":"10.1111\/desc.12424","type":"journal-article","created":{"date-parts":[[2016,5,5]],"date-time":"2016-05-05T04:06:57Z","timestamp":1462421217000},"page":"599-612","source":"Crossref","is-referenced-by-count":73,"title":["Neural signature of developmental coordination disorder in the structural connectome independent of comorbid autism"],"prefix":"10.1111","volume":"19","author":[{"given":"Karen","family":"Caeyenberghs","sequence":"first","affiliation":[{"name":"School of Psychology Faculty of Health Sciences Australian Catholic University Australia"},{"name":"School of Psychological Sciences Monash Biomedical Imaging lab Monash University 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