# Gene Coexpression and Brain Connectivity in Female Autism Spectrum Disorder

> **NIH NIH R03** · GEORGE MASON UNIVERSITY · 2020 · $95,375

## Abstract

PROJECT SUMMARY/ABSTRACT
Boys and men are diagnosed with autism spectrum disorder (ASD) about four times more frequently than girls
and women. This skewed diagnostic ratio has historically made it difficult to recruit sufficient numbers of girls
with ASD to conduct well-powered analyses of sex differences. Thus, the preponderance of the evidence upon
which we base inferences about ASD etiology, developmental trajectories, and phenotypes comes from studies
in which girls and women with ASD were either excluded entirely, or included at a ratio of 4:1 or less. However,
recent research specifically focused on girls and women with ASD suggests that male versus female ASD may
have fundamentally different characteristics. Better understanding the biological mechanisms of female-specific
developmental trajectories of ASD risk and resilience is crucial to improving ascertainment and optimizing
treatment, because the etiological systems involved may provide insight into sex-specific phenotypic expression
and targets for intervention. A new data collection in the National Database for Autism Research (NDAR),
"Multimodal Developmental Neurogenetics of Females with Autism" (collection #2021) may help investigators
better characterize female ASD by providing imaging, omics, and phenotyping data for a large, sex-balanced
cohort of children with and without ASD. In preliminary work with this dataset, we found that ASD girls showed
a profile distinct from both typically developing girls and ASD boys, which was characterized by motor (M1) and
striatal (STR) hypoactivation to social stimuli, and greater size of rare copy number variants (CNVs) affecting
genes expressed in these brain regions. The Female Protective Effect (FPE), on the other hand, involved greater
recruitment of the executive control brain network (including dorsolateral prefrontal cortex [dlPFC]). These
findings suggest that the striatomotor-cortical system may be implicated in female-specific processes of ASD
risk and protection, but do not fully delineate the biological mechanisms by which such effects operate. We
propose secondary analysis of de-identified data from this NDAR collection in order to further specify these
mechanisms. We aim, first, to examine sex- and diagnosis-specific differences in functional connectivity between
striatal and motor/frontal regions, and degree of coexpression of M1-, STR-, and frontal-expressed genes. We
hypothesize that, for girls with ASD versus typically developing girls, we will find reduced functional connectivity
between STR and targets in motor and frontal cortex. Second, we will assess coexpression of genes impacting
striatomotor-cortical system development. We expect to observe a greater degree of coexpression of genes that
are both 1) expressed in these brain regions, and 2) affected by CNVs in girls with ASD (versus boys with ASD),
reflecting a disruption to the striatomotor-cortical system underlying brain functional differences in girls with ASD.
Fi...

## Key facts

- **NIH application ID:** 9876508
- **Project number:** 1R03HD100771-01
- **Recipient organization:** GEORGE MASON UNIVERSITY
- **Principal Investigator:** Allison Elizabeth Jack
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $95,375
- **Award type:** 1
- **Project period:** 2020-03-10 → 2022-02-28

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9876508

## Citation

> US National Institutes of Health, RePORTER application 9876508, Gene Coexpression and Brain Connectivity in Female Autism Spectrum Disorder (1R03HD100771-01). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9876508. Licensed CC0.

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