RT Journal Article SR Electronic T1 Molecular and connectomic vulnerability shape cross-disorder cortical abnormalities JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.01.21.476409 DO 10.1101/2022.01.21.476409 A1 Justine Y. Hansen A1 Golia Shafiei A1 Jacob W. Vogel A1 Kelly Smart A1 Carrie E. Bearden A1 Martine Hoogman A1 Barbara Franke A1 Daan van Rooij A1 Jan Buitelaar A1 Carrie R. McDonald A1 Sanjay M. Sisodiya A1 Lianne Schmaal A1 Dick J. Veltman A1 Odile A. van den Heuvel A1 Dan J. Stein A1 Theo G. M. van Erp A1 Christopher R. K. Ching A1 Ole A. Andreassen A1 Tomas Hajek A1 Nils Opel A1 Gemma Modinos A1 André Aleman A1 Ysbrand van der Werf A1 Neda Jahanshad A1 Sophia I. Thomopoulos A1 Paul M. Thompson A1 Richard E. Carson A1 Alain Dagher A1 Bratislav Misic YR 2022 UL http://biorxiv.org/content/early/2022/01/21/2022.01.21.476409.abstract AB Numerous brain disorders demonstrate structural brain abnormalities, which are thought to arise from molecular perturbations or connectome miswiring. The unique and shared contributions of these molecular and connectomic vulnerabilities to brain disorders remain unknown, and has yet to be studied in a single multi-disorder framework. Using MRI morphometry from the ENIGMA consortium, we construct maps of cortical abnormalities for thirteen neurodevelopmental, neurological, and psychiatric disorders from N = 21 000 patients and N = 26 000 controls, collected using a harmonized processing protocol. We systematically compare cortical maps to multiple micro-architectural measures, including gene expression, neurotransmitter density, metabolism, and myelination (molecular vulnerability), as well as global connectomic measures including number of connections, centrality, and connection diversity (connectomic vulnerability). We find that regional molecular vulnerability and macroscale brain network architecture interact to drive the spatial patterning of cortical abnormalities in multiple disorders. Local attributes, particularly neurotransmitter receptor profiles, constitute the best predictors of both disorder-specific cortical morphology and cross-disorder similarity. Finally, we find that cross-disorder abnormalities are consistently subtended by a small subset of network epicentres in bilateral sensory-motor, medial temporal lobe, precuneus, and superior parietal cortex. Collectively, our results highlight how local biological attributes and global connectivity jointly shape cross-disorder cortical abnormalities.Competing Interest StatementThe authors have declared no competing interest.