Salience Network Connectivity Relates to Sleep and Sensory Over-Responsivity in Infants at High and Low Likelihood for Autism

Sleep problems and sensory over-responsivity (SOR) are common, co-occurring, and early-emerging features of Autism Spectrum Disorder (ASD). Yet, the early neural mechanisms underlying this relationship remain unclear. Here, we used resting-state fMRI data from the Infant Brain Imaging Study (IBIS) to examine how brain connectivity at 6 months may relate to parent-reported measures of sleep-onset problems and SOR in infants at varying familial likelihood for ASD. The right anterior insula was used in seed-based analyses to investigate Salience Network (SN) connectivity to cortical and cerebellar regions of interest previously implicated in sleep disruption, sensory processing challenges, and ASD. Infants at high (HL) and low (LL) likelihood for ASD displayed divergent patterns of SN connectivity with sensorimotor cortex, as well as cerebellar regions involved in sensorimotor processing and higher-order functions. Furthermore, stronger SN connectivity with sensorimotor cortices and cerebellar regions was associated with worse sleep-onset problems and SOR in HL infants. In contrast, stronger SN-cerebellar connectivity was related to fewer sleep-onset problems and SOR in LL infants. Our findings indicate that altered SN connectivity may result in over-attribution of attention to sensory stimuli and highlight aberrant sensory prediction learning, which may underlie worse sleep problems and higher SOR in HL infants.