Neurodevelopment of the association cortices: Patterns, mechanisms, and implications for psychopathology

Neuron. 2021 Sep 15;109(18):2820-2846. doi: 10.1016/j.neuron.2021.06.016. Epub 2021 Jul 15.

Abstract

The human brain undergoes a prolonged period of cortical development that spans multiple decades. During childhood and adolescence, cortical development progresses from lower-order, primary and unimodal cortices with sensory and motor functions to higher-order, transmodal association cortices subserving executive, socioemotional, and mentalizing functions. The spatiotemporal patterning of cortical maturation thus proceeds in a hierarchical manner, conforming to an evolutionarily rooted, sensorimotor-to-association axis of cortical organization. This developmental program has been characterized by data derived from multimodal human neuroimaging and is linked to the hierarchical unfolding of plasticity-related neurobiological events. Critically, this developmental program serves to enhance feature variation between lower-order and higher-order regions, thus endowing the brain's association cortices with unique functional properties. However, accumulating evidence suggests that protracted plasticity within late-maturing association cortices, which represents a defining feature of the human developmental program, also confers risk for diverse developmental psychopathologies.

Keywords: MRI; adolescence; association cortex; axis; evolution; gradient; microscale; neurodevelopment; neuroimaging; psychopathology.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cerebral Cortex / diagnostic imaging*
  • Cerebral Cortex / growth & development*
  • Cerebral Cortex / pathology
  • Humans
  • Mental Disorders / diagnostic imaging*
  • Mental Disorders / physiopathology*
  • Mental Disorders / psychology
  • Nerve Net / diagnostic imaging
  • Nerve Net / physiopathology
  • Neuroimaging / methods
  • Neuronal Plasticity / physiology*
  • Psychopathology