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Numerous studies have shown that accurate analysis of neurological disorders contributes to the early diagnosis of brain disorders and provides a window to diagnose psychiatric disorders due to brain atrophy. The emergence of geometric deep learning approaches provides a new way to characterize geometric variations on brain networks. However, brain network data suffer from high heterogeneity and noise. Consequently, geometric deep learning methods struggle to identify discriminative and clinically meaningful representations from complex brain networks, resulting in poor diagnostic accuracy. Hence, the primary challenge in the diagnosis of brain diseases is to enhance the identification of discriminative features. To this end, this paper presents a dual-attention deep manifold harmonic discrimination (DA-DMHD) method for early diagnosis of neurodegenerative diseases. Here, a low-dimensional manifold projection is first learned to comprehensively exploit the geometric features of the brain network. Further, attention blocks with discrimination are proposed to learn a representation, which facilitates learning of group-dependent discriminant matrices to guide downstream analysis of group-specific references. Our proposed DA-DMHD model is evaluated on two independent datasets, ADNI and ADHD-200. Experimental results demonstrate that the model can tackle the hard-to-capture challenge of heterogeneous brain network topological differences and obtain excellent classifying performance in both accuracy and robustness compared with several existing state-of-the-art methods.

ObjectiveRecent studies have provided insights into the gut microbiota in autism spectrum disorder (ASD); however, these studies were restricted owing to limited sampling at the unitary stage of childhood. Herein, we aimed to reveal developmental characteristics of gut microbiota in a large cohort of subjects with ASD combined with interindividual factors impacting gut microbiota.DesignA large cohort of 773 subjects with ASD (aged 16 months to 19 years), 429 neurotypical (NT) development subjects (aged 11 months to 15 years) were emolyed to determine the dynamics change of gut microbiota across different ages using 16S rRNA sequencing.ResultIn subjects with ASD, we observed a distinct but progressive deviation in the development of gut microbiota characterised by persistently decreased alpha diversity, early unsustainable immature microbiota, altered aboudance of 20 operational taxonomic units (OTUs), decreased taxon detection rate and 325 deregulated microbial metabolic functions with age-dependent patterns. We further revealed microbial relationships that have changed extensively in ASD before 3 years of age, which were associated with the severity of behaviour, sleep and GI symptoms in the ASD group. This analysis demonstrated that a signature of the combination of 2 OTUs, Veillonellaand Enterobacteriaceae, and 17 microbial metabolic functions efficiently discriminated ASD from NT subjects in both the discovery (area under the curve (AUC)=0.86), and validation 1 (AUC=0.78), 2 (AUC=0.82) and 3 (AUC=0.67) sets.ConclusionOur large cohort combined with clinical symptom analysis highlights the key regulator of gut microbiota in the pathogenesis of ASD and emphasises the importance of monitoring and targeting the gut microbiome in future clinical applications of ASD.