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  • Localized alterations in co...
    Horowitz-Kraus, Tzipi; Dudley, Jonathan; Rosch, Keri; Fotang, Jenny; Farah, Rola

    Brain research, 07/2024, Volume: 1834
    Journal Article

    Display omitted •Reduced cortical thickness (CT) in insular regions and increased cortical thickness in caudal anterior cingulate cortex of the cingulo-opercular network was found in children with dyslexia compared to typical readers.•Among children with dyslexia, cortical thickness/sulcal depth (CT/SD) in insular regions was negatively correlated with sentence reading fluency and positively correlated with word reading fluency.•In contrast, among typical readers, SD in insular regions was positively correlated with sentence reading fluency and word reading fluency was unrelated to CT/SD in regions within the cingulo-opercular network. The traditional models of reading development describe how language processing and word decoding contribute to reading comprehension and how impairments in word decoding, a defining feature of dyslexia, affect reading comprehension outcomes. However, these models do not include word and sentence reading (contextual reading) fluency, both of which engage executive functions, with notably decreased performance in children with dyslexia. In the current study, we compared cortical thickness and sulcal depth (CT/SD) in the cingulo-opercular (CO) executive functions brain network in children with dyslexia and typical readers and examined associations with word vs. contextual reading fluency. Overall, CT was lower in insular regions and higher in parietal and caudal anterior cingulate cortex regions in children with dyslexia. Children with dyslexia showed positive correlations between word reading fluency and CT/SD in insular regions, whereas no significant correlations were observed in typical readers. For sentence reading fluency, negative correlations with CT/SD were found in insular regions in children with dyslexia, while positive correlations with SD were found in insular regions in typical readers. These results demonstrate the differential relations between word and sentence reading fluency and anatomical circuitry supporting executive functions in children with dyslexia vs. typical readers. It also suggests that word and sentence reading fluency, relate to morphology of executive function-related regions in children with dyslexia, whereas in typical readers, only sentence reading fluency relates to morphology of executive function regions. The results also highlight the role of the insula within the CO network in reading fluency. Here we suggest that word and sentence reading fluency are distinct components of reading that should each be included in the Simple View of Reading traditional model.