PROJECT SUMMARY/ABSTRACT
The primary objective of this K23 application is to provide the candidate with the necessary research
training and mentorship to ensure her development as an independent clinical researcher. Her career goal is to
investigate neurodevelopmental disorders, like Fragile X Syndrome (FXS), through the integrated use of
translational biological and behavioral approaches to identify objective, quantifiable biomarkers to improve
mechanistic understanding and advance treatment discovery. To achieve this goal, the candidate proposes a
focused training program with an exceptional team of scientific advisors to develop her skills and knowledge in
the areas of: 1) paradigm optimization and translational research, 2) advanced electrophysiology analysis and
interpretation, and 3) neural systems relevant to sensorimotor and cognition and FXS. The candidate’s mentor
(Dr. Sweeney) and co-mentor (Dr. Erickson) are co-project PIs on the U54 FXS Center, providing the
candidate with necessary resources, recruitment pool, and scientific excellence to complete her proposed
training program and research plan. This proposal is relevant to the NIH Research Plan on FXS and
Associated Disorders based on overlap with goals: 3.3 develop biomarker discovery, incorporating diverse
approaches to provide treatment targets, accelerate drug discovery, measure effectiveness 3.1 develop
functional, objective measures to provide indicators of treatment effectiveness, 1.8 understand the relationship
between behavioral phenotype in individuals with FXS and behavioral abnormalities in FXS animal models.
Seminal work from the U54 FXS Center using high-density EEG has identified potential neural
biomarkers of sensory hypersensitivity in FXS. Yet, electrophysiology studies of neurocognitive alterations is a
remarkably under-studied area despite the devastating impact these behavioral features have on individuals
with FXS and their families. The candidate proposes to use performance-based EEG to investigate the
neurophysiological basis of speech production and behavioral flexibility issues—among the most functionally
disabling behavioral features of FXS. The proposed research plan will consist of two phases. In Phase I, 15
adults with Fragile X Syndrome and 15 age-, sex-matched typically developing (TD) controls will complete
testing in which key aspects of tasks will be parametrically varied to identify optimal testing conditions. In
Phase II, 25 adults with FXS, 25 age-, and IQ-matched developmental delayed (DD) controls, and 25 matched
TDC will complete testing using paradigms optimized in Phase I. To identify neural abnormalities during
speech production and behavioral flexibility, event-related potentials (ERPs), phase and amplitude coupling
and coherence, and gamma single-trial power (STP) in fronto-temporal and fronto-parietal regions,
respectively, will be examined. Findings from the proposed studies will provide critical insight into our
mechanistic understanding of FXS and assist in treatment discovery and establishment of biomarker
identification/validation.