Keywords
human brain development; atlas; transcriptomics; fetal; cortex
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The human cortex is a tapestry of specialised cortical areas supporting diverse and complex behaviours, each
identifiable on the basis of distinct patterns of cyto-architecture, chemo-architecture, and axonal connectivity.6–10
During gestation, waves of neurons are generated from progenitor cells lining the cerebral ventricles and migrate
outwards along supporting radial glia to form the layers of the cortex.11–13 Prior to the ingress of extrinsic connections
via the thalamus,14 the progressive differentiation of cortical areas is orchestrated by transcription factors expressed
along concentration gradients and translated from the ventricular zone (VZ) to secondary progenitors of the
subventricular zone (SVZ), then onto neurons in the cortical plate (CP), forming functional territories.2,11,15–18 This
process follows a precise spatiotemporal schema,11,18–22 the traces of which extend far beyond the nascent stages of
neurogenesis and are echoed in patterns of cytoarchitecture, axonal connectivity and function.23–29
Focused on uncovering the mechanisms that govern areal differentiation, studies have begun to catalogue the cellular
diversity of the developing human cortex, and genes that encode it, with increasing granularity and scale.1,2,30–32
Regional specialisation of cell types has been observed from early in gestation, with diversity of cortical gene
transcription most evident in mid- to late-gestation but persisting into adulthood and aligning with structural and
functional organisation of the brain.4,26,33–36
The third trimester of human gestation is characterised by rapid and sustained increases in brain volume and cortical
surface area.11,37,38 Differential rates of areal expansion during human development mirror evolutionary trends in
cortical scaling and function39–44 with preferential expansion in areas vulnerable to disruption in
neurodevelopmental,45 neurological46, genetic47 and psychiatric48 disorders. Juxtaposed hypotheses implicate either the
production of glia49,50, or neurons51–54 from specialised progenitor populations of the outer SVZ, in the expansion of the
primate cortex. Thus, the distribution of distinct cell populations across the developing cortex may mediate areal
differences in expansion and vulnerability to insult18,33 but we currently do not have a clear understanding of how this
molecular diversity is translated into cortical organisation in humans in vivo.
μBrain: A three-dimensional microscale atlas of the fetal brain
To bridge this gap, we sought to construct a 3D digital atlas of the developing brain at micrometre scale using a public
resource of 81 serial histological 2D sections of a prenatal human brain at 21 postconceptional weeks (PCW).3,4 Source
data included serial coronal sections (20μm thickness) obtained from the right hemisphere of a single prenatal brain
specimen (21 PCW; female), Nissl-stained, imaged at 1 micron resolution and labelled with detailed anatomical
annotations, alongside interleaved coronal sections stained with in situ hybridisation (ISH) of n=41 developmental gene
markers, as reported by Ding et al3 (Figure S1; Table S1-S3; see Methods). In this and 3 other specimens (15, 16 and
21 PCW, 2 female), anatomical annotations had been used to guide a series of laser microdissections (LMD) across
multiple cortical areas and layers of the cortical anlage (e.g.: cortical plate, subplate, intermediate zone, ventricular
zone; Table S4) in the left hemisphere to measure regional gene expression via RNA microarrays, as described by
Miller et al.4 Nissl- and ISH-stained sections with corresponding anatomical labels and LMD arrays were made
available as part of the BrainSpan Developing Brain Atlas [https://atlas.brain-map.org/atlas?atlas=3].
Artefacts due to tissue preparation, sectioning and staining procedures (including tearing and folding of sections) are
common in histological data and can present difficulties for downstream processing pipelines.55–58 To correct for tissue
artefacts present in the histological data, we designed an automated detect-and-repair pipeline for Nissl-stained
sections based on pix2pix, a Generative Adversarial Network (GAN)59,60 (Figure 1a-d; Supplemental Methods). Using
256 × 256 pixel image patches drawn from 73/81 labeled histological sections (n=8 reserved for model testing) with
paired anatomical labels, we trained a GAN model to produce Nissl-contrast images conditioned on a set of 20 tissue
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labels (Figure 1a; Table S2). After training, the model was able to produce realistic, Nissl-stained image patches
matched on colour hue and saturation to the original data using tissue annotations alone (Figure 1c). Model
performance was robust to different parameter settings and model architectures (Figure S2). Using the trained model,
we generated synthetic Nissl-contrast image predictions from anatomical annotations of each section and identified
artefacts in the histological data based on deviations in pixel hue and saturation from the model prediction. Outlier
pixels were replaced with model predictions using Poisson image editing61 (Figure 1d) resulting in n=79 (2 excluded
due to extensive missing tissue) complete histological sections (Figure S1; Table S1).
Histological atlases of the cerebral cortex6,10 have proven invaluable for understanding human brain organisation but
are limited by the loss of spatial information inherent to 2D representations of 3D structures. Reconstructions of 3D
brain volumes from serial tissue sections of post mortem tissue allow the examination of intact brain anatomy at a scale
inaccessible to current neuroimaging technologies.62 We combined repaired tissue sections into a 3D volume of the
right hemisphere using iterative affine image registration constrained by a tissue shape reference derived from fetal
MRI (Figure S3; Supplemental Methods),63 followed by nonlinear alignment to account for warping between adjacent
sections. Using the aligned data, we generated a 3D volume resampled to voxel resolution 150 × 150 × 150𝜇m with
dimension 189 × 424 × 483 voxels (28.35 × 63.60 × 72.45mm) (μBrain; see Methods; Figure 1e, Figure S4a-b).
Following reconstruction, we benchmarked the size of the reconstructed μBrain volume against standard fetal growth
metrics for a 23 week (gestational age; GA, equivalent to 21 PCW) fetus (μBrain length = 62.7mm, 23 week GA occipital-
frontal diameter median [5th, 95th centile] = 73.3 mm [68.2, 78.5]),64 and compared tissue volume estimates based on
reconstructed anatomical labels (parenchymal volume = 25.8ml, right hemisphere) to previously reported 3D MRI-
derived fetal brain volumes (supratentorial volume [both hemispheres] at 23 week GA = 60.26ml).65 Adapting protocols
from neuroimaging analysis, we extracted the inner and outer surfaces of the cortical plate and projected a set of 29
cortical area labels derived from the histological tissue annotations (Table S2) onto the surface vertices to form the
μBrain cortical atlas (Figure 1f). The μBrain cortical atlas represents a new parcellation of the developing brain defined
according to the hierarchical ontology of the reference annotations and matched to corresponding LMD microarray
data (Table S2, S4; Figure 4c-d).
In addition to the whole brain volume and cortical atlas, we created partial 3D reconstructions of ISH staining for 41
genes (see Methods; Figure 1g). Based on an average 41 tissue sections per gene (Table S3), semi-quantitative maps
of gene expression revealed the tissue- and region-specific distributions of several genes, including caudal enrichment
of the transcription factor EOMES in the subventricular zone,15 and markers of neuronal migration (DCX66) and synaptic
transmission (GRIK267), in the cortical plate (Figure 1g; Figure S5)
Existing histological brain atlases, including those of the adult human,62,68,69 mouse,70,71 and macaque72 brains facilitate
integration with other data modalities, including neuroimaging, and are amenable to advanced computational image
analysis methods to extract quantitative measures of neuroanatomy across multiple scales.73,74 Building upon existing
resources,3,4 we have created the μBrain atlas (Figure 1; Figure S4), a new and freely-available 3D volumetric model of
the 21 PCW fetal brain at 150𝜇m resolution, accompanied by a set of n=20 cerebral tissue labels (Figure S4a-b);
surface models of the cortical plate surface and cortical plate/subplate interface with n=29 cortical area labels (Figure
4c) and n=41 partial reconstructions of ISH expression data (Figure 5). Cortical areas are matched to normalised gene
expression data from corresponding LMD microarrays (Table S4; Figure S4d) across multiple tissue zones in three
additional prenatal specimens (total n=4) providing a 3D anatomical coordinate space to facilitate integrated imaging-
transcriptomic analyses of the developing brain. Below, we use the μBrain atlas to evaluate the molecular and cellular
correlates of cortical expansion in the third trimester of human gestation.
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Figure 1: Generation of a 3D anatomical atlas of the mid -gestation fetal brain. a. Paired histological sections and simplified anatomical
annotations were divided into 256 × 256 random patches (n=1000) for model training. Patches were quality checked prior to selection to ensure
good overlap between labels and anatomy and no tissue damage. b. Pix2pix model architecture showing a U -Net generator coupled with a PatchGAN
discriminator. Box sizes represent image width, height and number of filters/channels (depth) at each layer. Filters and dime nsions of each layer are
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shown below. c. Model performance was evaluated on a set of sections that were not included in the training dataset. Checkerboard occlusions are
shown with the original section, occluded patch predictions are shown using the trained model after a given number of iterati ons. d. The trained
model was used to replace RGB values of outlying pixels with synthetic estimates. Top row: original sections spaced throughout the cerebral
hemisphere with automatically identified outlier pixels outlined in grey. Bottom row, repaired sections. e. Repaired sections were aligned via linear,
affine and iterative nonlinear registrations (see Methods) to create a 3D volume with final isotropic resolution of 150um. Right: Cut-planes illustrate
internal structures after each stage of reconstruction. The reconstructed tissue label volume is shown in Figure S4. f. The outer (pial) and inner
(subplate) cortical plate boundaries were extracted as surface tessellations. The μBrain cortical labels were projected onto the surface vertices to
form the final cortical atlas (see Figure S4). Cortical areas correspond to matched LMD microarray data ( Table S4; Figure S4d). g. Partial
reconstructions of EOMES, FOXP1 and GRIK2 ISH data. ISH stained sections were registered to nearest Nissl -stained sections and aligned to the μBrain
volume. Top row: selected axial and coronal sections of th e μBrain volume and corresponding tissue labels with ISH expression of three
developmental genes: EOMES, FOXP1 and GRIK2 overlaid. Expression intensity was derived from false -colour, semi-quantitative maps of gene
expression. Bottom row: average expression intensity within each tissue or brain structure based o n μBrain tissue labels. Averages were calculated
only within sections where ISH was available for each gene.
Tissue- and region-specific gene expression in the mid-gestation brain
We sought to characterise patterns of gene expression in the mid-gestation brain and identify developmental and
region-specific genes with putative roles in cortical expansion. To do so, we used publicly-available microarray data
from four prenatal brain specimens aged 15 to 21 PCW.4 Microarray probe annotations were updated and tissue
samples matched to the μBrain atlas (Table S4) yielding expression data of 8771 genes sampled from between 18 and
27 brain regions and across 5 tissue zones for each specimen (see Methods; Figure S4d). Applying PCA to gene
expression profiles, we found that tissue samples were primarily separated according to location in mitotic (VZ, SVZ) or
post-mitotic tissue zones, rather than across regions (Figure 2a)4 – a pattern that was replicated across all specimens
when analysed separately (Figure S6). Focusing on expression profiles within each tissue zone, samples clustered
according to maturity (Figure 2a; Figure S7) with developmental changes in gene expression most similar across
adjacent mitotic (CP and SP, r= 0.67) and post-mitotic zones (SVZ and VZ, r=0.43; Figure S8). In line with evidence of a
transition in VZ cell fate around mid-gestation,75 we observed increased expression of genes enriched in post-mitotic
excitatory neurons and interneurons (e.g.: GRIK1-3; GLRA2; SCN3B) between 15 and 21 PCW.1 In the SP and CP, this
transition coincided with an increase in genes expressed by radial glia (BMP7; SOX3) and oligodendrocyte precursor
cells (OPCs; CA10) with a transitory decrease in microglia-enriched genes in the CP (GPR34; TREM2)76 (Figure 2b;
Table S5).
Across all tissue samples, we tested for differences in gene expression across zones (CP, SP, etc.), regions (motor,
sensory, etc) and timepoints (early vs mid-gestation). This resulted in a subset of n=2145 (24.5%) genes with
differential expression across all three factors, termed Zone-Region-Tissue (ZRT) genes (p<0.01 after FDR correction;
Figure 2c; Table S6). We reasoned that this subset, characterised by genes with dynamic regional and temporal
expression in mid-gestation, would be associated with differential rates of cortical expansion during development. To
support this line of reasoning, we found that the ZRT cluster was enriched for genes upregulated in the third
trimester77 (enrichment ratio = 1.89, hypergeometric test phypergeom<0.0001) and highly expressed in adolescent and
adult brain tissue, compared to non-ZRT genes (Figure S9). ZRT genes included several human transcription factors
(e.g.: EGR1, JUNB, ZNF536)78 and were significantly enriched in radial glia (SOX2, HES5, phypergeom=0.03176), OPCs
(OLIG1, PDGFRA; phypergeom=0.0424) and migrating interneurons (CALB2, CNR1; phypergeom=0.0009; Figure 2d; Table
S7).2 We observed highest ZRT expression in the subplate, with increasing expression of ZRT genes in postmitotic
zones (CP, SP and IZ) compared to the SVZ and VZ, between 15 and 21 PCW (Figure 2e). Examining ZRT gene
annotations revealed enrichment of critical neurodevelopmental functions including cell-cell adhesion (GO: 0098742;
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CHD1, EFNA5, NLGN1, NRXN1; pFDR<0.0001, background set = 8771 genes), forebrain development (GO: 0030900;
CASP3, CNTN2, DLX2, FOXP2, NEUROD6; pFDR=0.026) and neuron projection guidance (GO: 0097485; EFNA2, EFNA5;
pFDR = 0.0034) (Table S8). The ZRT geneset was additionally enriched for high-confidence ASD-linked genes (n = 43,
phypergeom = 0.034)79 including SCL6A1, CACNA1C and CHD7 and pathogenic variants in 161 ZRT (7.5%) genes have been
linked to neurodevelopmental and cognitive phenotypes and brain malformations80 including MAGEL2 (Schaaf-Yang
syndrome81), AFF2 (Fragile-X-E82) and ADGRG1 (polymicrogyria83) (Table S9)
Figure 2: Regional gene expression in the mid -gestation fetal brain. a. PCA of LMD microarray data (n=8771 genes) in four prenatal brain
specimens aged 15 PCW to 21 PCW. All tissue samples are shown (left) coloured by tissue zones (main) and specimen (inset). PC A was applied to all
samples in each tissue zone separately (righ t). Samples are coloured by specimen and cluster by age. b. PC1 was associated with age -related change
in all tissues and correlated between neighbouring zones. Plots show mean gene expression at 21 PCW (averaged over specimen a nd region) against
fold change in gene expression between 15/16 PCW and 21 PCW for two tissue zones (cortical plate, top and ventricular zone, bottom). Genes with a
log2(fold change) > 0.3 are shown in green (< -0.3 in blue). Representative genes are highlighted. c. Number of genes with differential expression over
tissue zones (ZONE), cortical region (REGION) or timepoint (TIME). Venn diagram shows overlap of gene sets. In total, n=2145 were differentially
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expressed across zone, region and time (ZRT genes). d. enrichment of ZRT genes in cell types previously identified in the mid -gestation fetal brain
(left).2 UMAP projection of cell types showing enriched clusters of OPCs and radial glia. Inset: UMAP projection coloured by cell type. e. ZRT gene
expression over time and region. Wedge plots (left) show the pattern of expression of ZRT genes that decrease (left) or incre ase (right) between 15
and 21 PCW. Rows indicate tissue zones and columns indicate cortical regions ordered from anterior to posterior poles. Boxes are coloured by change
in gene expression over time ( 𝛥 expression). Right: bar charts show mean change in gene expression for decreasing (top) and increasing (bottom)
ZRT genes averaged within tissue zones.
Regional differences in the rate of cortical expansion in utero during the third trimester
We hypothesised that the dynamic temporal and regional patterning of ZRT genes across tissue zones support
differential rates of areal expansion across the cortex. To test this, we acquired n=240 motion-corrected fetal brain MRI
scans from 229 fetuses aged between 21+1 and 38+2 gestational weeks+days as part of the Developing Human
Connectome Project (dHCP).84 Volumetric T2-weighted scans were automatically reconstructed to 0.5mm isotropic
voxel resolution85,86; then tissue segmentations were initially extracted using neonatal protocols87 , followed by
extensive manual editing to ensure accuracy (Methods). Manually-corrected segmentations were then used to generate
cortical surface reconstructions (Figure 3a).88 For analysis, individual cortical surfaces were aligned to a fetal
spatiotemporal atlas using a nonlinear, biomechanically-constrained surface registration (Multimodal Surface Matching
[MSM]; Figure 3a-c).89–92 At each stage, outputs were visually quality-checked and any failures removed. In total, data
from n=195 scans in 190 fetuses (gestational age: 21+1 - 38+2 weeks; 88 female) were included in the analysis (Figure
S10).
As expected, total cortical surface area increased exponentially between 21- and 38-weeks gestation (βage=0.054,
p<0.001; Figure 3c-d).93–95 While cortical surface area was moderately greater in males compared to females
(βmale=0.011, p=0.002), this relationship did not change with age (p=0.946). At each vertex in the cortical surface mesh
(n=30,248, excluding midline regions), we modelled areal expansion with respect to total surface area using log-log
regression (see Methods; Figure 3e).42 Hyperallometric expansion, occurring at a rate faster than the cortical surface
as a whole, was observed across the lateral neocortical surface encompassing the fronto-parietal operculum and
(granular) insula, primary motor and sensory cortex as well as dorsal parietal and frontal cortices, confirming previous
observations based on fetal MRI and scans of preterm-born infants (Figure 3c, e).95–98 In line with proposed models of
cortical evolution and expansion,5,9 slower rates of growth were observed in medial allocortex (including entorhinal,
paleocortex and parahippocampal cortex) and the cingulate cortex (Figure 3e). The inclusion of sex and sex:age
interaction effects in the scaling model did not affect estimated vertex scaling coefficients (r = 0.996). We confirmed
that estimates of cortical expansion from cross-sectional analysis aligned closely to longitudinal observations from a
single fetus scanned three times during gestation (Figure S11).
We calculated the non-parametric correlation (Kendall’s 𝜏) between regional estimates of ZRT gene expression in the
cortical plate and subjacent tissue zones and average allometric scaling in each of cortical areas defined by the μBrain
atlas (Figure 3e). In total, across both early and mid-gestation timepoints, expression of 433/2145 (20.1%) ZRT genes
was spatially correlated with areal expansion during gestation in at least one tissue zone (ZRTscaling; n=542 significant
associations, pFDR < 0.01) (Table S9, S10). Associations with areal scaling were significantly more common in ZRT
genes than in non-ZRT genes (ZRT: 20.1%, non-ZRT: 8.3%; odds ratio=2.78, p<0.0001) with most significant ZRTscaling
associations (414/542) localised to the CP (Figure 3f; Table S10). ZRTscaling genes in the CP included known molecular
correlates of areal identity (EFNA5,99 GLI3,100 FGFR2101) and axonal guidance (SLIT1, ROBO3, SRGAP1).102
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Differential expression of ZRTscaling genes largely captured differences between post-mitotic allocortex and neocortex,
reflecting opposing allometric scaling across phylogenetic cortical types (Figure 3e). We found evidence at 15 PCW, but
not at 21 PCW, that genes with higher expression in slower-expanding allocortex and peri-allocortex, were significantly
enriched in early-born Cajal-Retzius neurons (e.g.: CALB2; overlap=17, enrichment=1.72, phypergeom=0.021),2 cells that
originate from the pallial-subpallial boundary and cortical hem and migrate tangentially across the developing
neocortex in early gestation.103,104 ZRTscaling genes involved in Notch signalling (NOTCH2NLR, JAG1)105 and others critical
for hippocampal dendritic development (LRIG1)106 were also expressed highly in allocortical regions (Table S10). In
contrast, ZRTscaling genes expressed in the preferentially expanded neocortex were enriched in progenitor cells at 15
PCW (FBXO32, HES6; IPC enrichment = 1.51, phypergeom = 0.027), and general markers of deep layer neurons at both
timepoints (NEUROD6, SYT6; 15 PCW: Neuron enrichment = 1.53, phypergeom = 0.004; 21 PCW: enrichment = 1.51,
phypergeom = 0.007). While basic cell types are generally conserved across cortical areas,107 previous evidence has shown
that regional identity is imprinted during cell differentiation, with areal signatures most apparent in post-mitotic cell
types but pervasive even at early stages of development across major brain structures.2,15,31 In line with this, we found
opposing enrichment of postmitotic neuronal markers specific to allocortex and neocortex in hypoallometric and
hyperallometric ZRTscaling genes, respectively (Figure 3g).
Figure 3: Preferential cortical expansion during the third trimester. a. n=195 fetal MRI scans were acquired during the third trimester of
pregnancy. T2-weighted (T2W) scans were reconstructed using a motion -robust processing pipeline and used to generate tessellated cortical surface
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representations that were aligned to the dHCP fetal surface template b. μBrain cortical labels projected onto dHCP fetal template surfaces from 21 to
36 weeks gestation using nonlinear surface registration . Surfaces are scaled to the same size for visualisation. c. For each timepoint, weighted average
vertex area maps are displayed on the respective surface templates. Fetal cortical area maps were calculated from individual, co-registered and
resampled fetal surfaces using a Gaussian kernel (sigma = 1 week). d. total cortical surface area calculated across all surface vertices (excluding the
midline) as a function of gestational age at scan. e. Left: Models of allometric scaling were calculated for each vertex, modelling log 10(vertex area) as a
function of log10(total area)(top). In this framework, 𝛽>1 indicates hyperallometric growth (a relative expansion faster than the global rate). Note
that a faster growth rate does not necessarily equate to greater total area at any given time (bottom). Middle: Hyperallometric scaling with respect to
total cortical surface area ( 𝜷 > 𝟏) plotted on the 36w template surface representing preferential cortical expansion during development. Right:
Distribution of scaling coefficients for all vertices in eac h μBrain label in a, ordered by mean scaling. f. Right: In total, expression of 433 ZRT genes
were correlated with areal scaling in gestation. Left: Significant associations (Kendall’s 𝜏, pFDR<0.01) were observed across both early (15/16 PCW,
n=2) and mid-gestation (21 PCW, n=2) timepoints and in all tissue zones. g. enrichment of hypoallometric (left) and hyperallometric (right) ZRT scaling
genes in cortical-type specific cell markers. 2 Circle size denotes enrichment ratio, significant associations (p<0.05, hypergeometric test) are
highlighted with black outline.
An expanded neocortex is a hallmark of the primate brain. A recent transcriptomic survey of the neocortex across
primate species identified a set of genes differentially expressed in humans (hDEGS) and located near to genomic
regions that are highly conserved across mammals but significantly altered along the human lineage, either through
accelerated DNA substitution rates (human accelerated regions; HAR) or deletions (human conserved deletions;
hCONDELS).107–109 We tested whether these genes were associated with human neocortical expansion in vivo. We found
that ZRTscaling genes were significantly enriched for hDEGs located near HARs (overlap = 37; enrichment=2.09,
phypergeom<0.0001) and hCONDELS (overap=17; enrichment=2.0, phypergeom=0.008). Of these, 22 (56%) were expressed
more highly in neocortical than allocortical regions, including several cell adhesion molecules (DSCAM, PCDH7, PCDH9,
LRFN2), teneurins (TENM3) and ephrins (EFNA5), as well as genes with functional links to language acquisition
(FOXP2) and neurodevelopmental disorders (MEF2C, AFF2, ZEB2) (Table S9).
Prolonged neural migration precedes faster expansion across the neocortex
Focusing further on neocortical expansion, we removed allo- and transitory periallo-cortical structures (hippocampus,
retrosplenial cortex, entorhinal cortex and paleocortex) and repeated our regional correlation analysis over all ZRT
genes. Within the neocortex, a subset of 116 ZRT genes (including 113 ZRTscaling genes) were significantly associated
with differential rates of expansion across neocortical regions (ZRTneo; pFDR<0.01), with most associations localised to
the intermediate zone (IZ; Figure 4a; Table S10). ZRTneo genes were also enriched for hDEGS located near HARs
(overlap= 10; enrichment=2.03, phypergeom=0.028) including PCDH7, PCDH9, TENM3 and AFF2 but not hCONDELS (Table
S9).
We observed contrasting cell type enrichments of ZRTneo genes at 15 and 21 PCW. Consistent with role of prolonged
radial glial proliferation in proposed models of cortical expansion,11,51,54 highly expressed ZRTneo genes in areas with a
higher rate of expansion over gestation were enriched in radial glia and intermediate progenitors at 15 PCW
(phypergeom=0.045, 0.040 respectively; Figure S12; Table S11) with significant associations localised to the cortical
plate, subplate and subventricular zone (Figure 4a). Early hyperallometric ZRTneo genes are upregulated in both outer
(CDC42EP4, HS6ST1) and ventricular (FBXO32) radial glial subpopulations53 (Figure S12). In contrast, ZRTneo genes
expressed in neocortical areas with slower relative growth were localised to the cortical plate and subplate but not
specifically enriched for any major cell types (all phypergeom>0.05; Table S11). However, hypoallometric ZRTneo genes
were expressed by neurons (NFE2L) and involved in dendritic (ABGRB3110) and synaptic (NPTX2111) plasticity,
indicative of a population of maturing, not proliferative, cells with neuronal lineage in these regions.
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At 21 PCW, after the peak period of neurogenesis, we observed the opposite pattern of cell type enrichments. ZRTneo
genes expressed in the IZ subjacent to preferentially expanded cortical areas were enriched in neuronal populations
(enrichment = 2.19, phypergeom= 0.00011) (Figure 4a-c) whereas, hypoallometric ZRTneo genes were enriched in
proliferative glial cell types (IPC: enrichment=2.96, phypergeom <0.0001; RG: enrichment=2.36, phypergeom<0.0001; Figure
4b,c; Table S11). The presence of post-mitotic neuronal markers in the IZ at 21 PCW suggested that neuronal
migration was ongoing in cortical areas with the fastest rate of expansion in the third trimester of gestation. This is
consistent with a conserved mechanism of mammalian cortical expansion whereby longer neurogenic periods lead to
an expanded neocortex.11,112–115 In this context, on both phylogenetic and ontogenetic scales, later developing cortical
regions would exhibit faster rates of expansion.51,115,116 A prominent hypothesis of neocortical expansion has suggested
that, in primates, this process is realised through the continued production of upper layer neurons from outer radial
glia (oRG) populations situated in the outer SVZ, a cell population greatly expanded in the primate brain.51,54
Figure 4: Preferential neocortical expansion is associated with differential timing of neurogenesis and gliogenesis. a. 133 ZRT genes were
associated (pFDR<0.01) with areal scaling of the neocortex (after excluding paleo - and archi-cortex; ZRTneo). Most significant associations were
localised to the IZ. b. normalised (Z-score) expression profiles for genes correlated with areal scaling in each tissue zone at 21 PCW. Associations at
15 PCW are shown in Figure S12. Negative associations (higher relative expre ssion in hypoallometric regions) shown in blue, positive associations
are in red. Lighter colours indicate higher relative expression. Most significant associations are in the IZ. c. Mid-gestation cell clusters2 significantly
enriched (p<0.01) for genes associated with areal scaling in the IZ at 21 PCW. Territories of three cell types are shown. Neg ative and positive ZRTneo
genes are enriched in progenitor cells and neurons, respectively d. wedge plots are shown for two ZRT neo genes expressed by specific ce ll types: MDK
(glial) and CUX1 (upper layer neurons). Rows indicate tissue zones and columns indicate cortical regions ordered according to allometric scali ng from
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hyper to hypoallometric. Colour bar indicates normalised expression levels (a.u.). e. expression (Z-score) of MDK and CUX1 in all regions sampled in
the IZ, ordered from hypo (top) to hyperallometric (bottom) scaling. f. IZ expression of CUX1 (middle) and MDK (right) projected onto corresponding
μBrain surface atlas labels and displayed on the 36w dHCP template surface. Regions where expression for a given gene was not available are shown
in grey. For comparison, average allometric scaling in each region is displayed (left).
To examine this proposed mechanism in humans, we focused on CUX1, a marker of layer III/IV neurons that regulates
dendritic morphology117 and is expressed highly in preferentially-expanded cortical regions (Figure 4d-f). CUX1 is
located downstream of HAR426 and pathogenic mutations in CUX1 are associated with ASD, intellectual disability and
epilepsy.118,119 We find that, in the IZ at 21 PCW, CUX1 exhibits expression that varies along a hypo-to-hyperallometric
gradient (Figure 4d,e; 𝜏=0.52, pFDR=0.002). To validate these observations, we examine ISH staining of a second upper
layer marker, SATB2, in five regions with differential allometric scaling, finding examples of upper layer SATB2+
neurons within the IZ of regions with a faster rate of expansion in mid- to late-gestation (Figure S13). The prolonged
migration of these cell populations in expanding neocortical regions is a potential consequence of differential
neurogenic timing across the neocortical sheet that, at least in part, supports the accelerated expansion of
hyperallometric cortical regions during gestation.
Several mechanisms exist to regulate gene transcription during early brain development.120,121 To identify potential
regulators of ZRT gene expression in the developing fetal cortex, we used a recent chromatin accessibility atlas122 to
examine the position of open chromatin regions (OCR) in the mid-gestation brain relative to ZRT genes. We found that
ZRT genes were more likely than non-ZRT genes to be located near to predicted regulatory elements (pREs), a subset of
OCRs that are likely to function as neurodevelopmental enhancers in mid-gestation122 (OR: 1.38 p < 0.0001; Figure
S14; Table S12). Moreover, ZRTscaling and ZRTneo genes were significantly enriched for genes located near to pREs
(enrichment = 1.25, 1.31 phypergeom<0.0001, <0.005 respectively; Table S12). Focusing on laminar specificity of ZRT
gene expression, we found that over 25% of ZRTneo genes were located immediately up- or downstream of OCRs
specific to the upper layers of the cortical plate, compared to 9% located near to deep layer OCRs (Figure S14B).
Transcription factor motifs contained within OCRs specific to upper cortical layers and proximal to ZRTneo (n=20)
included bHLH, LIM and POU homeobox and HMG-box motif families (Figure S14C) that bind to transcription factors
which regulate superficial neuronal identify (e.g.: E2A, BRN1, LHX2).123–125 Thus, the differential accessibility of specific
regulatory elements can resolve the laminar identity of maturing upper-layer excitatory neurons migrating through the
IZ at 21 PCW.
Based on this evidence, we reasoned that neuronal migration, and thus neural proliferation, would be complete or near
complete at 21 PCW in neocortical areas with slower expansion rates in the third trimester. In this case, expression of
proliferative cell markers (Figure 4) would reflect gliogenesis rather than neurogenesis. To test, we compared ZRTneo
genes associated with cortical scaling at 21 PCW in the IZ to region-specific cell type signatures in the mid-fetal brain.2
Reflecting the proximity to medial allocortex and periallocortical regions, we identified several midline identity genes
(MID1, DMRT5, EMX2) with high expression in hypoallometric cortex as well as markers of cell proliferation (HMMR,
HAUS6, CENPN, CENPH, PIK3C3) (Figure 4b; Table S10). In support of our hypothesis,, we found that hypoallometric
ZRTneo genes were specifically enriched in (peri)allocortical glial cell populations (MDK, SAP30, TMEM98; astroglia,
phypergeom=0.01; OPC, phypergeom=0.07).
TMEM98 is a MYRF-interacting protein specifically expressed in newly-differentiated oligodendrocytes in the
developing central nervous system126 whereas MDK is a growth factor expressed in pre-OPCs that can induce
differentiation in oligodendrocyte-lineage OL1+ cells in vitro.127–129 SAP30 forms a co-repressor complex with HDAC1
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12
and HDAC2, class I histone deacetylases that regulate gene transcription and are essential for oligodendrocyte
maturation.130–133 Similar negative correlations with cortical expansion were recorded in OPC cell population markers
S100B (Table S10; 𝜏=-0.33, pFDR=0.070), NKX2-2 (𝜏=-0.41, pFDR=0.019) and the glial progenitor marker EGFR (Figure
S15), which has been validated previously as a critical gene related to brain size.134 In an independent dataset,33 we
observed similar trends in OLIG1 expression in mid-gestation across cortical regions with differential developmental
expansion (Figure S16). Overall, these data suggest that the developmental timing of the neuro- to gliogenic switch
varies across the neocortical sheet, with the length of the neurogenic period supporting differential rates of neocortical
expansion during the third trimester of gestation.
Neocortical scaling genes are critical for typical neurodevelopment
Given their likely importance in shaping early normative neurodevelopment, we hypothesized that the ZRTneo genes
would be susceptible to severely disruptive mutations (i.e., loss-of-function variants). We found significant enrichment
of hyperallometric (median loss of function observed/expected upper bound fraction (LOEUF) score = 0.26,
permutation p = 0.0003 using random gene sets of similar size: ppermutation) but not hypoallometric (median LOEUF score
= 0.40, ppermutation = 1) ZRTneo genes, suggesting a disproportionate level of vulnerability to loss-of-function variation in
genes whose expression is greater in areas that expand fastest in the third trimester. Within these, we identified a set of
constrained genes expressed highly in the subventricular zone at 15 PCW in hyperallometric regions. These genes are
involved in extracellular matrix formation and interaction (EFEMP2, LOEUF=0.56, PTPRM, LOUEF=0.33), and epithelial-
to-mesenchymal transition (FBXO32,135 LOEUF=0.64), pathways crucial to outer radial glia specification and
differentiation in germinal zones of the developing brain.53 Follow-up analyses using genome-wide metrics for dosage
sensitivity136 confirmed the enrichment of hyperallometric ZRTneo genes as haploinsufficient (62% of genes, ppermutation <
0.0001 using random gene sets of similar size) and not triplosensitive (19%, ppermutation = 0.9418) – a highly pathogenic
mechanism for loss-of-function mutations.
To assess the clinical relevance of these distinct ZRTneo gene sets (i.e., hypoallometric and hyperallometric), we
performed enrichment analyses using MAGMA137 across an array of previously published genome-wide association
studies (GWAS). We found that ZRTneo gene sets were not enriched for birth outcomes (gestational duration) or
cognition (educational attainment), but hypoallometric ZRTneo genes were enriched for externalizing behavior (β=0.17 ,
p= 0.007) and hyperallometric ZRTneo genes were enriched for schizophrenia (SCZ; β=0.17, p=0.004). Further analysis
using postmortem gene expression data from patients with neurodevelopmental disorders revealed significant
enrichment of ZRTneo gene sets within multiple co-expression modules.138 Both hypoallometric and hyperallometric
ZRTneo genes were enriched in cross-disorder module CD1 (both ppermutation < 0.05) – downregulated in autism spectrum
disorder (ASD), SCZ, and bipolar disorder, and containing neuron-enriched genes and genes with ASD- and SCZ-
associated nonsynonymous de novo variants from whole-exome sequencing; and hyperallometric ZRTneo genes were
enriched in module CD13 (ppermutation < 0.05) – also downregulated in ASD, SCZ, and bipolar disorder, and containing
neuron-enriched genes.
Method
based on the Median Absolute Deviation (MAD) of pixel hue and saturation. The original Nissl-stained sections
and corresponding GAN-generated predictions were transformed to HSV format and blurred with a box filter (width =
height = 5 pixels). We identified outliers with median absolute differences in hue and saturation between pixels in the
ground truth image and its synthetic equivalent in hue and saturation greater than threshold, 𝜃, set to 2.5, whereby
lowering 𝜃 would increase the number of pixels marked as outliers.
For each section, a binary mask was created containing all pixels identified as outliers in both hue and saturation. A
final opening operation was applied to the outlier mask using an elliptical filter (iterations = 3, width = 3 pixels) to
remove speckles in the mask. Identified outlier pixels were then replaced with the corresponding, intensity-matched
pixels from the synthetic image using Poisson image editing to effect image repair (Figure 1d).61 Outlier detection and
repair was performed in Python using OpenCV (4.5.2) [https://opencv.org/].
μBrain volume construction
Following automated repair of major tissue artefacts present in the histological data, we aimed to develop a 3-
dimensional reconstruction of the fetal brain to facilitate comparison with in vivo MR imaging data. Image alignment
and reconstruction steps are summarised below. Full details are included in Supplemental Methods.
Slice-to-slice alignment
Using the middle section as a reference, repaired Nissl-stained sections were aligned using a graph-based, slice-to-slice
registration.176,177 Pairwise rigid transforms were estimated between each section and its neighbouring sections in the
direction of the reference. Dijkstra’s shortest-path algorithm was then used to calculate the set of transforms with
lowest cost to align a given section to the reference.176,177 The selected transforms were composed and applied to both
the image and its corresponding labels to bring all sections into approximate alignment (Figure 1e; Figure S17a).
Affine registration to a fetal brain shape reference
Reconstructing 3D volumes from the consecutive alignment of 2D sections commonly produces an artefact termed ‘z-
shift’ caused by the propagation of registration errors between adjacent slices and resulting in a distorted three-
dimensional structure in the final volume.178 To overcome this effect, it is common to use a shape prior to guide
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17
registration and preserve 3D shape.62,178,179 In lieu of a ground-truth volume for the sectioned data, we employed a
population-based average anatomical image: specifically the 22-week timepoint of the Gholipour et al. spatio-temporal
fetal MRI atlas (Figure S3).63
After matching MRI-based tissue labels to the μBrain tissue labels, we upsampled the MRI template to 50μm isotropic
resolution and converted the MRI labels into an image Nissl-like contrast using the trained GAN model (Figure S3c-d).
Nissl-contrast images were re-stacked into a 3D volume to act as an anatomical prior for registration.
We performed an iterative affine registration procedure between the MRI-based shape prior and the 3D stack of
histological sections.176 This process was repeated for a total 5 iterations, producing a final 3D volume with aligned
coronal slices and a global shape approximately matched to the in utero fetal brain (Figure 1e; Figure S17a).
Final template construction
To create the final 3D volume, we employed a data augmentation technique, generating n=50 unique representations of
the affinely-aligned data by applying nonlinear distortions along all three image axes. For each volume, we performed a
weighted nonlinear registration between neighbouring sections to account for residual misalignments. Finally, to create
a smooth 3D reconstructed volume, we co-registered all 50 augmented and aligned volumes into a single probabilistic
anatomical template with voxel resolution 150 × 150 × 150μm using an iterative, whole-brain nonlinear registration
(Figure 1e; Figure S17a; Supplemental Methods). All image registration was performed in Python 3.7 using antspyx
(0.2.7).14
Cortical reconstruction
To reconstruct the fetal cortical surface, we adapted existing protocols for ex vivo
[https://freesurfer.net/fswiki/ExVivo] and non-human primate [https://prime-re.github.io/] surface reconstruction
with Freesurfer.15 We used the μBrain tissue labels to generate a ‘white matter’ mask (all subcortical structures and
tissue zones, excluding the cortical plate). We used this mask to generate inner and outer surfaces for the μBrain
volume (Figure 1f). Surfaces were smoothed and inspected for topological errors. All processing was performed with
Freesurfer (7.3.2).
In situ hybridisation
In addition to serial Nissl staining, interleaved coronal sections were used for in situ hybridisation (ISH) of a series of
neurodevelopmental marker genes (Table S3).3 High-throughput ISH staining was performed for each gene, with
stained sections digitised at 1𝜇m resolution. Quantification of the intensity of expression detection was performed
using an automated procedure that pseudo-colour coded levels of expression for visualisation, with low-to-high
expression represented as blue-to-red.161
Compared to Nissl-stained sections (n=79 after quality control), fewer ISH stained sections were available for each gene
(mean n = 41 after quality control), precluding a full 3D reconstruction of each. We downloaded each set of ISH-stained
sections and removed any with large artefacts (tearing, folding, missing tissue). From each false-colour expression map,
we extracted the red channel to focus only on higher expressing cells. Each section was registered to the nearest,
repaired Nissl-stained section using affine registration. Registrations were visually inspected and any failures removed.
Aligned sections were then stacked together, with blank slices in place of missing sections and reconstructed into a 3D
volume using the previously calculated slice-to-volume alignments for each section (see ‘μBrain volume
construction’).
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Microarray data
We downloaded prenatal LMD microarray data from the BrainSpan database [https://www.brainspan.org/]. For
details on tissue processing and dissection see Miller et al.4 and the technical white paper available at:
[https://help.brain-map.org/download/attachments/3506181/Prenatal_LMD_Microarray.pdf]. In total, normalised
microarray data from 58,692 probes in 1206 tissue samples were available to download, obtained from the left
hemisphere of four post-mortem fetal brain specimens (age 15-21 PCW, 3 female).4 Each probe was assigned a ‘present’
or ‘absent’ annotation based on strength of average probe expression over corresponding background signal. Through
comparison with the BrainSpan reference atlas, we matched each tissue sample’s anatomical label to i) corresponding
cortical labels included in the μBrain atlas and ii) one of five tissue zones (cortical plate, subplate, intermediate zone,
subventricular zone, ventricular zone) (Table S4; Figure S4). Samples that could not be matched to labeled regions in
the cortical plate or corresponding subjacent tissue zones were removed, including samples from subcortical nuclei,
midbrain structures and brainstem.
Microarray processing
We updated gene assignments for the Allen microarray probes using Re-Annotator180 and removed any probes
assigned to more than one gene, resulting in a probe set (n=46,156) mapped to 20,262 unique genes. Low signal probes
designated ‘absent’ were removed (34.67% of probes), as were tissue samples from the marginal zone, subpial granular
zone and subcortical and midbrain structures (54.46% of samples). Where multiple probes mapped to a single gene,
the probe with the highest differential stability (DS),181 the average pairwise correlation between tissue sample
expression over all specimens, was assigned. Probes with DS<0.2 were removed.
Where more than one sample was available for a given region or zone, e.g.: samples from the outer and inner cortical
plate in the same region, gene expression was averaged across samples. Finally, any probes with missing data in more
than 10% of tissue samples were removed (n=1253). This resulted in expression data from 8771 genes across 27
regions and 5 tissue zones for analysis (Figure S4).
Fetal MRI
To measure cortical expansion in utero during the third trimester, we analysed high-resolution MRI from a large cohort
of fetuses.
MRI acquisition
Fetal MRI datasets (n=240 scans from 229 fetuses aged between 21+1 and 38+2 gestational weeks+days ) were acquired as
part of the Developing Human Connectome Project (dHCP) using a Philips Achieva 3T system, with a 32-channel cardiac
coil in maternal supine position. Structural T1-weighted (T1w), T2w, functional MRI and diffusion MRI data were
acquired for a total scan time of approximately 45 minutes.85 T2-weighted SSTSE volumes were acquired with
TE=250ms, acquisition resolution 1.1 x 1.1mm, slice thickness 2.2mm, -1.1mm gap and 6 stacks. All 3D brain images
were reconstructed using a fully automated slice-to-volume reconstruction (SVR) pipeline86 to 0.5mm resolution and
reoriented to the standard radiological space.
The study was approved by the UK Health Research Authority (Research Ethics Committee reference 452 number:
14/LO/1169) and written parental consent was obtained in every case for imaging and open data release of the
anonymized data. All data was acquired at St Thomas Hospital, London, United Kingdom.
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19
After image processing and quality control, the final dataset comprised n=195 fetal MRI datasets acquired from n=190
fetuses aged 21+1 to 38+2 gestational weeks (88 female). Repeated scans were acquired from four fetuses.
MRI processing
While neonatal protocols for automated MRI tissue segmentation exist,87,182 due to the differences in size, tissue
contrast and signal-to-noise ratio, segmentations derived from fetal MRI often require extensive manual editing to
ensure accuracy.183
Here, we used an optimised neonatal tissue segmentation pipeline (Draw-EM)87 with tissue priors adapted to a fetal
MRI template to create a ‘first-pass’ tissue segmentation for each fetal MRI volume. Tissue segmentations were then
visually checked and extensive manual corrections performed where needed to correct gross segmentation errors and
ensure accuracy of tissue boundaries (CSF/cortex/white matter). Manually-corrected tissue segmentations were then
used to generate anatomically and topologically correct inner and outer cortical surfaces using Deformable.88 Note that
all intensity-based correction terms were turned off during surface reconstruction and each surface was generated
using just the corrected tissue segmentations. At each stage, images and derived outputs were visually inspected for
accuracy.
Alignment to fetal template
We aligned individual cortical surfaces to the dHCP fetal atlas, a spatiotemporal surface atlas, spanning 21-36 weeks of
gestation with weekly timepoints.89,91 Using MSM with higher-order clique reduction, we calculated non-linear
transforms of individual surfaces to their closest fetal timepoint based on spherical registration of sulcal depth
features.90,92 The MSM transform was used to resample individual surface topology (pial, midthickness, and white) onto
the template surface vertices, ensuring that all surfaces across individuals had the same vertex correspondence.
Resampled surfaces were manually checked to ensure the quality of the registration.
Alignment to μBrain
We aligned the μBrain cortical surface to the earliest timepoint of the dHCP fetal template surface using a two-step
nonlinear surface registration guided by a set of anatomical priors (Figure S17b,c). We used MSM to perform an initial
nonlinear spherical registration between μBrain and dHCP surfaces based on alignment of sulcal depth. After this, we
created a set of coarse cortical labels on the dHCP surface matched to corresponding μBrain labels by combining a)
dHCP cortical atlas labels,87 b) manual labels guided by sulcal anatomy on the 36 week fetal surface and c) combining
μBrain labels in the same lobes (e.g.: ventrolateral frontal, dorsolateral frontal, orbitofrontal) were into single
anatomical labels. The full list of 11 matched cortical regions included: auditory cortex; cingulate cortex; frontal cortex;
insular cortex; primary motor; primary sensory; occipital cortex; parahippocampal cortex; parietal cortex; superior
temporal cortex; ventrolateral temporal cortex. A secondary multivariate spherical registration between μBrain and
fetal surfaces was initialised using the previously calculated sulcal alignment and driven by alignment of cortical ROIs
across surfaces.90 This approach leverages anatomical labels (defined based on cytoarchitecture, or using older fetal
anatomy in μBrain and dHCP atlases, respectively), to inform cortical alignment in the absence of geometric features. A
similar approach has proven successful accommodating large deformations across primate species.184
μBrain labels were propagated to each timepoint of the dHCP fetal atlas (Figure 3b) and onto the surface topology of
each fetal scan. Cortical labelling was visually quality checked for alignment.
Statistical analysis
Allometric scaling of cortical surface area
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Each subject’s outer cortical topology was resampled onto the dHCP template surface (32,492 vertices) and vertex-wise
estimates of cortical surface area were corrected for folding bias by regressing out cortical curvature185,186 and
smoothed with a Gaussian kernel (FWHM = 10mm). Total cortical surface area was calculated as the sum of all vertices
in the cortical mesh, excluding the medial wall. At each vertex, 𝑣, we modeled scaling relationships with brain size by
estimating the log-log regression coefficient for total surface area as a predictor of vertex area, 𝑎":42
𝑙𝑜𝑔!#(𝑎") = 1 + 𝛽𝑙𝑜𝑔!#(8 𝑎
$
"%!
) + 𝜀
Such that the scaling coefficient, 𝛽, can be directly interpreted relative to 1 (representing linear scaling between vertex
area and total area) with 𝛽 > 1 and 𝛽 < 1 representing hyper- and hypoallometric scaling of vertices with respect to
total area, respectively. Models were fit using Ordinary Least Squares (OLS) regression. We tested alternative models
including sex and age:sex interactions. Analyses were repeated after removing repeated scans to satisfy i.i.d.
assumptions of OLS regression (n=190; Figure S18).
Prior to analysis, vertexwise outliers were identified and removed (Figure S19). To account for age-related increases in
area, outliers were identified using a sliding window over age (outliers >2.5 S.D. from the mean within a given window,
maximum window size=25 scans, sorted by age). Data from five scans were removed prior to analysis due to the
presence of outliers in more than 5% of vertices.
Vertexwise maps of areal scaling (𝛽 coefficients) were parcellated using the μBrain cortical labels, calculating average
scaling within each parcel for further analysis.
Modelling changes in gene expression over zone (Z), region (R) and time (T)
For each gene (n=8771), we modelled the main effects of cortical tissue zone, region and timepoint on expression using
a general linear model. Significant effects (p<0.01) were identified after False Discovery Rate correction for multiple
comparisons over genes. Statistical analysis was performed in statsmodels (0.13.5)
Enrichment analyses
For all enrichment analyses, we calculated the enrichment ratio as the ratio of the proportion of genes-of-interest
within each geneset/marker list to the proportion of background genes within each geneset. Unless otherwise stated,
the background set was defined as the full list of genes included in the study (n=8771). Significance was determined
using the hypergeometric statistic:
𝑝 = 1 − 8
>𝐾
𝑖 A >𝑀 − 𝐾
𝑁 − 𝑖 A
>𝑀
𝑁A
&
'%#
Where p is the probability of finding x or more genes from a specific geneset K in a set of randomly selected genes, N
drawn from a background set, M. Where stated, False Discovery Rate (FDR) correction was applied to multiple
comparisons.
Code and data availability
The μBrain digital template with corresponding cortical surfaces and atlas labels is available from
https://garedaba.github.io/micro-brain alongside code supporting data processing and analysis for this manuscript.
All dHCP data, fetal brain reconstructions, brain region segmentations and cortical surfaces are available for download
from the NDA https://nda.nih.gov/edit_collection.html?id=3955
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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21
Source histological and microarray data are available from the Allen Brain Institute https://www.brainspan.org/
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