Developmental dyslexia (decoding-based reading disorder; RD) is a complex trait with multifactorial origins at the genetic, neural, and cognitive levels. There is evidence that low-level sensory-processing deficits precede and underlie phonological problems, which are one of the best-documented aspects of RD. RD is also associated with impairments in integrating visual symbols with their corresponding speech sounds. Although causal relationships between sensory processing, print-speech integration, and fluent reading, and their neural bases are debated, these processes all require precise timing mechanisms across distributed brain networks. Neural excitability and neural noise are fundamental to these timing mechanisms. Here, we propose that neural noise stemming from increased neural excitability in cortical networks implicated in reading is one key distal contributor to RD.
Premise of the Neural Noise HypothesisDevelopmental dyslexia (specific reading disabilities/disorders, or decoding-based RD) is a neurodevelopmental disorder contributed to by multiple genetic, neural, and cognitive factors [1], yet neurobiological models that account for the diversity of RD phenotypes remain elusive. An increasing number of studies have investigated the function of RD risk genes in animal models [2][3][4][5][6][7][8][9][10][11][12][13], and the neurobiological and behavioral consequences of genetic RD risk variants in humans [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31], motivating the need for a synthesis of these findings, especially because they relate to emerging avenues of human research on the role of neurochemistry [32] and neural oscillations [33][34][35][36] in RD. Here, we present a timely integration of diverse lines of current research linking some of the key neural and behavioral deficits associated with RD to basic neural processes.A variety of neurobiological contributors to RD have been proposed, ranging from disrupted structural and functional connectivity [37,38] to atypical neural migration [39]. Recent work has investigated the neural dynamics that support language and sensory processing [40][41][42] and how these dynamics may be altered in RD [36,43]. We integrate these emerging lines of research to propose that excess neural noise (Box 1) within cortical regions implicated in reading may be a distal contributor to RD. We suggest that multifactorial sources of neural noise, for example arising from neural hyperexcitability related to RD risk genes, disrupt two key processes important for reading [phonological awareness [44] (see Glossary) and multisensory integration of visual symbols with their corresponding speech sounds [45,46]] through the impact of excess noise on neural synchrony and sensory representations (Figure 1). The neural noise hypothesis of RD synthesizes a range of neurobiological findings, providing a mechanistic framework for understanding the deficits observed in RD and identifying targets for systems-level intervention. While the potential for noisy proce...