Functional hierarchy of the human neocortex across the lifespan

Abstract Large-scale gradients of functional connectivity between brain areas organize the human neocortex, linking brain topography to the texture of cognition 1,2 . In adults, three dominant axes—sensory–association, visual–somatosensory and modulation–representation—run, respectively, from primary sensory to transmodal association areas, from visual to body-centred systems and from control and attention networks to default mode and sensory areas 1–4 . These gradients provide a compact description of large-scale cortical hierarchies that underlie distinct modes of information processing. However, how these gradients and their multiscale biological and cognitive correlates evolve across the lifespan is unknown. Here we establish a continuous normative reference of functional organization from birth to 100 years of age, revealing complex, nonlinear developmental trajectories. Gradient architecture is anchored by primary sensory systems in infancy, differentiates along association and control axes during childhood and adolescence and gradually dedifferentiates during ageing. The importance of this functional architecture is corroborated by biology and behaviour: gradient metrics predict cognitive performance across development; structure–function coupling varies by axis and age; and distinct transcriptomic signatures are strongest early in life and weaken with age, consistent with a transient genetic scaffold for gradient architecture. Our lifespan gradients unify diverse research into developmental brain connectivity and provide a shared multimodal reference for future studies.