The Genetics of Autism


Approximately 10% of the cases of autism are probably in some way genetically derived.  In other words they have taken place due to the genes of the parents and, if neither of the parents are ASD affected, it would be reasonable to expect that only 1 in 4 of further children would have the conditions.  However, this single gene idea is simply not reasonable in that even if one of identical twins (i.e. with all their genes the same; monozygotic) there is only a 93% that the other will be.  The statistics for non-identical twins shows that they also have a decent chance of having autism if one has it (but this data is wide with 0% to 40% chances have been reported).  The excess of ASD in boys is quite clear in that approximately 3-4 cases are in boys rather than girls.  This led a lot of the researchers to look at the X-chromosome (of which there is only one in boys). These figures are simply inadequate for denying that an environmental factor being involved as well: for instance the increase that has taken place (see figure from US cases) cannot be explained genetically.   Also it has become clear that twins and second children often do not have similar psychological symptoms of ASD to each other.  The work has been well reviewed but is still showing further genetics that may be involved.

Some genetic changes seem to be reliably associated with ASD but some do not in that some of the genetic changes sometimes have it and in other cases this does not happen.  This is known as non-specific association  For instance the autism is only part of the syndrome for Fragile X and even in that it is in only a percentage that have autism at all.  The fact that some genetic modifications are closely associated with a likelihood of ASD has led some researchers to feel that all cases must have some kind of genetic aspect to them and, as we have found the genetic causes for them (e.g. tuberous sclerosis), then by looking at their gene changes it should be possible to get a good idea as to what might cause the condition but without the rest of that syndrome.  You can see below a list of the non-specific associations with syndromes, associations with gene changes, and a long list of findings that we simply don’t know the significance of at this point.  

The apparent increase in cases that we seem to have seen of autism over the last 15 years does suggest that either the genes are becoming modified faster than they were before or, because the ASD people might have many children, a specifically large gene is specifically involved.  An example of this would be to look at cystic fibrosis, where again there is a range of different clinical severities, and about one person in 23 is thought to carry a modified specific gene.  In CF it is because the gene is so large that it is commonly likely to be changed.  In familial Alzheimer’s disease it is because many different genes are part of the same chain for the correct production of a specific protein.   It also should be noted that the autism of some genetically associated cases are not psychologically the same as seen in other groups and as such some researchers wonder whether the genetic aspects are a misleading source of information.   Currently the hypothesis is that there is an important protein factor that would make the developing child avoid autism, and this depends on the formation of a protein that causes the brain to work properly.  Therefore, genes that decide if the protein is made, that decide how it is changed, how it is taken to the synapse of the nerve, how it interacts with other nerves….and so there are many factors that could cause the illness and that is why when we look for specific genes we are having such difficulty in nailing it down.

Some elements and genes associated with ASD:

 Reviews

·       Non Specific Associations  

·        Savant syndrome

·        Smith-Lemi-Opitz Syndrome

·        Kleine-Levin syndrome

·        Tuberous Sclerosis

·        Angelman Syndrome  (associated with a deletion in the 15q-q13 region)

·        Familial clustering

·        Fragile X permutation

·        Prader-Willi syndrome  (associated with a deletion in the 15q-q13 region)

·        Phenylketonurea

·        Late onset Lennox Gestaut Syndrome (associated with a deletion in the 15q-q13 region)

·        Joubert’s Syndrome

·        Neurofibromatosis type 1

·        Hyperlexia syndrome

 

Many individual genetic modifications, particularly of chromosome 6 (these are not reviewed here but see Muhle et al below).  See non-specific range

·        Specific genetic changes that seem to be involved

·        Glutamate associated

·        GABA receptor

·        Mitochondrial modifications

·        Monoamine oxidase A

·        Neuroligin and Neurexin (X-linked)

·        Oxytocin and vasopressin receptor proteins

·        Advanced glycation end product changes

·        Reelin gene

·        SCL25A12 gene

·        SHANK3

·        15q-q13 gene

·        22q11

·        Creatine Transporter Protein

·        CNTNAP2 and Contactin

·        MeCP2

·        rs4519482

·        Serotonin: many genes associated with manufacture, release and reception

·        MET

Multiple de novo chromosomal deletions and duplications

Genetics that are NOT apparently associated with autism

Animal models of autism: as created using genetic techniques.

 


Excellent Scientific Reviews:

This can be looked on in a way as autism being associated with known genetic conditions (e.g. Alpert’s syndrome) or with specific genes and these separate directions gradually meet up (but not yet!).  The major problem at this point is that there are so many permutations and oddities that it is just impossible to be sure of the genetic abnormality that might have taken place in any child.  

 

Muhle R, Trentacoste SV, Rapin IThe genetics of autismPediatrics. 2004 May;113(5):e472-86.. Major Review in 2004. They make it clear that there is no specific gene that will produce the disease reliably but they explain which specific parts are aimed at being involved.  They also are not that impressed that all the ASDs are in fact the same condition (e.g. fragile X ASD is in fact often associated with other changes in the  body like hyperorchidism).  They explain that the association between monozygotic twins is not perfect (93%) and familial changes are difficult to be sure of in that they depend on the way in which the diagnosis is made.  The reason for this is that there is almost certainly an environmental factor as well on which the genetic factor depends to produce the ASD. There are many genetic syndromes associated with autism but only a limited range appear to have useful that may indicate more about autism itself. The full list of syndromes is here but more useful ones are discussed to a greater extent further on: Angelman syndrome, Prader-Willi syndrome, 15q11-q13 duplication, fragile X syndrome, fragile X premutation, deletion of chromosome 2q, XYY syndrome, Smith-Lemli-Opitz syndrome, Apert syndrome, mutations in the ARX gene, De Lange syndrome, Smith-Magenis syndrome, Williams syndrome, Rett syndrome, Noonan syndrome, Down syndrome, velo-cardio-facial syndrome, myotonic dystrophy, Steinert disease, tuberous sclerosis, Duchenne's disease, Timothy syndrome, 10p terminal deletion, Cowden syndrome, 45,X/46,XY mosaicism, Myhre syndrome, Sotos syndrome, Cohen syndrome, Goldenhar syndrome, Joubert syndrome, Lujan-Fryns syndrome, Moebius syndrome, hypomelanosis of Ito, neurofibromatosis type 1, CHARGE syndrome and HEADD syndrome.  (see this article to look up a lot of the specific syndromes that may, or may not have autism as part of them).

 

Szatmari P, Paterson AD et al . Mapping autism risk loci using genetic linkage and chromosomal rearrangements. Nat Genet. 2007 Mar;39(3):319-28. Epub 2007 Feb 18.   This has a very large number of authors and is particularly interested to implicate chromosome 11p12-p13 and neurexins. 

 

Grice DE, Buxbaum JD. The genetics of autism spectrum disorders.  Neuromolecular Med. 2006;8(4):451-60. Review (this article looks very much into the genetic DNA direction rather than the syndrome association of autism. 

 

Burmeister M, McInnis MG, Zöllner S. Psychiatric genetics: progress amid controversy.  Nat Rev Genet. 2008 Jul;9(7):527-40. Review.

 

Mendelsohn NJ, Schaefer GB. Genetic evaluation of autism.  Semin Pediatr Neurol. 2008 Mar;15(1):27-31. Review. (They go into the ways in which this is being investigated)

 

Liu XQ, Paterson AD, Szatmari P; The Autism Genome Project Consortium. Genome-wide Linkage Analyses of Quantitative and Categorical Autism Subphenotypes. Biol Psychiatry. 2008 Jul 15. [Epub ahead of print)   They basically found that it was difficult to be sure of any specific genetic change that was certain for the illness but that there might be subphenotypes that were more obvious.

 

Genetics of autism spectrum disorders. Kumar RA, Christian SL. Curr Neurol Neurosci Rep. 2009 May;9(3):188-97.  Many techniques have been used to characterize the genetic bases of ASDs. Linkage studies have identified several replicated susceptibility loci, including 2q24-2q31, 7q, and 17q11-17q21. Association studies and mutation analysis of candidate genes have implicated the synaptic genes NRXN1, NLGN3, NLGN4, SHANK3, and CNTNAP2 in ASDs. Traditional cytogenetic approaches highlight the high frequency of large chromosomal abnormalities (3%-7% of patients), including the most frequently observed maternal 15q11-13 duplications (1%-3% of patients). They then go on to discuss the microarray system for looking for small changes in individual genes or wide arrangements and how many groups have found various changes including some of the ones mentioned above.   They admit in the end, however, that any specific genetic cause of autism, even in familial cases remains unclear.

Nuclear and mitochondrial genome defects in autisms. Smith M, Spence MA, Flodman P. Ann N Y Acad Sci. 2009 Jan;1151:102-32. Collectively these data provide additional evidence of nuclear and mitochondrial genome imbalance in autism and evidence of specific candidate genes in autism. We present data on dosage changes in genes that map on the X chromosomes and the Y chromosome. Precise analyses of Y located genes are often difficult because of the high degree of homology of X- and Y-related genes. 

 

AutDB: a gene reference resource for autism research. Basu SN, Kollu R, Banerjee-Basu S. Nucleic Acids Res. 2009 Jan;37(Database issue):D832-6.  This contains the web site addresses to show the genetic information that is already available in autism.  The difficulty has always been the different methods used by different researchers to demonstrate findings.  Try http://www.mindspec.org/autdb.html .  What you find is that a huge number of potential genes are put forward as being involved.

Current developments in the genetics of autism: from phenome to genome. Losh M, Sullivan PF, Trembath D, Piven J. J Neuropathol Exp Neurol. 2008 Sep;67(9):829-37.

Copy-number variations associated with autism spectrum disorder. Kakinuma H, Sato H. Pharmacogenomics. 2008 Aug;9(8):1143-54.

Genome-wide linkage analyses of quantitative and categorical autism subphenotypes. Liu XQ, Paterson AD, Szatmari P; Autism Genome Project Consortium. Biol Psychiatry. 2008 Oct 1;64(7):561-70.  The search for susceptibility genes in autism and autism spectrum disorders (ASD) has been hindered by the possible small effects of individual genes and by genetic (locus) heterogeneity. To overcome these obstacles, one method is to use autism-related subphenotypes instead of the categorical diagnosis of autism since they may be more directly related to the underlying susceptibility loci.  What they then did was to divide the cases into those with extreme phenotypes from those with those with lesser forms.  They then looked for genetics that might follow the effects.  When the ASD families with IQ > or = 70 were used, a logarithm of odds (LOD) score of 4.01 was obtained on chromosome 15q13.3-q14, which was previously linked to schizophrenia. We also obtained a LOD score of 3.40 on chromosome 11p15.4-p15.3 using the ASD families.  They claimed that it was probably a very useful system.  

Heterogeneous dysregulation of microRNAs across the autism spectrum. Abu-Elneel K, Liu T, Gazzaniga FS, Nishimura Y, Wall DP, Geschwind DH, Lao K, Kosik KS. Neurogenetics. 2008 Jul;9(3):153-61  As a genetically complex disease, dysregulation of miRNA expression might be a feature of autism spectrum disorders (ASDs). Using multiplex quantitative polymerase chain reaction (PCR), we compared the expression of 466 human miRNAs from postmortem cerebellar cortex tissue of individuals with ASD (n = 13) and a control set of non-autistic cerebellar samples (n = 13).  To validate the finding, we reversed the analysis and compared each non-autism control to a single mean value for each miRNA across all autism cases. In this analysis, the number of dysregulated miRNAs fell from 28 to 9 miRNAs. Among the predicted targets of dysregulated miRNAs are genes that are known genetic causes of autism such Neurexin and SHANK3. This study finds that altered miRNA expression levels are observed in postmortem cerebellar cortex from autism patients, a finding which suggests that dysregulation of miRNAs may contribute to autism spectrum phenotype.

A synaptic trek to autism. Bourgeron T. Curr Opin Neurobiol. 2009 Apr;19(2):231-4.  This explains how several of the genetic changes that we  have seen seem to be specifically involved in synaptic abnormalities.  Mutations in TSC1/TSC2, NF1, or PTEN activate the mTOR/PI3K pathway and lead to syndromic ASD with tuberous sclerosis, neurofibromatosis, or macrocephaly. Mutations in NLGN3/4, SHANK3, or NRXN1 alter synaptic function and lead to mental retardation, typical autism, or Asperger syndrome. The mTOR/PI3K pathway is associated with abnormal cellular/synaptic growth rate, whereas the NRXN-NLGN-SHANK pathway is associated with synaptogenesis and imbalance between excitatory and inhibitory currents. Taken together, these data strongly suggest that abnormal synaptic homeostasis represent a risk factor to ASD.  In a way this reminds me of the research that went into Alzheimer’s disease, where certain forms were genetically caused but they seemed to be completely unrelated…until it was found exactly what they did and they all connected up.

 

 

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MET gene

This is known as an onchogene involved in tumour development.  However it is also involved in signalling in the formation of the immune system, embryogenesis and peripheral organ development and repair.  One thing that may be important is that it is involved in the developing nervious system and have been implicated in neuronal development. 

MET and autism susceptibility: family and case-control studies. Sousa I, Clark TG, Toma C, Kobayashi K, Choma M, Holt R, Sykes NH, Lamb JA, Bailey AJ, Battaglia A, Maestrini E, Monaco AP; International Molecular Genetic Study of Autism Consortium (IMGSAC). Eur J Hum Genet. 2009 Jun;17(6):749-58.  The MET gene is associated with the 7q site that has been shown to be associated with ASD.  The MET is in fact an oncogene. Here they present a family-based association analysis covering the entire MET locus. Significant results were obtained in both single locus and haplotype approaches with a single nucleotide polymorphism in intron 1 (rs38845, P<0.004) and with one intronic haplotype (AAGTG, P<0.009) in 325 multiplex IMGSAC families and 10 IMGSAC trios. Although these results failed to replicate in an independent sample of 82 Italian trios, the association itself was confirmed by a case-control analysis performed using the Italian cohort (P<0.02).

Association of MET with social and communication phenotypes in individuals with autism spectrum disorder. Campbell DB, Warren D, Sutcliffe JS, Lee EB, Levitt P. Am J Med Genet B Neuropsychiatr Genet. 2009 Jun 22

Genetic evidence implicating multiple genes in the MET receptor tyrosine kinase pathway in autism spectrum disorder. Campbell DB, Li C, Sutcliffe JS, Persico AM, Levitt P.Autism Res. 2008 Jun;1(3):159-68

Dynamic gene and protein expression patterns of the autism-associated met receptor tyrosine kinase in the developing mouse forebrain. Judson MC, Bergman MY, Campbell DB, Eagleson KL, Levitt P. J Comp Neurol. 2009 Apr 10;513(5):511-31

Distinct genetic risk based on association of MET in families with co-occurring autism and gastrointestinal conditions. Campbell DB, Buie TM, Winter H, Bauman M, Sutcliffe JS, Perrin JM, Levitt P. Pediatrics. 2009 Mar;123(3):1018-24. Erratum in: Pediatrics. 2009 Apr;123(4):1255.

When linkage signal for autism MET candidate gene. Campbell DB. Eur J Hum Genet. 2009 Jun;17(6):699-700.

Disruption of cerebral cortex MET signaling in autism spectrum disorder. Campbell DB, D'Oronzio R, Garbett K, Ebert PJ, Mirnics K, Levitt P, Persico AM. Ann Neurol. 2007 Sep;62(3):243-50.

A genetic variant that disrupts MET transcription is associated with autism. Campbell DB, Sutcliffe JS, Ebert PJ, Militerni R, Bravaccio C, Trillo S, Elia M, Schneider C, Melmed R, Sacco R, Persico AM, Levitt P. Proc Natl Acad Sci U S A. 2006 Nov 7;103(45):16834-9


 


Modification of the 15q11-q13 genetics 

This site has been found to be involved in some way by several groups.  With duplications in it, modifications of the site itself, and within short distances of it on the chromosome.  Exactly how it would be involved is unclear.  The Angelman syndrome, Prader-Willi syndrome and a single report of a late onset Lennox-Gestaut syndrome are modified and are associated with a high proportion to have ASD.   Changes in the 15q chromosome are often associated with other changes such as prominent mental retardation. 

Simon EW, Haas-Givler B, Finucane B.  A longitudinal follow-up study of autistic symptoms in children and adults with duplications of 15q11-13.  Am J Med Genet B Neuropsychiatr Genet. 2009 Jun 22.  They were quite happy that the duplication was closely associated with the syndrome in some way (although why they were not sure).  Investigation of 29 individuals, tentative conclusions were drawn based on cross-sectional data suggesting that autistic symptoms increased with age, most specifically in the area of social interaction

 

Kato C, Tochigi M, Koishi S, Kawakubo Y, Yamamoto K, Matsumoto H, Hashimoto O, Kim SY, Watanabe K, Kano Y, Nanba E, Kato N, Sasaki T. Association study of the commonly recognized breakpoints in chromosome 15q11-q13 in Japanese autistic patients. Psychiatr Genet. 2008 Jun;18(3):133-6.

 

Kim SJ, Brune CW, Kistner EO, Christian SL, Courchesne EH, Cox NJ, Cook EH. Transmission disequilibrium testing of the chromosome 15q11-q13 region in autism. Am J Med Genet B Neuropsychiatr Genet. 2008 Mar 24.

 

Dykens EM, Sutcliffe JS, Levitt P. Autism and 15q11-q13 disorders: behavioral, genetic, and pathophysiological issues. Ment Retard Dev Disabil Res Rev. 2004;10(4):284-91.

 

Nurmi EL, Dowd M, Tadevosyan-Leyfer O, Haines JL, Folstein SE, Sutcliffe JS. Exploratory subsetting of autism families based on savant skills improves evidence of genetic linkage to 15q11-q13. J Am Acad Child Adolesc Psychiatry. 2003 Jul;42(7):856-63

 

Bucan M, Abrahams BS, Wang K, Glessner JT, Herman EI, Sonnenblick LI, Alvarez Retuerto AI, Imielinski M, Hadley D, Bradfield JP, Kim C, Gidaya NB, Lindquist I, Hutman T, Sigman M, Kustanovich V, Lajonchere CM, Singleton A, Kim J, Wassink TH, McMahon WM, Owley T, Sweeney JA, Coon H, Nurnberger JI, Li M, Cantor RM, Minshew NJ, Sutcliffe JS, Cook EH, Dawson G, Buxbaum JD, Grant SF, Schellenberg GD, Geschwind DH, Hakonarson H.

 

Genome-wide analyses of exonic copy number variants in a family-based study point to novel autism susceptibility genes.  PLoS Genet. 2009 Jun;5(6):e1000536. Epub 2009 Jun 26.   They tried exceptionally hard to find specific genes.   To pinpoint genes likely to contribute to ASD etiology, we performed high density genotyping in 912 multiplex families from the Autism Genetics Resource Exchange (AGRE) collection and contrasted results to those obtained for 1,488 healthy controls. Through prioritization of exonic deletions (eDels), exonic duplications (eDups), and whole gene duplication events (gDups), we identified more than 150 loci harboring rare variants in multiple unrelated probands, but no controls.  Rare variants at known loci, including exonic deletions at NRXN1 and whole gene duplications encompassing UBE3A and several other genes in the 15q11-q13 region, were observed in the course of these analyses.  Strong support was likewise observed for previously unreported genes such as BZRAP1, an adaptor molecule known to regulate synaptic transmission, with eDels or eDups observed in twelve unrelated cases but no controls (p = 2.3x10(-5)). Less is known about MDGA2, likewise observed to be case-specific (p = 1.3x10(-4)). But, it is notable that the encoded protein shows an unexpectedly high similarity to Contactin 4 (BLAST E-value = 3x10(-39)), which has also been linked to disease.  What they found was a few things that had been considered already, some that did not appear to have been noticed and a lot of very rare genetic changes that were not present in more than one case.   Their lack of controls would need to be taken into account but this does appear to be useful.

 

Ma DQ, Jaworski J, Menold MM, Donnelly S, Abramson RK, Wright HH, Delong GR, Gilbert JR, Pericak-Vance MA, Cuccaro ML. Ordered-subset analysis of savant skills in autism for 15q11-q13. Am J Med Genet B Neuropsychiatr Genet. 2005 May 5;135B(1):38-41. 

Genome-wide linkage in Utah autism pedigrees.  Allen-Brady K, Robison R, Cannon D, Varvil T, Villalobos M, Pingree C, Leppert MF, Miller J, McMahon WM, Coon H. Mol Psychiatry. 2009 May 19  This genome-wide screen of 70 families includes 20 large extended pedigrees of 6-9 generations, 6 moderate-sized families of 4-5 generations and 44 smaller families of 2-3 generations. The Center for Inherited Disease Research (CIDR) provided genotyping using the Illumina Linkage Panel 12, a 6K single-nucleotide polymorphism (SNP) platform. Results from 192 subjects with an autism spectrum disorder (ASD) and 461 of their relatives revealed genome-wide significance on chromosome 15q, with three possibly distinct peaks: 15q13.1-q14 (heterogeneity LOD (HLOD)=4.09 at 29 459 872 bp); 15q14-q21.1 (HLOD=3.59 at 36 837 208 bp); and 15q21.1-q22.2 (HLOD=5.31 at 55 629 733 bp). Two of these peaks replicate earlier findings.  Additional suggestive results on chromosomes 2p25.3-p24.1 (HLOD=1.87), 7q31.31-q32.3 (HLOD=1.97) and 13q12.11-q12.3 (HLOD=1.93). Affected subjects in families supporting the linkage peaks found in this study did not reveal strong evidence for distinct phenotypic subgroups.

Linkage and linkage disequilibrium scan for autism loci in an extended pedigree from Finland. Kilpinen H, Ylisaukko-oja T, Rehnström K, Gaál E, Turunen JA, Kempas E, von Wendt L, Varilo T, Peltonen L. Hum Mol Genet. 2009 Aug 1;18(15):2912-21.  We have here used this special opportunity to identify rare alleles in autism by genealogically tracing 20 autism families into one extended pedigree with verified genealogical links reaching back to the 17th century. In this unique pedigree, we performed a dense microsatellite marker genome-wide scan of linkage and LD and followed initial findings with extensive fine-mapping. We identified a putative autism susceptibility locus at 19p13.3 and obtained further evidence for previously identified loci at 1q23 and 15q11-q13. Most promising candidate genes were TLE2 and TLE6 clustered at 19p13 and ATP1A2 at 1q23. 

Late-onset Lennox-Gastaut syndrome in a patient with 15q11.2-q13.1 duplication. Orrico A, Zollino M, Galli L, Buoni S, Marangi G, Sorrentino V. Am J Med Genet A. 2009 May;149A(5):1033-5.  This simply contained an autistic patient and was found to have the microduplication. 

Chipping away at the common epilepsies with complex genetics: the 15q13.3 microdeletion shows the way. Mulley JC, Dibbens LM.

Genome Med. 2009 Mar 25;1(3):33.  They merely include autism as being part of their study and how microdeletion is not generally what is found in ASD but can be.  This is, however, quite a good review of the various other factors associated with the region of the chromosome.

15q13.3 microdeletions increase risk of idiopathic generalized epilepsy. Helbig I, Mefford HC, Sharp AJ, Guipponi M, Fichera M, Franke A, Muhle H, de Kovel C, Baker C, von Spiczak S, Kron KL, Steinich I, Kleefuss-Lie AA, Leu C, Gaus V, Schmitz B, Klein KM, Reif PS, Rosenow F, Weber Y, Lerche H, Zimprich F, Urak L, Fuchs K, Feucht M, Genton P, Thomas P, Visscher F, de Haan GJ, Møller RS, Hjalgrim H, Luciano D, Wittig M, Nothnagel M, Elger CE, Nürnberg P, Romano C, Malafosse A, Koeleman BP, Lindhout D, Stephani U, Schreiber S, Eichler EE, Sander T. Nat Genet. 2009 Feb;41(2):160-2.  identified 15q13.3 microdeletions encompassing the CHRNA7 gene in 12 of 1,223 individuals with idiopathic generalized epilepsy (IGE), which were not detected in 3,699 controls (joint P = 5.32 x 10(-8)). Most deletion carriers showed common IGE syndromes without other features previously associated with 15q13.3 microdeletions, such as intellectual disability, autism or schizophrenia.

A 15q13.3 microdeletion segregating with autism. Pagnamenta AT, Wing K, Akha ES, Knight SJ, Bölte S, Schmötzer G, Duketis E, Poustka F, Klauck SM, Poustka A, Ragoussis J, Bailey AJ, Monaco AP; International Molecular Genetic Study of Autism Consortium. Eur J Hum Genet. 2009 May;17(5):687-92. In this study, a rare approximately 2 Mb microdeletion involving chromosome band 15q13.3 was detected in a multiplex autism family. This genomic loss lies between distal break points of the Prader-Willi/Angelman syndrome locus and was first described in association with MR and epilepsy.

Chromosome 15q11-13 duplication syndrome brain reveals epigenetic alterations in gene expression not predicted from copy number. Hogart A, Leung KN, Wang NJ, Wu DJ, Driscoll J, Vallero RO, Schanen NC, LaSalle JM. J Med Genet. 2009 Feb;46(2):86-93.  findings suggest that genetic copy number changes combined with additional genetic or environmental influences on epigenetic mechanisms impact outcome and clinical heterogeneity of 15q11-13 duplication syndromes.  They looked for many of the individual genes within the region and tried to find out if any were specifically associated with the condition.

Microdeletion/duplication at 15q13.2q13.3 among individuals with features of autism and other neuropsychiatric disorders. Miller DT, Shen Y, Weiss LA, Korn J, Anselm I, Bridgemohan C, Cox GF, Dickinson H, Gentile J, Harris DJ, Hegde V, Hundley R, Khwaja O, Kothare S, Luedke C, Nasir R, Poduri A, Prasad K, Raffalli P, Reinhard A, Smith SE, Sobeih MM, Soul JS, Stoler J, Takeoka M, Tan WH, Thakuria J, Wolff R, Yusupov R, Gusella JF, Daly MJ, Wu BL. J Med Genet. 2009 Apr;46(4):242-8. The phenotype of chromosome 15q13.2q13.3 BP4-BP5 microdeletion/duplication syndrome may include features of autism spectrum disorder, a variety of neuropsychiatric disorders, and cognitive impairment. Recognition of this broader phenotype has implications for clinical diagnostic testing and efforts to understand the underlying aetiology of this syndrome.

Familial and sporadic 15q13.3 microdeletions in Idiopathic Generalized Epilepsy: Precedent for Disorders with Complex Inheritance. Dibbens LM, Mullen S, Helbig I, Mefford HC, Bayly MA, Bellows S, Leu C, Trucks H, Obermeier T, Wittig M, Franke A, Caglayan H, Yapici Z; EPICURE Consortium, Sander T, Eichler EE, Scheffer IE, Mulley JC, Berkovic SF. Hum Mol Genet. 2009 Jul 10.

 

 


 

Monoamine oxidase A

 

Cohen IL, Liu X, Schutz C, White BN, Jenkins EC, Brown WT, Holden JJ  Association of autism severity with a monoamine oxidase A functional polymorphism.Clin Genet. 2003 Sep;64(3):190-7.

 

Huang YY, Cate SP, Battistuzzi C, Oquendo MA, Brent D, Mann JJ   An association between a functional polymorphism in the monoamine oxidase a gene promoter, impulsive traits and early abuse experiences  Neuropsychopharmacology. 2004 Aug;29(8):1498-505.  

 

Davis LK, Hazlett HC, Librant AL, Nopoulos P, Sheffield VC, Piven J, Wassink TH. Cortical enlargement in autism is associated with a functional VNTR in the monoamine oxidase A gene. Am J Med Genet B Neuropsychiatr Genet. 2008 Mar 24.  (see MRI scanning concerning brain enlargement. A polymorphism exists within the promoter region of the MAOA gene that influences MAOA expression levels so that "low activity" alleles are associated with increased neurotransmitter levels in the brain. Individuals with autism often exhibit elevated serotonin levels. A consistent association between the "low activity" allele and larger brain volumes for regions of the cortex in children with autism but not in controls. They did not find evidence for over-transmission of the "low activity" allele in a separate sample of 114 affected sib pair families.)

 

Roohi J, Devincent CJ, Hatchwell E, Gadow KD.  Association of a Monoamine Oxidase-A Gene Promoter Polymorphism With ADHD and Anxiety in Boys With Autism Spectrum Disorder.  J Autism Dev Disord. 2008 Jun 20.  

 

Hranilović D, Novak R, Babić M, Novokmet M, Bujas-Petković Z, Jernej B. Hyperserotonemia in autism: the potential role of 5HT-related gene variants. Coll Antropol. 2008 Jan;32 Suppl 1:75-80.  (they looked at the effect of the MAOA gene and others in increasing the serotonin levels of the platelets).

Family- and population-based association studies of monoamine oxidase A and autism spectrum disorders in Korean. Yoo HJ, Lee SK, Park M, Cho IH, Hyun SH, Lee JC, Yang SY, Kim SA. Neurosci Res. 2009 Mar;63(3):172-6.  This study evaluates the relationship between ASDs and MAOA markers (i.e., uVNTR and four single nucleotide polymorphisms (SNPs)) in 151 Korean family trios with children diagnosed with ASDs, and 193 unrelated Korean controls.  In a family-based association test (FBAT) analysis, it was observed that, in the dominant model, a three-repeat allele of a MAOA-uVNTR marker was preferentially transmitted in ASDs (Z=2.213, p=0.027). Moreover, in the global haplotype analysis, the statistically significant evidence of associations with ASD were demonstrated in additive and dominant models (additive chi(2)=11.349, d.f.=2, p=0.003; dominant chi(2)=6.198, d.f.=2, p=0.045). 

Association of a monoamine oxidase-a gene promoter polymorphism with ADHD and anxiety in boys with autism spectrum disorder.  Roohi J, DeVincent CJ, Hatchwell E, Gadow KD.  J Autism Dev Disord. 2009 Jan;39(1):67-74. Parents and teachers completed a DSM-IV-referenced rating scale for 5- to 14-year-old boys with ASD (n = 43). Planned comparisons indicated that children with the 4- versus 3-repeat allele had significantly (p < 05) more severe parent-rated ADHD inattention and impulsivity, and more severe teacher-rated symptoms of generalized anxiety. Our results support a growing body of research indicating that concomitant behavioral disturbances in children with ASD warrant consideration as clinical phenotypes, but replication with independent samples is necessary to confirm this preliminary finding.

Regulation of monoamine oxidase A by the SRY gene on the Y chromosome.  Wu JB, Chen K, Li Y, Lau YF, Shih JC. FASEB J. 2009 Aug 6.

 

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GABA receptor and production

 

Buxbaum JD, Silverman JM, Smith CJ, Greenberg DA, Kilifarski M, Reichert J, Cook EH Jr, Fang Y, Song CY, Vitale R. Association between a GABRB3 polymorphism and autism.  Mol Psychiatry. 2002;7(3):311-6. (gamma-aminobutyric acid type-A receptor beta3 subunit gene (GABRB3) has been associated in one study(2) but not others.(3-5) We completed an association analysis with 155CA-2 using the transmission disequilibrium test (TDT) in a set of 80 autism families (59 multiplex and 21 trios). We also used four additional markers (69CA, 155CA-1, 85CA, and A55CA-1) localized within 150 kb of 155CA-2. The use of multi-allelic TDT (MTDT) (P < 0.002), as well as the TDT (P < 0.004), demonstrated an association between autistic disorder and 155CA-2 in these families. Meiotic segregation distortion could be excluded as a possible cause for these results since no disequilibrium was observed in unaffected siblings. These findings support a role for genetic variants within the GABA receptor gene complex in 15q11-13 in autistic disorder.)

 

McCauley JL, Olson LM, Delahanty R, Amin T, Nurmi EL, Organ EL, Jacobs MM, Folstein SE, Haines JL, Sutcliffe JS.  A linkage disequilibrium map of the 1-Mb 15q12 GABA(A) receptor subunit cluster and association to autism  Am J Med Genet B Neuropsychiatr Genet. 2004 Nov 15;131B(1):51-9 (looked into because of the association with the Prader-Willi/Agelmann syndrome)

Expression of GABA(B) receptors is altered in brains of subjects with autism.

Fatemi SH, Folsom TD, Reutiman TJ, Thuras PD. Cerebellum. 2009 Mar;8(1):64-9.  We compared levels of GABA(B) receptor subunits GABA(B) receptor 1 (GABBR1) and GABA(B) receptor 2 (GABBR2) in cerebellum, Brodmann's area 9 (BA9), and BA40 of subjects with autism and matched controls. Levels of GABBR1 were significantly decreased in BA9, BA40, and cerebellum, while GABBR2 was significantly reduced in the cerebellum. 

GABA(A) receptor downregulation in brains of subjects with autism. Fatemi SH, Reutiman TJ, Folsom TD, Thuras PD. J Autism Dev Disord. 2009 Feb;39(2):223-30.  Gamma-aminobutyric acid A (GABA(A)) receptors are ligand-gated ion channels responsible for mediation of fast inhibitory action of GABA in the brain. Preliminary reports have demonstrated altered expression of GABA receptors in the brains of subjects with autism suggesting GABA/glutamate system dysregulation. We investigated the expression of four GABA(A) receptor subunits and observed significant reductions in GABRA1, GABRA2, GABRA3, and GABRB3 in parietal cortex (Brodmann's Area 40 (BA40)), while GABRA1 and GABRB3 were significantly altered in cerebellum, and GABRA1 was significantly altered in superior frontal cortex (BA9). The presence of seizure disorder did not have a significant impact on GABA(A) receptor subunit expression in the three brain areas. Our results demonstrate that GABA(A) receptors are reduced in three brain regions that have previously been implicated in the pathogenesis of autism, suggesting widespread GABAergic dysfunction in the brains of subjects with autism.  This seems a sort of re-publication of the article above.

 

 

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Tuberous sclerosis (assn)

This is a specific uncommon condition that is found to have an excess of autism.  Its help in indicating the background to the disease in the brain is not good.  Click on the Marcotte paper and get some more information on the illness.  Tuberous sclerosis complex (TSC) is an inherited genetic disorder commonly associated with neuropsychiatric complications like epilepsy, mental retardation, autism and other behavioral problems and constitutes about 1-4% of the autistic population.   It is associated with alterations in the TSC1 and TSC2 genes. 

 

Marcotte L, Crino PB. The neurobiology of the tuberous sclerosis complex. Neuromolecular Med. 2006;8(4):531-46.

 

Wiznitzer M. Autism and tuberous sclerosis. J Child Neurol. 2004 Sep;19(9):675-9. Review

 

Humphrey A, Neville BG, Clarke A, Bolton PF. Autistic regression associated with seizure onset in an infant with tuberous sclerosis. Dev Med Child Neurol. 2006 Jul;48(7):609-11.

 

Asano E, Chugani DC, Muzik O, Behen M, Janisse J, Rothermel R, Mangner TJ, Chakraborty PK, Chugani HT. Autism in tuberous sclerosis complex is related to both cortical and subcortical dysfunction. Neurology. 2001 Oct 9;57(7):1269-77.

Tuberous sclerosis complex activity is required to control neuronal stress responses in an mTOR-dependent manner. Di Nardo A, Kramvis I, Cho N, Sadowski A, Meikle L, Kwiatkowski DJ, Sahin M. J Neurosci. 2009 May 6;29(18):5926-37.  The tuberous sclerosis complex is a neurogenetic disorder caused by loss-of-function mutations in either the TSC1 or TSC2 genes. The TSC1/TSC2 protein complex plays a major role in controlling the Ser/Thr kinase mammalian target of rapamycin (mTOR), which is a master regulator of protein synthesis and cell growth. In this study, we show that endoplasmic reticulum (ER) stress regulates TSC1/TSC2 complex to limit mTOR activity.   Exactly why this should be associated with autism in the patient is not clear.

Correlation of autism with temporal tubers in tuberous sclerosis complex. Kothur K, Ray M, Malhi P. Neurol India. 2008 Jan-Mar;56(1):74-6

 

 

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Phenylketonurea (assn)

 

Baieli S, Pavone L, Meli C, Fiumara A, Coleman M. Autism and phenylketonurea.  J Autism Dev Disord. 2003 Apr;33(2):201-4.

 

 


 

Smith-Lemli-Opitz syndrome:

a genetic abnormality of the cholesterol manufacturing path (NB all normal steroid hormones like androgens and oestrogens are made from cholesterol in the body. This is one of the groups where the syndrome of autism is noticeably different from the wide range of ASD as seen in other cases)

 

Bukelis I, Porter FD, Zimmerman AW, Tierney E. Smith-Lemli-Opitz syndrome and autism spectrum disorder. Am J Psychiatry. 2007 Nov;164(11):1655-61.

 

Sikora DM, Pettit-Kekel K, Penfield J, Merkens LS, Steiner RD. The near universal presence of autism spectrum disorders in children with Smith-Lemli-Opitz syndrome. Am J Med Genet A. 2006 Jul 15;140(14):1511-8.

Immunohistochemical and microarray analyses of a mouse model for the smith-lemli-opitz syndrome. Waage-Baudet H, Dunty WC Jr, Dehart DB, Hiller S, Sulik KK. Dev Neurosci. 2005;27(6):378-96.  This is an attempt to assess mouse models in autism.

 

 

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Association with Neuroligin and Neurexin (also Neuropilin, neuroligin1  and Sepaporin data)

(X-linked, and currently being chased).  These are represented by the genes NLGN3 and NLGN4.  The proteins connect between synapses such that one goes from one side and the other from the other side…all very reasonable.  Unfortunately it is not completely clear what they do.   I could not find any examples of null mice (ones where the gene had been removed) for instance. 

 

Feng J, Schroer R, Yan J, Song W, Yang C, Bockholt A, Cook EH Jr, Skinner C, Schwartz CE, Sommer SS. High frequency of neurexin 1beta signal peptide structural variants in patients with autism. Neurosci Lett. 2006 Nov 27;409(1):10-3.

 

Tabuchi K, Blundell J, Etherton MR, Hammer RE, Liu X, Powell CM, Südhof TC. A neuroligin-3 mutation implicated in autism increases inhibitory synaptic transmission in mice. Science. 2007 Oct 5;318(5847):71-6

 

Levinson JN, El-Husseini A. A crystal-clear interaction: relating neuroligin/neurexin complex structure to function at the synapse. Neuron. 2007 Dec 20;56(6):937-9.

 

Yamakawa H, Oyama S, Mitsuhashi H, Sasagawa N, Uchino S, Kohsaka S, Ishiura S. Neuroligins 3 and 4X interact with syntrophin-gamma2, and the interactions are affected by autism-related mutations. Biochem Biophys Res Commun. 2007 Mar 30;355(1):41-6.

 

Talebizadeh Z, Lam DY, Theodoro MF, Bittel DC, Lushington GH, Butler MG. Novel splice isoforms for NLGN3 and NLGN4 with possible implications in autism. J Med Genet. 2006 May;43(5):e21.

 

This attempts to show at which point during the development we see the activity of specific genes

during hard line period leading up to the box with the gene’s name in it. However it may continue past this (dotted line)

to have a period of influence (Pardo and Eberhart 2007)

 

Chen X, Liu H, Shim AH, Focia PJ, He X. Structural basis for synaptic adhesion mediated by neuroligin-neurexin interactions. Nat Struct Mol Biol. 2008 Jan;15(1):50-6. Epub 2007 Dec 16.

 

De Jaco A, Comoletti D, King CC, Taylor P. Trafficking of cholinesterases and neuroligins mutant proteins An association with autism. Chem Biol Interact. 2008 Apr 29.   Recent studies reported that sequence polymorphisms in neuroligin-3 (NLGN3) and neuroligin-4 (NLGN4) genes have been linked to autism spectrum disorders indicating neuroligin genes as candidate targets in brain disorders. They have characterized a single mutation found in two affected brothers that substituted Arg451 to Cys in NL3.  Data show that the exposed Cys causes retention of the protein in the endoplasmic reticulum (ER) when expressed in HEK-293 cells.   Mutations in acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) and found a similar processing deficiency and intracellular retention (De Jaco et al., J Biol Chem. 2006, 281:9667-76). NL3, AChE and BChE mutant proteins are recognized as misfolded in the ER, and degraded via the proteasome pathway.  A 2D electrophoresis coupled with mass spectrometry based approach was used to analyze proteins co-immunoprecipitating with NL3 and show differential expression of factors interacting with wild type and mutant NL3. We identified several proteins belonging to distinct ER resident chaperones families, including calnexin, responsible for playing a role in the folding steps of the AChE and NLs.  The wonder is whether we are looking at changes in protein modification within the ER.

 

Yan J, Noltner K, Feng J, Li W, Schroer R, Skinner C, Zeng W, Schwartz CE, Sommer SS. Neurexin 1alpha structural variants associated with autism. Neurosci Lett. 2008 Jun 27;438(3):368-70. Epub 2008 Apr 25.  (Neurexins are presynaptic membrane cell-adhesion molecules which bind to neuroligins, a family of proteins that are associated with autism. To explore the possibility that structural variants in the neurexin alpha genes predispose to autism, the coding regions and associated splice junctions of the neurexin 1alpha gene were sequenced in 116 Caucasian patients with autism and 192 Caucasian controls. Five ultra-rare structural variants including a predicted splicing mutation were found in patients with autism and absent in 10,000 control alleles.  However one ultra-rare one was found in a control.  Always the difficulty with ultra-rare ones is that you don’t know which ones matter in the body all that much and the one found in the control may have less significance than those in the autistics)

 

Bolliger MF, Pei J, Maxeiner S, Boucard AA, Grishin NV, Südhof TC. Unusually rapid evolution of Neuroligin-4 in mice. Proc Natl Acad Sci U S A. 2008 Apr 29;105(17):6421-6. Epub 2008 Apr 23 (the aim being to look for a genetic model) 

 

Gant JC, Thibault O, Blalock EM, Yang J, Bachstetter A, Kotick J, Schauwecker PE, Hauser KF, Smith GM, Mervis R, Li Y, Barnes GN. Decreased number of interneurons and increased seizures in neuropilin 2 deficient mice: Implications for autism and epilepsy. Epilepsia. 2008 Jul 24. [Epub ahead of print]  (The semaphorin 3F (Sema3F) ligand and its receptor, neuropilin 2 (NPN2) are highly expressed within limbic areas.  They actually removed the gene for NPN2 and looked at the neurological changes that might be seen…of course in mice it was difficult to interpret as a cause of something in humans but it was suggested as being involved)  This is difficult to interpret but should be used as a key to look for further neurological data from PubMed.

 

Yan J, Feng J, Schroer R, Li W, Skinner C, Schwartz CE, Cook EH Jr, Sommer SS. Analysis of the neuroligin 4Y gene in patients with autism. Psychiatr Genet. 2008 Aug;18(4):204-7.  (The absence of p.I679V in 2986 control Y chromosomes and the high similarity of NLGN4 and NLGN4Y are consistent with the hypothesis that p.I679V contributes to the etiology of autism. The presence of only one structural variant in our population of 335 males with autism/mental retardation, the unavailability of significant family cosegregation and an absence of functional assays are, however, important limitations of this study.  As a result the significance must be questioned)

Neuroligin-3-deficient mice: model of a monogenic heritable form of autism with an olfactory deficit. Radyushkin K, Hammerschmidt K, Boretius S, Varoqueaux F, El-Kordi A, Ronnenberg A, Winter D, Frahm J, Fischer J, Brose N, Ehrenreich H. Genes Brain Behav. 2009 Jun;8(4):416-25. mutations in the postsynaptic cell adhesion protein neuroligin-4 and point mutations in its homologue neuroligin-3 (NL-3) that were found to cause certain forms of monogenic heritable ASD in humans. Here, we show that NL-3-deficient mice display a behavioral phenotype reminiscent of the lead symptoms of ASD: reduced ultrasound vocalization and a lack of social novelty preference. The latter may be related to an olfactory deficiency observed in the NL-3 mutants.

Bridging the synaptic gap: neuroligins and neurexin I in Apis mellifera. Biswas S, Russell RJ, Jackson CJ, Vidovic M, Ganeshina O, Oakeshott JG, Claudianos C. PLoS One. 2008;3(10):e3542.  This effect was being looked for in the nerves of the honey bee.

A Substitution Involving the NLGN4 Gene Associated with Autistic Behavior in the Greek Population. Pampanos A, Volaki K, Kanavakis E, Papandreou O, Youroukos S, Thomaidis L, Karkelis S, Tzetis M, Kitsiou-Tzeli S. Genet Test Mol Biomarkers. 2009 Aug 2

Prenatal exposure to valproic acid leads to reduced expression of synaptic adhesion molecule neuroligin 3 in mice. Kolozsi E, Mackenzie RN, Roullet FI, Decatanzaro D, Foster JA. Neuroscience. 2009 Jul 13.  That is indeed interesting in that valproate given to the pregnant mother is statistically associated with autism in the offspring.   The idea being that valproate would cause its effect through neuroligin.  However, at this moment there is a good model in rats of autism as a result of the valproate.

Trafficking of cholinesterases and neuroligins mutant proteins. An association with autism. De Jaco A, Comoletti D, King CC, Taylor P. Chem Biol Interact. 2008 Sep 25;175(1-3):349-51.

No evidence for involvement of genetic variants in the X-linked neuroligin genes NLGN3 and NLGN4X in probands with autism spectrum disorder on high functioning level. Wermter AK, Kamp-Becker I, Strauch K, Schulte-Körne G, Remschmidt H. Am J Med Genet B Neuropsychiatr Genet. 2008 Jun 5;147B(4):535-7

Disruption of neurexin 1 associated with autism spectrum disorder. Kim HG, Kishikawa S, Higgins AW, Seong IS, Donovan DJ, Shen Y, Lally E, Weiss LA, Najm J, Kutsche K, Descartes M, Holt L, Braddock S, Troxell R, Kaplan L, Volkmar F, Klin A, Tsatsanis K, Harris DJ, Noens I, Pauls DL, Daly MJ, MacDonald ME, Morton CC, Quade BJ, Gusella JF. Am J Hum Genet. 2008 Jan;82(1):199-207.  Their findings were in humans and also that there were other changes near to the genetic changes.

Altered synchrony and connectivity in neuronal networks expressing an autism-related mutation of neuroligin 3. Gutierrez RC, Hung J, Zhang Y, Kertesz AC, Espina FJ, Colicos MA. Neuroscience. 2009 Aug 4;162(1):208-21. The neuroligin (NL) gene family codes for brain specific cell adhesion molecules that play an important role in synaptic connectivity. Recent studies have identified NL mutations linked to patients with autism spectrum disorders (ASD). Cognitive deficits seen in autistic patients are hypothesized to arise from altered synchronicity both within and between brain regions. They use a rat model and show how the expression of autism-associated neuroligin mutation R471C-NL3 affects synchrony in dissociated cultures of rat hippocampal neurons.  The useful aspect of all this is to show how the ability of nerves to interact and do things in a synchronous way is lost.

 

 

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Glutamate genetic association (also see the mitochondrial changes below with SCL25A12 gene )

Note that the various genes that are needed for glutamate to be used as a transmitter may be involved.  For instance, the glutamic acid decarboxylase (GAD), the receptor gene and any of the genes involved in its creation.

 

Serajee FJ, Zhong H, Nabi R, Huq AH. The metabotropic glutamate receptor 8 gene at 7q31: partial duplication and possible association with autism. J Med Genet. 2003 Apr;40(4):e42

Maternal transmission disequilibrium of the glutamate receptor GRIK2 in schizophrenia. Bah J, Quach H, Ebstein RP, Segman RH, Melke J, Jamain S, Rietschel M, Modai I, Kanas K, Karni O, Lerer B, Gourion D, Krebs MO, Etain B, Schürhoff F, Szöke A, Leboyer M, Bourgeron T.  Neuroreport. 2004 Aug 26;15(12):1987-91.  a high linkage at chromosome 6q16-21. Among the genes located in this region is the glutamate receptor ionotropic kainate 2 gene (GRIK2 or GLUR6), a functional candidate for susceptibility to schizophrenia. In this study, transmission of GRIK2 was evaluated in 356 schizophrenic patients from three different clinical centers. Whereas paternal transmission shows equilibrium, we observed maternal transmission disequilibrium of GRIK2 in the largest population (p=0.03), which was still significant when all populations were added (p=0.05).

Frequency and transmission of glutamate receptors GRIK2 and GRIK3 polymorphisms in patients with obsessive compulsive disorder. Delorme R, Krebs MO, Chabane N, Roy I, Millet B, Mouren-Simeoni MC, Maier W, Bourgeron T, Leboyer M. Neuroreport. 2004 Mar 22;15(4):699-702.

 

Marui T, Funatogawa I, Koishi S, Yamamoto K, Matsumoto H, Hashimoto O, Nanba E, Nishida H, Sugiyama T, Kasai K, Watanabe K, Kano Y, Kato N, Sasaki T. Tachykinin 1 (TAC1) gene SNPs and haplotypes with autism: a case-control study. Brain Dev. 2007 Sep;29(8):510-3. Epub 2007 Mar 21.  (To elucidate the genetic background of autism, we analyzed the relationship between three single nucleotide polymorphisms (SNPs) of the Tachykinin 1 gene (TAC1) and autism, because TAC1 is located in the candidate region for autism and produces substance P and neurokinins. These products modulate glutamatergic excitatory synaptic transmission and are also involved in inflammation. They found that Thus, the TAC1 locus is not likely to play a major role in the development of autism.)

Autism-specific copy number variants further implicate the phosphatidylinositol signaling pathway and the glutamatergic synapse in the etiology of the disorder.Cuscó I, Medrano A, Gener B, Vilardell M, Gallastegui F, Villa O, González E, Rodríguez-Santiago B, Vilella E, Del Campo M, Pérez-Jurado LA. Hum Mol Genet. 2009 May 15;18(10):1795-804. Epub 2009 Feb 26.  Only 13 of the 238 detected copy number alterations, ranging in size from 89 kb to 2.4 Mb, were present specifically in the autistic population (12 out of 96 individuals, 12.5%). Following validation by additional molecular techniques, we have characterized these novel candidate regions containing 24 different genes including alterations in two previously reported regions of chromosome 7 associated with the ASD phenotype.

 

Jamain S, Betancur C, Quach H, Philippe A, Fellous M, Giros B, Gillberg C, Leboyer M, Bourgeron T; Paris Autism Research International Sibpair (PARIS) Study. Linkage and association of the glutamate receptor 6 gene with autism. Mol Psychiatry. 2002;7(3):302-10. (they have been finding out that certain mice with autistic type symptoms have altered glutamate receptors and so it was worth looking for this in the human cases)

 

Purcell AE, Jeon OH, Zimmerman AW, Blue ME, Pevsner J.Postmortem brain abnormalities of the glutamate neurotransmitter system in autism.Neurology. 2001 Nov 13;57(9):1618-28.

 

Correia C, Coutinho AM, Diogo L, Grazina M, Marques C, Miguel T, Ataíde A, Almeida J, Borges L, Oliveira C, Oliveira G, Vicente AM. Brief report: High frequency of biochemical markers for mitochondrial dysfunction in autism: no association with the mitochondrial aspartate/glutamate carrier SLC25A12 gene. J Autism Dev Disord. 2006 Nov;36(8):1137-40.

 

Palmieri L, Papaleo V, Porcelli V, Scarcia P, Gaita L, Sacco R, Hager J, Rousseau F, Curatolo P, Manzi B, Militerni R, Bravaccio C, Trillo S, Schneider C, Melmed R, Elia M, Lenti C, Saccani M, Pascucci T, Puglisi-Allegra S, Reichelt KL, Persico AM. Altered calcium homeostasis in autism-spectrum disorders: evidence from biochemical and genetic studies of the mitochondrial aspartate/glutamate carrier AGC1.

Mol Psychiatry. 2008 Jul 8. [Epub ahead of print]

Purkinje cell loss in autism may involve epigenetic changes in the gene encoding GAD. Peedicayil J, Thangavelu P. Med Hypotheses. 2008 Dec;71(6):978. Epub 2008 Sep 9.

 

 

A population-based association study of glutamate decarboxylase 1 as a candidate gene for autism. Buttenschøn HN, Lauritsen MB, El Daoud A, Hollegaard M, Jorgensen M, Tvedegaard K, Hougaard D, Børglum A, Thorsen P, Mors O. J Neural Transm. 2009 Mar;116(3):381-8.   The glutamate decarboxylase gene 1 (GAD1) located within chromosome 2q31 encodes the enzyme, GAD67, catalyzing the production of gamma-aminobutyric acid (GABA) from glutamate. Numerous independent findings have suggested the GABAergic system to be involved in autism. The present study investigates a Danish population-based, case-control sample of 444 subjects with childhood autism and 444 controls. Nine single nucleotide polymorphisms (SNPs) comprising the GAD1 gene and the microsatellite marker D2S2381 were examined for association with autism. We found no association between childhood autism and any single marker or 2-5 marker haplotypes. However, a rare nine-marker haplotype was associated with childhood autism. We cannot exclude neither GAD1 as a susceptibility gene nor the possibility of another susceptibility gene for autism to be located on chromosome 2q31.

 

 

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Fragile X.

This is generally not referred to as autism per se as it includes other factors such as developmental delays in walking or language, somatic dysmorphology (e.g. large ears, large head).  The cases are generally male. 

(this is well investigated and you should look this up separately)

 

Farzin F, Perry H, Hessl D, Loesch D, Cohen J, Bacalman S, Gane L, Tassone F, Hagerman P, Hagerman R.  Autism spectrum disorders and attention-deficit/hyperactivity disorder in boys with the fragile X permutation.  J Dev Behav Pediatr. 2006 Apr;27(2 Suppl):S137-44.  (a good review)

 

Jinorose U, Vasiknanonte P, Limprasert P, Brown WT, Panich V. The frequency of fragile X syndrome among selected patients at Songklanagarind Hospital during 1991-1996, studied by cytogenetic and molecular methods. Southeast Asian J Trop Med Public Health. 1997;28 Suppl 3:69-74.

 

Kelley DJ, Davidson RJ, Elliott JL, Lahvis GP, Yin JC, Bhattacharyya A. The Cyclic AMP Cascade Is Altered in the Fragile X Nervous System. PLoS ONE. 2007 Sep 26;2(9):e931. (increased cyclic AMP is produced by platelets, and other blood cells.  This research was carried out to attempt to find the reason for the increase.  Note that cAMP rise has been found in other forms of autism.

 

Gothelf D, Furfaro JA, Hoeft F, Eckert MA, Hall SS, O'Hara R, Erba HW, Ringel J, Hayashi KM, Patnaik S, Golianu B, Kraemer HC, Thompson PM, Piven J, Reiss AL. Neuroanatomy of fragile X syndrome is associated with aberrant behavior and the fragile X mental retardation protein (FMRP). Ann Neurol. 2008 Jan;63(1):40-51.

 

Hay DA. Fragile X - A challenge to models of the mind and to best clinical practice. Cortex. 2008 Jun;44(6):626-7. Epub 2007 Dec 23.

 

Brodkin ES. Social behavior phenotypes in fragile X syndrome, autism, and the Fmr1 knockout mouse: theoretical comment on McNaughton et al. (2008). Behav Neurosci. 2008 Apr;122(2):483-9. Review.

 

McNaughton CH, Moon J, Strawderman MS, Maclean KN, Evans J, Strupp BJ. Evidence for social anxiety and impaired social cognition in a mouse model of fragile X syndrome.  Behav Neurosci. 2008 Apr;122(2):293-300.

 

Garber KB, Visootsak J, Warren ST. Fragile X syndrome. Eur J Hum Genet. 2008 Jun;16(6):666-72. Epub 2008 Apr 9

 

Gong X, Bacchelli E, Blasi F, Toma C, Betancur C, Chaste P, Delorme R, Durand CM, Fauchereau F, Botros HG, Leboyer M, Mouren-Simeoni MC, Nygren G, Anckarsäter H, Rastam M, Gillberg IC, Gillberg C, Moreno-De-Luca D, Carone S, Nummela I, Rossi M, Battaglia A, Jarvela I, Maestrini E, Bourgeron T; The International Molecular Genetic Study of Autism Consortium (IMGSAC)http://www.well.ox.ac.uk/maestrin/iat.html.. Analysis of X chromosome inactivation in autism spectrum disorders. Am J Med Genet B Neuropsychiatr Genet. 2008 Mar 24. (this goes into much more than the fragile X but gives a good indication as to how they fit together)

 

García-Nonell C, Ratera ER, Harris S, Hessl D, Ono MY, Tartaglia N, Marvin E, Tassone F, Hagerman RJ. Secondary medical diagnosis in fragile X syndrome with and without autism spectrum disorder. Am J Med Genet A. 2008 Aug 1;146A(15):1911-6.

 

Kelley DJ, Bhattacharyya A, Lahvis GP, Yin JC, Malter J, Davidson RJ. The cyclic AMP phenotype of fragile X and autism. Neurosci Biobehav Rev. 2008 Jun 17. (they use the cyclic AMP phenotype to tell in some way assess the fragile X syndrome)

 

Gatto CL, Broadie K. Temporal requirements of the fragile X mental retardation protein in the regulation of synaptic structure.

Development. 2008 Aug;135(15):2637-48. Epub 2008 Jun 25.

 

The State of Synapses in Fragile X Syndrome. Pfeiffer BE, Huber KM. Neuroscientist. 2009 Mar 26  FXS is caused by loss of function of the Fmr1 gene, which encodes the RNA binding protein, fragile X mental retardation protein (FMRP). Therefore, FXS is a tractable model to understand synaptic dysfunction in cognitive disorders. FMRP is present at synapses where it associates with mRNA and polyribosomes.  The most interesting factor of all this is that it is

 

A rapid polymerase chain reaction-based screening method for identification of all expanded alleles of the fragile X (FMR1) gene in newborn and high-risk populations.  Tassone F, Pan R, Amiri K, Taylor AK, Hagerman PJ.  J Mol Diagn. 2008 Jan;10(1):43-9. Fragile X syndrome, the most common inherited cause of intellectual impairment and the most common single gene associated with autism, generally occurs for fragile X mental retardation 1 (FMR1) alleles that exceed 200 CGG repeats.   The methodology presented in this work is suitable for screening large populations of newborn or those at high risk (eg, autism, premature ovarian failure, ataxia, dementia) for expanded FMR1 alleles.  They had created a system to find out what the  normal rate of CGG repeats is present in control patients.

Association between the oxytocin receptor (OXTR) gene and autism: relationship to Vineland Adaptive Behavior Scales and cognition. Lerer E, Levi S, Salomon S, Darvasi A, Yirmiya N, Ebstein RP. Mol Psychiatry. 2008 Oct;13(10):980-8.  Evidence both from animal and human studies suggests that common polymorphisms in the oxytocin receptor (OXTR) gene are likely candidates to confer risk for autism spectrum disorders (ASD). In lower mammals, oxytocin is important in a wide range of social behaviors, and recent human studies have shown that administration of oxytocin modulates behavior in both clinical and non-clinical groups. Additionally, two linkage studies and two recent association investigations also underscore a possible role for the OXTR gene in predisposing to ASD.   Significant association with single SNPs and haplotypes (global P-values <0.05, following permutation test adjustment) were observed with ASD. Association was also observed with IQ and the Vineland Adaptive Behavior Scales (VABS). In particular, a five-locus haplotype block (rs237897-rs13316193-rs237889-rs2254298-rs2268494) was significantly associated with ASD (nominal global P=0.000019; adjusted global P=0.009) and a single haplotype (carried by 7% of the population) within that block showed highly significant association (P=0.00005). 

 

 

 

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Mitochondrial problems 

(NB the decreased levels of carnotine) both genetic and apparently a dysfunction of the mitochondria that appear normal under electron microscropy.  Some of the work indicates genetic changes in the DNA that is found in mitochondria..but some researchers simply show the mitochondria not working adequately, the reason for which is unclear.   The recent review seems to explain how the mitochondrial modifications may give the changes that we see.  However, this type of explanation has been seen through many other causes of ASD.  See also see the  SCL25A12 gene below.

 

Filipek PA, Juranek J, Smith M, Mays LZ, Ramos ER, Bocian M, Masser-Frye D, Laulhere TM, Modahl C, Spence MA, Gargus JJ. Mitochondrial dysfunction in autistic patients with 15q inverted duplication. Ann Neurol. 2003 Jun;53(6):801-4.

 

Tsao CY, Mendell JR. Autistic disorder in 2 children with mitochondrial disorders. J Child Neurol. 2007 Sep;22(9):1121-3

Correia C, Coutinho AM, Diogo L, Grazina M, Marques C, Miguel T, Ataíde A, Almeida J, Borges L, Oliveira C, Oliveira G, Vicente AM. Brief report: High frequency of biochemical markers for mitochondrial dysfunction in autism: no association with the mitochondrial aspartate/glutamate carrier SLC25A12 gene. J Autism Dev Disord. 2006 Nov;36(8):1137-40.

 

Poling JS, Frye RE, Shoffner J, Zimmerman AW. Developmental regression and mitochondrial dysfunction in a child with autism. J Child Neurol. 2006 Feb;21(2):170-2.  (Suble changes in chemistry, bicarbonate level, reduced cytochrome c in muscle biopsy.  They noticed that the serum creatin kinase level also was abnormally elevated in 47% of 47 autistic patients not known to have mitochondrial problems)

 

Ramoz N, Reichert JG, Smith CJ, Silverman JM, Bespalova IN, Davis KL, Buxbaum JD. Linkage and association of the mitochondrial aspartate/glutamate carrier SLC25A12 gene with autism. Am J Psychiatry. 2004 Apr;161(4):662-9

 

Fillano JJ, Goldenthal MJ, Rhodes CH, Marin-Garcia J.  Mitrochondrial dysfunction in patients with hypotonia, epilepsy autism and developmental delay: HEADD syndrome.  J Child Neurol.  2002;17:435-9.  (They could see modifications under EM of the mitochondria, enzyme alterations, and DNA deletions in mitochondria DNA).

 

Rossignol DA, Bradstreet JJ.  Evidence of mitochondrial dysfunction in autism and implications for treatment.  Biochem and Biotech 2008;4:2008-17.  (Classical mitochondrial diseases occur in a subset of individuals with autism and are usually caused by genetic anomalies or mitochondrial respiratory pathway deficits. However, in many cases of autism, there is evidence of mitochondrial dysfunction (MtD) without the classic features associated with mitochondrial disease. MtD appears to be more common in autism and presents with less severe signs and symptoms. It is not associated with discernable mitochondrial pathology in muscle biopsy specimens despite objective evidence of lowered mitochondrial functioning. Exposure to environmental toxins is the likely etiology for MtD in autism. This demonstrates that although there is a very low prevalence of mitochondrial disease in autism, and hence none out of 20 were seen to have any alterations of mitochondria under EM on muscle biopsy, there were good reasons why the normal looking mitochondria of autism may actually not be working correctly.  This would be expected to show decreased energy metabolism in the  brain using ATP but more using phosphocreatinine, depleted glutathione levels, chronic gastrointestinal problems, seizures, hypotonia, abnormalities in fatty acid oxidation, impairment in beta-oxidation and various other obscure chemical alterations e.g. elevated lactate, ammonia, aspartate, aminotransferase, pyruvate, creatine kinase and lowered carnitine levels).

 

Chugani DC, Sundram BS, Behen M, Lee ML, Moore GJ. Evidence of altered energy metabolism in autistic children. Prog Neuropsychopharmacol Biol Psychiatry. 1999 May;23(4):635-41. (Plasma lactate levels were measured in 15 autistic children compared to 15 children with epilepsy. Preliminary results show lower levels of n-acetyl acetic acid cerebellum in autistic children (p = 0.043). Lactate was detected in the frontal lobe in one autistic boy, but was not detected any of the other autistic subjects or siblings. 4. Plasma lactate levels were higher in the 15 autistic children compared to 15 children with epilepsy (p = 0.0003). 5. Higher plasma lactate in the autistic group is consistent with metabolic changes in some autistic children.  They admit that they simply don’t know what this means except the possibility that it may be due to a change in the metabolic factors and activity of perhaps mitochondria)

 

 


 

SCL25A12 gene

This is a very specific gene from chromosome 2.  The protein that it is involved with is the aspartate glutamate carrier express in the brain.  The problems with finding such a precise gene as this means that unless quite large numbers of cases are studied it is not all that likely that a certainly of statistical significance will be found.  What is needed is evidence that the carrier is important at this point.  It is important to involve this with potential mitochondrial changes.

 

Segurado R, Conroy J, Meally E, Fitzgerald M, Gill M, Gallagher L. Confirmation of association between autism and the mitochondrial aspartate/glutamate carrier SLC25A12 gene on chromosome 2q31.  Am J Psychiatry. 2005 Nov;162(11):2182-4  (this was not agreed by another group)…..

 

Rabionet R, McCauley JL, Jaworski JM, Ashley-Koch AE, Martin ER, Sutcliffe JS, Haines JL, DeLong GR, Abramson RK, Wright HH, Cuccaro ML, Gilbert JR, Pericak-Vance MA.  Lack of association between autism and SLC25A12. Am J Psychiatry. 2006 May;163(5):929-31. (so its not so clear!)

 

Ramoz N, Cai G, Reichert JG, Silverman JM, Buxbaum JD. An analysis of candidate autism loci on chromosome 2q24-q33: Evidence for association to the STK39 gene.  Am J Med Genet B Neuropsychiatr Genet. 2008 Mar 17.

 

Lepagnol-Bestel AM, Maussion G, Boda B, Cardona A, Iwayama Y, Delezoide AL, Moalic JM, Muller D, Dean B, Yoshikawa T, Gorwood P, Buxbaum JD, Ramoz N, Simonneau M. SLC25A12 expression is associated with neurite outgrowth and is upregulated in the prefrontal cortex of autistic subjects. Mol Psychiatry. 2008 Apr;13(4):385-97. Epub 2008 Jan 8.

 

Silverman JM, Buxbaum JD, Ramoz N, Schmeidler J, Reichenberg A, Hollander E, Angelo G, Smith CJ, Kryzak LA. Autism-related routines and rituals associated with a mitochondrial aspartate/glutamate carrier SLC25A12 polymorphism. Am J Med Genet B Neuropsychiatr Genet. 2008 Apr 5;147(3):408-10.

Hong CJ, Liou YJ, Liao DL, Hou SJ, Yen FC, Tsai SJ. Association study of polymorphisms in the mitochondrial aspartate/glutamate carrier SLC25A12 (aralar) gene with schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. 2007 Oct 1;31(7):1510-3. Epub 2007 Jul 17.

 

Correia C, Coutinho AM, Diogo L, Grazina M, Marques C, Miguel T, Ataíde A, Almeida J, Borges L, Oliveira C, Oliveira G, Vicente AM. Brief report: High frequency of biochemical markers for mitochondrial dysfunction in autism: no association with the mitochondrial aspartate/glutamate carrier SLC25A12 gene. J Autism Dev Disord. 2006 Nov;36(8):1137-40.

 

Rabionet R, McCauley JL, Jaworski JM, Ashley-Koch AE, Martin ER, Sutcliffe JS, Haines JL, DeLong GR, Abramson RK, Wright HH, Cuccaro ML, Gilbert JR, Pericak-Vance MA. Lack of association between autism and SLC25A12.

Am J Psychiatry. 2006 May;163(5):929-31.

Blasi F, Bacchelli E, Carone S, Toma C, Monaco AP, Bailey AJ, Maestrini E; International Molecular Genetic Study of Autism Consortium (IMGSAC). SLC25A12 and CMYA3 gene variants are not associated with autism in the IMGSAC multiplex family sample. Eur J Hum Genet. 2006 Jan;14(1):123-6.

Ramoz N, Reichert JG, Smith CJ, Silverman JM, Bespalova IN, Davis KL, Buxbaum JD. Linkage and association of the mitochondrial aspartate/glutamate carrier SLC25A12 gene with autism. Am J Psychiatry. 2004 Apr;161(4):662-9.

 

Lepagnol-Bestel AM, Maussion G, Boda B, Cardona A, Iwayama Y, Delezoide AL, Moalic JM, Muller D, Dean B, Yoshikawa T, Gorwood P, Buxbaum JD, Ramoz N, Simonneau M.  SLC25A12 expression is associated with neurite outgrowth and is upregulated in the prefrontal cortex of autistic subjects. Mol Psychiatry. 2008 Apr;13(4):385-97. Epub 2008 Jan 8.

Mitochondrial aspartate/glutamate carrier SLC25A12 gene is associated with autism. Turunen JA, Rehnström K, Kilpinen H, Kuokkanen M, Kempas E, Ylisaukko-Oja T. Autism Res. 2008 Jun;1(3):189-92.  They failed to find any evidence for this gene to be involved in a major group in Finland.

Functional analysis of a potassium-chloride co-transporter 3 (SLC12A6) promoter polymorphism leading to an additional DNA methylation site. Moser D, Ekawardhani S, Kumsta R, Palmason H, Bock C, Athanassiadou Z, Lesch KP, Meyer J. Neuropsychopharmacology. 2009 Jan;34(2):458-67.  (this may have nothing to do with it)

 

 


Joubert’s syndrome

Association of common variants in the Joubert syndrome gene (AHI1) with autism. Alvarez Retuerto AI, Cantor RM, Gleeson JG, Ustaszewska A, Schackwitz WS, Pennacchio LA, Geschwind DH. Hum Mol Genet. 2008 Dec 15;17(24):3887-96. Joubert syndrome (JS) is a rare recessively inherited disorder, with mutations reported at several loci including the gene Abelson's Helper Integration 1 (AHI1). A significant proportion of patients with JS, in some studies up to 40%, have been diagnosed with autism spectrum disorder (ASD) and several linkage studies in ASD have nominally implicated the region on 6q where AHI1 resides. To evaluate AHI1 in ASD, we performed a three-stage analysis of AHI1 as an a priori candidate gene for autism. Re-sequencing was first used to screen AHI1, followed by two subsequent association studies, one limited and one covering the gene more completely, in Autism Genetic Resource Exchange (AGRE) families. In stage 3, we found evidence of an associated haplotype in AHI1 with ASD after correction for multiple comparisons, in a region of the gene that had been previously associated with schizophrenia. These data suggest a role for AHI1 in common disorders affecting human cognition and behavior

 

 


 

Hyperlexia often part of Savant syndrome

An odd condition in which the child has a precocious ability to read words, far above what would be expected at their chronological age or an intense fascination with letters or numbers, significant difficulty in understanding verbal language and abnormal social skills, difficulty in socializing and interacting appropriately with people.   A proportion of them are autistic but no specific genetic background is understood currently.  It is probably not a single condition and some children with autism caused by some other factor might have hyperlexia as a result.  Similarly Savant syndrome is a person that shows remarkable islands of ability, generally musical talent amongst many other mental losses, often social aspects.  Again genetically it is difficult to point directly at specific genes that are involved although attempts have been made.

 

Newman TM, Macomber D, Naples AJ, Babitz T, Volkmar F, Grigorenko EL. Hyperlexia in children with autism spectrum disorders. J Autism Dev Disord. 2007 Apr;37(4):760-74.

 

 Turkeltaub PE, Flowers DL, Verbalis A, Miranda M, Gareau L, Eden GF. The neural basis of hyperlexic reading: an FMRI case study. Neuron. 2004 Jan 8;41(1):11-25.

 

Tirosh E, Canby J. Autism with hyperlexia: a distinct syndrome? Am J Ment Retard. 1993 Jul;98(1):84-92.

 

 


 

MecP2 Changes

Rett Syndrome, an X-linked dominant neurodevelopmental disorder characterized by regression, after the age of 1 or 2 years, of language and hand use, is primarily caused by mutations in methyl-CpG-binding protein 2 (MECP2). Loss of function mutations in MECP2 are also found in other neurodevelopmental disorders such as autism, Angelman-like syndrome and non-specific mental retardation. Furthermore, duplication of the MECP2 genomic region results in mental retardation with speech and social problems. The common features of human neurodevelopmental disorders caused by the loss or increase of MeCP2 function suggest that even modest alterations of MeCP2 protein levels result in neurodevelopmental problems.   One of the interesting and useful factors about this is that there is a mouse model of the gene changes (see below).   The MECP2 gene encodes the methyl-cytosine binding protein, almost entirely found as a problem in girls because it is was found as a homozygous problem in boys it would be fatal.   We are now seeing minor changes in the MecP2 genes giving rise to lesser symptomatic changes occasionally without the broader spectrum of the condition.   MeCP2 mutations in mice also appear to alter the regulation of excitation of nervous tissue through effecting the synapse.

Deletion of Mecp2 in Sim1-expressing neurons reveals a critical role for MeCP2 in feeding behavior, aggression, and the response to stress. Fyffe SL, Neul JL, Samaco RC, Chao HT, Ben-Shachar S, Moretti P, McGill BE, Goulding EH, Sullivan E, Tecott LH, Zoghbi HY. Neuron. 2008 Sep 25;59(6):947-58.

 

Mutations in the MECP2 gene are not a major cause of Rett syndrome-like or related neurodevelopmental phenotype in male patients.

Santos M, Temudo T, Kay T, Carrilho I, Medeira A, Cabral H, Gomes R, Lourenço MT, Venâncio M, Calado E, Moreira A, Oliveira G, Maciel P. J Child Neurol. 2009 Jan;24(1):49-55

 

Loat C, Curran S, Lewis C, Abrahams B, Duvall J, Geschwind D, Bolton P, Craig I. Methyl - CpG - binding protein (MECP2) polymorphisms and vulnerability to autism.  Genes Brain Behav. 2008 Jun 2.

 

MECP2 promoter methylation and X chromosome inactivation in autism. Nagarajan RP, Patzel KA, Martin M, Yasui DH, Swanberg SE, Hertz-Picciotto I, Hansen RL, Van de Water J, Pessah IN, Jiang R, Robinson WP, LaSalle JM. Autism Res. 2008 Jun;1(3):169-78.  This followed the discovery of increased MECP2 promoter methylation associated with decreased MeCP2 protein expression in autism male brain.  They looked to see if quite a wide range of genes in the X chromosome were methylated and found that this was not the case and that in the autistic patients it appeared to be relatively specific in its gene. 

Methyl-CpG-binding protein 2 polymorphisms and vulnerability to autism. Loat CS, Curran S, Lewis CM, Duvall J, Geschwind D, Bolton P, Craig IW. Genes Brain Behav. 2008 Oct;7(7):754-60 The methyl-binding protein gene, MECP2, is a candidate for involvement in autism through its implication as a major causative factor in Rett syndrome that has similarities to autism. Rare mutations in MECP2 have also been identified in autistic individuals. We have examined the possible broader involvement of MECP2 as a predisposing factor in the disorder. Analysis of polymorphic markers spanning the gene and comprising both microsatellites and single nucleotide polymorphisms (SNPs) by the transmission disequilibrium test in two collections of families (219 in total), one in the USA and one in the UK, has provided evidence for significant association (P = 0.009) for a three-marker SNP haplotype of MECP2 with autism/autism spectrum disorders. This association is supported by association of both Single Sequence Repeat (SSR) and SNP single markers located at the 3' end of the MECP2 locus and flanking sequence, the most significant being that of an indel marker located in intron 2 (P = 0.001 - Bonferroni corrected P = 0.006).

Reciprocal co-regulation of EGR2 and MECP2 is disrupted in Rett syndrome and autism. Swanberg SE, Nagarajan RP, Peddada S, Yasui DH, LaSalle JM. Hum Mol Genet. 2009 Feb 1;18(3):525-34.  Reduction in EGR2 and MeCP2 levels in cultured human neuroblastoma cells by RNA interference reciprocally reduced expression of both EGR2 and MECP2 and their protein products. Consistent with a role of MeCP2 in enhancing EGR2, Mecp2-deficient mouse cortex samples showed significantly reduced EGR2 by quantitative immunofluorescence. Furthermore, MeCP2 and EGR2 show coordinately increased levels during postnatal development of both mouse and human cortex.  In contrast to age-matched Controls, RTT and autism postmortem cortex samples showed significant reduction in EGR2. Together, these data support a role of dysregulation of an activity-dependent EGR2/MeCP2 pathway in RTT and autism.

A partial loss of function allele of methyl-CpG-binding protein 2 predicts a human neurodevelopmental syndrome. Samaco RC, Fryer JD, Ren J, Fyffe S, Chao HT, Sun Y, Greer JJ, Zoghbi HY, Neul JL. Hum Mol Genet. 2008 Jun 15;17(12):1718-27.  They tried making even slight changes in the gene and found that it could make quite a major change in the neurogeneration in the mouse model. 

Novel exon 1 mutations in MECP2 implicate isoform MeCP2_e1 in classical Rett syndrome.

Saunders CJ, Minassian BE, Chow EW, Zhao W, Vincent JB.  Am J Med Genet A. 2009 May;149A(5):1019-23.

MECP2 promoter methylation and X chromosome inactivation in autism.  Nagarajan RP, Patzel KA, Martin M, Yasui DH, Swanberg SE, Hertz-Picciotto I, Hansen RL, Van de Water J, Pessah IN, Jiang R, Robinson WP, LaSalle JM.  Autism Res. 2008 Jun;1(3):169-78.



Creatine Transporter Protein Deficiency

Creatine transporter deficiency: prevalence among patients with mental retardation and pitfalls in metabolite screening. Arias A, Corbella M, Fons C, Sempere A, García-Villoria J, Ormazabal A, Poo P, Pineda M, Vilaseca MA, Campistol J, Briones P, Pàmpols T, Salomons GS, Ribes A, Artuch R. Clin Biochem. 2007 Nov;40(16-17):1328-31. (but the testing for it cannot be simply by creatinine/urea ratios).

X-linked creatine transporter defect: an overview. Salomons GS, van Dooren SJ, Verhoeven NM, Marsden D, Schwartz C, Cecil KM, DeGrauw TJ, Jakobs C. J Inherit Metab Dis. 2003;26(2-3):309-18.

Cerebral creatine transporter deficiency: an infradiagnosed neurometabolic disease] Campistol J, Arias-Dimas A, Poo P, Pineda M, Hoffman M, Vilaseca MA, Artuch R, Ribes A. Rev Neurol. 2007 Mar 16-31;44(6):343-7.

 

Newmeyer A, deGrauw T, Clark J, Chuck G, Salomons G. Screening of male patients with autism spectrum disorder for creatine transporter deficiency. Neuropediatrics. 2007 Dec;38(6):310-2.

1H MR spectroscopy as a diagnostic tool for cerebral creatine deficiency.

Dezortova M, Jiru F, Petrasek J, Malinova V, Zeman J, Jirsa M, Hajek M.  MAGMA. 2008 Sep;21(5):327-32.  Total creatine (tCr) constitutes one of the most prominent signals in human brain MR spectra. A significant decrease in the tCr signal indicates a severe disorder of creatine metabolism. We describe the potential of 1H MR spectroscopy in differential diagnosis of creatine transporter (SLC6A8) deficiency syndrome.  Metabolic images of N-acetylaspartate, tCr and choline concentrations showed a very low tCr signal in the male, which was approximately three times lower than in his sister (male/female/controls: tCr=1.6/4.6/7.5 mM). Despite creatine supplementation, no improvement in clinical status and tCr concentration in the MR spectra of the male was observed and diagnosis of SLC6A8 deficiency was proposed. Sequence analysis of the SLC6A8 gene revealed a novel pathogenic frameshift mutation c.219delC; p.Asn74ThrfsX23, hemizygous in the male and heterozygous in the female. CONCLUSIONS: The diagnosis of X-linked mental retardation caused by the SLC6A8 deficiency can be independently established by 1H MR spectroscopy.

 

 


rs4519482

 

The DLX1and DLX2 genes and susceptibility to autism spectrum disorders. Liu X, Novosedlik N, Wang A, Hudson ML, Cohen IL, Chudley AE, Forster-Gibson CJ, Lewis SM, Holden JJ. Eur J Hum Genet. 2009 Feb;17(2):228-35.  The DLX genes encode homeodomain-containing transcription factors controlling the generation of GABAergic cortical interneurons. The DLX1 and DLX2 genes lie head-to-head in 2q32, a region associated with autism susceptibility.   Further testing in 306 SPX families replicated the association at rs4519482 (P=0.033) and the over transmission of the haplotype GGGTG (P=0.012) although P-values were not significant after correction for multiple testing. The findings support the presence of two functional polymorphisms, one in or near each of the DLX genes that increase susceptibility to, or cause, autism in MPX families where there is a greater genetic component for these conditions.

 


 

SHANK3

SHANK3 (SH3 and multiple ankyrin repeat domains protein) gene encodes a master synaptic scaffolding protein at postsynaptic density (PSD) of excitatory synapse.  This encodes a a cytoplasmic binding partner of the neuroligins was also identified  to be resulting from a chromosomal deletion.  It was identified as being possibly involved in autism through a chromosomal deletion.

Novel de novo SHANK3 mutation in autistic patients. Gauthier J, Spiegelman D, Piton A, Lafrenière RG, Laurent S, St-Onge J, Lapointe L, Hamdan FF, Cossette P, Mottron L, Fombonne E, Joober R, Marineau C, Drapeau P, Rouleau GA. Am J Med Genet B Neuropsychiatr Genet. 2009 Apr 5;150B(3):421-4.  More recently de novo mutations in the SHANK3 gene, a synaptic scaffolding protein, have been associated with the ASD phenotype. As part of our gene discovery strategy, we sequenced the SHANK3 gene in a cohort of 427 ASD subjects and 190 controls. Here, we report the identification of two putative causative mutations: one being a de novo deletion at an intronic donor splice site and one missense transmitted from an epileptic father.

Association study of SHANK3 gene polymorphisms with autism in Chinese Han population. Qin J, Jia M, Wang L, Lu T, Ruan Y, Liu J, Guo Y, Zhang J, Yang X, Yue W, Zhang D. BMC Med Genet. 2009 Jun 30;10(1):61.  They did NOT find any association with the Han population.

Copy number variation and association analysis of SHANK3 as a candidate gene for autism in the IMGSAC collection. Sykes NH, Toma C, Wilson N, Volpi EV, Sousa I, Pagnamenta AT, Tancredi R, Battaglia A, Maestrini E, Bailey AJ, Monaco AP. Eur J Hum Genet. 2009 Apr 22

Novel de novo SHANK3 mutation in autistic patients. Gauthier J, Spiegelman D, Piton A, Lafrenière RG, Laurent S, St-Onge J, Lapointe L, Hamdan FF, Cossette P, Mottron L, Fombonne E, Joober R, Marineau C, Drapeau P, Rouleau GA. Am J Med Genet B Neuropsychiatr Genet. 2009 Apr 5;150B(3):421-4.

 

Contribution of SHANK3 mutations to autism spectrum disorder. Moessner R, Marshall CR, Sutcliffe JS, Skaug J, Pinto D, Vincent J, Zwaigenbaum L, Fernandez B, Roberts W, Szatmari P, Scherer SW. Am J Hum Genet. 2007 Dec;81(6):1289-97.  To assess the quantitative contribution of SHANK3 to the pathogenesis of autism, we determined the frequency of DNA sequence and copy-number variants in this gene in 400 ASD-affected subjects ascertained in Canada. One de novo mutation and two gene deletions were discovered, indicating a contribution of 0.75% in this cohort

Mutations in the gene encoding the synaptic scaffolding protein SHANK3 are associated with autism spectrum disorders.Durand CM, Betancur C, Boeckers TM, Bockmann J, Chaste P, Fauchereau F, Nygren G, Rastam M, Gillberg IC, Anckarsäter H, Sponheim E, Goubran-Botros H, Delorme R, Chabane N, Mouren-Simeoni MC, de Mas P, Bieth E, Rogé B, Héron D, Burglen L, Gillberg C, Leboyer M, Bourgeron T. Nat Genet. 2007 Jan;39(1):25-7.

 


 

22q11

This gene is associated with velo-cardiofacial syndromes are seen in about 1% of of autistic syndromes but are generally found with other features such as cleft palate and congenital heart disease.   It is now often found without a typical broad spectrum of disease when minor changes in the gene rather than its deletion are found.  The 22q13.3 deletion syndrome is a recognizable malformation syndrome associated with developmental delay, hypotonia, delayed or absent speech, autistic-like behavior, normal to accelerated growth and dysmorphic facies. The prevalence of this disorder is unknown, but it is likely under-diagnosed. Age at diagnosis has varied widely, from cases diagnosed prenatally to 46 years. Males and females are equally affected.

Over-expression of a human chromosome 22q11.2 segment including TXNRD2, COMT, and ARVCF developmentally affects incentive learning and working memory in mice. Suzuki G, Harper KM, Hiramoto T, Funke B, Lee M, Kang G, Buell M, Geyer MA, Kucherlapati R, Morrow B, Männistö PT, Agatsuma S, Hiroi N. Hum Mol Genet. 2009

Performance on the Modified Card Sorting Test and its relation to psychopathology in adolescents and young adults with 22q11.2 deletion syndrome. Rockers K, Ousley O, Sutton T, Schoenberg E, Coleman K, Walker E, Cubells JF. J Intellect Disabil Res. 2009 Jul;53(7):665-76.

Autism, ADHD, mental retardation and behavior problems in 100 individuals with 22q11 deletion syndrome. Niklasson L, Rasmussen P, Oskarsdóttir S, Gillberg C. Res Dev Disabil. 2009 Jul-Aug;30(4):763-73.

Microduplication 22q11.2 in a child with autism spectrum disorder: clinical and genetic study. Ramelli GP, Silacci C, Ferrarini A, Cattaneo C, Visconti P, Pescia G. Dev Med Child Neurol. 2008 Dec;50(12):953-5.

22q11.2 deletion syndrome: behaviour problems of children and adolescents and parental stress. Briegel W, Schneider M, Schwab KO. Child Care Health Dev. 2008 Nov;34(6):795-800.

Comparing phenotypes in patients with idiopathic autism to patients with velocardiofacial syndrome (22q11 DS) with and without autism. Kates WR, Antshel KM, Fremont WP, Shprintzen RJ, Strunge LA, Burnette CP, Higgins AM. Am J Med Genet A. 2007 Nov 15;143A(22):2642-50.

22q13.3 deletion syndrome: a recognizable malformation syndrome associated with marked speech and language delay. Cusmano-Ozog K, Manning MA, Hoyme HE. Am J Med Genet C Semin Med Genet. 2007 Nov 15;145C(4):393-8. Review

The 22q11.2 deletion in children: high rate of autistic disorders and early onset of psychotic symptoms. Vorstman JA, Morcus ME, Duijff SN, Klaassen PW, Heineman-de Boer JA, Beemer FA, Swaab H, Kahn RS, van Engeland H. J Am Acad Child Adolesc Psychiatry. 2006 Sep;45(9):1104-13. 

Deletion 22q13.3 syndrome. Phelan MC. Orphanet J Rare Dis. 2008 May 27;3:14.



CNTNAP2 and Contactin

The CNTNAP2 is the gene that encodes for the contactin protein-2, which is a member ofte neurexin superfamily).  Changes in them are associated in the presence of autism in the case but not frequently.   Mutations in the gene which can affect the neuronal synapse, tend nt to be highly specific for autism but rather cause a broader mental retardation phenotype in some patients and pure autism in others.

Disruption of CNTNAP2 and additional structural genome changes in a boy with speech delay and autism spectrum disorder. Poot M, Beyer V, Schwaab I, Damatova N, Van't Slot R, Prothero J, Holder SE, Haaf T. Neurogenetics. 2009 Jul 7

A functional genetic link between distinct developmental language disorders. Vernes SC, Newbury DF, Abrahams BS, Winchester L, Nicod J, Groszer M, Alarcón M, Oliver PL, Davies KE, Geschwind DH, Monaco AP, Fisher SE. N Engl J Med. 2008 Nov 27;359(22):2337-45.

Molecular cytogenetic analysis and resequencing of contactin associated protein-like 2 in autism spectrum disorders. Bakkaloglu B, O'Roak BJ, Louvi A, Gupta AR, Abelson JF, Morgan TM, Chawarska K, Klin A, Ercan-Sencicek AG, Stillman AA, Tanriover G, Abrahams BS, Duvall JA, Robbins EM, Geschwind DH, Biederer T, Gunel M, Lifton RP, State MW. Am J Hum Genet. 2008 Jan;82(1):165-73.

A common genetic variant in the neurexin superfamily member CNTNAP2 increases familial risk of autism. Arking DE, Cutler DJ, Brune CW, Teslovich TM, West K, Ikeda M, Rea A, Guy M, Lin S, Cook EH, Chakravarti A. Am J Hum Genet. 2008 Jan;82(1):160-4.

Linkage, association, and gene-expression analyses identify CNTNAP2 as an autism-susceptibility gene. Alarcón M, Abrahams BS, Stone JL, Duvall JA, Perederiy JV, Bomar JM, Sebat J, Wigler M, Martin CL, Ledbetter DH, Nelson SF, Cantor RM, Geschwind DH. Am J Hum Genet. 2008 Jan;82(1):150-9.

 

Bucan M, Abrahams BS, Wang K, Glessner JT, Herman EI, Sonnenblick LI, Alvarez Retuerto AI, Imielinski M, Hadley D, Bradfield JP, Kim C, Gidaya NB, Lindquist I, Hutman T, Sigman M, Kustanovich V, Lajonchere CM, Singleton A, Kim J, Wassink TH, McMahon WM, Owley T, Sweeney JA, Coon H, Nurnberger JI, Li M, Cantor RM, Minshew NJ, Sutcliffe JS, Cook EH, Dawson G, Buxbaum JD, Grant SF, Schellenberg GD, Geschwind DH, Hakonarson H. Genome-wide analyses of exonic copy number variants in a family-based study point to novel autism susceptibility genes.  PLoS Genet. 2009 Jun;5(6):e1000536. Epub 2009 Jun 26.   They tried exceptionally hard to find specific genes.   To pinpoint genes likely to contribute to ASD etiology, we performed high density genotyping in 912 multiplex families from the Autism Genetics Resource Exchange (AGRE) collection and contrasted results to those obtained for 1,488 healthy controls. Through prioritization of exonic deletions (eDels), exonic duplications (eDups), and whole gene duplication events (gDups), we identified more than 150 loci harboring rare variants in multiple unrelated probands, but no controls.  Rare variants at known loci, including exonic deletions at NRXN1 and whole gene duplications encompassing UBE3A and several other genes in the 15q11-q13 region, were observed in the course of these analyses.  Strong support was likewise observed for previously unreported genes such as BZRAP1, an adaptor molecule known to regulate synaptic transmission, with eDels or eDups observed in twelve unrelated cases but no controls (p = 2.3x10(-5)). Less is known about MDGA2, likewise observed to be case-specific (p = 1.3x10(-4)). But, it is notable that the encoded protein shows an unexpectedly high similarity to Contactin 4 (BLAST E-value = 3x10(-39)), which has also been linked to disease.  What they found was a few things that had been considered already, some that did not appear to have been noticed and a lot of very rare genetic changes that were not present in more than one case.   Their lack of controls would need to be taken into account but this does appear to be useful.

Disruption of contactin 4 in three subjects with autism spectrum disorder. Roohi J, Montagna C, Tegay DH, Palmer LE, DeVincent C, Pomeroy JC, Christian SL, Nowak N, Hatchwell E. J Med Genet. 2009 Mar;46(3):176-82.  Array based comparative genomic hybridisation identified a paternally inherited chromosome 3 copy number variation (CNV) in three SUBJECTS: a deletion in two siblings and a duplication in a third, unrelated individual. These variations were fluorescence in situ hybridisation (FISH) validated and the end points further delineated using a custom fine tiling oligonucleotide array. CNTN4 plays an essential role in the formation, maintenance, and plasticity of neuronal networks. Disruption of this gene is known to cause developmental delay and mental retardation. This report suggests that mutations affecting CNTN4 function may be relevant to ASD pathogenesis.

 

 


 

Multiple deletions and duplications of genes found in autistic patients

This has been found basically because of the new systems that have become available since around 2005.  As such you may need to look up individual changes seen that are not particularly common as the researchers have found strange findings in their specific group that have not been reported prior to them.  However some have been found to be relatively often (e.g. the 15q changes).  Up to 7-10% of the autistic cases were found to have the deletions or duplications in excess of the control population.

Strong association of de novo copy number mutations with autism. Sebat J, Lakshmi B, Malhotra D, Troge J, Lese-Martin C, Walsh T, Yamrom B, Yoon S, Krasnitz A, Kendall J, Leotta A, Pai D, Zhang R, Lee YH, Hicks J, Spence SJ, Lee AT, Puura K, Lehtimäki T, Ledbetter D, Gregersen PK, Bregman J, Sutcliffe JS, Jobanputra V, Chung W, Warburton D, King MC, Skuse D, Geschwind DH, Gilliam TC, Ye K, Wigler M. Science. 2007 Apr 20;316(5823):445-9.

Identifying autism loci and genes by tracing recent shared ancestry. Morrow EM, Yoo SY, Flavell SW, Kim TK, Lin Y, Hill RS, Mukaddes NM, Balkhy S, Gascon G, Hashmi A, Al-Saad S, Ware J, Joseph RM, Greenblatt R, Gleason D, Ertelt JA, Apse KA, Bodell A, Partlow JN, Barry B, Yao H, Markianos K, Ferland RJ, Greenberg ME, Walsh CA. Science. 2008 Jul 11;321(5886):218-23.

Association and mutation analyses of 16p11.2 autism candidate genes. Kumar RA, Marshall CR, Badner JA, Babatz TD, Mukamel Z, Aldinger KA, Sudi J, Brune CW, Goh G, Karamohamed S, Sutcliffe JS, Cook EH, Geschwind DH, Dobyns WB, Scherer SW, Christian SL. PLoS One. 2009;4(2):e4582. They go through a number of possibilities and show that there is quite a lot that are deleted or duplicated in these patients.

Disruption of neurexin 1 associated with autism spectrum disorder. Kim HG, Kishikawa S, Higgins AW, Seong IS, Donovan DJ, Shen Y, Lally E, Weiss LA, Najm J, Kutsche K, Descartes M, Holt L, Braddock S, Troxell R, Kaplan L, Volkmar F, Klin A, Tsatsanis K, Harris DJ, Noens I, Pauls DL, Daly MJ, MacDonald ME, Morton CC, Quade BJ, Gusella JF. Am J Hum Genet. 2008 Jan;82(1):199-207.  Their findings were in humans and also that there were other changes near to the genetic changes.

 

 

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Kleine-Levin syndrome

 

Mukaddes NM, Fateh R, Kilincaslan A. Kleine-Levin syndrome in two subjects with diagnosis of autistic disorder. World J Biol Psychiatry. 2008 Feb 6:1-4.

 

 

 

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Familial Clustering

This is the finding that there is an excess number of cases of autism in specific families and is used to show that there is a tendency to either a genetic cause or a genetic factor that is involved.

 

Comi AM, Zimmerman AW, Frye VH, Law PA, Peeden JN. Familial clustering of autoimmune disorders and evaluation of medical risk factors in autism. J Child Neurol. 1999 Jun;14(6):388-94.  (this article is mainly about the autoimmune excess in the familial group but goes over the familial clusters seen)

 

Molloy CA, Morrow AL, Meinzen-Derr J, Dawson G, Bernier R, Dunn M, Hyman SL, McMahon WM, Goudie-Nice J, Hepburn S, Minshew N, Rogers S, Sigman M, Spence MA, Tager-Flusberg H, Volkmar FR, Lord C. Familial autoimmune thyroid disease as a risk factor for regression in children with Autism Spectrum Disorder: a CPEA Study. J Autism Dev Disord. 2006 Apr;36(3):317-24. The only specific autoimmune disorder found to be associated with regression was autoimmune thyroid disease (adjusted OR=2.09; 95% CI: 1.28, 3.41).

 

Yoo HJ, Cho IH, Park M, Cho E, Cho SC, Kim BN, Kim JW, Kim SA. Association between PTGS2 polymorphism and autism spectrum disorders in Korean trios.  Neurosci Res. 2008 Jun 5.  Cyclooxygenase-2 (Cox-2) is an inducible enzyme involved in neuroplasticity and the neuropathology of the central nervous system.  Polymorphisms of PTGS2 (the gene encoding Cox-2) with 151 Korean family trios including children with ASDs.  Specific symptom domain scores of ADOS and ADI-R, including communication, qualitative abnormalities in reciprocal social interaction, and overactivity/agitation.   Also see:  Kim HW, Cho SC, Kim JW, Cho IH, Kim SA, Park M, Cho EJ, Yoo HJ.  Family-based association study between NOS-I and -IIA polymorphisms and autism spectrum disorders in Korean trios. Am J Med Genet B Neuropsychiatr Genet. 2008 Jun 18. (much of the same authors on this group).

 

Didden R, Sigafoos J, Green VA, Korzilius H, Mouws C, Lancioni GE, O'Reilly MF, Curfs LM. Behavioural flexibility in individuals with Angelman syndrome, Down syndrome, non-specific intellectual disability and Autism spectrum disorder. J Intellect Disabil Res. 2008 Jun;52(Pt 6):503-9. Epub 2007 Apr 2.

Late-onset Lennox-Gastaut syndrome in a patient with 15q11.2-q13.1 duplication. Orrico A, Zollino M, Galli L, Buoni S, Marangi G, Sorrentino V. Am J Med Genet A. 2009 May;149A(5):1033-5.  This simply contained an autistic patient and was found to have the microduplication. 

 

 

 


 

Genetics that are NOT associated with autism syndromes

Always a problem is that the authors have put large amounts of work into a subject and to find that their chosen gene has nothing to do with it must be difficult for them.  As a result there is a tendency to give titles to the article that tends to make you think that there is a connection….but when you read it you find that they found nothing.

 

Anderson BM, Schnetz-Boutaud N, Bartlett J, Wright HH, Abramson RK, Cuccaro ML, Gilbert JR, Pericak-Vance MA, Haines JL. Examination of association to autism of common genetic variation in genes related to dopamine.   Autism Res. 2008 Dec;1(6):364-9.   In fact no association between the dopamine pathway genetics and autism was found.

 

Qin J, Jia M, Wang L, Lu T, Ruan Y, Liu J, Guo Y, Zhang J, Yang X, Yue W, Zhang D  Association study of SHANK3 gene polymorphisms with autism in Chinese Han population. BMC Med Genet. 2009 Jun 30;10(1):61.  SHANK3 (SH3 and multiple ankyrin repeat domains protein) gene encodes a master synaptic scaffolding protein at postsynaptic density (PSD) of excitatory synapse. Rare mutations and copy number variation (CNV) evidence suggested SHANK3 as a strong candidate gene for the pathogenesis of autism.  However, they found that in the Han population in China no significant evidence between any SNPs of SHANK3 and autism was observed.

Examination of association to autism of common genetic variationin genes related to dopamine. Anderson BM, Schnetz-Boutaud N, Bartlett J, Wright HH, Abramson RK, Cuccaro ML, Gilbert JR, Pericak-Vance MA, Haines JL. Autism Res. 2008 Dec;1(6):364-9.  although widespread searches for genes associated to autism have taken place and suggested the dopamine pathway they failed to find any specific gene abnormalities that were involved.

The screening of SLC6A8 deficiency among Estonian families with X-linked mental retardation.Puusepp H, Kall K, Salomons GS, Talvik I, Männamaa M, Rein R, Jakobs C, Ounap K.  J Inherit Metab Dis. 2009 Jan 10.  It seemed to be much more associated with a simple family phenomenon.  Results indicated positive associations with ASD for D6S265*220 (p < 0.01) and MOGc*131 (p < 0.05) and negative associations for MOGc*117 and MIB*346 alleles (p < 0.01) in ASD children. Polymorphism haplotype analysis indicated that D6S265 allele *220 and MOGc allele *131 were significantly more likely to be transmitted together, as a whole haplotype, to ASD children (p < 0.05). Conversely, the D6S265*224-MOGc*117-rs2857766(G) haplotype was significantly less frequently transmitted to ASD children (p < 0.01). The results present novel gene markers, reinforcing the hypothesis that genetic factors play a pivotal role in the pathogenesis of ASD.   The problem with all this is that researchers can carry out so many tests that simply by luck there is a chance that many of the ASD patients will be positive and the normal controls will be negative.  In general this type of study must be repeated.

Genetic correlation between autistic traits and IQ in a population-based sample of twins with autism spectrum disorders (ASDs). Nishiyama T, Taniai H, Miyachi T, Ozaki K, Tomita M, Sumi S. J Hum Genet. 2009;54(1):56-61.   They did not find significant population based correlation but it would be extremely difficult to carry this out.

Genetic calcium signaling abnormalities in the central nervous system: seizures, migraine, and autism. Gargus JJ. Ann N Y Acad Sci. 2009 Jan;1151:133-56

Lack of evidence to support the glyoxalase 1 gene (GLO1) as a risk gene of autism in Han Chinese patients from Taiwan. Wu YY, Chien WH, Huang YS, Gau SS, Chen CH. Prog Neuropsychopharmacol Biol Psychiatry. 2008 Oct 1;32(7):1740-4. Epub 2008 Aug 5.

 

 


 

Animal Models

Unfortunately many models simply have turned out by accident and are picked simply because the owner thinks that they remind him of the ASD cases.  This is a poor way to go about it but there appears to be little else possible.  In other aspects of genetics for neurological illness there have been animal models that have created major gains, however. 

 

Halladay AK, Amaral D, Aschner M, Bolivar VJ, Bowman A, Dicicco-Bloom E, Hyman SL, Keller F, Lein P, Pessah I, Restifo L, Threadgill DWAnimal models of autism spectrum disorders: Information for neurotoxicologists.  Neurotoxicology. 2009 Jul 9

Recent findings derived from large-scale datasets and biobanks link multiple genes to autism spectrum disorders. Consequently, novel rodent mutants with deletions, truncations and in some cases, overexpression of these candidate genes have been developed and studied both behaviorally and biologically.  What came out from this meeting was that the researchers said that they would do their best to look for useful models with multiple genetic sites that had been modified (including drosophila!).

A triplet repeat expansion genetic mouse model of infantile spasms syndrome, Arx(GCG)10+7, with Interneuronopathy, spasms in infancy, persistent seizures, and adult cognitive and behavioral impairment..  Price MG, Yoo JW, Burgess DL, Deng F, Hrachovy RA, Frost JD Jr, Noebels JL  J Neurosci. 2009 Jul 8;29(27):8752-63.  

Abnormal behavior in a chromosome-engineered mouse model for human 15q11-13 duplication seen in autism.   Nakatani J, Tamada K, Hatanaka F, Ise S, Ohta H, Inoue K, Tomonaga S, Watanabe Y, Chung YJ, Banerjee R, Iwamoto K, Kato T, Okazawa M, Yamauchi K, Tanda K, Takao K, Miyakawa T, Bradley A, Takumi T. . Cell. 2009 Jun 26;137(7):1235-46.  They admitted that there may be the association between the genetics as found in a population of ASD cases and there fore tried to make the equivalent in mice.  The problem is simply that it is difficult to demonstrate success!

Neuronal glucose transporter isoform 3 deficient mice demonstrate features of autism spectrum disorders.  Zhao Y, Fung C, Shin D, Shin BC, Thamotharan S, Sankar R, Ehninger D, Silva A, Devaskar SU.  Mol Psychiatry. 2009 Jun 9.

Social approach in genetically engineered mouse lines relevant to autism. Moy SS, Nadler JJ, Young NB, Nonneman RJ, Grossman AW, Murphy DL, D'Ercole AJ, Crawley JN, Magnuson TR, Lauder JM. Genes Brain Behav. 2009 Mar;8(2):129-42.

Gene-environment interaction during early development in the heterozygous reeler mouse: clues for modelling of major neurobehavioral syndromes. Laviola G, Ognibene E, Romano E, Adriani W, Keller F. Neurosci Biobehav Rev. 2009 Apr;33(4):560-72.  This is actually quite important in that it is quite clear that the formation of autism seems to involve an environmental factor as well as genetic ones.  Also there is data concerning how the mother and her hormones appear to make a difference. Among candidate molecules, reelin (RELN) is a protein of the extracellular matrix playing a key role in brain development and synaptic plasticity. The heterozygous (HZ) reeler mouse provides a model for studying the role of reelin deficiency for the onset of these syndromes.

 

Mild cognitive deficits associated to neocortical microgyria in mice with genetic deletion of cellular prion protein. Xikota JC, Rial D, Ruthes D, Pereira R, Figueiredo CP, Prediger RD, Walz R. Brain Res. 2008 Nov 19;1241:148-56.   This would have been found out when the null PrP mice would have been created.  Initially they did not think that the PrP null mice seemed to loose anything but this may be involved.

Animal models of psychiatric disease. Flint J, Shifman S. Curr Opin Genet Dev. 2008 Jun;18(3):235-40.  Despite the difficulties inherent in modelling human psychiatric phenotypes in animals, there has been recent success identifying mutations in mice that give rise to some of the characteristic features of anxiety, depression, schizophrenia, autism, obsessive-compulsive disorder and bipolar disorder.  This is a review but it basically shows that the mouse models so far for autism have not been adequate.

The role of cerebellar genes in pathology of autism and schizophrenia. Fatemi SH, Reutiman TJ, Folsom TD, Sidwell RW. Cerebellum. 2008;7(3):279-94.  Schizophrenia and autism are neurodevelopmental diseases that have genetic as well as environmental etiologies. Both disorders have been associated with prenatal viral infection. Brain imaging and postmortem studies have found alterations in the structure of the cerebellum as well as changes in gene expression. Our laboratory has developed an animal model using prenatal infection of mice with human influenza virus.  They describe altered expression of cerebellar genes associated with development of brain disorder in a mouse model for schizophrenia and autism

The loss of methyl-CpG binding protein 1 leads to autism-like behavioral deficits. Allan AM, Liang X, Luo Y, Pak C, Li X, Szulwach KE, Chen D, Jin P, Zhao X. Hum Mol Genet. 2008 Jul 1;17(13):2047-57.  Methyl-CpG binding proteins (MBDs) are central components of DNA methylation-mediated epigenetic gene regulation. Alterations of epigenetic pathways are known to be associated with several neurodevelopmental disorders, particularly autism.  Here we show that Mbd1 mutant (Mbd1(-/-)) mice exhibit several core deficits frequently associated with autism, including reduced social interaction, learning deficits, anxiety, defective sensory motor gating, depression and abnormal brain serotonin activity. Furthermore, we find that Mbd1 can directly regulate the expression of Htr2c, one of the serotonin receptors, by binding to its promoter, and the loss of Mbd1 led to elevated expression of Htr2c.

Transcription factor MEF2C influences neural stem/progenitor cell differentiation and maturation in vivo. Li H, Radford JC, Ragusa MJ, Shea KL, McKercher SR, Zaremba JD, Soussou W, Nie Z, Kang YJ, Nakanishi N, Okamoto S, Roberts AJ, Schwarz JJ, Lipton SA. Proc Natl Acad Sci U S A. 2008 Jul 8;105(27):9397-402. MEF is known to regulate two genes implicated in the whole geneome study of autism pedigrees namely PCDH10 (protocadherin10 another neuronal ell adhesion protein) and DIA1 (deleted in autism, also known as c3orf58).  By removing it there was an autistic effect.

The loss of methyl-CpG binding protein 1 leads to autism-like behavioral deficits. Allan AM, Liang X, Luo Y, Pak C, Li X, Szulwach KE, Chen D, Jin P, Zhao X. Hum Mol Genet. 2008 Jul 1;17(13):2047-57.  They created genetically modified mice and changes in the CpG methyl modification genes.  They then looked for changes in various factors that might be good indicators of autism in terms of reliable chemistry. E.g. serotonin

Observation of fetal brain in a rat valproate-induced autism model: a developmental neurotoxicity study. Kuwagata M, Ogawa T, Shioda S, Nagata T. Int J Dev Neurosci. 2009 Jun;27(4):399-405.  Rats were treated with sodium valproate (VPA, 800 mg/kg) orally on gestational day (GD) 9 or 11 (VPA9 or VPA11), and the fetal brains were examined on GD16 using immunohistochemistry for serotonin (5-HT), tyrosine hydroxylase (TH), and TuJ1 (neuron specific class III beta-tubulin). Hypoplasia of the cortical plate was induced in both VPA9 and VPA11 groups. Abnormal migration of TH-positive and 5-HT neurons, possibly due to the appearance of an abnormally running nerve tract in the pons, was observed only in the VPA11 group. The present results demonstrate that examination of the GD16 fetal brain was useful for detecting and characterizing abnormal development of the brain after VPA exposure.

Interstimulus interval (ISI) discrimination of the conditioned eyeblink response in a rodent model of autism.  Murawski NJ, Brown KL, Stanton ME. Behav Brain Res. 2009 Jan 23;196(2):297-303. Rats exposed to valproic acid (VPA) on gestational day 12 (GD12) have been advanced as a rodent model of autism [Arndt TL, Stodgell, Rodier PM. The teratology of autism. Int J Dev Neurosci 2005;23: 189-99.]. These rats show cerebellar anomalies and alterations in eyeblink conditioning that are associated with autism. Autistic humans and VPA-exposed rats show normal responses to conditioned and unconditioned stimuli, but they show marked differences from comparison groups in acquisition, magnitude, and timing of the conditioned response (CR).   They have tried using this to show an effect of valproate in various manners. 

Social approach in genetically engineered mouse lines relevant to autism. Moy SS, Nadler JJ, Young NB, Nonneman RJ, Grossman AW, Murphy DL, D'Ercole AJ, Crawley JN, Magnuson TR, Lauder JM. Genes Brain Behav. 2009 Mar;8(2):129-42.  Deficits can include a lack of interest in social contact and low levels of approach and proximity to other children. In this study, a three-chambered choice task was used to evaluate sociability and social novelty preference in five lines of mice with mutations in genes implicated in autism spectrum disorders. Fmr1(tm1Cgr/Y)(Fmr1(-/y)) mice represent a model for fragile X, a mental retardation syndrome that is partially comorbid with autism. We tested Fmr1(-/y)mice on two genetic backgrounds, C57BL/6J and FVB/N-129/OlaHsd (FVB/129). Overall, results show that loss of Fmr1 or Slc6a4 gene function can lead to deficits in sociability. Findings from the fragile X model suggest that the FVB/129 background confers enhanced susceptibility to consequences of Fmr1 mutation on social approach.

Maternal infection leads to abnormal gene regulation and brain atrophy in mouse offspring: implications for genesis of neurodevelopmental disorders. Fatemi SH, Reutiman TJ, Folsom TD, Huang H, Oishi K, Mori S, Smee DF, Pearce DA, Winter C, Sohr R, Juckel G.  Schizophr Res. 2008 Feb;99(1-3):56-70.

A proposed primate animal model of autism. Teitelbaum P.  Eur Child Adolesc Psychiatry. 2003 Jan;12(1):48-9.  this used primates given thalidomide but after the point at which they would have shown alteration in their limbs.  Increased monoamine concentration in the brain and blood of fetal thalidomide- and valproic acid-exposed rat: putative animal models for autism.  Narita N, Kato M, Tazoe M, Miyazaki K, Narita M, Okado N. Pediatr Res. 2002 Oct;52(4):576-9.

Linking etiologies in humans and animal models: studies of autism. Rodier PM, Ingram JL, Tisdale B, Croog VJ. Reprod Toxicol. 1997 Mar-Jun;11(2-3):417-22. (a review)

Activation of the maternal immune system alters cerebellar development in the offspring. Shi L, Smith SE, Malkova N, Tse D, Su Y, Patterson PH. Brain Behav.  Immun. 2009 Jan;23(1):116-23.  They were using the histopathology of the brain (change in numbers of Purkinje cells etc) to assess whether influenza vaccine given to the pregnant maternal mouse would create the effect.  They found that indeed it did.

Dopamine and serotonin levels following prenatal viral infection in mouse--implications for psychiatric disorders such as schizophrenia and autism. Winter C, Reutiman TJ, Folsom TD, Sohr R, Wolf RJ, Juckel G, Fatemi SH. Eur Neuropsychopharmacol. 2008 Oct;18(10):712-6.   Again they used the influenza vaccine.

The role of cerebellar genes in pathology of autism and schizophrenia. Fatemi SH, Reutiman TJ, Folsom TD, Sidwell RW. Cerebellum. 2008;7(3):279-94.  They make it clear that their model of autism in the mouse using the influenza vaccine was great and they were proud of it.  They justified it through the biochemistry and the histopathology seen in the brain. 

Prenatal viral infection in mouse causes differential expression of genes in brains of mouse progeny: a potential animal model for schizophrenia and autism. Fatemi SH, Pearce DA, Brooks AI, Sidwell RW. Synapse. 2005 Aug;57(2):91-9.  These results show for the first time that prenatal human influenza viral infection on day 9 of pregnancy leads to alterations in a subset of genes in brains of exposed offspring, potentially leading to permanent changes in brain structure and function.

Maternal influenza infection causes marked behavioral and pharmacological changes in the offspring. Shi L, Fatemi SH, Sidwell RW, Patterson PH. J Neurosci. 2003 Jan 1;23(1):297-302

Prenatal viral infection leads to pyramidal cell atrophy and macrocephaly in adulthood: implications for genesis of autism and schizophrenia.Fatemi SH, Earle J, Kanodia R, Kist D, Emamian ES, Patterson PH, Shi L, Sidwell R. Cell Mol Neurobiol. 2002 Feb;22(1):25-33

 


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