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Genetics of autism spectrum disorder: research to clinical practice

Author/s
Louise Gallagher, Richard J. L. Anney
Citation
Issue 4 Summer 2014
CEPiP.2014.1.13-20
Abstract

Autism Spectrum Disorder (ASD) is a common neurodevelopmental disorder causing significant lifetime morbidity. Recent advances in molecular genetics research highlighted the contribution of genetic risk factors to increasing genetic susceptibility to ASD. This review outlines the evidence supporting the role of genetic risk factors based on clinical genetic studies that have highlighted relatively strong heritability for ASD. Also discussed are the converging findings from molecular genetic studies showing evidence for the role of rare genetic risk factors, such as copy number variants (CNV) and rare sequence variants, in causing autism in a small proportion of individuals with ASD. Strong evidence for the contribution of common genetic variation to increased risk of ASD will likely require much larger samples as has been demonstrated in other complex genetic disorders. Application of bioinformatic approaches to data emerging from ASD molecular genetics studies is increasingly informing on the biology of the condition, and will ultimately lead to improved diagnostics and therapeutics.

Cite as: Cutting Edge Psychiatry in Practice 2014, 4(1):13-20; https://doi.org/10.65031/hykx8819

References

  1. Fombonne E. Epidemiology of pervasive developmental disorders. Pediatr Res. 2009 Jun;65(6):591-8. https://doi.org/10.1203/pdr.0b013e31819e7203
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington, VA: American Psychiatric Publishing; 2013. https://doi.org/10.1007/s11019-013-9529-6
  3. Carter M, Scherer S. Autism spectrum disorder in the genetics clinic: a review. Clin Genet. 2013 May;83(5):399-407. https://doi.org/10.1111/cge.12101
  4. Folstein S, Rutter M. Infantile autism: a genetic study of 21 twin pairs. J Child Psychol Psychiatry. 1977 Sep;18(4):297-321. https://doi.org/10.1111/j.1469-7610.1977.tb00443.x
  5. Ritvo ER, Freeman BJ, Mason-Brothers A, Mo A, Ritvo AM. Concordance for the syndrome of autism in 40 pairs of afflicted twins. Am J Psychiatry. 1985 Jan;142(1):74-7. https://doi.org/10.4324/9780203450499-29
  6. Bailey A, Le Couteur A, Gottesman I, Bolton P, Simonoff E, Yuzda E, et al. Autism as a strongly genetic disorder: evidence from a British twin study. Psychol Med. 1995 Jan;25(1):63-77. https://doi.org/10.1017/s0033291700028099
  7. Steffenburg S, Gillberg C, Hellgren L, Andersson L, Gillberg IC, Jakobsson G, et al. A twin study of autism in Denmark, Finland, Iceland, Norway and Sweden. J Child Psychol Psychiatry. 1989 May;30(3):405-16. https://doi.org/10.1111/j.1469-7610.1989.tb00254.x
  8. Bolton P, Macdonald H, Pickles A, Rios P, Goode S, Crowson M, et al. A case-control family history study of autism. J Child Psychol Psychiatry. 1994 Jul;35(5):877-900. https://doi.org/10.1111/j.1469-7610.1994.tb02300.x
  9. Anckarsater H, Lundstrom S, Kollberg L, Kerekes N, Palm C, Carlstrom E, et al. The Child and Adolescent Twin Study in Sweden (CATSS). Twin Res Hum Genet. 2011 Dec;14(6):495-508. https://doi.org/10.1375/twin.14.6.495
  10. Taniai H, Nishiyama T, Miyachi T, Imaeda M, Sumi S. Genetic influences on the broad spectrum of autism: study of proband-ascertained twins. Am J Med Genet B Neuropsychiatr Genet. 2008 Sep 5;147B(6):844-9. https://doi.org/10.1002/ajmg.b.30740
  11. Hallmayer J, Cleveland S, Torres A, Phillips J, Cohen B, Torigoe T, et al. Genetic heritability and shared environmental factors among twin pairs with autism. Arch Gen Psychiatry. 2011 Nov;68(11):1095-102. https://doi.org/10.1001/archgenpsychiatry.2011.76
  12. Klei L, Sanders SJ, Murtha MT, Hus V, Lowe JK, Willsey AJ, et al. Common genetic variants, acting additively, are a major source of risk for autism. Mol Autism. 2012 Oct 15;3(1):9. https://doi.org/10.1186/2040-2392-3-9
  13. Wang K, Zhang H, Ma D, Bucan M, Glessner JT, Abrahams BS, et al. Common genetic variants on 5p14.1 associate with autism spectrum disorders. Nature. 2009 May 28;459(7246):528-33.   
  14. Weiss LA, Arking DE, Daly MJ, Chakravarti A. A genome-wide linkage and association scan reveals novel loci for autism. Nature. 2009 Oct 8;461(7265):802-8. https://doi.org/10.1038/nature08490
  15. Anney R, Klei L, Pinto D, Regan R, Conroy J, Magalhaes TR, et al. A genome-wide scan for common alleles affecting risk for autism. Hum Mol Genet. 2010 Oct 15;19(20):4072-82.   
  16. Freitag CM, Staal W, Klauck SM, Duketis E, Waltes R. Genetics of autistic disorders: review and clinical implications. Eur Child Adolesc Psychiatry. 2010 Mar;19(3):169-78. https://doi.org/10.1007/s00787-009-0076-x
  17. Devlin B, Melhem N, Roeder K. Do common variants play a role in risk for autism? Evidence and theoretical musings. Brain Res. 2011 Mar 22;1380:78-84. https://doi.org/10.1016/j.brainres.2010.11.026
  18. Ripke S, O’Dushlaine C, Chambert K, Moran JL, Kahler AK, Akterin S, et al. Genome-wide association analysis identifies 13 new risk loci for schizophrenia. Nat Genet. 2013 Oct;45(10):1150-9.
  19. Freitag CM. The genetics of autistic disorders and its clinical relevance: a review of the literature. Mol Psychiatry. 2007 Jan;12(1):2-22. https://doi.org/10.1038/sj.mp.4001896
  20. Cook EH, Jr., Lindgren V, Leventhal BL, Courchesne R, Lincoln A, Shulman C, et al. Autism or atypical autism in maternally but not paternally derived proximal 15q duplication. Am J Hum Genet. 1997 Apr;60(4):928-34.                 
  21. Stefansson H, Meyer-Lindenberg A, Steinberg S, Magnusdottir B, Morgen K, Arnarsdottir S, et al. CNVs conferring risk of autism or schizophrenia affect cognition in controls. Nature. 2014 Jan 16;505(7483):361-6. https://doi.org/10.1038/nature12818
  22. Sanders SJ, Ercan-Sencicek AG, Hus V, Luo R, Murtha MT, Moreno-De-Luca D, et al. Multiple recurrent de novo CNVs, including duplications of the 7q11.23 Williams syndrome region, are strongly associated with autism. Neuron. 2011 Jun 9;70(5):863-85. https://doi.org/10.3410/f.11324956.12328054
  23. Pinto D, Pagnamenta AT, Klei L, Anney R, Merico D, Regan R, et al. Functional impact of global rare copy number variation in autism spectrum disorders. Nature. 2010 Jul 15;466(7304):368-72.               
  24. Huguet G, Ey E, Bourgeron T. The genetic landscapes of autism spectrum disorders. Annu Rev Genomics Hum Genet. 2013;14:191-213. https://doi.org/10.1146/annurev-genom-091212-153431
  25. Krumm N, O’Roak BJ, Shendure J, Eichler EE. A de novo convergence of autism genetics and molecular neuroscience. Trends Neurosci. 2014 Feb;37(2):95-105. https://doi.org/10.1016/j.tins.2013.11.005
  26. Marshall CR, Scherer SW. Detection and characterization of copy number variation in autism spectrum disorder. Methods Mol Biol. 2012;838:115-35.
  27. Jamain S, Quach H, Betancur C, Rastam M, Colineaux C, Gillberg IC, et al. Mutations of the X-linked genes encoding neuroligins NLGN3 and NLGN4 are associated with autism. Nat Genet. 2003 May;34(1):27-9. https://doi.org/10.1038/ng1136
  28. Gauthier J, Spiegelman D, Piton A, Lafreniere RG, Laurent S, St-Onge J, et al. Novel de novo SHANK3 mutation in autistic patients. Am J Med Genet B Neuropsychiatr Genet. 2009 Apr 5;150B(3):421-4. https://doi.org/10.1002/ajmg.b.30822
  29. Sanders SJ, Murtha MT, Gupta AR, Murdoch JD, Raubeson MJ, Willsey AJ, et al. De novo mutations revealed by whole-exome sequencing are strongly associated with autism. Nature. 2012 May 10;485(7397):237-41. https://doi.org/10.1038/nature10945
  30. Neale BM, Kou Y, Liu L, Ma’ayan A, Samocha KE, Sabo A, et al. Patterns and rates of exonic de novo mutations in autism spectrum disorders. Nature. 2012 May 10;485(7397):242-5.                
  31. Iossifov I, Ronemus M, Levy D, Wang Z, Hakker I, Rosenbaum J, et al. De novo gene disruptions in children on the autistic spectrum. Neuron. 2012 Apr 26;74(2):285-99. https://doi.org/10.1016/j.neuron.2012.04.009
  32. Anney RJ, Kenny EM, O’Dushlaine C, Yaspan BL, Parkhomenka E, Buxbaum JD, et al. Gene-ontology enrichment analysis in two independent family-based samples highlights biologically plausible processes for autism spectrum disorders. Eur J Hum Genet. 2011 Oct;19(10):1082-9. https://doi.org/10.1038/ejhg.2011.75
  33. Voineagu I, Wang X, Johnston P, Lowe JK, Tian Y, Horvath S, et al. Transcriptomic analysis of autistic brain reveals convergent molecular pathology. Nature. 2011 Jun 16;474(7351):380-4. https://doi.org/10.1038/nature10110
  34. Adviento B, Corbin IL, Widjaja F, Desachy G, Enrique N, Rosser T, et al. Autism traits in the RASopathies. J Med Genet. 2014 Jan;51(1):10-20. https://doi.org/10.1136/jmedgenet-2013-101951
  35. Gilman SR, Iossifov I, Levy D, Ronemus M, Wigler M, Vitkup D. Rare de novo variants associated with autism implicate a large functional network of genes involved in formation and function of synapses. Neuron. 2011 Jun 9;70(5):898-907. https://doi.org/10.1016/j.neuron.2011.05.021
  36. O’Roak BJ, Deriziotis P, Lee C, Vives L, Schwartz JJ, Girirajan S, et al. Exome sequencing in sporadic autism spectrum disorders identifies severe de novo mutations. Nat Genet. 2011 Jun;43(6):585-9. https://doi.org/10.1038/ng.835
  37. Ben-David E, Shifman S. Combined analysis of exome sequencing points toward a major role fortranscription regulation during brain development in autism. Mol Psychiatry. 2013 Oct;18(10): 1054-6. https://doi.org/10.1038/mp.2012.148
  38. Ben-David E, Shifman S. Networks of neuronal genes affected by common and rare variants in autism spectrum disorders. PLoS Genet. 2012;8(3):e1002556. https://doi.org/10.1371/journal.pgen.1002556
  39. Willsey AJ, Sanders SJ, Li M, Dong S, Tebbenkamp AT, Muhle RA, et al. Coexpression networks implicate human midfetal deep cortical projection neurons in the pathogenesis of autism. Cell. 2013 Nov 21;155(5):997-1007. https://doi.org/10.1016/j.cell.2013.10.020
  40. Parikshak NN, Luo R, Zhang A, Won H, Lowe JK, Chandran V, et al. Integrative functional genomic analyses implicate specific molecular pathways and circuits in autism. Cell. 2013 Nov 21;155(5):1008-21. https://doi.org/10.1016/j.cell.2013.10.031