Difference between revisions of "Autism Spectrum Disorders"

From Pheno Wiki
Jump to: navigation, search
Line 22: Line 22:
  
 
* History
 
* History
 +
 +
Prior to the 1970's, many people thought Autism Spectrum Disorders were a result of psychological causes, such as having an aloof mothering style. However, during the 1980's people began to note that chromosomal disorders and rare syndromes often co-occurred with ASD.  As a result, people began to suspect that ASD could have genetic underpinnings.  These suspicions were confirmed when, after the development of the [[ADI-R]] and [[ADOS]] as diagnostic tools and other technical advances, the first candidate gene association and resequencing studies, followed by whole-genome linking studies were done in the late 1990's.  These studies were used to identify loci of potential interest.
  
 
===Core Deficits===
 
===Core Deficits===
Line 41: Line 43:
 
==Genetics==
 
==Genetics==
  
 +
A host of genes of interest have been identified through gene association studies, resequencing and, recently, the assessment of copy number variation (CNV). Most approaches to finding loci of interest are either through one of two hypothesis:
 +
 +
#ASD is a result of interplay between many genes
 +
#There is one principle gene which contributes to many aspects of the disease.
 +
 +
The idea that the symptoms of ASD is a result of the interaction of many different genes has been supported by linkage studies, and the fact that although many genes have been identified with causing ASD symptoms, each of these individual genes do not cause more than 1-2% of over all ASDs, supporting the idea that most cases of ASD are caused by slight defects in many interacting genes.  However, data mining techniques such as hierarchical clustering and principle components analysis finds that it is highly likely that there is 1 continuously distributed factor contributing to many aspects of disease 
  
 
==== Related Information ====
 
==== Related Information ====

Revision as of 14:51, 6 March 2009


Papers List | Variables List

Autism Spectrum Disorders

Basic Characteristics

  • Description

Autism Spectrum Disorders is a clinical description of the developmental disorders which are characterized by impaired language development, social development, and learning.

They include:

  1. Autism
  2. PPD-NOS
  3. Asperger's Syndrome
  4. Rett Syndrome
  5. Childhood Disintegrative Disorder

Children with ASD have extremely delayed development. Symptoms of this disorder usually start to appear between 12 to 36 months and consist of not reaching normal development benchmarks such as not babbling by 12 months, not speaking by 16 months, or a gradual loss of language or social skills. All children with ASD show deficits in social interactions, verbal and nonverbal communication. They may also show repetitive behaviors and interests, or aggressive behavior.

Although all children with ASD show similar deficits, the depth of these deficits can range drastically. Some have very mild deficits like in Asperger's Syndrome, where children have high levels of vocabulary and language skills. Others may have little to no spoken language functionality.

  • Causes

Scientists have not found the exact cause of ASD, although all would agree that there is a genetic basis. The causes of some disorders in the spectrum have been found already and there are simple diagnostic tests that can be done to see if the child has this specific disorder, such as in Rett Syndrome.

The difficulty in finding the cause of ASD partially lies in its definition, and partially on the complex interplay between genes that happens during development. ASD, like most other behavioral disorders, is diagnosed based off of observable characteristics of the child. However, these diagnosis offer no direction as to which specific genes are defective. Furthermore, two patients with ASD can present very similar symptoms and yet have different defective genes or causes. For example, Rett Syndrome is caused by mutations in the gene MeCP2 while Tuberous Sclerosis is caused by mutations in TSC1 and TSC2. It should be noted that both Rett Syndrome and Tuberous Sclerosis are very rare.

  • History

Prior to the 1970's, many people thought Autism Spectrum Disorders were a result of psychological causes, such as having an aloof mothering style. However, during the 1980's people began to note that chromosomal disorders and rare syndromes often co-occurred with ASD. As a result, people began to suspect that ASD could have genetic underpinnings. These suspicions were confirmed when, after the development of the ADI-R and ADOS as diagnostic tools and other technical advances, the first candidate gene association and resequencing studies, followed by whole-genome linking studies were done in the late 1990's. These studies were used to identify loci of potential interest.

Core Deficits

Those who have ASD have identifiable core deficits recognized by scientists and clinicians.

  1. Core Deficit of Joint Attention
  2. Core Deficit of Social Communication
  3. Repetitive behaviors or interests

Treatments

There are no drugs that can “cure” ASD. There are a variety of treatments available which aim to improve social and communication skills. Because of the complexity of ASD, there is no one treatment that works equally well for all people with ASD. Some common treatments are:

Some clinicians may prescribe medications to target certain symptoms.

Neuroimaging

Genetics

A host of genes of interest have been identified through gene association studies, resequencing and, recently, the assessment of copy number variation (CNV). Most approaches to finding loci of interest are either through one of two hypothesis:

  1. ASD is a result of interplay between many genes
  2. There is one principle gene which contributes to many aspects of the disease.

The idea that the symptoms of ASD is a result of the interaction of many different genes has been supported by linkage studies, and the fact that although many genes have been identified with causing ASD symptoms, each of these individual genes do not cause more than 1-2% of over all ASDs, supporting the idea that most cases of ASD are caused by slight defects in many interacting genes. However, data mining techniques such as hierarchical clustering and principle components analysis finds that it is highly likely that there is 1 continuously distributed factor contributing to many aspects of disease

Related Information

  • Task or test associated with this construct (vote for your favorite, or nominate a new one by editing this page):
  • Indicators (dependent variables, conditions, or contrasts; measurement variables used for analysis) associated with this construct (vote or nominate by editing this page):
  • Closely related pages (vote or nominate related pages by editing this page):
  • CNP Level
    • Syndrome

External Resources

  • Database links