Difference between revisions of "Genetics2"

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===Analytical Techniques===
 
===Analytical Techniques===

Revision as of 10:47, 24 March 2010

Etiology

Recent studies have suggested that ASD in families where multiple members are affected by autistic traits may be caused more by genetic predisposition. In contrast, ASD in families where only one member displays autistic traits are more likely to be caused by rare gene mutations which have a large effect or by copy number variations. One way of studying this difference is by comparing autistic traits in unaffected family members from multiplex autism families to simplex autism families.5

Linkage and Association Studies

Successful linkage studies in the past have been mostly based on affected sibling-pair designs in multiplex families. However, there were no genome wide significant results probably because of small effect sizes that were a result of any single gene. Even large scale studies showed only minor overlap, likely because of variety of phenotypes in ASD. Recently though, use of endophenotypes and QTL mapping have increased the power of linkage and association studies.

Endophenotypes can help genetic studies by defining more etiologically homogenous subgroups. Furthermore, endophenotypes are measurable in both affected and control groups, thus allowing for larger sample sizes. Language phenotypes such as the age at which the child speaks their first word, are very promising endophenotypes because they show significant linkage in many samples and the support has been lent at implicating the 7q region to this language development, thereby raising hypothesis that the 7q region is home to other loci that are associated with the autism language phenotype3.

Copy-Number Variation CNVs in certain dosage sensitive genes have been suggested as the root cause of ASD. This theory is particularly appealing because CNVs have a high locus-specific rate of new nucleotide mutations, 3-4 times the rate for single nucleotide polymorphisms. Additionally, CNVs can account for the phenotypic variation seen in ASD. The type of copy number rearrangement and whether it was inherited maternally or paternally can further affect the phenotype. For example, duplications of chromosome 15q11-q13 that are derived maternally confers a high risk of ASD (>85%) while those inherited paternally have anywhere from no phenotypic affects to mild developmental and cognitive impairment. There is relative enrichment within CNVs for neuronal synaptic complex genes, particularly SHANK3, NLGN4, and NRXN1. However, it is difficult to know right now how harmful a particular inherited CNV will be because the extent of the CNV and what genes are included, as well as which geens are nearby can influence the phenotypes. Specifically, other genes can modulate the risk of genes that normally confer genes, and other genes can even act protectively to decrease the risk of developing a particular genetic disease4.

Some likely candidate genes that have been explored include

GeneFunctionLocationsource
UBE3Atranscribed protein is an enzyme that works in protein degradation15q11-q13PMID 18414403
GABRB3encodes a member of of a ligand gated ionic channels responsible for inhibition in nervous system15q11-q12PMID 18414403
METencodes receptor tyrosine kinase involved in neuroal growth and organization, immunological and gastrointestinal functioning7q31 PMID 18716561
SLC6A4serotonin transporter17q11PMID 18716561
RELNencodes protein that controls intercellular interactions involved in neuronal migration and positioning in brain development7q22PMID 18716561
CNTNAP2part of neurexin superfamily, encodes CASPR2, a transmembrane scaffolding protein 7q35-q36PMID 18179894


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Citations

1. Schmitz C. Autism: neuropathology, alterations of the GABAergic system, and animal models.Int Rev Neurobiol. 2005;71:1-26. PMID 16512344

2. Jones, J.R. et. al. Hypothesis: Dysregulation of Methylation of Brain-Expressed Genes on the X Chromosome and Autism Spectrum Disorders. American Journal of Medical Genetics Part A 146A:2213-2220 (2008). PMID 18698615

3. Lush, Molly et. al. Current Developments in the Genetics of Autism: From Phenome to Genome. J Neuropathol Exp Neurol. 2008 September; 67(9):829-837. PMID 18716561

4. Cook, E.H. and S. W. Scherer. Copy-number variations associated wtih neuropsychiatric conditions. Nature.2008 October;455(16) 919-23. PMID 18923514

5. Hoekstra RA, et. al. Autistic traits in simplex and multiplex autism families: Focus on unaffected relatives.Am J Med Genet B Neuropsychiatr Genet. 2010 Jan 5;153B(1):356-8. PMID 19367575