Abstract
The identification of the genetic components of autism spectrum disorders (ASDs) has advanced rapidly in recent years, particularly with the demonstration of de novo mutations as an important source of causality. We review these developments in light of genetic models for ASDs. We consider the number of genetic loci that underlie ASDs and the relative contributions from different mutational classes, and we discuss possible mechanisms by which these mutations might lead to dysfunction. We update the two-class risk genetic model for autism, especially in regard to children with high intelligence quotients.
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Glossary
- Coincident mutations
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Mutations in both alleles at a given locus.
- Comparative genomic hybridization
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(CGH). A microarray-based technique for identifying large deletions or duplications in the genome.
- Concordance
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The probability that multiple siblings are affected given that one of them is already known to be affected.
- Copy number variants
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(CNVs). Large deletions or duplications that either alter the number of copies of genes or disrupt the function of genes.
- De novo mutations
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New mutations that arise either in the parental germ line or somatically.
- Dosage sensitivity
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A defining feature of phenotypes that result from heterozygous mutation.
- Gender bias
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The phenomenon whereby four times as many males are affected by autism spectrum disorders compared with females, with a male:female ratio of nearly 6:1 among individuals who are diagnosed as being high functioning.
- High-risk families
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Families that contain a highly penetrant segregating risk allele for autism spectrum disorders.
- Insertions and deletions
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(Indels). Small insertions or deletions in the genome that are generally <10 bp.
- Loss-of-function mutations
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In the context of this article, events that result in a nonsense allele or that change the reading frame.
- Low-risk families
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Families that do not contain a segregating risk allele for autism spectrum disorders (ASDs) and that are only at risk of ASDs in cases of de novo mutation.
- Monoallelic
-
Pertaining to the expression of only one allele at a given locus.
- Multiplex families
-
Families with multiple affected children.
- Neuroplasticity
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The dynamic state of the brain, which enables it to respond to changes in environment and development.
- Penetrant
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Pertaining to the probability that an individual with a given mutation will be affected by the corresponding condition.
- Recurrence
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Independent mutational 'hits' within a given gene in unrelated individuals.
- Sibling risk
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The probability that a sibling of an affected child will also be affected.
- Simplex families
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Families with only one affected child; all other children (if any) of these families are unaffected.
- Transmitted
-
Inheritance of a mutant allele from a parent, who may be phenotypically normal owing to gender bias.
- Trios
-
Family units that consist of both parents and one child in each unit.
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Ronemus, M., Iossifov, I., Levy, D. et al. The role of de novo mutations in the genetics of autism spectrum disorders. Nat Rev Genet 15, 133–141 (2014). https://doi.org/10.1038/nrg3585
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DOI: https://doi.org/10.1038/nrg3585
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