학술논문

Using Whole-Exome Sequencing to Identify Inherited Causes of Autism
Document Type
article
Source
Neuron. 77(2)
Subject
Biological Psychology
Biomedical and Clinical Sciences
Neurosciences
Psychology
Human Genome
Brain Disorders
Genetic Testing
Genetics
Clinical Research
Intellectual and Developmental Disabilities (IDD)
Mental Health
Autism
Pediatric
2.1 Biological and endogenous factors
Aetiology
Adolescent
Animals
Autistic Disorder
Cells
Cultured
Child
Child
Preschool
Cohort Studies
Exome
Female
Genome-Wide Association Study
Humans
Male
Pedigree
Rats
Sequence Analysis
DNA
Young Adult
Cognitive Sciences
Neurology & Neurosurgery
Biological psychology
Language
Abstract
Despite significant heritability of autism spectrum disorders (ASDs), their extreme genetic heterogeneity has proven challenging for gene discovery. Studies of primarily simplex families have implicated de novo copy number changes and point mutations, but are not optimally designed to identify inherited risk alleles. We apply whole-exome sequencing (WES) to ASD families enriched for inherited causes due to consanguinity and find familial ASD associated with biallelic mutations in disease genes (AMT, PEX7, SYNE1, VPS13B, PAH, and POMGNT1). At least some of these genes show biallelic mutations in nonconsanguineous families as well. These mutations are often only partially disabling or present atypically, with patients lacking diagnostic features of the Mendelian disorders with which these genes are classically associated. Our study shows the utility of WES for identifying specific genetic conditions not clinically suspected and the importance of partial loss of gene function in ASDs.