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Clinical and Genetic Findings in Autism Spectrum Disorders Analyzed Using Exome Sequencing

Overview
Specialty Psychiatry
Date 2025 Mar 12
PMID 40071278
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Abstract

Methods: In the present study, CMA was first used to scan for genome-wide copy number variants in the patient, and no clinically significant copy number variants were found. Exome sequencing (ES) was used for further genetic testing.

Results: ES was performed on 20 subjects. Eighty percent of our sample presented intellectual disability. Other co-occurring clinical conditions included speech disorders, psychomotor delay, the presence of dysmorphic features and medical co-morbidities. A pathogenic variant was identified in 10 patients (, , , , NR4A2, and ). Patients with a positive finding in ES were more likely to present a dysmorphic trunk, more than three dysmorphic features, hypotonia, psychomotor delay and strabismus.

Conclusions: ES offers expanded diagnostic options for patients with ASD who are negative on CMA. However, further studies are needed for a better understanding of ASD etiology and also the different phenotypes.

References
1.
Buja A, Volfovsky N, Krieger A, Lord C, Lash A, Wigler M . Damaging de novo mutations diminish motor skills in children on the autism spectrum. Proc Natl Acad Sci U S A. 2018; 115(8):E1859-E1866. PMC: 5828599. DOI: 10.1073/pnas.1715427115. View

2.
Hamanaka K, Sugawara Y, Shimoji T, Nordtveit T, Kato M, Nakashima M . De novo truncating variants in PHF21A cause intellectual disability and craniofacial anomalies. Eur J Hum Genet. 2018; 27(3):378-383. PMC: 6460561. DOI: 10.1038/s41431-018-0289-x. View

3.
Rudolph H, Stafford A, Hwang H, Kim C, Prokop J, Vogt D . Structure-Function of the Human WAC Protein in GABAergic Neurons: Towards an Understanding of Autosomal Dominant DeSanto-Shinawi Syndrome. Biology (Basel). 2023; 12(4). PMC: 10136313. DOI: 10.3390/biology12040589. View

4.
Monteiro P, Feng G . SHANK proteins: roles at the synapse and in autism spectrum disorder. Nat Rev Neurosci. 2017; 18(3):147-157. DOI: 10.1038/nrn.2016.183. View

5.
Green D, Charman T, Pickles A, Chandler S, Loucas T, Simonoff E . Impairment in movement skills of children with autistic spectrum disorders. Dev Med Child Neurol. 2009; 51(4):311-6. DOI: 10.1111/j.1469-8749.2008.03242.x. View