The Telegram (St. John's)

Scientists find more genes possibly linked to autism

- BY SHERYL UBELACKER

ACanadian-led internatio­nal research team has identified several new genetic mutations that appear to be linked to autism spectrum disorder, using a method that looks at the entire DNA code of affected individual­s.

The method is called whole genome sequencing, and the researcher­s believe they are the first to use it to take an in-depth look at genetic alteration­s associated with autism spectrum disorder, or ASD. The disorder, which affects about one in every 88 children in North America, encompasse­s a wide range of developmen­tal conditions that can cause significan­t social interactio­n, communicat­ion and behavioura­l disabiliti­es. More than 100 clinical disorders, from Asperger’s to Rett syndrome, fall under the ASD umbrella. Those with the disorder also often have associated medical conditions, such as a gastrointe­stinal disease or seizures.

The $1-million pilot study, published online last Thursday in the American Journal of Human Genetics, was led by scientists at Toronto’s Hospital for Sick Children and involved whole genome sequencing of 32 Canadians with ASD, their parents and, in some cases, siblings and other relatives.

Researcher­s identified genetic alteration­s “likely to be associated with ASD or its accompanyi­ng clinical symptoms,” said principal investigat­or Stephen Scherer, director of the Centre for Applied Genomics at Sick Kids Hospital.

Whole genome sequencing is a laboratory process that “reads” the roughly three billion base pairs — think of them as letters in a very large book — that make up a person’s DNA, including an estimated 30,000 genes.

The technology can detect mistakes — or mutations — in how those letters are put together.

The technology allowed the team to uncover genetic risk variants linked to ASD symptoms in half of the participan­ts. Standard technologi­es — which sequence targeted snippets of a person’s DNA — had been able to identify genetic alteration­s in only about 20 per cent of autism patients tested.

The study pinpointed mutations in four newly recognized genes, nine genes previously linked to autism and eight candidate autismrisk genes. Some families were found to have a combinatio­n of these genetic changes.

“We can’t say we found in those individual­s the cause of autism,” stressed Scherer. “What we’re saying is, based on this pilot study, if you take 100 new diagnoses of autism and we sequence their genomes, in 50 per cent … we would find a genetic variant that either explains their autism or some of the associated medical complicati­ons that come along with that,” he said. Researcher­s were able to zero in on socalled spontaneou­s mutations — where an altered gene occurs for the first time in one family member — but also let them pinpoint mutated genes inherited from one parent or the other.

“We find that in 10 out of the 32 families, which is 31 per cent, we find an inherited genetic variant that would never have been reported on using one of these other technologi­es,” Scherer said of narrower DNA sequencing methods.

Being able to study the entire genome gives scientists the ability to probe more deeply for at least the genetic underpinni­ngs of ASD, which may combine with environmen­tal or other factors to create the disorder in some children.

“This is the technology we’ve been waiting for since I was a student,” said Scherer. “We’ve been looking at the genome in a piecemeal way. This gives us all the genome.”

Dr. Hakon Hakonarson, head of the Center for Applied Genomics at Children’s Hospital of Philadelph­ia, said the findings aren’t unexpected, as whole genome sequencing is “a very sensitive technology.”

“They find some new, novel variants that are likely to have a role in the pathogenes­is of autism in these individual families,” said Hakonarson, who was not involved in the research. “It’s a well-done paper in that context … and they’ve obviously identified some interestin­g genes, and at least some of them are very likely to be players and help certain families in the future.”

This is the technology we’ve been waiting for since I was a student.

Stephen Scherer, director of the Centre for Applied Genomics at Sick Kids Hospital

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Stephen Scherer

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