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Disruptive CHD8 mutations define a subtype of autism early in development.


ABSTRACT: Autism spectrum disorder (ASD) is a heterogeneous disease in which efforts to define subtypes behaviorally have met with limited success. Hypothesizing that genetically based subtype identification may prove more productive, we resequenced the ASD-associated gene CHD8 in 3,730 children with developmental delay or ASD. We identified a total of 15 independent mutations; no truncating events were identified in 8,792 controls, including 2,289 unaffected siblings. In addition to a high likelihood of an ASD diagnosis among patients bearing CHD8 mutations, characteristics enriched in this group included macrocephaly, distinct faces, and gastrointestinal complaints. chd8 disruption in zebrafish recapitulates features of the human phenotype, including increased head size as a result of expansion of the forebrain/midbrain and impairment of gastrointestinal motility due to a reduction in postmitotic enteric neurons. Our findings indicate that CHD8 disruptions define a distinct ASD subtype and reveal unexpected comorbidities between brain development and enteric innervation.

SUBMITTER: Bernier R 

PROVIDER: S-EPMC4136921 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature

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Disruptive CHD8 mutations define a subtype of autism early in development.

Bernier Raphael R   Golzio Christelle C   Xiong Bo B   Stessman Holly A HA   Coe Bradley P BP   Penn Osnat O   Witherspoon Kali K   Gerdts Jennifer J   Baker Carl C   Vulto-van Silfhout Anneke T AT   Schuurs-Hoeijmakers Janneke H JH   Fichera Marco M   Bosco Paolo P   Buono Serafino S   Alberti Antonino A   Failla Pinella P   Peeters Hilde H   Steyaert Jean J   Vissers Lisenka E L M LELM   Francescatto Ludmila L   Mefford Heather C HC   Rosenfeld Jill A JA   Bakken Trygve T   O'Roak Brian J BJ   Pawlus Matthew M   Moon Randall R   Shendure Jay J   Amaral David G DG   Lein Ed E   Rankin Julia J   Romano Corrado C   de Vries Bert B A BBA   Katsanis Nicholas N   Eichler Evan E EE  

Cell 20140703 2


Autism spectrum disorder (ASD) is a heterogeneous disease in which efforts to define subtypes behaviorally have met with limited success. Hypothesizing that genetically based subtype identification may prove more productive, we resequenced the ASD-associated gene CHD8 in 3,730 children with developmental delay or ASD. We identified a total of 15 independent mutations; no truncating events were identified in 8,792 controls, including 2,289 unaffected siblings. In addition to a high likelihood of  ...[more]

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